We must rely on a combinations of history, physical examination, and x-ray findings to tell us where the problem is. In some cases we use treatment as a diognostic tool. By observing how a dog responds to a particular therapy, we can identify the problem. In many cases the help we can provide is only temporary or partial in relieving pain. Back problems in people are difficult, painful, and take prolonged healing periods.
Veterinarians are subject to the same limitations with their patients.
Early detection and proper medical care may help minimize the problem.