Turns out she has a toe that is broken in two places and broke into the joint. Originally the vet did not think they would do anything to treat it but decided to splint it and send us off to a surgeon for a consult.
So she came home and we kept her quiet for 5 days while we waited to see the surgeon. Luckily she was on pain meds that made her sleepy...she even had a nap in her toy box.
The surgeon did not recommend surgery but advised that we will splint it for 4 weeks and then do an x-ray to check the healing status. After that we will either remove the splint, splint for longer or potentially consider surgery if it did not heal well. The good news is she is a puppy and one of her key jobs right now is to make bone for growth so that should position her well for healing.
For the next month we need to super duper limit her movement. So she is either tied to the coffee table, in a crate or on a leash in the yard for 5 or 10 minutes a few times a day.
I have been working on training that she can do laying down: touch, ignore food, roll, hip flips, etc. She is also going to have the cleanest teeth in town because that is something we can do that requires no walking and which she loves!