Thank you all for the information. I am going to do some research and get the name of these in Italy along with the active ingredients and then forward it on to my vet to find out if any are available here. The only thing they suggested for Kiera was cortisone shots. Big big thanks to you all. You all ROCK!!! Will let you know what we find out and what the course will be for Kiera. Next time I am there I will get a photo of her with her person.