Pain in companion animals is systematically underrecognised and undertreated. Validated pain assessment tools and improved owner education are transforming pain management in veterinary practice.
Pain recognition is the foundational welfare competency for companion animal owners. An animal that cannot communicate pain in human language requires observers who know what to look for - and animal pain communication is subtle. Changes in posture, reduced activity, altered facial expression, reluctance to be touched, personality change, altered sleep patterns and reduced appetite are all pain indicators that owners frequently attribute to ageing or 'slowing down' rather than recognising as pain requiring veterinary assessment. Improving pain literacy in pet owners is one of the highest-leverage welfare interventions available to veterinary practice and welfare education.