Facial expressions are increasingly being used to assess pain in non-human species, including rodents, horses and lambs. The development of these species-specific grimace scales have allowed for more rapid pain detection, which can lead to better animal welfare if intervention promptly occurs. For grimace scales to ever be used as a stand-alone measure of pain, it is important they correlate with established pain assessment tools, such as behavioral analysis. This preliminary study aimed to determine whether piglets exhibit pain grimacing and if these facial expressions correlate with their behavior. It also assessed and compared the behavior of boar piglets given an analgesic and topical anesthetic prior to surgical castration and tail docking to piglets that did not receive anything for pain relief. Five-day-old male Yorkshire piglets (n = 19) from four pens were randomly assigned, within their pen, to one of five possible treatments: meloxicam (0.4mg/kg, intramuscularly) + EMLA® cream, meloxicam (0.4mg/kg, intramuscularly) + non-medicated cream, saline (intramuscularly) + EMLA® cream, saline (intramuscularly) + non-medicated cream or no treatment prior to surgical castration and tail docking. Piglet behaviors were video recorded for 8h immediately after castration, as well as for 1h at 24 hours pre- and post-castration. Their individual behaviors were scored continuously for the first 15mins of every hour of video collected. Facial images were also captured across all time points. A Piglet Grimace Scale (PGS) was developed and used by two observers blinded to treatment, time and procedure to score over 600 piglet faces. All piglets displayed significant behavioral changes up to 7h post-castration when compared to baseline, and the use of meloxicam and EMLA® cream was not associated with a reduction in painful behaviors. Significantly higher PGS scores were noted at 0, 3, 4, and 5h post-castration when compared to PGS scores at 7h and there was no effect of treatment. PGS scores significantly correlated with piglet behavioral activity. The results suggest that the Piglet Grimace Scale may have utility for pain evaluation in neonatal pigs.

Surgical castration is a painful procedure, performed routinely on commercial pig farms to prevent boar taint and reduce aggression. The objectives of this study were to assess the efficacy of 0.04 mg/kg buprenorphine (BUP) in reducing pain in castrated piglets, using behavioral indicators and vocalization analysis. This study also sought to further validate the Piglet Grimace Scale (PGS) as a pain assessment tool. A pilot study first assessed the safety of BUP or 0.2 mg/kg butorphanol administration to piglets (n = 4 per treatment). When no side effects were noted with BUP, ten litters of 5-day old piglets (n = 60 total, 15 per treatment group) were used, and randomly assigned to one of four possible treatments: BUP (castrated or uncastrated), saline, or sham. Treatments were administered as an intramuscular injection 20 min prior to surgical castration. Piglets were video recorded 1 h pre-procedure, post-castration for 8 h and for another hour, 24 h post-procedure. Behaviors were scored continuously for the first 15 min of each hour and 511 still-images of piglet faces were scored using the PGS. Vocalizations were recorded from each piglet at three points in the study: at initial handling, injection, and castration. Butorphanol caused some piglets to become groggy and vomit and was not further evaluated. BUP-castrated piglets demonstrated significantly fewer pain behaviors and less facial grimacing compared to saline-treated pigs (P < 0.0001 and P = 0.0073, respectively). There was no difference between the pain behaviours displayed by BUP-castrated piglets compared to BUP-uncastrated and sham piglets (P = 0.9986 and P = 0.7484). There was also no difference in PGS score between BUP-castrated and BUP-uncastrated piglets (P = 0.9376). Piglets in the BUP-castrated group produced vocalizations of similar frequency, amplitude, power, and energy to saline-treated piglets. Buprenorphine was highly effective in alleviating castration-associated pain behaviors and facial grimacing in piglets, without causing any obvious side effects. Its administration did not reduce piglet vocalizations at the time of castration. The PGS corresponded well to piglet pain behaviors and has utility as a pain assessment tool.

