Understanding the Challenge of Chronic Pain in Pets
Chronic pain is one of the most underdiagnosed conditions in pets. Animals often hide discomfort, compensating so they can eat, sleep, and appear happy. Hip dysplasia, a common joint disease in dogs, can cause intermittent pain that is difficult to detect through traditional observation alone. For proactive pet parents, understanding subtle physiological and behavioral cues is critical to supporting long-term health and wellbeing.
Meet Pippa: A Labrador’s Life-Saving Journey
Pippa, a nine-year-old, 61lb spayed female Labrador Retriever, has suffered from hip dysplasia since a young age. Despite appearing content and moderately active, Pippa’s condition meant she could experience mild and intermittent pain. Her veterinarian and owner, Dr. Nitzan Kroter, placed a PetPace collar on Pippa to monitor her overall health and detect patterns associated with pain.
How PetPace Monitors Chronic Pain
The PetPace collar collects continuous physiological and behavioral data, providing insights that are often invisible between veterinary visits. Key monitoring metrics for Pippa included:
- Pulse: Pippa’s average pulse of 74 bpm was slightly better than typical values for her breed, age, and weight.
- Respiration: Her respiratory rate averaged 17 breaths per minute, similar to reference Labradors.
- Resting: Pippa spent 90.8% of her time resting, consistent with peers of the same breed and age.
- Positioning: Pippa spent only 8% of her rest time lying on her left side, lower than the typical 13%, suggesting possible discomfort on that side, as seen with hip dysplasia.
- Heart Rate Variability (HRV): Overall HRV indices were normal, but detailed analysis revealed intermittent dips indicating occasional pain episodes.
By comparing these data points to averages for similar dogs, the PetPace system flagged subtle but meaningful deviations that could indicate discomfort.
Advanced Analysis: VVTI and Pain Detection
Plotting the Vaso-Vagal Tonus Index (VVTI) of HRV against pulse to identify abnormal patterns showed, in Pippa’s case, that 3.2% of VVTI data points fell below the normal range, suggesting intermittent pain even when she appeared outwardly healthy. This type of long-term, minute-to-minute analysis provides a proactive insight that is often missed.
Why This Matters for Pet Parents
Even pets that seem happy and active may be experiencing pain that impacts long-term wellbeing. By using PetPace, caregivers and veterinarians can:
- Detect intermittent pain early: Recognize subtle physiological signs before they develop into serious issues.
- Tailor treatment plans: Adjust medications, physical therapy, or lifestyle interventions based on real data.
- Monitor over time: Track trends in rest, activity, HRV, and posture to evaluate responses to treatment.
- Improve quality of life: Ensure pets remain active, comfortable, and engaged in their daily routines.
Dr. Asaf Dagan, PetPace Chief Veterinarian, notes, “Long-term data analysis provided by PetPace can reveal pain conditions that owners may not be aware of. Pets compensate for discomfort, so objective monitoring is crucial.”

Pippa’s Outcome
With PetPace insights, Dr. Kroter could detect intermittent pain episodes in Pippa and intervene appropriately, improving her comfort and wellbeing. The collar’s long-term monitoring ensures that subtle changes in physiological and behavioral patterns are captured, allowing proactive treatment adjustments.
Pippa remains a happy and active dog despite her chronic condition, demonstrating the value of continuous monitoring in managing pain associated with hip dysplasia.
The Proactive Pet Parent Advantage
Pets with chronic conditions like hip dysplasia benefit from proactive monitoring. PetPace gives pet parents and veterinarians objective insights, enabling data-driven decisions that reduce suffering, prevent complications, and improve overall quality of life. Long-term monitoring is not just about tracking daily activity—it’s about understanding your pet’s health in a way that makes early detection and proactive care possible.
Learn More
To read the full case study on Pippa and how PetPace monitors chronic pain in dogs with hip dysplasia, visit PetPace Case Study.
