What is Breakthrough Pain

“An abrupt, short-lived, and intense pain that breaks through the analgesia that controls pain”

2014 WSAVA Recognition Assessment and Treatment of Pain Guidelines.

  • On average, vets say that nearly half their canine OA cases experience breakthrough pain6
  • Owners may experience OA breakthrough pain as their pet having ‘off days’
  • 8 out of 10 of owners say their dog experiences an ‘off’ day due to OA at least once a week7

87% of vets agree that avoiding
breakthrough pain is critical
in
the management of canine OA6

OWNER COMPLIANCE

OWNER COMPLIANCE

Missed doses risk breakthrough pain

1 in 2 pet owners admit to poor compliance with daily NSAID dosing7

END OF DOSE PLASMA LEVELS

END OF DOSE PLASMA LEVELS

Variable plasma levels between doses risks breakthrough pain

58% of vets believe daily dosing makes it difficult to achieve stable/consistent OA pain control6

FLARE UPS

FLARE UPS

Over-exercise or natural disease flare-ups risk breakthrough pain

90% of vets agree that canine OA pain is variable, often occurring in flare ups6

DISEASE PROGRESSION

DISEASE PROGRESSION

OA is a progressive disease and if management strategies don’t evolve with this progression, breakthrough pain is a risk

Consequences of breakthrough pain

Compromised welfare of the dog (and owner!)

Breakthrough pain can significantly affect a dog’s quality of life and can be really distressing for owners to experience

Wind-up pain

Repeated pain signals lead to peripheral and eventual central sensitisation, causing amplified and exaggerated response to pain signals which can become chronically non-responsive to analgesics

Loss of owner confidence

Witnessing breakthrough pain in their dog, despite following veterinary advice, can damage the trust that owners have in their vet and may even push some to stray from the treatment plan, in an attempt to help their dog7

1 in 2 owners say they would feel worried that their dog’s OA must be getting worse if their pet showed signs of pain or discomfort, despite following their vet’s advice7