Degenerative myelopathy is a progressive neurological disease in dogs with no effective treatment. Managing welfare through declining mobility requires creativity, commitment, and compassionate decision-making.
Degenerative myelopathy presents a unique welfare challenge: a progressive condition without pain but with significant loss of function. Dogs in early to middle stages can maintain good quality of life with appropriate support including physiotherapy, hydrotherapy, harnesses, and eventually wheelchairs. As the disease progresses to bladder and bowel dysfunction and front limb involvement, maintaining hygiene and preventing pressure sores becomes paramount. The decision about euthanasia in DM is challenging as the dog may appear mentally bright while physically deteriorating. Quality of life assessment should focus on the ability to engage in positive experiences rather than just the absence of pain.