Musculoskeletal but also painful gastro-intestinal and dermatological conditions are commonly recognized as significant to the animal’s problem behavior.
The relationship is often complex but always logical. A review of the caseloads of 100 recent dog cases of several authors indicates that a conservative estimate of around a third of referred cases involve some form of painful condition, and in some instances, the figure may be nearly 80%. We argue that there is currently an under-reporting of the ways in which pain can be associated with problem behavior, which is seriously limiting the recognition of this welfare problem. We conclude that, in general, it is better for veterinarians to treat suspected pain first rather than consider its significance only when the animal does not respond to behavior therapy. While the actual mechanism underpinning the association between pain and problem behavior may never be known in a given case, we suggest the relationship between the problem behavior and pain can be classified into one of four categories: the presenting complaint is a direct manifestation of pain unidentified pain is underpinning secondary concerns within the initial behavior problem there is an exacerbation of one or more signs of problem behavior as a result of pain or adjunctive behavioral signs are associated with pain. Among the referral caseloads of several of the authors, the prevalence in recent years ranges from 28–82%, and many of these conditions can be suspected from close observation of the patient. In this commentary, we present evidence from our own caseloads to illustrate the scale and the nature of the issue with a view to increasing awareness of the problem by veterinarians, non-veterinary behaviorists, and owners. It is difficult to present definitive evidence concerning the breadth of the problem given the individuality of problem behavior. The potential role of pain in problem behavior is widely acknowledged, but there seems to be a lack of reporting of this issue.
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