Acute moist dermatitis (hot spots) cause rapid-onset skin pain and self-trauma in dogs; addressing underlying causes prevents recurrence and chronic welfare harm.
Hot spots cause acute, intense discomfort - the raw, moist skin is painfully sensitive and the itch-scratch cycle drives escalating self-trauma that worsens welfare rapidly. Dogs unable to find relief become distressed and sleep-deprived. Rapid veterinary treatment breaks the cycle and provides immediate comfort, but the welfare work is in identifying why the hot spot developed and preventing the next one.