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Dr. Pam Blog

Monday, October 26, 2026

Monday, October 26, 2026

Arthritis in Cats: Is “Slowing Down” Actually Pain?

Introduction: “He's Just Getting Old.”

Your 12-year-old cat doesn't jump onto the kitchen counter anymore.

That's probably normal.

Right?

Your 15-year-old cat sleeps downstairs instead of coming to bed.

She's getting older.

Your senior cat doesn't play very much.

He doesn't groom his back as well.

He hesitates before jumping onto the couch.

And lately, he seems irritated when you pick him up.

It's easy to put all of those changes into one category:

“He's just getting old.”

But I want you to consider another possibility.

What if some of what you're calling aging is actually pain?

Arthritis—more specifically osteoarthritis—is common in cats, particularly as they get older.

And feline arthritis doesn't always look the way owners expect.

Cats may not limp dramatically.

They may not cry.

They may continue eating.

They may still walk around the house.

Instead, they adapt.

They stop doing things that hurt.

And because those changes can happen gradually, families sometimes don't recognize how much their cat's life has changed.

Getting older is normal. Living with untreated pain shouldn't automatically be considered part of getting older.
​

What Is Arthritis in Cats?

Osteoarthritis is a progressive disorder involving joints.

Healthy joints allow bones to move smoothly against one another.

With osteoarthritis, changes occur within the joint over time, including deterioration of cartilage and changes involving the surrounding bone and tissues.

The result can be:

  • Inflammation
  • Reduced joint mobility
  • Stiffness
  • Discomfort
  • Chronic pain
  • Changes in how the cat moves

Any joint can potentially be affected.

Common areas include:

  • Hips
  • Knees
  • Elbows
  • Shoulders
  • Ankles
  • Spine

And a cat may have arthritis in multiple locations at the same time.

How Common Is Arthritis in Cats?

More common than many owners realize.

Studies using radiographs have demonstrated degenerative joint changes in a substantial proportion of adult and senior cats.

But here's an important distinction:

An abnormal X-ray and a painful cat are not exactly the same thing.

Some cats can have radiographic changes without dramatic outward symptoms.

Others may have meaningful pain and mobility changes that aren't perfectly predicted by what an X-ray looks like.

That's why veterinarians don't diagnose the impact of arthritis from an X-ray alone.

We look at:

The imaging.

The examination.

The history.


And especially:

How the cat is functioning at home.
​

Why Is Feline Arthritis So Easy to Miss?

Because cats compensate.

Imagine that jumping onto your bed begins hurting your hips.

You might stop jumping.

A cat does the same thing.

But they can't tell you:

“My hips hurt when I land.”

So instead, they find another solution.

They use a chair.

They climb.

They stop coming upstairs.

They choose a lower sleeping location.

Eventually, you stop noticing that the behavior changed.

It simply becomes the cat's new normal.

That's how chronic pain can hide in plain sight.
​

Cats With Arthritis Don't Always Limp

This is one of the most important differences owners need to understand.

When a dog develops arthritis in one limb, an owner may notice an obvious limp.

Cats can be much subtler.

And when multiple joints hurt, there may not be one obviously abnormal leg to favor.

Instead of limping, the cat may simply:

  • Move less
  • Jump less
  • Play less
  • Sleep more
  • Become less flexible
  • Avoid certain activities

So don't wait for a limp before considering joint pain.

1. Your Cat Stops Jumping as High

One of the most useful questions you can ask is:

Where did my cat used to jump that they no longer jump?

Maybe your cat used to jump directly onto:

  • The bed
  • Counter
  • Couch
  • Windowsill
  • Cat tree

Now they don't.

Or perhaps they still get there—but use another piece of furniture as an intermediate step.

That adaptation matters.
​

2. Your Cat Hesitates Before Jumping

Watch the preparation.

A cat with joint pain may:

  • Stare at the destination
  • Rock backward
  • Reposition their feet
  • Attempt and stop
  • Stretch upward first
  • Look for an intermediate surface
  • Walk away without jumping

The cat may still technically be capable of jumping.

