by Lynn Paolillo
n the grooming salon, not every cat that walks through the door is in perfect health. As professional cat groomers, we often work with feline clients who are managing chronic illnesses like diabetes, hyperthyroidism, kidney disease, arthritis or a heart condition. These cats still need regular grooming, but they may require a modified approach to ensure safety, comfort and a low-stress experience.Diabetic Cats
Diabetes in cats can cause changes in skin condition, coat texture and energy levels. These cats may have greasy fur, dandruff or muscle weakness, especially in the hind legs. Therefore, it is important to handle them gently, especially around the back end. To keep their stress level down, avoid long appointments; keep sessions short and calm.
Most diabetic cats will be on insulin, so be sure to schedule around their insulin doses when possible. In addition, you should watch for signs of low blood sugar, which include trembling, confusion and lethargy. Stop the groom immediately if any of these occur.
Hyperthyroidism
Hyperthyroid cats are often thin, restless and have unkempt, patchy coats. They may also be extra sensitive to handling due to anxiety or heart strain. Minimal restraint and calm, quiet energy should be used for handling. Hyperthyroid cats should be closely monitored for heavy breathing or signs of stress. For those with coats in poor condition, regular bathing can help remove excess oils and dandruff.
Kidney Disease
Cats with chronic kidney disease may become dehydrated and lose weight, making them fragile to handle. In addition, their fur may feel dry or brittle, and they may be sensitive around the abdomen. Be extremely gentle when lifting or supporting the cat. And you can consider towel-wrapping during parts of the groom or a warmed towel for additional comfort and warmth. Also, thin, delicate skin can be easily cut, so they may not be a candidate for shaving.
Arthritis and Joint Pain
Older cats or those with chronic joint issues can be difficult to position or may react poorly to being moved. The use of soft mats and padded surfaces can support bony joints. You should also minimize repositioning and keep grooming sessions short and efficient. Performing the groom on the floor or in a lap for extra support can also be considered.
Heart Conditions
Cats with heart issues need extremely low-stress grooming environments. Any increase in stress can be dangerous for them so it’s important to eliminate loud noises, quick movements or heavy handling. Work in a calm, quiet space, preferably without other pets nearby, and keep the grooming process as short and simple as possible. Watch for labored breathing or fatigue and stop if needed.
General Tips
The following tips apply to cats with any of the abovementioned chronic illnesses or other health conditions:
- Pre-Groom Communication: Always ask owners about health conditions, medications and any past reactions to grooming.
- Keep It Calm: A calm, confident demeanor is essential, as is low-volume dryers and avoiding overwhelming scents or stimulation.
- Avoid Over-Handling: Plan the groom in steps to minimize how much the cat is moved, lifted or restrained.
- Groom with Efficiency: Prioritize what’s necessary. Sometimes that means skipping the perfect fluff-dry or final touch-up for the cat’s safety.
- Know When to Say No: If a cat is too fragile or unwell for grooming, it’s okay to refer back to the veterinarian for sedation-based grooming options.
Grooming cats with chronic illnesses requires a shift in mindset: it’s not about perfection, it’s about compassion. Our role is to provide comfort, hygiene and relief in a way that respects the cat’s physical limitations. When we understand their needs and work with empathy, we become more than groomers—we become part of their care team. And that’s something to be proud of.