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She's been to a vet. Only one vet in my area sees waterfowl & they are limited on what they can do.Thanks for the tag.
I don't have experience with a niacin deficiency, but I have plenty of experience with a pekin with a painful foot. To help with that my vet recommended keeping my duck on soft clean surfaces, like thick layers of towels, 4-6 inches of straw, or clean grass. They had me keep her warm and dry, so inside in cold or wet weather. And they had me give pain medication for life.
We considered a duck wheelchair if pain medication didn't help. I think handicapped pets makes one for ducks.
Also, my understanding is that most people use the injectable niacin orally.
Can you take her to a vet?