While I don't have any very old pigs anymore after Violet passed last year, the cage has remained virtually the same (apart from being made bigger). Daisy and Oscar and both around 4.5 and Daisy is medicated for arthritis. I also have little Poppet, but she is only about 10 months old
This is how I had my cage when my 8 year old girl was with me (a 2x6)
And this is how it is set up now (a 4x5)
The main thing is to make sure they don't have too work to hard to get food and water. Hay in a big pile or bag close to the ground is generally easier for them to get to. Having multiple water bottles is also good, as well as ensuring the cage is only one level.
Hope this helps
Do you have any photos of your senior piggy?
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