
25/08/2025
Not every behaviour is a “behaviour problem.”
We are generally very quick to pathologise what might be normal, context-appropriate, or physically driven behaviour. Let's concentrate on the latter here for a moment. Before we label a dog “anxious” or reach straight for behaviour meds, pause and ask: is the body asking for help?
Pain/medical issues show up in way more behaviour cases than most people think. Estimates range from ~28–82% of referred cases, and that's just referred cases (e.g., Camps et al., 2019; Demirtis et al., 2023; Kogan et al., 2024; Mills et al., 2020; Mills & Zulch, 2023). If we only chase "training fixes," we risk missing the real driver.
🔎Body stuff that often gets lumped into “behavioural”🔎
1. Musculoskeletal pain (neck/back/hips; toe/nail; soft-tissue strain) → reluctance, irritability, protectiveness around handling.
2. GI discomfort (nausea, reflux, constipation, food intolerance) → restlessness, avoidance, noise-sensitivity flares.
3. Skin/ear irritation (itch, infections, allergies) → poor sleep, touch avoidance, agitation.
4. Dental/oral pain (fractures, periodontal disease) → face-guarding, sudden “won’t do it”, reluctance to take treats.
5. Sensory change (vision/hearing) → new startles, “stubbornness,” spatial hesitation, especially with age.
6. Neurological changes (focal seizures/auras, neuropathic pain, vestibular episodes, cognitive change etc.) → sudden fear/irritability, freeze–startle cycles, “zoned-out” moments, pacing/circling, shadow-or light-chasing, head/neck rubbing, sleep startle and/or aggression.
7. Feeling unwell / sleep debt / hormonal shifts → lower thresholds, slower recovery, less play/social.
We can’t fairly — or effectively — modify learned patterns that grew on top of pain, itch, nausea, sensory loss, or fatigue without first stabilising health. Then, if any learned layer remains, address it. Reviews repeatedly recommend medical screening when behaviour changes are sudden, escalating, or out of character.
💡 Research snapshot: Dogs with noise sensitivity + musculoskeletal pain often show a different pattern and cope worse, so treating the “behaviour” while ignoring pain prolongs distress (Lopes Fagundes et al., 2018).
Friendly note: This isn’t “anti-meds.” Medication can be vital. It’s order of operations: body first, then behaviour so we’re treating the right thing, for the right reasons.
Quick triage you can use today:
✅Sudden change? Think medical until proven otherwise.
✅Scan basics: sleep, appetite, stools/urine, ear-shake/scratching, licking/toe-chew, gait, reluctance to chew.
✅Watch the trend: latency to engage ↑; voluntary initiations ↓; opt-outs ↑ across days = lower intensity and book the vet.
✅Ageing dogs: screen senses before assuming “training” or “cognitive” issues.
What “address the body first” looks like:
🐾Vet exam guided by history (orthopaedics; oral exam incl. radiographs; dermatology/otology; GI work-up as indicated).
🐾Pain plan (analgesia, physio, environmental tweaks). As comfort improves, protective/irritable behaviour often eases.
Bottom line is, training and medication both have a place, just in the right order and with the dog’s comfort front and centre.
**Important: Bodies and brains go together. Some dogs genuinely struggle with anxiety and when that’s the case, it merits careful evaluation and compassionate treatment (sometimes including medication).**