I've only had Chancy since she was ten, and by the time I got her, she already had mild symptoms of LS (shuffling back feet primarily). Occasionally she has "flare ups" usually after overexerting herself. The flare ups consist of periods where the act of lying down and standing up cause her to yelp in pain. This gradually dissipates in a day or two with use of pain meds and acupuncture. I tried six months of chiro, but it didn't seem to do anything for Chancy. I also tried a series of acupuncture treatments which did seem to help somewhat. Currently we are on supplements only: glucosamine, chondroitin, MSM, and fish oil, among other things. I will certainly do the acupuncture again if/when she has another flare up, but mostly she seems to get along very well. My vet said I should limit her running, but walking is very good for her. If Chancy seems to significantly decline, and acupuncture doesn't do the job, I will try the depo medrol shot. I've heard enough positive results from others that I'd give it a try, but only as a last resort. My vet is in agreement about this.