Symptoms and diagnosis
Recognising Pain in Cats: A Species That Hides It Well
Cats evolved as both predator and prey, and that history has left them with a strong instinct to mask pain — here is what to watch for instead of waiting for an obvious cry.
Why cats mask pain
In the wild, an animal that visibly limps or cries out advertises vulnerability to predators and rivals, so cats retain a strong instinct to behave normally even while injured or unwell. This does not mean they feel less pain than a dog in a similar situation — it means the outward signs are subtler and easily missed by an owner who is looking for the wrong cues.
Facial and postural clues
Validated pain-scoring tools used by veterinary professionals look closely at facial expression and body posture rather than waiting for vocalisation, which is a comparatively late and inconsistent sign of pain in cats.
- Squinted or partially closed eyes, and flattened or 'airplane' ears held out to the sides
- A tense muzzle and whiskers pulled forward and bunched
- A hunched posture with the head held low and the body kept still and tucked
- Reduced grooming, leading to a scruffy or greasy-looking coat
- Hiding more than usual, reduced appetite, or reluctance to jump
- Changes in litter tray use, including straining or avoiding the tray
Behaviour changes are data
A previously affectionate cat that becomes irritable when touched in a specific area, or a confident cat that starts hiding constantly, is communicating something even without an obvious wound. Owners who know their cat's normal routines are often the first to notice that something is subtly wrong, well before clinical signs are dramatic — this instinct is worth trusting and raising with a vet rather than dismissing.
What to do
Any suspected pain in a cat warrants a veterinary examination, since the underlying cause can range from dental disease and arthritis to more serious internal conditions, and cats cannot describe where or how something hurts. Never give human pain medication to a cat — paracetamol in particular is highly toxic to cats even in very small amounts and can be fatal.
Frequently asked questions
- Do cats always cry out when they are in serious pain?
- No — many cats in significant pain remain quiet, which is exactly why facial expression, posture and behaviour change are more reliable indicators than vocalisation.