Canine degenerative myelopathy is a progressive neurological disease causing hind limb weakness and eventual paralysis. Supportive care focused on quality of life is the cornerstone of management.
DM causes progressive loss of function without pain in the early stages -- dogs typically remain bright and interested in life even as mobility deteriorates. The welfare challenge is managing the physical consequences of paralysis: pressure sores, urinary tract infections from incontinence, and reduced ability to interact with the environment. Wheelchairs allow affected dogs to remain mobile and engaged. Physical therapy slows functional decline. As disease progresses to front limb involvement and dysphagia, quality of life deteriorates rapidly. Honest, ongoing quality of life assessment guides decisions about supportive care intensity and timing of euthanasia.