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I would have xrays done to verify whether it's ED or Pano. And discern how bad the elbows are.
If it's Pano - the treatment you need to do is going to be diet related. And it helps having a specialist guide you on that. A low protein diet, for example.
If it's elbows causing the limping - you are looking at getting started on a maintenance type treatment plan to start with, unless the elbows are horrific.
I personally would not talk surgery until your dog is past 24 months. And that is also around the time that pano issues really go away. Per the orthopedic specialist we had with our dog - we were told at 15-18 months, we see the limping and stiffness stop. And this was the case.
In the case of our dog, our regular vets did not see evidence of pano on the legs xrays. The specialist did.
Our dog DID have elbow dysplasia, both elbows. In his case, he had OCD in the elbows, if I'm remembering it right. Chips. Caused major inflamation. It still caused limping, but not anything like when he was younger.
When he was younger, he literally could not get from one end of a room to the other without stopping and getting the weight off his front end.