Degenerative myelopathy in dogs

Degenerative myelopathy, sometimes referred to as DM, is a condition of the spinal cord in dogs that eventually leads to loss of control of the hind end. This disease might not be as common as something like arthritis, but for affected pets the symptoms are significant.

We understand that the underlying process of DM is a slow and progressive degeneration of the white matter of the spinal cord. White matter is found in both the brain and the spinal cord, and its primary job is to make sense of and send signals to other parts of the body.

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The symptoms of degenerative myelopathy in dogs

Degenerative myelopathy typically has symptoms like loss of sensation and weakness, or even paralysis.

Symptoms of DM can include:

• Ataxia in the hind end (wobbly or drunken type gait)

• Dragging the hind feet or catching the tops of the feet when walking

• General hind limb weakness

• Trouble standing or supporting weight for long periods of time

• Swaying from side to side while standing

• Falling over easily

• Knuckling over on the back feet

• Hind end paralysis in advanced cases

It’s not uncommon for DM to resemble other diagnoses in its early stages. This is because the symptoms can be similar to dogs with conditions like arthritis.

Dogs may look like they are having trouble getting up in the hind end, making owners think they are showing signs of pain. Later on symptoms are progressive and make us more suspicious of something like DM (or other diseases of the spinal cord).

Which dogs get degenerative myelopathy?

We’ve been able to determine that there is a genetic component to developing DM. In particular, a mutation of the SOD-1 gene (superoxide dismutase) is known to play a role. Dogs that have two abnormal copies of this gene are at risk for developing the disease. By far the most commonly diagnosed breed is the German Shepherd and those crossed with them. There is also a higher incidence in Collies, Corgis, Poodles, and Boxers among others.

DM is typically a disease of older dogs, usually over the age of eight years though it can be diagnosed earlier.

How is degenerative myelopathy diagnosed?

DM is a disease that doesn’t have an easy diagnostic path. A suggested diagnosis of DM requires ruling out several other issues along the way, in addition to reviewing the pets history, physical exam results, and clinical symptoms. Most often veterinarians will start the process by performing a general blood panel to check overall organ function and blood cell counts. Basic imaging like x-rays will also likely be performed to look for signs of hip dysplasia, severe hip arthritis, or other bone changes such as tumours.

If these tests are normal, referral to a specialist (a veterinary neurologist) is the next step. Genetic testing for the SOD-1 gene mutation can be done, as a suggestive piece of evidence for DM. For a pet to develop DM, they must have two copies of this mutated gene. More advanced testing can include sampling of the cerebrospinal fluid, imaging with an MRI, and biopsies. Samples of the spinal cord are needed to confirm this diagnosis and are not performed often due to practical reasons. This means that often a diagnosis of DM is presumptive (i.e. we consider it highly likely based on the pets history, physical exam, blood tests, and genetic testing).

Can degenerative myelopathy be treated?

There isn’t any curative treatment for DM, so support to pets is typically through medical management. Luckily most dogs with DM alone do not seem to be in pain as much as simply weak in the hind end.

That being said, we can see some cases with arthritis as well that does cause pain and requires intervention (especially because more cases are in larger breeds of dogs).

Pet insurance can help with the costs of diagnosing and managing DM. Our data from 2021 shows that 87 claims were made for degenerative myelopathy and the average cost was £895.36. If advanced imaging and CSF testing is pursued, you can expect costs to increase by several thousand pounds.

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Keeping dogs active and at a healthy body weight can potentially help slow the display and progression of symptoms. The longer we can help dogs keep a healthy muscle mass can provide strength in their back end. Some pets may benefit from physical therapy such as hydrotherapy or acupuncture. Supplements with Vitamin E have also been proposed as beneficial.

If you need ongoing medication to treat DM, online pharmacies are a quick, easy and affordable way to get a prescription.

Over time, symptoms will unfortunately progress to the point where they will have a heavy impact on the pet's quality of life. This includes a decline in mobility and losing ability to control their bladder and bowel.

While we can’t stop the progression of DM, we can do our best to provide a good quality of life for as long as possible.