Perhaps you are thinking, "None of my dogs have ever had carpal pain or arthritis." Well, we need to remember that dogs, by their very nature, do not tell us about mild to moderate pain. If a dog was to be asked by an emergency room nurse to give the level of his pain on a scale from 0 o 10, with 10 being the worst, their scale would be 0, 0, 0, 0, 0, 6, 7, 8, 9, 10. Most of our dogs, especially if they deal with pain that is of gradual onset, just deal with it and don't complain unless it is excruciating. But when I palpate the carpal joints of older dogs without dewclaws, I frequently can elicit pain with relatively minimal manipulation.