Chronic pain assessment in dogs requires validated tools that go beyond obvious behavioral signals to identify the full spectrum of pain-related welfare compromise.
Chronic pain represents one of the most underrecognized welfare problems in companion animals because dogs hide chronic suffering through stoic behavioral adaptation. The insidious onset of arthritis pain leads owners to attribute reduced activity to normal aging rather than undertreated pain. Validated chronic pain assessment tools change the clinical paradigm by asking about quality of life impacts rather than relying on overt pain behaviors. When treated dogs are assessed alongside untreated controls, the welfare impact of chronic pain becomes dramatically apparent in restored activity, social engagement, and behavioral repertoire.