Episode 206: Dr. Clare Rusbridge on Neuropathic Pain in Cats

Clare Rusbridge, BVMS PhD DipECVN FRCVS, RCVS joins us to discuss her recent article, “Neuropathic pain in cats: Mechanisms and multimodal management.” In this discussion, Dr. Rusbridge relays the nuances of neuropathic pain and how understanding them can greatly influence the approach to pain management. Beginning with an exploration of the differences between nociception and pain perception, Dr. Rusbridge delves into why there are more neuropathic pain syndromes in cats than dogs, the importance of emotional health in pain management, and how to diagnose neuropathic pain versus chronic pain. The conversation also details the importance of caregiver communication and how neuropathic pain management conversations must candidly discuss the burden to the caregiver, which might lead to quality of life and euthanasia discussions. Dr. Rusbridge also explains the treatment algorithm that practitioners can utilize and her reasons as to why she has a preference between pregabalin and gabapentin.

Additional Resources:

• JFMS Clinical Spotlight - Neuropathic pain in cats: Mechanisms and multimodal management
• 2022 ISFM/AAFP Cat Friendly Environment Guidelines
• 2023 AAFP/IAAHPC Hospice and Palliative Care Guidelines