Managing a Geriatric Cat: A Veterinary Physiotherapist’s Perspective

This guide was developed in collaboration with Jess from FlexiVet Physiotherapy, whose insights were invaluable throughout the process.

When it comes to caring for a geriatric cat, the key lies in proactive management, keen observation, and compassion for their changing needs. Cats are masters at concealing pain, so even subtle shifts in behavior or personality can signal underlying discomfort.

One of the greatest challenges in recognizing pain in older cats is their natural tendency toward inactivity. After all, how do you spot lethargy in an animal that already sleeps up to 16 hours a day? The answer lies in identifying changes from their normal routine.

Subtle Signs of Musculoskeletal Discomfort:

• Decreased interest in play or social interaction

• Increased vocalisation, especially at night

• Hesitancy or refusal to jump onto or down from surfaces

• Matted or unkempt coat due to reduced grooming

• Restlessness or difficulty settling

• Overgrown nails (from reduced use of scratching posts)

• Urinating or defecating just outside the litter box

If you notice any of these signs, it’s important to consult your veterinarian. A diagnostic work-up can rule out or confirm common age-related conditions such as arthritis, neurological decline or even systemic diseases.

Simple Home Adjustments for Comfort

There are several things you can do at home to make life easier for your aging feline friend:

• Stick to a predictable routine: Reduces anxiety and cognitive stress

• Warm, padded resting areas: Essential for arthritic joints, especially in colder seasons

• Low-sided litter boxes: Easier for stiff or painful joints to navigate

• Keep food and water bowls at ground level: Avoids the need to jump onto counters

• Provide ramps or pet steps: Help them reach favorite spots on the bed or couch

• Non-slip flooring: Prevents falls and joint strain

• Weight management: Keeps extra pressure off aging joints

• Regularly cut their nails: this prevents the formation of ingrown nails

Don’t Forget Mental Enrichment

Cats are often overlooked when it comes to structured mental stimulation. Unlike dogs, they aren’t typically walked or trained, and it’s assumed they can entertain themselves. However, mental engagement is just as important for cats—especially as they age.

As your cat’s ability to hunt or play vigorously declines, enrichment becomes a powerful tool to maintain cognitive function and emotional well-being. Try:

• Puzzle feeders

• Interactive toys

• Supervised garden walks or safe outdoor exploration

• New scents and textures to explore indoors

Final Thoughts

In conclusion, supporting a geriatric cat involves more than managing illness—it’s about maximizing comfort, dignity, and quality of life. With the help of veterinary physiotherapy and thoughtful environmental adaptations, senior cats can continue to thrive well into their twilight years.

If you’re unsure where to start, a veterinary physiotherapist can create a customized care plan that suits your cat’s health status and personality.

S. Stander (DVN, BSc Vet Physio)