Companion Animal Chronic Pain Management

Chronic pain is among the most undertreated welfare problems in companion animals. Evidence-based multimodal approaches significantly improve quality of life for affected animals.

Key Facts

Osteoarthritis affects over 80% of dogs and 60% of cats over age 10
Validated pain scales for chronic pain include the CBPI (dog), HCPI (dog) and CMPS-Feline
Multimodal analgesia combining NSAIDs, gabapentinoids and physical therapy outperforms single agents
Novel biologics targeting nerve growth factor (frunevetmab for cats) provide duration of 4-6 weeks relief
Weight reduction of 6-8% in overweight arthritic dogs produces measurable gait improvement

Welfare Considerations

Chronic pain is both common and systematically underrecognised in companion animals. Owners misattribute pain-related behaviour changes to ageing; vets face consultations too brief for pain assessment. The welfare cost is enormous: millions of companion animals live in daily discomfort that reduces mobility, social engagement and enjoyment of life. Systematic pain assessment at every geriatric consultation, combined with multimodal treatment and regular monitoring, can transform welfare outcomes. The veterinary profession has the tools - validated scales, effective medications, physical therapy referral - to eliminate most companion animal chronic pain.

What You Can Do

Use the HCPI or equivalent scale monthly for dogs over 8 and cats over 10
Ask your vet specifically about pain management at every senior health check
Consider physiotherapy and hydrotherapy as adjuncts to medication-based pain management
Implement home modifications: ramps, orthopaedic beds, non-slip flooring to reduce pain triggers
Discuss anti-NGF biologic treatments if NSAIDs provide insufficient relief