Surgical castration of piglets is performed routinely on commercial pig farms, to prevent boar taint and minimize aggression. While this procedure is known to be painful, piglets are generally not provided any analgesic for pain relief, leading to welfare concerns. The objectives of this study were to assess the efficacy of two non-steroidal anti-inflammatory drugs (NSAIDs), meloxicam (MEL) (0.4 mg/kg or 1.0 mg/kg) and ketoprofen (KET) (6.0 mg/kg) in reducing behavioral indicators of pain in castrated piglets. This study also examined the utility of the Piglet Grimace Scale (PGS) as a pain assessment tool. Nineteen litters of 5-days-old male piglets (n = 120) were used and piglets within a litter were randomly assigned to one of eight possible treatments: 0.4 mg/kg MEL-castrated or uncastrated, 1.0 mg/kg MEL-castrated or uncastrated, 6.0 mg/kg KET-castrated or uncastrated, saline (castrated control), or sham (uncastrated control). Treatments were administered intramuscularly (IM) 20 min prior to surgical castration. Piglets were video recorded for 1 h pre-procedure, for 8 h immediately post-castration and for another hour, 24 h post-procedure. Twenty-one behaviors and postures were scored continuously for the first 15 min of each hour and 1,156 still images of piglet faces were collected and scored using the PGS. Within each treatment group post-castration, castrated piglets displayed significantly more pain-related behaviors than uncastrated piglets (0.4 mg/kg MEL: p = 0.0339, 1.0 mg/kg MEL: p = 0.0079, 6.0 mg/kg KET: p = 0.0034, Controls: p < 0.0001). Castrated piglets also grimaced significantly more post-procedure than uncastrated piglets (p = 0.0061). Compared to the castrated control, none of the NSAID treatments significantly reduced piglet pain behaviors (0.4 mg/kg MEL: p = 1.385334, 1.0 mg/kg MEL: p = 0.9995, 6.0 mg/kg KET: p = 0.4163) or facial grimacing. Piglets demonstrated significantly more pain behaviors 24 h post-castration than at all other time points (p < 0.0001). The PGS was a less effective measure to detect acute pain; however, our findings suggest it does have utility as a pain assessment tool in neonatal pigs. Our findings also indicate that the use of these NSAIDs were ineffective at alleviating castration-associated pain in piglets.

To accurately assess pain and support broadly-based analgesic protocols to mitigate swine pain, it is imperative to develop and validate a species-specific pain scale. The objective of this study was to investigate the clinical validity and reliability of an acute pain scale (UPAPS) adapted for newborn piglets undergoing castration. Thirty-nine male piglets (five days of age, 1.62 ± 0.23 kg BW) served as their own control, were enrolled in the study and underwent castration in conjunction with an injectable analgesic administered one-hour post-castration (flunixin meglumine 2.2 mg/kg IM). An additional 10, non-painful female piglets were included to account for the effect of natural behavioral variation by day on pain scale results. Behavior of each piglet was video recorded continuously at four recording periods (24 h pre-castration, 15 min post-castration, 3 and 24 h post-castration). Pre- and post-operative pain was assessed by using a 4-point scale (score 0–3) including the following six behavioral items: posture, interaction and interest in surroundings, activity, attention to the affected area, nursing, and miscellaneous behavior. Behavior was assessed by two trained blinded observers and statistical analysis was performed using R software. Inter-observer agreement was very good (ICC = 0.81). The scale was unidimensional based on the principal component analysis, all items except for nursing were representative (r_s≥ 0.74) and had excellent internal consistency (Cronbach’s alpha ≥ 0.85). The sum of scores were higher in castrated piglets post-procedure compared to pre-procedure, and higher than in non-painful female piglets confirming responsiveness and construct validity, respectively. Scale sensitivity was good when piglets were awake (92.9%) and specificity was moderate (78.6%). The scale had excellent discriminatory ability (area under the curve > 0.92) and the optimal cut-off sum for analgesia was 4 out of 15. The UPAPS scale is a valid and reliable clinical tool to assess acute pain in castrated pre-weaned piglets.

The amount of scientific data evaluating sheep pain responses after analgesia treatment is limited. The aims of this study were to compare the efficacy of flunixin meglumine (FLU) and meloxicam (MEL) at relieving post-surgical pain in sheep and to evaluate the utility of the Sheep Grimace Scale (SGS). Thirty ewes were assigned to one of three treatment groups: oral MEL or intravenous FLU to manage pain associated with a laparotomy procedure, or a non-surgical control (CON) group. Behavior and physiologic outcome measures were collected pre-procedure and up to 48 h post-procedure. There were no significant differences in behavior, gait, degree of inflammation or pain around the surgical site when MEL and FLU sheep were compared, suggesting that both drugs provided similar levels of analgesia. Significant differences in behavior, gait, abdominal inflammation and pain were found when surgical sheep were compared to non-surgical controls. More work is needed to characterize the amount of pain relief provided by MEL and FLU. The SGS had moderate reliability between scorers; however, the results were inconsistent with the other study outcome measures. The SGS may have some utility as a pain assessment tool but should be used in conjunction with other pain measures.