But the movement no longer looks effortless.

Hesitation can be a sign of discomfort.
​

3. Your Cat Changes How They Jump Down

Landing puts significant forces through the limbs.

Some arthritic cats become reluctant to jump down from elevated surfaces.

You may notice:

  • Pausing at the edge
  • Searching for a lower route
  • Climbing down
  • Using furniture like stairs
  • Avoiding high places entirely

Don't only watch how your cat gets up.

Watch how they get down.
​

4. Stairs Become More Difficult

A cat with arthritis may:

  • Move slowly on stairs
  • Pause
  • Take stairs differently
  • "Bunny hop"
  • Avoid certain staircases
  • Remain primarily on one floor

This becomes particularly important when essential resources are located on another level.

If your senior cat lives upstairs but the litter box is downstairs, painful joints may create a real accessibility problem.
​

Your Cat Stops Grooming Certain Areas

Cats need considerable flexibility to groom themselves.

Arthritis can make reaching certain areas uncomfortable.

You may notice:

  • Dandruff
  • Greasy fur
  • Matting 
  • Clumping
  • An unkempt lower back
  • Poor grooming around the hindquarters

Sometimes the first sign of arthritis isn't walking at all.

It's the coat.
​

6. Your Cat's Claws Become Overgrown

This is another subtle clue.

Active cats naturally wear their claws through normal movement and scratching.

Cats with reduced mobility may scratch less or have difficulty maintaining normal claw wear.

Overgrown nails can then make walking even more uncomfortable.

Senior cats deserve regular nail checks.
​

7. Your Cat Stops Playing

Play requires a lot from the musculoskeletal system.

Cats crouch.

Stalk.

Sprint.

Pounce.

Twist.

Jump.

If those movements hurt, play may decrease.

You may see your cat:

  • Watch toys without chasing
  • Play while lying down
  • Stop running after toys
  • Have shorter play sessions
  • Stop chasing other pets

Don't automatically assume your senior cat simply “grew out of playing.”

Ask whether play became physically difficult.
​

8. Your Cat Sleeps in Different Places

Maybe your cat used to sleep:

On your bed.

On top of the refrigerator.

On the highest cat-tree platform.

On a windowsill.

Now they sleep on the floor or couch.

The new sleeping spot may not be their new favorite.

It may simply be easier to reach.

Pay attention when long-standing resting habits change.
​

9. Litter-Box Habits Change

Arthritis can create several litter-box problems.

A painful cat may struggle to:

  • Step over high sides
  • Walk to a distant box
  • Go up or down stairs
  • Squat comfortably
  • Dig
  • Turn around
  • Maintain elimination posture

You may notice:

  • Urinating beside the box
  • Defecating outside the box
  • Perching on the edge
  • Hesitation
  • Reduced digging
  • Choosing rugs or other easier surfaces

Before assuming a senior cat has forgotten their litter-box training, consider whether the box has become physically difficult to use.

Of course, litter-box changes can have many medical causes, so veterinary evaluation remains important.
​

10. Your Cat Becomes Irritable

Pain changes tolerance.

An arthritic cat may suddenly dislike:

  • Being picked up
  • Having the back touched
  • Being brushed
  • Children handling them
  • Other pets bumping into them
  • Being moved from a resting place

You might see:

  • Hissing
  • Swatting
  • Biting
  • Growling
  • Avoidance

That doesn't necessarily mean your cat's personality has changed.

They may be protecting a painful body.
​

11. Your Cat Stops Spending Time With You

Sometimes the change looks emotional.

Your cat stops:

  • Jumping onto your lap
  • Sleeping in bed
  • Sitting beside you on the couch
  • Greeting you upstairs
  • Following you around

Owners can understandably interpret this as:

“My cat doesn't want to be with me anymore.”

But ask another question:

Does getting to me require a movement that hurts?

The relationship may not have changed.

Their mobility may have.
​

12. Your Cat Moves Differently After Resting

Stiffness may be more noticeable after sleeping or resting.

