Canine degenerative myelopathy (DM) is a progressive spinal cord disease in older dogs causing irreversible weakness and paralysis, requiring welfare-focused palliative management.
Degenerative myelopathy causes progressive welfare decline through loss of mobility, continence, and ultimately all voluntary motor function. The disease is not painful, which distinguishes it from other spinal conditions. Welfare-centred management focuses on maintaining dignity, mobility, and a positive daily experience for as long as possible. Wheelchairs can restore partial mobility and the associated psychological benefits of movement. Regular physiotherapy slows muscle atrophy. The welfare trajectory is inevitably downward, and quality of life monitoring using validated tools helps owners identify the appropriate time for euthanasia before suffering becomes inevitable.