Chronic pain is widespread in older dogs and profoundly affects quality of life, yet remains significantly underdiagnosed and undertreated in veterinary practice.
Chronic pain in dogs causes a quiet, pervasive reduction in quality of life that is easily missed by owners who interpret slowing down as normal ageing. A dog that no longer greets you at the door, hesitates before jumping or stops playing with toys may be in significant chronic pain. Validated chronic pain questionnaires help owners notice changes they have habituated to. The advent of anti-nerve growth factor monoclonal antibody injections has transformed pain management options for dogs that cannot tolerate NSAIDs. Every dog deserves honest pain assessment and aggressive multimodal management when chronic pain is identified.