Watch your cat when they first stand up.

You may notice:​

  • Slow rising
  • Stiff movement
  • Shorter steps
  • Stretching before moving
  • Hesitation
  • Improvement after walking around

These details are useful information for your veterinarian.
​

Is My Cat “Just Old”—or Could This Be Arthritis?

Try replacing the phrase:

“My cat doesn't do that anymore.”

with:

“Why doesn't my cat do that anymore?”

Examples:

“My cat doesn't jump onto the bed anymore.”

Why?

“My cat doesn't groom her back anymore.”

Why?

“My cat doesn't play anymore.”

Why?

“My cat sleeps downstairs now.”

Why?

“My cat hates being picked up now.”

Why?

Aging increases the likelihood of disease.

It shouldn't end the investigation.
​

How Is Arthritis Diagnosed in Cats?

There isn't one perfect arthritis test.

Your veterinarian combines several sources of information.

Your History

Your observations at home are incredibly valuable.

Tell your veterinarian about changes in:

  • Jumping
  • Stairs
  • Grooming
  • Play
  • Litter box use
  • Sleeping locations
  • Personality
  • Activity

Physical Examination

Your veterinarian may assess:

  • Joint range of motion
  • Muscle mass
  • Joint thickening
  • Pain or tension
  • Spinal mobility
  • Gait
  • Body condition

Imaging

Radiographs can identify degenerative changes in joints and may help evaluate other causes of discomfort.

But remember:

The severity of an X-ray doesn't always perfectly match the severity of pain.

The whole patient matters.
​

Take Videos Before the Appointment

This is one of the easiest ways owners can help.

Record your cat:

  • Walking
  • Running if they still do
  • Climbing stairs
  • Descending stairs
  • Jumping onto furniture
  • Jumping down
  • Entering the litter box
  • Playing

Cats don't always demonstrate mobility problems in the exam room.

A short home video lets your veterinary team see how your cat moves in their normal environment.
​

How Is Arthritis Treated in Cats?

Modern feline arthritis management is often multimodal.

That means we don't rely on one solution.

Depending on the individual cat, the plan may involve:​

  • Veterinary-prescribed pain control
  • Osteoarthritis-specific therapies
  • Weight management
  • Environmental modification
  • Appropriate activity
  • Rehabilitation in selected patients
  • Nutritional strategies
  • Management of concurrent disease

The best plan depends on the cat's:​

  • Ages
  • Kidney function
  • Other medical conditions
  • Weight
  • Pain severity
  • Mobility
  • Lifestyle



Pain Medication​

Veterinary pain management for cats has expanded considerably.

Depending on the patient, veterinarians may consider different medication classes and treatment strategies.

One important development in feline osteoarthritis management has been frunevetmab, a monoclonal antibody therapy designed specifically for osteoarthritis pain in cats.

But no medication is appropriate for every patient.

Your veterinarian will consider the individual cat's health, concurrent diseases, response to therapy, and treatment goals.

The important point is:

We have options.

Don't assume nothing can be done because your cat is old.
​

What About Anti-Inflammatory Medications?

Anti-inflammatory medications may have a role in selected feline patients, but cats require careful medication selection and monitoring.

Age alone doesn't determine whether a medication is appropriate.

Kidney health, hydration, concurrent disease, other medications, and overall risk all matter.

Never give your cat a medication simply because it helped your dog—or because you take it yourself.
​

Weight Management Matters

Excess body weight can increase the mechanical load placed on painful joints.

Adipose tissue is also biologically active and can contribute to inflammatory processes.

For an overweight arthritic cat, gradual, veterinarian-guided weight reduction may improve mobility and overall health.

But weight loss in cats should be controlled.

Never crash diet a cat.

Rapid or prolonged inadequate calorie intake can be dangerous.
​

Keep Your Cat Moving—Comfortably

Arthritis doesn't necessarily mean complete rest.

Appropriate movement helps support:

  • Muscle mass
  • Joint function
  • Mobility
  • Mental stimulation
  • Healthy body weight

The goal isn't to force an arthritic cat through vigorous exercise.

