Sky has been prescribed Tramadol in addition to the pain relief she is already on. The vet inspected her paw thoroughly and concluded there is nothing wrong with it. Said fur could be all ruffled up because of licking, hence the swollen appearance. She thinks (as I do) it is because she is in pain. I know it deep down so we will give the Tramadol (I hate that stuff) a try to see if it helps her. The vet also said the paw licking could become a habit which I instinctively felt and am trying to discourage (not easy). Sky is now 28.6kg which doesn’t surprise me - the vet said it is weighing (excuse the pun) up all the factors in her life and looking for quality. Maybe the Tramadol might make a bit more walking possible. Overall, I think Sky has a quality of life - she is eating fine, toileting fine, still little sparks of the younger dog. Think we are walking a tightrope of management here.