https://www.vetsurgeon.org/f/clinical-questions/29760/could-this-be-craniomandibular-osteopathy-or-srma Posted in expert help but I&#39;d be interested in general consensus as well... 12 week old female Scottish terrier presented with acute onset of lethargy and pain when being touched around the head/ mouth. No known injury, though she does play rough withen-USTelligent Community 10https://www.vetsurgeon.org/thread/229601?ContentTypeID=1Thu, 08 Apr 2021 07:56:32 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:0b2a9f42-6261-4e1a-93fd-14bf7ad6759eLucy Fleming<p>Thanks for the input all - I&#39;ve just seen her back this morning and she is much better according to her owner - no analgesia yesterday and seemed to be fine, so perhaps it was trauma of some sort (or teeth, but the pain seemed very extreme for this. However she had her second L4 today and screamed just as much as she did on Sunday, so perhaps she&#39;s just a bit wet).</p> <p>We&#39;ll keep a close eye for any relapse and go digging a bit further if so.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/229549?ContentTypeID=1Mon, 05 Apr 2021 09:33:29 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:2b6c587b-c74f-494c-983e-3b224f181d0cMike Dale<p>Breed and age make craniomandibular osteopathy high on the list. DV/VD and lateral radiographs should show changes. Easier to eliminate that on radiograph than to confirm SRMA on CSF tap.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/229544?ContentTypeID=1Sun, 04 Apr 2021 23:18:43 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:4880efb8-ca0e-42fc-bb8e-c2c2d4ee52e2Dinu Catilina<p>I wouldn&#39;t rule SRMA out. At this age she is also changing a few teeth so not impossible to be related. I think it&#39;s worth taking some radiographs if not improved on non steroidals.&nbsp;</p><div style="clear:both;"></div>