It's to encourage comfortable, regular movement.

That might include:

  • Short interactive play sessions
  • Toys that don't require huge jumps
  • Food puzzles
  • Gentle movement through the home
  • Easy climbing opportunities

Let your cat's comfort guide the intensity.

Modify the Home Instead of Asking the Cat to “Push Through”

This is one of the easiest ways to improve quality of life.

Add Steps and Ramps

Help your cat reach:

  • Beds
  • Couches
  • Windows
  • Favorite chairs

A small ottoman can sometimes make a huge difference.

Use Low-Entry Litter Boxes

Don't make painful hips climb over a tall wall every time your cat needs to eliminate.

Add Non-Slip Surfaces

Hardwood, laminate, and tile can be difficult for cats with weak or painful limbs.

Rugs and runners can improve traction.

Bring Resources Closer

Make sure your cat can easily reach:

  • Food
  • Water
  • Litter boxes
  • Resting areas
  • Scratching surfaces

If your cat spends most of their time upstairs, don't make them travel downstairs for every basic need.

Provide Comfortable Bedding

Warm, supportive resting areas can help painful cats settle comfortably.

Make Vertical Space Accessible

Cats still benefit from elevation.

Instead of taking vertical territory away, make it easier to reach.

Use:

  • Lower platforms
  • Intermediate steps
  • Ramps
  • Furniture arrangements

Adapt the environment to the cat instead of expecting the cat to adapt to pain.
​

What About Supplements?

Joint supplements are heavily marketed.

Some products may have supportive evidence for certain ingredients, while others rely heavily on marketing or extrapolation from other species.

Supplement quality can also vary considerably.

Before starting one, ask your veterinarian:

  • What ingredient are we using?
  • What evidence supports it in cats?
  • Is the dose appropriate?
  • Could it interact with anything?
  • How will we decide whether it's helping?

“Natural” doesn't automatically mean effective or risk-free.

And supplements shouldn't replace effective pain management when a cat is truly hurting.
​

How Do I Know Whether Treatment Is Working?

Go back to the behaviors that first concerned you.

Does your cat:

  • Jump more easily?
  • Play more?
  • Groom better?
  • Use the litter box more comfortably?
  • Climb stairs more easily?
  • Return to old sleeping locations?
  • Seek more interaction?
  • Move with less hesitation?

Sometimes owners don't realize how uncomfortable their cat was until treatment begins.

Then they say:

“I haven't seen her do that in years.”

That can be incredibly revealing.

The goal isn't simply improving a number on a pain scale.

It's restoring pieces of your cat's normal life.
​

Create a Monthly Mobility Check​

Once a month, ask:

JUMP: Is my cat jumping normally?

STAIRS: Are stairs easy?

GROOM: Can they groom their whole body?

PLAY: Are they still interested in play?

LITTER BOX: Can they enter and posture comfortably?

SLEEP: Have favorite sleeping locations changed?

SOCIAL: Are they interacting normally?

TOUCH: Has their tolerance for handling changed?

You can even take occasional videos from the same location.

Small changes become much easier to recognize when you have something to compare them with.
​

Never Give Human Pain Medication

Please don't try to treat suspected arthritis with medications from your own medicine cabinet.

Human pain relievers can be extremely dangerous to cats.

Acetaminophen can be fatal to cats.

Other medications can cause serious kidney, gastrointestinal, or other complications.

Even medications designed for animals need to be chosen and dosed appropriately.

If you think your cat is hurting, contact your veterinarian.
​

Common Mistakes to Avoid

“He's Just Old.”

Old age increases the likelihood of arthritis.

It doesn't make pain irrelevant.

Waiting for a Limp

Many arthritic cats never develop the obvious limp owners expect.

Assuming Sleeping More Is Normal Aging

Maybe.

But it may also reflect reduced mobility or discomfort.

Assuming the Cat Doesn't Want Affection Anymore

Getting onto your lap may hurt.

