Worcester Vet Physio

08/03/2026

Updates: Appointments, Availability & Communication

As mentioned in my previous post, as the practice continues to grow, I need to introduce some clearer guidelines around appointments and communication so that myself and the business can remain sustainable long term.

A few important updates:

- Reduced treatment hours
Treatment hours will be slightly reduced so that administration can be completed within a normal working week (or somewhere slightly more near it!). They are also reduced in order to create more breaks now i’ve got Meadow coming round with me🐾🚐.

- Booking in advance is essential
Once the diary is full, it is full! I strongly recommend booking appointments a couple of months in advance to guarantee you an appointment, and even more in advance if you’d like more flexibility with time. The diary is currently full until May with only very few slots left.

- Appointment changes
Once appointments are booked it can be very difficult to move them. As I try to group people by appointment location, it is often not possible to rearrange routes at short notice for a different day.

- Travel radius prioritisation
Priority will be given to high-need cases, regular clients, and those within approximately a 15-mile radius.

- Emergency spaces
A small number of appointments will be kept available each week for higher-need cases where last-minute flexibility may be required. (Unfortunately these spaces cannot always be guaranteed)

- Communication
For now communication will remain the same, but I plan to transition to email or WhatsApp Business only in the future so that messages can be managed more efficiently, with set response times. For now, Whatsapp or Email is preferred but not essential.

- New clients
I am temporarily pausing new/re-start client intake until at least May so that I can continue supporting my existing caseload properly. Recommendations are always hugely appreciated and I look forward to reopening the diary when capacity allows.

Many of you are more than just clients to me, and I value those relationships deeply. Because of that, I know it can sometimes feel natural for both you and me to try to make exceptions in order to fit appointments in. However, these ‘boundaries’ need to apply consistently in order for the practice to remain fair, functional, and sustainable.

Thank you so much once again for your continued understanding and support 💜 and if you’ve gotten through all this new information, phew and well done! I will be sending everything out on email too. ☺️

08/03/2026

Updated Pricing and Session Types- further explanation:

- Canine/Feline Physiotherapy Sessions

For most dogs/cats , a Standard Follow Up Physiotherapy Session works very well and allows time for assessment, treatment and rehabilitation advice.

An Enhanced Follow Up Physiotherapy Session allows additional time for more complex cases. This can be useful when we want to review exercises in detail without reducing treatment time, or when additional manual therapies are beneficial.

As one example, in some animals with multi-joint osteoarthritis, laser therapy can take the whole hour to target all affected areas, so I multi-task with the laser in one hand and my other hand being used to provide manual therapy. An enhanced session allows time for full hands-on treatment afterwards too, if appropriate and well-tolerated.

- Equine Physiotherapy Sessions

To improve appointment availability and ensure each horse receives the appropriate level of care, sessions are now offered as either Standard or Enhanced appointments depending on the complexity of treatment required.

A Standard Session, which lasts approximately 1 hour 15 minutes and is ideal for routine treatment and maintenance work.

An Enhanced Session lasts approximately 1 hour 45 minutes and allows additional time for more complex cases or a full-body treatment approach.

- Further explanation for equine, due to change compared to what was previously ‘standard’:

Standard Equine Session

A standard session is ideal for:
- Routine maintenance/performance
- Horses without active lameness or diagnosed conditions
- Targeting key treatment areas
- A more budget-friendly option

Treatment includes manual therapies and one electrotherapy as appropriate.
This option is also well suited to ponies or smaller horses, where the treatment surface area is smaller.

Enhanced Equine Session

An enhanced session is recommended for:
- Larger horses
- Complex or multi-area issues
- Rehabilitation cases
- When a full-body treatment approach is beneficial
This appointment allows time for:
- Extensive manual therapies
- Multiple electrotherapies if required
- Exercise demonstrations and rehabilitation guidance as appropriate

For many horses, this enhanced session is equivalent to the length of treatment previously offered, but these options now provide a clearer structure so the most appropriate level of care can be selected depending on your preference and the individual case.

Laser Therapy Sessions:

Laser therapy appointments are laser treatment only, sometimes in combination with another electrotherapy.

They do not usually include a full physiotherapy assessment, hands-on treatment, exercise plans or written reports.

Laser only sessions can be helpful:
* Between full physiotherapy sessions, as additional support or because we need to start with intensive LASER frequently to provide a cumulative effect… the list is pretty much endless for what it can help with so I wont go into that here!
* Sometimes in place of a full session due to budget
* Always for cases requiring intensive laser therapy for healing, such as wound healing or tendon/ligament injuries to give a couple of examples.
* For animals that are being treated with another therapist where Class 4 LASER is not available; I am always happy to work together.

Laser can therefore be used alongside or in between physiotherapy sessions, or standalone depending on the case.

Sessions can be adjusted depending on each individual case, and it is often beneficial to alternate between different types of sessions as and when needed.

