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Conclusion

Chronic pain can drastically alter a patient’s quality of life and can, unfortunately, be difficult to treat. In order to obtain adequate pain control, multimodal therapy should be utilized in every patient with moderate to severe pain. Also unfortunately, the number of drugs and techniques that are available to treat chronic pain is fairly limited and knowledge of the use of these drugs and techniques in dogs and cats is even more limited. However, because chronic pain is a major problem in human medicine as well as veterinary medicine, research into the relief of chronic pain is extensive. Hopefully, new drugs and techniques developed for humans will rapidly become available to our veterinary patients.

Some common scenarios with treatment recommendations

See table for dosing info.

1. A patient with mild OA has been on an NSAID for a week and the NSAID isn’t working to control pain.
   • Solution: Try another NSAID. Individual sensitivity exists in animals just like it exists in human beings. ALL NSAIDs work globally, but each individual may respond better to one NSAID than to another.
2. A patient with mild OA has been on an NSAID for an extended duration of time and the NSAID was controlling pain adequately until recently. Now, despite the fact that the disease doesn’t seem to be [...]

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