Hi, I'm so sorry you're going through this with Lola. I was going to suggest taking her to see a Orthopedic surgeon, but you mentioned there may not be one in your area. Have you asked your vet if he can recommend someone, maybe in a nearby town? He would have access to specialists in your area or State, and if you can't get to him, maybe your vet could send him the X-rays and he could assess her by phone with your vet. You can also take some videos of her when she is in pain, or when she is scooting, or limping so the vet can observe what is happening to her. I hope she is okay.