Chronic pain in cats is systematically underdiagnosed because cats hide pain effectively and owners misattribute behavioral changes to aging.
The disconnect between radiographic evidence of arthritis and owner recognition of pain reveals the depth of the underdiagnosis problem. Cats reduce activity, avoid jumping, and change litter box use habits rather than displaying obvious lameness. These changes are easily misattributed to normal aging. Regular veterinary pain assessment using validated tools identifies suffering that owners would otherwise miss entirely.