Pain management in sustainable dairy and beef production | Dechra UK

The role of pain management in sustainable dairy and beef production

Cattle raised for dairy and beef production often experience pain associated with disease conditions and routine husbandry procedures. Assessing pain in cattle can be challenging, with wide variation in attitudes to pain and subsequent use of analgesics. Over the past decade, increasing societal concern for cattle welfare has placed growing pressure on the dairy and beef industries in Europe.

 

What is the current situation in Europe regarding pain management and cattle welfare?

How can the beef and dairy industries ensure their sustainability in the coming years in response to valid customer concerns about animal welfare, especially in increasingly competitive markets that now offer alternatives to dairy (such as non-dairy milk) and meat? Systematic, practical and pragmatic on-farm pain management strategies, and cattle welfare certifications should become the gold standard across all markets.

Pain in cattle: a common occurrence, although sometimes difficult to identify and manage

Pain is a protective biological mechanism that alerts to the onset of potential tissue damage, inducing both sensory and emotional experiences that significantly affect animal welfare1. Over the past two decades, pain in cattle has been thoroughly studied, leading to numerous recommendations and the development of pain scoring tools.

However, pain in cattle has specific characteristics that call for the development of a targeted evidence-based approach to pain detection. This approach must consider the unique physiology, behavioural patterns, and evolutionary history of cattle by establishing validated bovine-specific pain indicators2. Cattle can be quite stoic, making pain difficult to identify and quantify. This hinders the implementation of effective pain management protocols3,4.

In cattle, pain usually results from infectious diseases, injuries or lameness, but it can also be caused by humans, especially during routine husbandry procedures or after surgery5Mastitis, lameness, calving (including caesarean section and dystocia), and metritis are reported as the main painful conditions in dairy cows6.

Routine procedures such as disbudding and dehorning are also considered painful.

Assessing pain in cattle: a challenging task for vets and farmers

Pain assessment is the essential first step. Behavioural changes and variations in physiological responses can be signs of pain in cattle7. Behavioural changes may include alterations in cattle’s spontaneous behaviour in their living area8,9, response to palpation of painful areas9, hoof-lifting, and absence of feeding and ruminating10. Both increased and/or reduced daily lying time can be signs of pain in cattle, making the task of properly recognising pain in cattle even more challenging6

Table 1: Signs associated with pain level in cattle

Recognising and assessing signs of pain in cattle can be challenging and inconsistent, both for veterinarians and farmers6,7. Although pain is often recognised in some conditions and procedures, pain management is inconsistently applied on farms.

Difficulties in properly and objectively assessing pain in cattle can lead to inconsistencies in methods of relieving animals from pain5,7. Assessing the level of pain can be subject to large differences in individual perceptions of pain in cattle; veterinarians who do not routinely use analgesics tend to assign lower pain scores to cattle7. Interestingly, recent research suggests there is no correlation between pain and empathy scores when veterinarians and farmers assess pain in cows, and empathy is not associated with the use of NSAIDs12.

Figure 1: Perception of pain by farmer and veterinarian

Veterinarians tend to perceive the cost of NSAID treatment more of a barrier than farmers, suggesting that NSAIDs could be more readily offered12. Most farmers obtain their knowledge of pain recognition and treatment from their personal experience (61%). Most veterinarians tend to use both their personal experience and continuing education to identify and mitigate pain in cattle5

As attitudes and approaches towards pain scores and pain management in farm animals vary from person to person, pain perception can be affected, and so can be the subsequent use of analgesics.

According to research, there are opportunities for veterinarians to engage more with farmers on pain management in cattle, suggesting the critical role of veterinarians in improving cattle welfare5.

Educating dairy farmers on the benefits of analgesia, especially for conditions and procedures where NSAIDs use is low compared to pain scores (for instance Burdizzo castration in calves, white line separation and abscesses, mastitis with clots in milk, calving with no assistance), could be beneficial to further improve pain management and cattle welfare on farms12.

