Chronic ear disease is one of the most common and undertreated painful conditions in dogs, with predisposed breeds experiencing years of preventable suffering without adequate management.
Chronic ear disease in dogs is a welfare problem characterized by cycles of recurrence that are incorrectly attributed to treatment failure rather than to unaddressed underlying causes. Dogs with chronic otitis live with persistent discomfort, head-shaking, and pain during ear examination. The welfare-best approach addresses the anatomical predispositions, identifies and manages underlying allergy, and uses targeted topical therapy guided by bacterial culture rather than repeated empirical treatment.