Thursday, January 28, 2016

Arthritis: A Pain in the Mutt!

Arthritis, also known as osteoarthritis or degenerative joint disease, is a progressive, inflammatory joint disease commonly seen in middle aged and senior pets.  This painful condition can negatively affect a pet and diminish their quality of life, but there are many treatment options available to help keep your pet comfortable, and may even slow the progression of the disease.

Arthritis develops when the joint cartilage, or cushioning between bones, start to break down and degenerate.  It can be a primary or secondary condition.  Primary arthritis is usually seen in older pets from normal wear and tear on the joints as they age.  Secondary arthritis is an effect from another disease, condition, or joint injury - such as Lyme disease, hip dysplasia, or a torn ligament in the knee.  Some breeds, like Labrador Retrievers, German Shepherds and Maine Coons, may have a genetic predisposition for developing arthritis.  Pets who are extremely active, such as working or sporting dogs, and pets who are overweight are also at a higher risk for developing arthritis.
Signs of arthritis can range from very subtle to very obvious.  The earlier the condition is caught, the more easily it can be treated and the greater the possibility that the progression can be slowed.  This is why it is so important to consult your veterinarian any time you notice a behavior change in your pet.  Early signs of arthritis are often written off as normal signs of aging.   We often hear, “Max doesn’t want to play fetch for as long as he used to.  He would really rather just sleep all day, but he is 9 years old and starting to show his age.”  Something we have to remember - old age is not a disease.  Not wanting to play with a favorite toy, slower to go up steps, or reluctance to jump on or off furniture could all indicate you pet may be suffering from arthritis pain.  More obvious signs include joint stiffness, difficulty getting up from laying down, limping or lameness.  Once your pet starts to show these signs, the disease is usually progressed to a more advanced stage.  Since cats tend to be less active than dogs to begin with and are masters at hiding signs of illness, there may be other signs that they might show.  For example, they may start to have accidents outside of the litter box because it’s too difficult or painful for them to jump into the box.


There are measures that can be taken to prevent arthritis.  If you have a pet that is known to have a higher risk for arthritis, starting joint supplements when they are young, before the development of arthritis begins, can be extremely helpful.  Glucosamine supplements help to keep joints lubricated, have anti-inflammatory benefits, and help to repair damaged cartilage.  Fish oils are another natural anti-inflammatory and have been shown to help relieve arthritis pain.  These nutritional supplements are safe, with no side effects, and can delay the development and progression of arthritis.  Another important factor is keeping your pet at a healthy weight.  Over 50% of the pet population is overweight or obese, and 95% of those pet owners do not believe their pet is an unhealthy weight.  Exams with their veterinarian at least once a year are important to monitor changes in weight and body condition.  There are statistics from studies proving that pets who are kept lean need less medication to control arthritis pain, and do not need to start pain management as early as their heavier counterparts.  Regular exercise also helps keep joints flexible and maintain range of motion.

Most of the time, early arthritis can be managed with joint supplements and natural anti-inflammatories, such as fish oils.  These supplements are safe to use long term and do not carry the side effects associated with the pharmaceuticals used to treat arthritis pain.  The progression of arthritis can be slowed, but not completely stopped.  Therefore, at some point, a pain medication needs to be added in order to adequately control your pet’s discomfort.  NSAIDs (non-steroidal anti-inflammatory drugs) provide pain relief by reducing the inflammation in their joints. Human NSAIDs (ibuprofen, aspirin, Tylenol) are NOT safe to give to animals.  They have unique metabolisms and these medications can cause GI ulcers and bleeding, liver problems, and kidney problems.  There are NSAIDs specifically developed for cats and dogs that are much safer than human medications, but still carry risks of some side effects.  Vomiting, diarrhea, and inappetence, though rare, can occur.  If these signs are seen, the medication should be stopped and switching to another brand should be considered.  Since these medications are metabolized by the liver and excreted by the kidneys, these internal organs can also be affected.  Routine blood work (every 6 months) is required to closely monitor that these organs are functioning properly.  More potent, opioid-like pain medications can be added in conjunction with joint supplements and NSAIDs for severely painful patients.  Some pets with arthritis only need to take pain medication if they have an active day, while others will need daily medication to keep them comfortable.


Cold, rainy weather can aggravate arthritis pain, so it is import to provide your pet with a warm, comfortable bed to rest in.  Pet steps or ramps to help them get up on furniture or into the car can also be helpful.  It is important to keep them active, but know their limitations. There are also alternative remedies (acupuncture, chiropractic care, stem cell therapy, laser therapy, massage) that are now being studied more closely and may help to provide relief.


While there is no cure for arthritis, there are many options to keep arthritic pets comfortable.  Living pain free is important for your pet’s well-being and quality of life.   You may not realize how much pain your pet was in until after you see how much more active and younger they seem once treatment is started.  As always, if you notice any changes in your pet’s attitude, activity, or behavior, even if it may seem like it’s not worth mentioning, please don’t hesitate to at least give us a call and ask if it is something that the veterinarian should check out.  Your pet will appreciate it.

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