She thought it looked very much like a bite wound...I guess the issue is that this could have been our friendly local psychotic Bengal, or could he have done it to himself if he was in pain? I suspect the former, though, mainly because the limping was very sudden onset so it seems to me that the wound was the trigger and not a response, if you see what I mean.
Yes we did discuss referring for acupuncture, I don't know how well that would work on elbows and he is a little less docile than Milly but there's only one way to find out (plus as this is a new condition, hopefully his insurance will cover it!). The acupuncture vet is off sick for several weeks with a nerve injury so my vet has put him on metacam for now in the hope that we can calm it down and get over this acute episode, and then maybe think about acupuncture in a month or two when things have settled and the other vet is hopefully back at work. Too many vets not in the places where I "need" them at the moment, good vets shouldn't be allowed to change jobs/move/have holidays/get sick