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For this type of pain, “polypharmacy” (multiple medications) and a multi-modal (more than one treatment modality) approach are usually most effective. It must be managed, often for the remainder of the dog’s life.
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Veterinarians now have a whole array of medications and other therapeutics at their disposal for managing pain.Ĭhronic pain, something that is not expected to go away, is particularly challenging for us. This has become easier over the years with the ongoing advancements in science, medical knowledge, and extrapolation from discoveries made in human medicine. When this is not possible, we work even harder to relieve it.
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We, veterinarians, work hard to prevent pain. This is called “wind-up” pain, and it becomes more difficult to control. Untreated pain makes your pain receptors increasingly sensitive, which results in increasingly worsening pain. There’s a strong reason for this as well. You’ve heard medical professionals say it’s important to stay ahead of the pain. In humans and nonhuman animals alike, it frequently results in harmful, unwanted behaviors like self-trauma, aggression, or withdrawal from the joys of life. It delays healing and negatively impacts the immune system. Left uncontrolled, pain causes not only physical damage but also emotional and psychological damage. But the significance goes much deeper than that. It turns out there is a very compelling reason for this. If you’ve ever been hospitalized or had surgery, you will be familiar with the frequent question, “How’s your pain? Rate it on a scale from zero to 10.” So you try to pick a number, again and again, throughout the time you are hospitalized. Pain management has become an integral aspect of health care in both human and veterinary medicine. Why has it become so popular? I’ll get to that, but first we have to discuss pain. It’s also increasingly prescribed in combination with other medications for canine anxiety. Gabapentin is a medication that veterinarians are prescribing with increasing frequency, sometimes alone but more commonly in combination with other medications, for the management of pain in dogs.
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