Degenerative myelopathy (DM) is a progressive spinal cord disease primarily affecting German Shepherds and other breeds. Understanding the condition enables owners and vets to support quality of life throughout its course.
The welfare challenges of DM are primarily related to the progressive loss of mobility and the associated risk of secondary complications. As hindlimb function declines, dogs require adapted environments, assistance with mobility (carts, slings), and vigilant skin care to prevent pressure sores and urine scalding. Crucially, dogs with DM often remain mentally engaged and free from pain for extended periods — quality of life should not be equated solely with physical function. Active physiotherapy, hydrotherapy, and environmental adaptation support continued positive experiences. End-of-life decisions require honest assessment of pain, dignity, and ongoing quality of life rather than mobility alone as the sole criterion.