The breed is prone to spinal problems, especially intervertebral disk disease (IVDD), due in part to an extremely long spinal column and short rib cage. The risk of injury may be worsened by obesity, jumping, rough handling, or intense exercise, which place greater strain on the vertebrae. About 20–25% of Dachshunds will develop IVDD.
Treatment consists of combinations of crate confinement and courses of anti-inflammatory medications (steroids and non-steroidal anti-inflammatory drugs like carprofen and meloxicam), or chronic pain medications, like tramadol. Serious cases may require surgery to remove the troublesome disk contents. A dog may need the aid of a cart to get around if paralysis occurs.
A new minimally invasive procedure called "percutaneous laser disk ablation" has been developed at the Oklahoma State University Veterinary Hospital. Originally, the procedure was used in clinical trials only on dachshunds that had suffered previous back incidents. Since dachshunds are prone to back issues, the goal is to expand this treatment to dogs in a normal population.
In addition to back problems, the breed is also prone to patellar luxation which is where the kneecap can become dislodged. Dachshunds may also be affected by Osteogenesis imperfecta (brittle bone disease). The condition seems to be mainly limited to wire-haired Dachshunds, with 17% being carriers. A genetic test is available to allow breeders to avoid breeding carriers to carriers. In such pairings, each puppy will have a 25% chance of being affected.
In some double dapples, there are varying degrees of vision and hearing loss, including reduced or absent eyes. Not all double dapples have problems with their eyes and/or ears, which may include degrees of hearing loss, full deafness, malformed ears, congenital eye defects, reduced or absent eyes, partial or full blindness, or varying degrees of both vision and hearing problems; but heightened problems can occur due to the genetic process in which two dapple genes cross, particularly in certain breeding lines. Dapple genes, which are dominant genes, are considered "dilution" genes, meaning whatever color the dog would have originally carried is lightened, or diluted, randomly; two dominant "dilution" genes can cancel each other out, or "cross", removing all color and producing a white recessive gene, essentially a white mutation. When this happens genetically within the eyes or ears, this white mutation can be lethal to their development, causing hearing or vision problems.
Other dachshund health problems include hereditary epilepsy, granulomatous meningoencephalitis, dental issues, Cushing's syndrome, thyroid and autoimmune problems, various allergies and atopies, and various eye conditions including cataracts, glaucoma, progressive retinal atrophy, corneal ulcers, nonucerative corneal disease, sudden acquired retinal degeneration, and cherry eye. Dachshunds are also 2.5 times more likely than other breeds of dogs to develop patent ductus arteriosus, a congenital heart defect. Dilute color dogs (Blue, Isabella, and Cream) are very susceptible to Color Dilution Alopecia, a skin disorder that can result in hair loss and extreme sensitivity to sun. Since the occurrence and severity of these health problems is largely hereditary, breeders are working to eliminate these.