This could also have an impact on the profitability of farms and the well-being of farmers, as pain mitigation would enable better productivity and therefore better production outcomes.

Figure 2: Pain scores vs NSAIDs use

 

 

1. Windsor PA. Role of Topical Anaesthesia in Pain Management of Farm Animals, a Changing Paradigm. Animals (Basel). 2022 Sep 17;12(18):2459. doi: 10.3390/ ani12182459. PMID: 36139319; PMCID: PMC9495143.

2. Zoltick, Abigale & Mann, Sabine & Coetzee, Johann. 2024. Pain pathophysiology and pharmacology of cattle: how improved understanding can enhance pain prevention, mitigation, and welfare. Frontiers in Pain Research. 5. 10.3389/ fpain.2024.1396992.

3. Petersson-Wolfe CS, Leslie KE, Swartz TH. An Update on the Effect of Clinical Mastitis on the Welfare of Dairy Cows and Potential Therapies. Vet Clin North Am Food Anim Pract. 2018 Nov;34(3):525-535. doi: 10.1016/j.cvfa.2018.07.006. PMID: 30316508.

4. Steagall PV, Bustamante H, Johnson CB, Turner PV. Pain Management in Farm Animals: Focus on Cattle, Sheep and Pigs. Animals (Basel). 2021 May 21;11(6):1483. doi: 10.3390/ani11061483. PMID: 34063847; PMCID: PMC8223984.

5. Windsor PA. Role of Topical Anaesthesia in Pain Management of Farm Animals, a Changing Paradigm. Animals (Basel). 2022 Sep 17;12(18):2459. doi: 10.3390/ ani12182459. PMID: 36139319; PMCID: PMC9495143.

6. Mainau E, Llonch P, Temple D, Goby L, Manteca X. Alteration in Activity Patterns of Cows as a Result of Pain Due to Health Conditions. Animals (Basel). 2022 Jan 12;12(2):176. doi: 10.3390/ani12020176. PMID: 35049798; PMCID: PMC8773241.

7. Huxley JN, Whay HR. Current attitudes of cattle practitioners to pain and the use of analgesics in cattle. Vet Rec. 2006 Nov 11;159(20):662-8. doi: 10.1136/ vr.159.20.662. PMID: 17099174.

8. Prunier A, Mounier L, Le Neindre P, Leterrier C, Mormède P, Paulmier V, Prunet P, Terlouw C, Guatteo R. Identifying and monitoring pain in farm animals: a review. Animal. 2013 Jun;7(6):998-1010. doi: 10.1017/S1751731112002406. Epub 2012 Dec 20. PMID: 23254122.

9. Ginger L, Ledoux D, Bouchon M, Rautenbach I, Bagnard C, Lurier T, Foucras G, Germon P, Durand D, de Boyer des Roches A. Using behavioral observations in freestalls and at milking to improve pain detection in dairy cows after lipopolysaccharideinduced clinical mastitis. J Dairy Sci. 2023 Aug;106(8):5606-5625. doi: 10.3168/ jds.2022-22533. Epub 2023 Jun 1. PMID: 37268578.

10. Leslie KE, Petersson-Wolfe CS. Assessment and management of pain in dairy cows with clinical mastitis. Vet Clin North Am Food Anim Pract. 2012 Jul;28(2):289-305. doi: 10.1016/j.cvfa.2012.04.002. PMID: 22664209.

11. Calf Welfare. Care4dairy. 2024. https://care4dairy.eu/wp-content/uploads/2024/03/ Calf_Welfare-2.pdf . Accessed February 25th 2025.

12. Browne, Natasha & Conneely, Muireann & Hudson, Chris. 2022. Use of Non-Steroidal Anti-Inflammatory Drugs and Attitudes to Pain in Pasture-Based Dairy Cows: A Comparative Study of Farmers and Veterinarians. Frontiers in Veterinary Science. 9. 10.3389/fvets.2022.912564.

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