Dog Arthritis Treatment Varies: Study of 373 Vets

A survey of 373 veterinarians found that canine osteoarthritis treatment varies widely, with NSAIDs, omega-3 fatty acids, and weight management among the most commonly reported approaches—and that management patterns differed by practitioner experience and training.

Journal: Frontiers in Veterinary Science
Sample Size: 373 veterinarian responses
Study Type: Cross-sectional veterinary practice survey
Published: 2026-05-29
Species:

Key Findings

  • Veterinarians reported variable canine osteoarthritis management patterns.
  • NSAIDs, omega-3 fatty acids, and weight management are commonly used.
  • Approaches differed by experience and training.
  • Veterinarians reported perceived adverse events for bedinvetmab and grapiprant; the study authors call for further pharmacovigilance research.

Why Your Dog’s Arthritis Plan Might Look Different From Your Neighbor’s

Dog arthritis treatment is not one-size-fits-all — and a new survey of 373 veterinarians documents just how wide that variation is. When researchers asked vets how they manage canine osteoarthritis (the most common type of joint disease in dogs), they found a wide range of approaches. Pain medications, fish oil supplements, and weight management were all popular tools — but the approaches differed by practitioner experience and training.

If you have ever wondered why your vet recommends something different than what a friend’s vet suggested, this study helps illustrate that variation. Arthritis in dogs is complex, and veterinarians generally recommend tailoring care to each patient rather than following a single protocol — though this survey did not measure treatment outcomes.

What Is Canine Osteoarthritis, and Why Is It So Tricky to Treat?

Osteoarthritis — often called “wear-and-tear arthritis” — is one of the most common health problems in dogs. It happens when the cushioning cartilage inside joints slowly breaks down. Think of cartilage like a shock absorber in a car. When it wears out, the bones start rubbing together, causing pain, stiffness, and swelling.

Dogs are good at hiding pain. You might notice your dog moving more slowly, hesitating before climbing stairs, or just seeming less excited about walks. These are all potential signs of joint discomfort.

Because arthritis affects each dog differently — depending on which joints are involved, the dog’s size, weight, and overall health — no single treatment works perfectly for every dog. That is part of why vets end up using different approaches.

How This Study Was Done

Researchers sent a detailed questionnaire to veterinarians, asking about how they handle canine osteoarthritis in their practice. Think of it like a “what do you do?” survey for vets. A total of 373 veterinarians responded and shared their real-world management practices.

This type of study — called a cross-sectional survey — gives researchers a broad snapshot of what is actually happening in veterinary offices at a single point in time. It is not a treatment trial; it simply documents the range of approaches vets currently use.

Key things the survey looked at:

  • What medications or supplements vets recommend most often
  • Whether approaches differ based on how long a vet has been practicing
  • What non-drug strategies vets suggest alongside medication

What the Survey Found

No Single Standard Approach

The biggest takeaway from this study is that canine arthritis care is highly variable. Veterinarians reported using a wide mix of treatments, and no single protocol was universally adopted. Two vets seeing the same dog might come up with meaningfully different plans.

This is not necessarily a bad thing — it shows that veterinary practice in this area is diverse and still evolving. But it can be confusing for dog owners who wonder if they are getting the “right” advice.

Common Tools in the Toolbox

Despite the variation, some treatments appeared frequently across responses:

  • NSAIDs (non-steroidal anti-inflammatory drugs): These are prescription pain relievers — similar in concept to ibuprofen in people, but specially formulated for dogs. They reduce inflammation and ease pain. They were a common first-line treatment.
  • Omega-3 fatty acids: These are the healthy fats found in fish oil. Many vets reported recommending them as a supplement alongside other treatments.
  • Weight management: Carrying extra weight puts more stress on already-painful joints. Vets frequently included weight loss or weight control as part of the arthritis plan.

Experience Plays a Role

The survey also found that a vet’s level of experience and training influenced their approach. Vets with more years in practice or specialized training sometimes made different choices than newer graduates. This shows that as veterinary knowledge evolves, so do treatment recommendations.

Newer Medications and Reported Adverse Events

The survey also asked veterinarians about their experiences with two newer medications used in canine osteoarthritis: bedinvetmab (a monoclonal antibody targeting nerve growth factor) and grapiprant (a prostaglandin receptor antagonist). Some respondents reported perceived adverse events associated with each drug.

The study’s authors note that these reports are based on veterinarians’ perceptions, not confirmed clinical causation, and they call for further pharmacovigilance—systematic monitoring of drug safety after a product reaches the market. This is a normal part of how veterinary medicine evaluates newer treatments over time, and does not mean these medications are unsafe. Dog owners whose pets are prescribed either drug can discuss current safety data and monitoring with their veterinarian.

What This Means for You and Your Dog

Talk to Your Vet About Their Approach

The survey found that management patterns differed by practitioner experience and training. This means different vets may legitimately recommend different combinations of treatments. Rather than assuming one answer is correct, use the variation as a prompt to ask your vet why they are recommending a particular approach for your dog. Questions about your dog’s specific joints, weight, age, and other conditions can help both of you build a plan you understand and can follow.

Common Steps Worth Discussing With Your Vet

Based on what this survey found, here are things that many vets include in arthritis management:

  • A prescription pain reliever (ask if an NSAID or another option is right for your dog)
  • Fish oil or omega-3 supplements to support joint health
  • A weight-loss or weight-maintenance plan if your dog carries extra pounds
  • Gentle, regular exercise rather than intense bursts of activity

When to Consult Your Veterinarian

If your dog is slowing down, stiffening up after rest, or showing signs of discomfort, talk to your veterinarian. They can assess whether arthritis is the cause and discuss the management options that may be appropriate for your dog.

Never give your dog human pain medications like ibuprofen or acetaminophen — these are toxic to dogs even in small doses. Any pain management should always be prescribed and monitored by a veterinarian.

Honest Look at the Study’s Limits

This study asked vets to report their own practices, which means the results reflect what vets say they do — not necessarily what they always do in practice. Self-reported surveys can sometimes be skewed if respondents answer the way they think they should, rather than what they truly do.

The study also did not measure outcomes for actual patients. It tells us what vets recommend, but not which combination of treatments leads to the best results for dogs. Future research comparing treatment outcomes across different management strategies would add a valuable next layer of understanding.

The Bottom Line

A survey of 373 veterinarians confirmed that dog arthritis treatment is not uniform — variation was associated with practitioner experience and training. Pain medications like NSAIDs, omega-3 fatty acids, and weight management are widely reported building blocks, but the combinations used differed by the vet’s background. The survey also surfaced veterinarian-reported concerns about two newer medications, bedinvetmab and grapiprant, prompting the study authors to call for continued pharmacovigilance as these drugs are used more broadly in practice.

If your dog is showing signs of joint discomfort, the most important step is to consult your veterinarian. Ask questions, check in regularly, and do not hesitate to seek a second opinion if something is not working.


This article summarizes peer-reviewed research for educational purposes. Always consult with your veterinarian for personalized advice about your pet’s health and behavior.

Reference

Bird E, Miscioscia E, Montalbano C, Colee J, Repac J (2026). Variations in the management of canine osteoarthritis: a cross-sectional survey of veterinary practices. Frontiers in Veterinary Science. DOI: https://doi.org/10.3389/fvets.2026.1814641