Otitis externa is one of the most common dog health problems; underlying causes including allergies drive recurrent infections that cause chronic pain without appropriate management.
Chronic ear infections cause persistent pain and discomfort that dogs cannot communicate clearly and owners often underestimate. Head shaking and ear scratching indicate ongoing pain. Without addressing the underlying cause - typically allergic skin disease - infections recur month after month causing chronic welfare harm. Proper management involves treating the infection AND identifying the predisposing cause.