Multimodal in-home management of osteoarthritis-associated pain in a feline patient: A case report

Abstract

Abstract Background: Feline osteoarthritis is a common yet under-recognized cause of chronic pain, which can strain the human–animal bond when mobility, comfort, and interaction are affected. Cats averse to transport and oral medications present additional challenges for caregivers and veterinary teams, making home-based, relationship-centered care essential. Case description: This case report presents the in-home, multimodal management of chronic osteoarthritis-related pain in a feline patient whose behavioral sensitivities and medical needs required a flexible, caregiver-friendly treatment approach. The care plan aimed to enhance the cat’s comfort and mobility while supporting the emotional and physical connection between the patient and caregiver. Interventions: Therapeutic strategies included weight management, heat therapy, massage, passive range of motion exercises, and targeted pulsed electromagnetic therapy (Assisi Loop®). Pharmacologic management involved the use of meloxicam, gabapentin followed by pregabalin, polysulfated glycosaminoglycan (Adequan®), ketamine, frunevetmab (Solensia™), and glucosamine/chondroitin supplementation. Symptomatic treatments addressed gastrointestinal and oral health concerns. Care delivery emphasized ease of administration and minimizing stress to preserve the trust and comfort of both patient and caregiver. Outcome: The multimodal, caregiver-integrated treatment plan resulted in improved patient mobility, reduced signs of pain, and sustained quality of life. The home-based care approach minimized stress, increased treatment compliance, and preserved the bond between the cat and caregiver throughout chronic disease management. Conclusion: This case demonstrates how individualized, in-home multimodal pain management in feline patients can alleviate suffering while supporting the human–animal bond. It highlights the importance of caregiver-centered strategies in the long-term care of chronically ill companion animals.