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Here’s where things get even more interesting. We now know that chronic pain—arthritis, dental disease, hip dysplasia—is a leading cause of "behavior problems" in companion animals. A cat who urinates outside the litter box? Often, it’s not spite (cats don’t do spite). It’s pain from arthritis making it painful to step into a high-sided box. A horse that bucks under saddle? Could be "naughty." Or could be kissing spines or gastric ulcers.

Giving high-value treats while a veterinarian performs a physical exam. Desensitization Here’s where things get even more interesting

A behavior history should be standard in every physical exam. Tools like the Glasgow Composite Measure Pain Scale incorporate behavioral items. Here’s where things get even more interesting