His leg fell off, but I don’t think he’s in PAIN! W.T.F.

I recently had a case where an animal had all the skin stripped off it’s paws which were now red, bleeding, and swollen. I comforted the owner after they asked me if I was going to close the wounds and informed them we would be unable to close due to all the flesh being torn from the pads, but not to worry, we would get the animal on antibiotics and pain meds until it heals. The owner looked at me like I was crazy and said “well, I don’t think he’s in any pain, except where your assistant took his temperature in his butt”.

Unfortunately, this wasn’t the first time I’ve had an owner deny their pets’ pain. It wasn’t even, likely, the first time that day. I have made a Tiktok video about it:

https://www.tiktok.com/@dremilythomas/video/7186334895428488491?is_from_webapp=1&sender_device=pc&web_id=7239346327908697642

So, let’s talk about pain for a second. Animals are different than us. Not in that they don’t feel pain, but that they are NOT going to show pain like we will. We live in a society where 1. we expect a fix for every ailment we have thanks to modern medicine and 2. others in our circle will take care of us if we are out of commission. Animals, on the other hand are 1. Not going to ask for help because they don’t even know help is an option (my eye fell out? oh, well, guess we’ll try to eat and not die from it) and 2. are fighting for survival, or, at least feel like they are, even with us. House cats, believe it or not, are actually prey for many animals – large birds, foxes, coyotes, wolves, etc. but aren’t the easiest prey, so showing pain could mean being more likely hunted or targeted by those predators. Dogs, going back to pack mentality, may be taken out of the pack if they show pain or at least taken down on the totem pole of hierarchy. If you’ve ever had multiple dogs in a household and seen what happens when one cries out or whimpers and the other dogs run up on him, not to see if he’s okay, but to hover over him intimidatingly and possibly attack depending on the personality.

So, animals have good reasons NOT to show pain. They don’t know if they show pain, you will help them. They may be thinking we’ll get rid of them if they do or they might not get fed, or who knows what they’re thinking. Animals will also, notoriously, get 99% better when they go out in public or come to the vet. We see it all the time, animals who are reportedly dying at home, show up to the clinic, running around, wagging their tail. I don’t automatically think the owner was lying, I just think the adrenaline and survival skills of the animal has kicked in and they animal doesn’t want to show weakness. Just like me and you when you’re not feeling well, but good enough to go to work and you pretend to be peppy and spry around your co-workers or clients. Why? I’m not sure. Am I afraid someone will send me home?? Please! Am I afraid people won’t like me if I’m not 100%? Maybe. But we all do it, so why not expect animals to do the same thing?

So, here’s a list of signs that your animal is sick or in pain. Some will seem simple and straight forward, but I wouldn’t be making this list if people didn’t have a hard time seeing it.

1. Not using a body part. Limping but not whining? Still in pain. Squinting, or closing the eye. I’ve seen dogs walk into the clinic, tail wagging, with the obviously fractured leg just dangling in the wind and STILL not vocalizing.
2. Change in behavior. Suddenly avoiding you or other animals in the household, more fearful or aggressive, not wanting to eat, play, not jumping up when you’re about to go for a walk. Going in and out of the house or litterbox several times (could indicate diarrhea or urinary issues)
3. Change in posture. Hunching, lowered ears, head, tail, curled up tight in a ball, not wanting to lay down, pacing, trying to lay, then pacing again. Standing with chest on the ground and butt in the air – typical of stomach pain.
4. Panting, pacing, trembling, shaking, wide “whale eye” where you can see the whites of their eyes like they’re worried.
5. Overgrooming/licking an area. This is super common with cats who will groom their under bellies bald if they have abdominal or urinary pain. Also, allergy areas of the paws, a wound, swelling. Sometimes they will even aggressively bite at and rip hair out of a body part that is hurting or irritating them.
6. Teeth grinding or bruxism – this horrible sound from their mouth can indicate stomach pain.
7. Drooling, eyes tearing, or liquid generally seeping out when or where it’s not supposed to.
8. Swelling, bleeding, redness, hot to the touch (make sure to compare both sides of the body to make sure it’s not just you – you’d be surprised how many perfectly normal fat pads over the hips I’ve diagnosed when the owner only noticed one side being big)

I’m sure there’s more signs that I’m not thinking of right now, but this is a good list for now. Basically, animals don’t show pain very much – always playing it cool – and if you ever notice anything different, take them to the vet and have them evaluate them. I’d much rather tell you you’re crazy, the animal is fine than have you wait until the leg is rotted off before you decide it might need attention.

**Side note** – a lot of orthopedic pain issues can be helped by having your animal at the ideal body weight – unlike this obese clinic cat who is likely contributing to orthopedic/musculoskeletal pain of the small child trying to hold him. #weloveyoudan

Here’s a picture of a very healthy, non-painful dog – happily just finished a 4 mile mountain trail run. Head, ears, tail up, back straight, wide based stance.

Also, for the love of all that is holy, DO NOT give your animal human pain medication unless under the direction of a veterinarian. Most of them cause significant and immediate liver and/or kidney failure. This goes for you, too, Dr. Human Orthopedic surgeon, NO Celebrex! Even if all your human patients are on it! No!