Degenerative myelopathy is a progressive neurological disease in dogs requiring dedicated supportive care and quality-of-life management.
DM is a degenerative condition that causes progressive loss of mobility without pain in the early stages. As the disease advances, affected dogs lose the ability to walk, then stand, and eventually lose bladder and bowel control. Quality of life assessment must be ongoing and honest; many dogs adapt remarkably well to wheelchairs and maintain good quality of life for extended periods. However, the final stages involve complete paralysis and significant nursing needs. Physiotherapy, hydrotherapy, and appropriate assistive devices substantially extend comfortable life, but the trajectory requires frank conversations with owners about end-of-life planning.