Please contact me to discuss the options best suited to your animal.

The new pricing will not come into effect until April 6th, however if you are interested in integrating ‘Enhanced’ sessions sooner, please contact me.

For dogs/cats already booked in I will keep to standard sessions unless discussed otherwise. For horses that already have sessions booked in advance, please contact me to discuss which option you want to go for.

08/03/2026

Worcester Vet Physio Update: Explanation on some changes…

I’ll be sharing a few updates about some changes to how the practice is running this year — including appointment structure, working hours, and pricing.

There are some updates coming that I’ve been reflecting on for quite some time. Many of you know that I run the practice entirely on my own, and while I absolutely love the work I do and the animals I get to treat, the way I have been working simply isn’t sustainable long term without major burnout! For those that I have needed to postpone while trying to regain a better balance recently, I cannot thank you enough for your patience and understanding.

Behind every appointment there is a large amount of work that happens outside of treatment time — including travel, administration, report writing, communication with vets and insurers, ongoing client support, and maintaining equipment. Like many small businesses, the cost of running the practice has also increased significantly; no need to mention the astronomical fuel prices!

I did not raise my prices last year, despite increasing costs, and continued investment in professional development and expansion of knowledge. For some further explanation on new pricing and structure:

One area I have reviewed particularly carefully is my LASER therapy service. My high power LASER therapy device is a huge part of the work I do and the results it provides are incredible. It was a major investment (which I am still paying off) and one I have never regretted for a second. However, the machine is now no longer under warranty and any future servicing and repairs will be extremely costly. At present I haven’t been charging enough to put money aside for maintenance of such specialised equipment. I am also currently undertaking an additional LASER therapy qualification so that I can continue to improve my service with up to date and specialist knowledge, with treatment in the comfort of your own home as an added bonus.

I have also been reflecting on the type of equine physiotherapy treatments I provide. Historically I have spent significantly longer during equine appointments than most practitioners. While this has allowed me to offer a very thorough service — something I never want to compromise on — it has also meant my hourly rate has been much lower than it should be for the time involved. With equine appointments there is also more risk of damage and wear and tear on my equipment.
With this in mind, to make things more financially sustainable whilst still keeping treatment accessible, I will be introducing a new treatment structure with different session options to choose from- see next post.

Block booking discounts and multi-animal discounts remain in place.
Travel will continue to be included within 15 miles for physiotherapy sessions, and please note it will now be 10 miles included for LASER-only sessions; lots of these shorter appointments can sometimes involve more daily travel time than treatment time!

On a personal level, in order to continue providing the same high level of care without reducing treatment quality, I need to make some adjustments and introduce some new updates around working hours and availability.
My aim with these changes is not to reduce the care your animals receive — quite the opposite. By creating a more sustainable way of working, I can continue offering high-quality physiotherapy and rehabilitation support for many years to come.
Many of you are more than just clients to me, and I truly appreciate the trust, kindness, and support you’ve shown over the years. Running this practice is incredibly rewarding, but it also relies on creating a healthy balance that allows me to continue doing this work long term — whether that’s caring for my own animals, or one day balancing family life alongside the business.
Over the next few posts I will explain:

* The updated appointment structure and pricing
* New booking and communication updates

Thank you, as always, for your continued support and understanding — it genuinely means the world. 💜

20/02/2026

Case Study: Class 4 LASER Therapy for Secondary Intention Wound Healing ❤️‍🩹

This case from late last year has been on my list to share!

Meet Polly, a lovely greyhound — and as any sighthound owner knows, their delicate skin means even minor trauma can quickly become a significant wound.

Following breakdown of the original wounds stitches, then creating an open wound, I was referred to Polly to support healing using photobiomodulation (Class 4 LASER therapy).

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What is Secondary Intention Healing?

Secondary intention healing occurs when a wound is left open and the edges are not able to be closed. These wounds:
• Often take longer to heal
• Carry increased infection risk
• Can become chronic
• Frequently develop raised, uneven granulation tissue
• May result in restrictive scar tissue affecting surrounding structures and overall tissue mobility

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Treatment:

Polly underwent an intensive Class 4 LASER therapy programme:
• Week 1: 4 LASER treatments
• Week 2: 4 LASER treatments
• Week 3: 2 LASER treatments
• Week 4: 1 combined treatment

Her final combined session included:
• Manual scar tissue and myofascial release
• Class 4 LASER therapy
• Therapeutic ultrasound (for scar tissue focus)
• Prescription of tailored home massage and stretching

For even more scar-focused support, we could have repeated additional combined rehabilitation sessions — however, the overall outcome was still excellent with just one.

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Outcome:

After 10 LASER sessions (11 treatments in total), Polly achieved:
• Full secondary intention healing
• Smooth, supple skin
• Excellent tissue flexibility
• No excessive granulation tissue
• Reduced restrictive scar formation

Class 4 LASER therapy is an exceptional modality — but it is not a “point and shoot” treatment.

