Managing Chronic or Recurrent Pain in Dogs: Key Options

When a dog experiences pain due to illness or injury, it is often temporary and resolves when the underlying cause heals. However, chronic or recurrent pain can be more complicated to manage, requiring a careful balance of treatment to ensure comfort without adverse effects.

In 2025, veterinary management of chronic canine pain in the UK follows a multimodal approach involving medications, therapies, and lifestyle adaptations that focus on improving quality of life.

Veterinary Prescription Medications

Prescription drugs remain a central tool in managing chronic pain in dogs. Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used and represent a cornerstone of treatment, particularly for conditions such as osteoarthritis. Vets tailor doses carefully and may switch between NSAIDs to minimise side effects and maintain effectiveness.

Besides NSAIDs, other pain-modifying medications may be prescribed depending on the specific nature of the pain, such as inflammatory, neuropathic, or cancer-related pain. Regular veterinary assessments help ensure the medications provide benefit without causing new health issues.

Physical Therapy

Physical therapy, including specialised canine massage, physiotherapy, and chiropractic care, can help reduce pain and improve mobility. These therapies are customised by veterinary professionals or specialists to suit each dog's condition, aiming to enhance comfort and maintain function.

Hydrotherapy

Hydrotherapy offers a gentle, low-impact exercise option in a warm water environment that eases discomfort, enhances joint mobility, and supports muscle strength. It is especially beneficial for dogs with arthritis and is often recommended and supervised by trained canine hydrotherapists.

Many UK pet insurance policies cover hydrotherapy, making it an accessible option for owners seeking alternative treatments.

Lifestyle and Environmental Modifications

Adjusting your home environment and daily routines can significantly ease a dog's pain. Examples include installing ramps to avoid stairs, using non-slip mats, providing soft bedding, and adapting exercise routines to short, slow walks progressing according to the dog's tolerance.

Maintaining a consistent daily routine also reduces anxiety, which can exacerbate pain symptoms. Proper nutrition and weight management are paramount, as excess weight increases joint stress, worsening painful conditions.

Surgical Correction

In some cases, surgery to address an underlying cause of pain—such as congenital abnormalities or joint issues—may be considered. Surgery can improve a dog’s condition and reduce pain, although it may not always offer a complete cure. Consultation with a veterinary surgeon is essential to weigh the benefits and risks.

Supplements and Vitamins

Vets often recommend supplements like omega-3 fatty acids, glucosamine, and chondroitin to support joint health and reduce inflammation. These are generally supportive treatments, complementing medications and therapies rather than replacing them.

Alternative Therapies

Some non-invasive alternative therapies, including acupuncture, laser treatments, and targeted heat or cold therapy, have gained recognition within veterinary practice for managing pain. While homeopathy remains scientifically unsupported, these other modalities may be used alongside conventional treatments without adverse interactions.

Regular Assessment and Monitoring

Successful pain management calls for ongoing evaluation by the veterinary team and active participation by owners. Validated pain scales and owner questionnaires help track pain levels and treatment responses, enabling timely adjustments to therapy. Education and communication promote responsible, informed pet ownership and shared decision-making optimizing a dog’s comfort and quality of life.

Managing chronic or recurrent pain in dogs is a dynamic process requiring a holistic, tailored approach. Combining veterinary medications, physiotherapy, lifestyle changes, and alternative treatments offers the best outcomes for maintaining your dog’s comfort and mobility over time.