Mastitis is the most costly disease in dairy farming and causes significant pain and suffering in affected cows.
Cows with clinical mastitis experience severe acute pain equivalent to arthritis in humans based on behavioural and physiological measures. Pain assessment and multimodal analgesia are not consistently applied. Sub-clinical mastitis causes chronic inflammation and discomfort. Repeated mastitis infections cause progressive udder damage and early culling. High-yielding breeds are more susceptible creating a conflict between production genetics and welfare.