Is Your Cat In Pain? The Feline Grimace Scale Can Tell You

Although there’s been lots of talk claiming cats don’t have facial expressions humans can parse — or even the muscles to noticeably change expressions — that’s not actually true.

It’s more accurate to say feline facial expressions are far more subtle than their human or even canine equivalents, and it takes an expert — a veterinarian or behaviorist with specialized training — to accurately read them.

This is a brand new frontier for veterinary science, and it’s all thanks to the feline grimace scale, a system developed by researchers at the University of Montreal in 2019. Using video clips of cats in various moods and stages of pain or pain-free expression, the researchers built a system that could reliably determine how a cat is feeling. (You can read more about how they did that here.)

“I call it the Rosetta Stone for interpreting how a cat is feeling,” veterinarian Liz Bales says in a new video at dvm360. “It turns out that very subtle changes in cat’s facial expressions can tell us whether or not they’re in pain. It includes the position of the ears, the opening of the eyes, the expression on the mouth, how the cat is holding its whiskers, and how they’re holding their head.”

Each of the five elements of feline facial expression are scored on a three-point scale, then added up. The result provides an accurate assessment of how a cat feels.

“It’s amazing, and it allows us to interpret feline pain in a way we never could before,” Bales says. “The hard part is, it can be a little bit tricky to learn. It is learnable, but I specialize in this and I’m still struggling to get it right every single time.”

Despite the challenge, she says, it’s well worth learning.

“The applications of this are so far and wide, and I think as the technology grows and it becomes easier and easier to use the grimace scale, the more exciting it’s going to be.”

Thanks to an app named Tably, cat servants don’t have to know how to read the most subtle feline facial expressions anymore. By running a photo of your cat through the app’s algorithm, Tably can read your cat’s expression for you.

Tably Bud
Tably gauges cats’ moods in addition to their pain levels. We used the web app to evaluate Buddy last year. Thankfully he was happy!

Bales says she envisions a near future in which pet parents monitor their cats’ health and mood daily, and the scale becomes the standard for end-of-life care. With a “validated, consistent way to measure pain, we can look into more pain drugs for cats, what’s working, what isn’t.”

“A cat in pain looks like a resting cat to most people, but now we have this tool,” Bales says. “And I think as the tool evolves and we give cats a way to really speak for themselves through this Rosetta Stone of the grimace scale, then the more we understand that we can do for them, the more we’re going to do for them.”

We wrote about the feline grimace scale and Tably last year, and noted it had a lot of promise for veterinarians and us cat servants. At the time Tably was in beta and had a web app that allowed anyone to use the technology.

Unfortunately the web app seems to have disappeared, and the app is now available only to iOS users. Since we switched from an iPhone to Android, we can’t access Tably for the time being. (Let’s hope an Android version is forthcoming.) But if you have an Apple device, the app is definitely worth checking out.

Bud and Becky
“You go, girlfriend!”

4 thoughts on “Is Your Cat In Pain? The Feline Grimace Scale Can Tell You”

  1. Love it! Tux thinks this is completely unnecessary though. After 9 years of comprehensive human training it is expected and demanded that the humans already know these things!

    Liked by 1 person

    1. There was an online feline grimace scale test about a year ago, which I wrote about at the time. I scored well on the intermediate version but bombed the advance version. I would hope I’d be able to read Bud well, but you never know.

      Tux trains his humans to more exacting standards, of course.

      Like

  2. I have always been able to read my Cat’s emotions & whether they are in pain.
    Especially ‘angel’ Purrince Siddhartha Henry.
    With BellaDharma, I admit I have more trouble ‘reading’ her. I DO watch & study her face & actions. I even ask her “Are you in any pain?”….
    I await a reply….LOL…
    Hopefully BellaDharma stays healthy & well so I am not worrying all the time!
    😉 Sherri-Ellen aka BellaSita Mum & ***purrss*** BellaDharma (whose NOT telling!)

    Liked by 1 person

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