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Bryan Torres, DVM, assistant professor of small animal orthopedic surgery and director of the Motion Analysis Laboratory at the University of Missouri, talks about how the veterinary profession is getting better at recognizing and treating patients with canine osteoarthritis.

To treat your painful patients effectively, you must know how to assess their pain level—a determination that can be particularly difficult in cats.

You can speak up and tell your doctor what your pain level is on a scale of 1 to 5, but it’s not that simple for an animal. Veterinarians need to be aware of the sometimes subtle signs of pain in pets and be ready to take the next steps to alleviate additional suffering.

Mark Epstein, DVM, DABVP (Canine/Feline), CVPP, medical director of TotalBond Veterinary Hospitals and Carolinas Animal Pain Management in Gastonia, North Carolina, explains a few things veterinarians need to accept when it comes to pain management.

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The last thing you want is to allow a pet to experience or subsist in pain. Take a trip through this photo gallery to make sure your pain detector is set on high and ready to take action.

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Caring for pets in their final moments is a frequent reality for veterinary professionals. Here are 30 of the most raw, poignant, honest and sometimes rueful confessions to highlight this special responsibility you have to your patients.