Why is my cat lethargic, crying, and trembling with normal X-rays?

Question

$800 and five vets later they assume that my four year old spayed, indoor only cat may have fractured a bone or pulled a muscle. Nothing shows on the x rays, which are fine, her blood work is normal. She’s on a steroid which seems to help but she’s still quite lethargic and meows when you touch near her chest. She eats, drinks and uses the box fine. When I pick her up she cries, and when laying down she sometimes trembles (her front legs/shoulders). Opinions welcome. Pet's info: Cat | Domestic Shorthair | Female | spayed | 3 years and 5 months old | 7 lbs

Dr. Melanie, BVSc MS · Accepted Answer

It sounds like poor Nin Nin has been through a lot lately.! From your description, it appears to me that she is definitely in pain, which would cause her to be lethargic, cry when she is picked up, and trembling why laying down. I'm glad her x-rays were fine, but I can she how that would be frustrating for you to not have a definitive. Please know that without seeing her in person, I can't say this for certain, but I wouldn't be surprised if she did have a pulled muscle or maybe have torn one. That won't show up on x-rays, and would explain her symptoms. These can be very painful, and it can take weeks for it to heal. I would keep in touch with your vet about her level of pain, and if she doesn't appear to get any better over the next week or two, gets more painful, stops eating and drinking, and/or stops using her littler box, I would get her back into her vet asap. Best of luck, I hope she feels better soon!

Why is my cat lethargic, crying, and trembling with normal X-rays?

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