Being picked up may hurt.

The relationship may be unchanged.

Ignoring Litter-Box Problems

The box may be physically difficult to access.

Making Your Cat Stop Climbing Completely

Cats value vertical space.

Make it accessible rather than automatically removing it.

Relying Only on Supplements

A painful cat deserves an evidence-based pain-management discussion.

Giving Human Medication

Never do this without explicit veterinary direction.
​

When Should You Call Your Veterinarian?

Schedule an examination if you notice:

  • Reduced jumping
  • Hesitation before jumping
  • Difficulty climbing stairs
  • Stiffness
  • Reduced grooming
  • Overgrown claws
  • Reduced play
  • Changed sleeping locations
  • Litter box difficulty
  • Irritability
  • Reluctance to be picked up
  • Changes in walking
  • Reduced activity
  • Muscle loss
  • Any persistent mobility change

Don't wait until your cat can barely walk.

Earlier recognition gives us more opportunity to improve comfort.
​

When Is It More Urgent?

Arthritis usually produces chronic, progressive changes rather than sudden catastrophic symptoms.

Seek prompt or emergency veterinary care if your cat develops:

  • Sudden inability to walk
  • Severe pain
  • Sudden paralysis or profound weakness
  • Major trauma
  • A limb that appears severely injured
  • Collapse
  • Difficulty breathing
  • Sudden painful hind-leg weakness or paralysis
  • Cold rear paws with severe distress
  • Repeated urinary straining with little or no urine

Sudden severe hind-limb pain or paralysis should not be assumed to be arthritis.

Conditions such as arterial thromboembolism can cause acute, life-threatening signs and require immediate veterinary care.
​

Modern Veterinary Insight: Treat Function, Not Just an X-Ray

When we manage feline arthritis, I don't want the entire conversation to revolve around radiographs.

I want to know:

Can your cat get onto the bed?

Can they groom themselves?

Can they comfortably use the litter box?

Are they playing?

Are they interacting with the family?

Can they access the places that make them feel like a cat?

Those questions tell us something incredibly important:

How pain is affecting quality of life.

An X-ray can show us a joint.

Your observations show us the cat living with that joint.

We need both.
​

A Final Thought From Dr. Pam​

There is one phrase I'd love to hear less often when we're talking about senior pets:

“They're just getting old.”

Yes, your cat is getting older.

Their body will change.

Their abilities may change.

But pain deserves to be recognized regardless of age.

If your cat stops jumping onto the bed, don't simply accept it.

Ask why.

If they stop grooming, ask why.

If they become irritable when picked up, ask why.

If they no longer climb to their favorite window, ask why.

Sometimes the answer really is arthritis.

And when it is, we may be able to help.

One of the most rewarding things I see is an owner coming back after starting a pain-management plan and saying:

“I didn't realize how much she had stopped doing until she started doing it again.”

That's why noticing these subtle changes matters.

We're not trying to make our senior cats young again.

We're trying to make the years they have as comfortable, mobile, and joyful as possible.
​

Bottom Line

Feline arthritis is common and frequently underrecognized.

Remember:

  • Cats with arthritis do not always limp
  • Reduced jumping can be one of the earliest clues
  • Hesitation matters
  • Difficulty jumping down can be significant
  • Stair use may change
  • Grooming can decline
  • Claws may become overgrown
  • Play may decrease
  • Sleeping locations may change
  • Litter box problems can reflect mobility limitations
  • Irritability can be pain-related
  • Cats may stop seeking affection because reaching you hurts
  • Home videos can provide valuable information
  • Radiographs are useful but don't tell the entire pain story
  • Modern pain-management options exist
  • Weight management can matter
  • Comfortable activity helps preserve mobility
  • Environmental modifications can improve daily life
  • Supplements should be evaluated based on evidence
  • Human pain medications can be extremely dangerous
  • Sudden paralysis or severe hind-limb pain is not typical arthritis and may be an emergency

Most importantly:

Getting older is normal.

Living in untreated pain shouldn't automatically be considered normal aging.



​


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