My dog has SM and is on Gabapentin (75 mg 3x daily), Predisone (1.25 mg 1x every other day) and Omeprazole (2.5 mg daily for 3 weeks, 1 week off). He also gets acupuncture every other week and eats home-cooked food. We opted not to do the surgery because we have been able to manage his pain very well witht he above measures. I think diet and acupuncture has had a great effect. Although, there are several people with SM dogs that have not noticed a difference with acupuncture. Best of luck, it is heartbreaking. Make sure you do get a harness (vs. collar) for you dog immediately, if you do not already have one... it releives the pressure from their neck.
Mary Ann (Jack Sprat's mom)