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Is Arthroscopy Painful for Dogs?

Is Arthroscopy Painful for Dogs?

Arthroscopy

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Owners

Arthroscopy in dogs causes less pain than open surgery. Learn how much discomfort to expect, recovery timeline, and pain management after the procedure

By 

Sustainable Vet Group

Updated on

September 15, 2025

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Is Arthroscopy Painful for Dogs?

Arthroscopy is a minimally invasive joint surgery that allows veterinarians to diagnose and treat joint problems using a small camera and fine instruments. Because only tiny incisions are made, the procedure is generally less painful than traditional open joint surgery. However, some level of discomfort is still expected as tissues heal.

During the surgery, dogs are fully under anesthesia, so they do not feel any pain. Afterward, veterinarians use pain medications and anti-inflammatory drugs to keep dogs comfortable during recovery. Most dogs handle the procedure very well, and their discomfort is usually mild compared to larger surgeries.

Key points for owners:

  • Pain is less than open surgery
  • Dogs are under anesthesia
  • Pain control continues after surgery

Pain During Arthroscopy Surgery

During arthroscopy, dogs do not feel pain because the procedure is performed under general anesthesia. This ensures the patient is completely unconscious and unaware throughout the surgery. Anesthesia also allows the surgeon to work carefully inside the joint without the dog experiencing any stress or discomfort.

In addition to general anesthesia, dogs are continuously monitored for heart rate, breathing, and oxygen levels. This careful monitoring helps maintain safety and comfort during the entire procedure. In some cases, veterinarians may also use local anesthesia directly around the joint to provide extra pain relief, especially for larger or more complex procedures.

Key points for pain during surgery:

  • General anesthesia ensures no pain or awareness
  • Sedation and monitoring are provided throughout
  • Local anesthesia may be used for added comfort

With this approach, owners can feel reassured that their dogs do not experience pain during the arthroscopy itself. The focus then shifts to managing discomfort after the procedure as tissues begin to heal.

Pain Immediately After Arthroscopy Surgery (First 24–48 Hours)

In the first one to two days after arthroscopy, dogs may experience mild to moderate discomfort. This is usually related to swelling inside the joint, joint distension from fluid used during the procedure, or minor bruising around the incision sites. These changes can make the dog feel sore and less eager to move.

Owners may notice certain signs of discomfort during this period, including limping on the affected leg, whining or vocalizing, licking at the incision site, or reluctance to walk and use the limb normally. These signs are expected to some degree and usually improve with prescribed medications.

Key signs of pain after surgery:

  • Limping or reduced weight bearing
  • Whining or changes in behavior
  • Licking at the incision site
  • Reluctance to walk or move

Veterinarians typically prescribe anti-inflammatory drugs and pain relief medications to help control this discomfort. With rest and proper care, most dogs show steady improvement after the first 48 hours.

Pain in the First Weeks of Recovery after Arthroscopy

As recovery progresses, most dogs experience steady improvement in comfort. Pain medications and anti-inflammatory drugs help reduce soreness, allowing many dogs to begin bearing weight within the first 1–2 weeks. By this stage, discomfort is usually mild, and dogs often appear more eager to move.

The use of small incisions in arthroscopy means there is less trauma and scarring compared to traditional surgery. This greatly reduces pain levels and helps dogs heal more smoothly. Still, some variation in discomfort exists depending on the type of procedure performed. Diagnostic arthroscopy, where the surgeon is mainly examining the joint, usually causes less pain than therapeutic arthroscopy, which may involve removing or repairing cartilage or meniscus tissue.

Key points in the first weeks:

  • Most dogs bear weight within 1–2 weeks
  • Pain steadily decreases with medication
  • Small incisions reduce surgical trauma
  • Therapeutic procedures may cause more discomfort than diagnostic ones

This stage is crucial for balancing controlled activity with ongoing healing.

Factors That Affect Pain Levels after Arthroscopy

Not all dogs experience pain at the same level after arthroscopy. Several factors influence how much discomfort a dog may feel. Age, size, and overall health are important considerations. Younger, smaller dogs often recover with less pain compared to older or heavier dogs, whose joints face more stress.

The specific joint involved also plays a role. Arthroscopy on the stifle (knee) may cause more post-operative soreness than procedures on the elbow or shoulder, due to differences in joint structure and weight-bearing. The extent of surgical work is another factor—procedures that involve cartilage trimming, bone work, or meniscus treatment can lead to more discomfort than a simple diagnostic arthroscopy.

Pre-existing conditions such as arthritis or other joint disease may also increase pain levels and slow recovery.

Key factors that affect pain:

  • Dog’s age, size, and health status
  • Type of joint operated (shoulder, elbow, knee, hip)
  • Extent of cartilage or bone treatment
  • Presence of arthritis or other joint disease

These factors guide the veterinarian in tailoring pain management for each individual dog.

