In the wild, showing pain makes an animal vulnerable, so dogs and cats are good at hiding it. Chronic pain, such as arthritis, comes on so gradually that owners often put the changes down to "just getting old".
The 2022 AAHA Pain Management Guidelines encourage vets to assess pain using a combination of behaviour, physical signs and context, and to help owners recognise it. You know your pet's normal behaviour best, so changes you notice are valuable clues.
For cats, researchers at the Université de Montréal developed the Feline Grimace Scale, which scores five facial features: ear position, orbital tightening (squinting), muzzle tension, whisker position and head position. Flattened, rotated ears, narrowed eyes, a tense muzzle, straight whiskers and a lowered head can all signal pain.
