Swollen Sheath, Need Advice

Connemara20

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My 20 year old connemara has a swollen sheath and the vet has been out numerous times. In addition to the swollen sheath he has fairly considerable stiffness in the high-end/hocks. We've tried steroids twice, and previcox for a week. The vet thinks the swelling is linked to the hind-end stiffness/lameness. I tried putting him on a joint supplement (Dumor FlexMor), thoroughly cleaned his sheath, and even sent out a fecal sample to check for parasites. Parasites can sometimes cause swelling. The vet came out one more time today and gave us a better supplement (Vet-Flex) that has higher doses of HA, Glucosamine, Chondroitin, MSM, and Type II Collagen. He stated that he thinks the sheath will be swollen, and the stiffness should improve with the new supplement and more exercise. Does anyone have any thoughts or ideas? Should I get a second opinion? I just want my guy to be comfortable. The sheath isn't hot and he doesn't seem to be uncomfortable from it, it's just fairly swollen.
 
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