How Pain Is Managed After Arthroscopy

Pain management is a major focus after arthroscopy to ensure the dog remains comfortable during recovery. Veterinarians typically prescribe non-steroidal anti-inflammatory drugs (NSAIDs) to reduce both pain and inflammation. In some cases, short-term opioids may be added to control more significant discomfort during the first few days.

Alongside medication, non-drug methods help further ease recovery. Cold compresses applied to the joint reduce swelling and provide additional pain relief. Strict rest in the first weeks prevents unnecessary strain, while controlled activity ensures the joint heals safely. Once healing progresses, gradual physiotherapy or hydrotherapy is introduced. These therapies reduce stiffness, strengthen muscles, and support smoother movement.

Follow-up exams are also important. They allow the veterinarian to assess healing and adjust medications if needed.

Key elements of pain management:

  • NSAIDs and, if required, short-term opioids
  • Cold compresses to control swelling
  • Rest followed by structured rehab therapies
  • Veterinary rechecks to fine-tune pain control

This combined approach helps dogs remain comfortable while their joints recover.

Long-Term Pain Relief Benefits after Arthroscopy in Dogs

Arthroscopy not only treats the joint problem but also provides long-term relief from pain. By addressing the underlying issue—such as removing damaged cartilage or repairing torn tissue—the procedure often reduces chronic discomfort that the dog experienced before surgery.

Many dogs return to higher comfort levels than before arthroscopy. This improvement is especially noticeable in dogs with ongoing lameness or stiffness that had not responded well to medical management alone. By directly treating the joint, arthroscopy improves mobility and quality of life.

Another advantage is that recovery is usually faster compared to open surgery. The small incisions made during arthroscopy cause less trauma, allowing for earlier weight bearing and quicker return to daily activity. This means dogs often resume walking comfortably within weeks and maintain better long-term joint health.

Key long-term benefits:

  • Relief from pre-existing joint pain
  • Return to improved mobility and comfort
  • Faster healing compared to open surgery
  • Earlier weight bearing and smoother recovery

When to Call the Vet About Pain

While mild discomfort is expected after arthroscopy, certain signs suggest complications that need veterinary attention. Owners should call their vet if the incision site shows excessive swelling, redness, discharge, or heat, as these may indicate infection.

If pain appears severe beyond the first one to two weeks, this is also a reason to seek help. Normal recovery should show steady improvement, not worsening discomfort. Reluctance to use the operated limb, persistent limping, or signs of declining mobility signal that something may not be healing as expected.

Quick intervention allows problems to be addressed before they worsen. Adjustments in pain medication, wound care, or further diagnostic checks may be required to ensure recovery stays on track.

Key warning signs to call the vet:

  • Excessive swelling, redness, or discharge at incision
  • Severe pain lasting beyond 1–2 weeks
  • Reluctance to use the operated limb
  • Worsening lameness or reduced mobility

Prompt action helps protect the joint and supports successful recovery.

FAQs

Do dogs feel pain during arthroscopy?

No, dogs do not feel pain during arthroscopy because they are placed under general anesthesia. This ensures they are unconscious and unaware throughout the procedure. In some cases, local anesthesia is also used for extra comfort. Pain is only managed after surgery, when the dog begins to recover from anesthesia and healing starts.

How long will my dog be sore after arthroscopy?

Mild to moderate soreness is expected for the first 24–48 hours after arthroscopy. With prescribed medications, most dogs improve steadily and begin bearing weight within a week. By 1–2 weeks, discomfort is usually minimal. The small incisions used in arthroscopy reduce trauma, so soreness is less compared to traditional open joint surgeries.

What pain relief is given after the procedure?

Veterinarians usually prescribe NSAIDs to reduce pain and inflammation after arthroscopy. Short-term opioids may also be provided for stronger pain relief during the first few days. Cold compresses, controlled rest, and later physiotherapy or hydrotherapy also support comfort. Follow-up exams help adjust pain management to ensure each dog remains comfortable as recovery continues.

Is arthroscopy less painful than open surgery?

Yes, arthroscopy is generally less painful than open joint surgery. Because only tiny incisions are made, there is less tissue trauma, swelling, and scarring. This means dogs typically recover faster, experience less soreness, and return to weight bearing sooner. While some discomfort is normal, pain levels are usually lower compared to larger surgical procedures.

Will my dog be pain-free after recovery?

Most dogs are much more comfortable after recovery, with many returning to better mobility and function than before surgery. Arthroscopy helps address the underlying joint issue, reducing long-term pain. However, dogs with arthritis or severe cartilage damage may still show mild stiffness, especially in cold weather. Proper rehab and weight control support long-term comfort.

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