brookcove
Posted : 6/16/2006 11:31:24 AM
Vets can back me up on this, but it's my understanding that as far as we can figure, pain functions slightly differently in dogs than it does in us, because of their limited self-awareness. Mild pain says to them, "Find a quiet, safe place, don't do anything." Plus, of course, "Figure out how to avoid doing THAT again!" By contrast, pain makes us anxious, which adds to the pain, because there is a level that our self-awareness adds - we are asking ourselves, "How can I stop this?" Our instinct is very limited by contrast - if we can't get rid of the pain by our efforts, the anxiety can become worse than the pain. If the pain is distracting, it can hamper healing by creating a depressive state. A dog will lay quietly and simply wait for the pain to pass - it's instinctive. We can reproduce this through various self-distractive techniques and they do work to lessen pain (anyone who has done a full Lamaze birth can verify this - the pain is there, but not at a distracting level).
Prey animals react to pain differently still - if it affects their mobility. Fear creates depression, which can hamper healing. We use pain meds in this case to stop that cycle. Dogs don't get to that level easily - their depression is linked to an instinctive fear of being kicked out of the pack. A continuation of the normal routine, as far as possible, can avoid this state. I'd also definitely use pain meds if possible - ie, if the dog were immobilized enough that the normal routine were completely broken.
Post op pain meds are often counter-productive for dogs and cats because you can't reason with a dog that he's still required to stay still for his health. For speutering you do need that quiet post-op day at a minimum, and even rattling around in a crate can cause problems.
Plus, many vets use Rimadyl or other anti-inflammatories for routine pain control, and I'm not 100% convinced that the risks of using these are worth the level of pain control they provide. Imagine if your doctor gave you meds after a hystorectomy, but told you that there was a risk of liver damage with their use - would you be so gung-ho to use them if you had a nice quiet bed to lie in, people to wait on you hand and foot, etc?
I'm allergic to narcotic and narcotic type pain meds and anti-inflammatory type pain meds are rarely allowed immediately post-op - so I'm very familiar with the level of pain that occurs post-op, since I've had three major surgeries and a few minor ones. Day one is great as the operative anesthetics are still in effect. Day two is the worst - it's the day I watch for the worst discomfort and occaisionally do use the pain meds. Day three in dogs is almost always great (I'm still miserable on the third and fourth day, but I'm a wimp [8|]) and I can stop the pain meds with no apparent repercussions on the dog's attitude. By the fifth day, even wimpy me has adjusted to the pain and - except for the time I wrecked my truck and had to have my right leg and left ankle rebuilt - can go med-free entirely.