Successful wound healing depends on:
* Correct dosing and selection of treatment parameters
* Treatment directed at the whole anatomical region — not solely the wound surface
* Stage-specific treatment planning
* Ongoing tissue assessment and adjustment
* Understanding of biomechanics and tissue loading, and in-depth anatomical knowledge
* Appropriate integration of other electrotherapies, manual therapy, and ongoing home care

Simply applying LASER to a wound does not automatically optimise tissue quality.

In all cases, treatment is continuously reassessed and adapted. As healing progressed, the focus shifted from granulation support to tissue organisation, then to scar mobility and fascial glide — ensuring not just wound closure, but supple, functional tissue without long-term restriction.

That level of progression requires physiotherapy training, clinical reasoning, and hands-on rehabilitation skills, as well as in-depth knowledge of photobiomodulation itself — not just access to the equipment.

And just as importantly… all treatment was delivered in Polly’s own home environment.

For sensitive animals, reducing stress is invaluable. No car/lorry journeys, no clinical smells, no unfamiliar surroundings — just calm, controlled sessions in their own safe space.

And for her owners it meant no repeated trips to the practice, no waiting times, and no excess costs.

And that combination is where comprehensive physiotherapy-led LASER therapy truly makes the difference! 🤌💁‍♀️

19/02/2026

Transcranial Photobiomodulation for Canine Cognitive Dysfunction

Canine cognitive dysfunction (CCD) can be likened to Alzheimer’s disease in humans. Senior dogs with CCD may experience confusion, anxiety, disorientation and other symptoms that can impair their quality of life.

The pathophysiology of CCD involves a series of degenerative changes within the brain. There is no cure for CCD at this time, but transcranial photobiomodulation therapy (tPBMT) has been showing promising results as a treatment option for this condition.

Let’s explore this condition, and the research on tPBMT.

Read more here: https://onlinepethealth.com/transcranial-photobiomodulation-for-canine-cognitive-dysfunction/

25/12/2025

Merry Christmas to all the lovely animals I have treated, and their pawrents, you all deserve to be absolutely spoilt 💝🐶🐴

Thankyou for so many thoughtful gifts and cards from you all 🥹 I have the best job ever!

It’s been an awesome year and I have seen such good progress with a lot of cases, which I might actually post about at some point when puppies aren’t taking over life! Aswell as golden oldies maintaining really well over the winter 🤩

Also remembering those we have lost this year 💜🪽🌈

18/11/2025

Picture for attention!

In the coming months, could I ask that any pawsome doggy clients who are unvaccinated, or any who have been suffering from any types of stomach bugs etc. in the time surrounding our booked session, please message to let me know beforehand.
So I can take extra precautions for Willow and her puppies 🐾

Thank you 🙏

15/11/2025

10/11/2025

I am SO excited to announce I am going to be a grandpawrent- Willow is expecting 4-5 little puppies on ~12th December 🥰🥰🥹💜🐾

I’ve been holding off saying until we knew for sure, so just to let everyone know:
I will be having some pupternity 🐾 leave 11th-21st December. Then through until Feb I will be on reduced hours only working around 3 days a week. Most of my regular clients we have already booked up until the start of January, so please bear in mind I have very limited availability now until February; I will of course do my best to fit existing clients in as normal, but booking a few in advance helps a lot 🙏💜

I will be keeping one little pup for myself 🥰 so expect some little paws to start joining me out and about in the van from the middle of February time!

These puppies will only be going to 5 star homes and we would love more than anything for them all to go to people we know, so please do get in touch if you would be interested as I know all my clients are absolutely fabulous people 💜

31/10/2025

A very cute senior snoot 🥹🐾

I’m overjoyed to hear about Kuro’s progress after his second physiotherapy session!

Working with these adorable senior dogs is truly one of the best parts of my job 💜🥰

13/10/2025

This photo won’t mean much to most, but to me and Peri’s owner this is showing how much more comfortable he was feeling after today’s session 🥰.

The sofa was previously Peri’s preferred safe resting place but after injury and hindlimb weakness earlier this year he stopped getting up there completely.
Though we don’t want him always hopping on and off there, this is a really good sign of him feeling more comfortable, and more confident in his own abilities too, which makes me very happy to see 💜.

04/10/2025

Little Daisy being an absolute star for her initial physiotherapy session today ⭐️💜😎

She has bilateral glenoid (shoulder) dysplasia, which is not a condition we see that often!

Being a JRT she also has some patellar luxation (that jack russell hop!), so we will be working to support this too.

We are starting an exercise plan to make those shoulders as strong as possible 💪 and ensuring her comfort with LASER therapy and manual therapies at regular physiotherapy sessions.