Vital Stride Veterinary Physiotherapy

Vital Stride Veterinary Physiotherapy Elsje is a fully qualified Veterinary Physiotherapist (FdSc, BSc Hons, PGDip), IRVAP registered and insured. Covering North West UK & the IOM.

Treating horses, dogs & cats with assessment, treatment, exercise prescription, pre-hab & rehab.

Out of office 💍 🤍 I will be taking a little time away to get married and enjoy our honeymoon 🏝️. I will be unavailable 2...
23/02/2026

Out of office 💍 🤍

I will be taking a little time away to get married and enjoy our honeymoon 🏝️.

I will be unavailable 27 Feb - 15 March, then 19 March - 27 March. I will catch up with messages and enquiries as soon as I’m back.

Thank you for understanding, see you guys soon ✨

🐴 Master’s survey 🐴 I am in need of some more participants, horse owners and vet physio’s. Would be super grateful to an...
23/02/2026

🐴 Master’s survey 🐴

I am in need of some more participants, horse owners and vet physio’s. Would be super grateful to anyone able to complete this 🫶🏼.

Thank you!

https://forms.office.com/e/m1zNmG9m6t

It’s been a sleepy pony kinda day at casa de Equitatio 😴 🥰. Nova and Prince were absolutely fab for their treatments. No...
13/02/2026

It’s been a sleepy pony kinda day at casa de Equitatio 😴 🥰.

Nova and Prince were absolutely fab for their treatments.

Nova has come a long way, and that is a testament to all the hard work her owner has put into her groundwork which is now transitioning into ridden work.

Prince is just a total dude, we treated his compensatory pain and he responded to the manual treatment so well during the appointment.

And of course I just had to steal a cuddle off my fave portugese princess, Rexelle🫶🏼.

I also very kindly got gifted this gorgeous rose whisper balm, I can’t wait to use it on my patients (and maybe even myself 👀). If anyone is interested in purchasing some, follow the link on the picture 🌱.

CANINE HYPERMOBILITY SYNDROME Really informative day with Nina Veterinary Physiotherapy covering all things canine hyper...
08/02/2026

CANINE HYPERMOBILITY SYNDROME

Really informative day with Nina Veterinary Physiotherapy covering all things canine hypermobility! 🐕

So much was learnt and gained from this day that I will be implementing in my practice and set of skills. I can’t possibly summarize all I have learnt, but here is a brief overview😎.

But first, what is canine hypermobility?
Collagen issue —> ligaments, tendons, connectives tissues are weakened —> joints move beyond normal, healthy range.

What causes hypermobility? 🧬
1. Genetics
2. Trauma, injury or repeated strain
3. Developmental factors
4. Connective tissue differences
5. Hormonal and health factors

Hypermobility effects:
🦴 Joint instability, soft tissue injuries, early onset OA, muscle fatigue, altered gait
🧠 Pain and nervous system effects
🐾 Movement and performance - clumsiness, poor coordination
💚 Behavioural effects - increased reactivity, anxiety, avoidance, sensitivity, reduced tolerance with exercise

🔁 Why flare-ups happen:
- Generic programmes that don’t suit hypermobile patients
- Too much focus on strength too soon
- Working to fatigue
- Lack of individualisation
- Poor recovery time
- Overtraining before tissues can heal

❤️‍🩹 Chronic paind and wind up:
Long-term instability can sensitise the nervous system = pain is amplified, normal movement feels threatening, behaviour changes.

What does rehab look like?🤕
🐾 Postural and movement control
🐾 Neuromuscular training
🐾 Owner education
🐾 Pain management
🐾 Vet and VP collaboration
🐾 Long-term monitoring

Our goal is to build dogs that are:
✅ Strong
✅ Balanced
✅ Coordinated
✅ Stable
✅ Protected

Hypermobility can’t be cured, but it can be managed.

Please get in touch for more info 💌

21/01/2026
I get asked this a lot, so here’s a simple breakdown of the difference between physio, osteo, chiropractic and massage t...
18/01/2026

I get asked this a lot, so here’s a simple breakdown of the difference between physio, osteo, chiropractic and massage therapist 🐴 🐶.

All have a space, just make sure whoever you choose is properly qualified, insured and working with your animals best interests 💚.

The sore spot isn’t always the real problem… 🕵🏼‍♀️Compensatory pain happens when an animal changes the way the move to p...
17/01/2026

The sore spot isn’t always the real problem… 🕵🏼‍♀️

Compensatory pain happens when an animal changes the way the move to protect an injury or even minor areas of discomfort.

Over time, other muscles, joints and soft tissue structures take on extra load. These can become tight, sore, restricted or even inflamed, which may lead to assymmetry or stiffness away from the original injury.

This is why in physio we don’t just treat where it hurts - we assess the whole body, movement patterns and posture.

🐾 A shoulder issue may show up as back or contra-lateral limb pain
🐴 A hindlimb problem can lead to back or SI discomfort

Treating compensation helps restore function, more balanced movement and reduces rhe risk of ongoing recurring issues.

If your dog or horse has a previous injury and you’re noticing stiffness, uneven movement, or “good days and bad days”, it may be worth having them assessed.

Early intervention makes a big difference 🫡.

Enjoy this picture of Arthur catching a snooze mid-treatment🥰.

Sleep isn’t a luxury for horses - it’s essential. They only get 3-5 hours, and need to lie doen to hit the vital REM dta...
10/01/2026

Sleep isn’t a luxury for horses - it’s essential.
They only get 3-5 hours, and need to lie doen to hit the vital REM dtage linked with learning, recovery and behavior.
Pain, stress, poor bedding or her dynamics can stop them resting properly, leading to sleep loss and welfare issues.
Swipe to learn more and what you can do 💚 🐴.

09/01/2026

Did you know? Horses don’t follow the laws of physics!?

Apparently, there’s an idea floating around that once you say the word biotensegrity, biomechanics and physics quietly leave the room. It keeps popping up as comments on my posts discussing biomechanics.

The universe obeys physics. Galaxies do. Stars do. Fluids, bones, tendons, bridges, trees and tectonic plates all do.
But horses? No, horses are apparently exempt. Because… biotensegrity.

Let’s clear this up.

Biotensegrity does not replace physics.
It does not invalidate biomechanics.
It does not allow a horse to ignore force, moment, leverage, or gravity.

Biotensegrity is how living structures cope with physics, not how they escape it.

Physics describes what forces exist.
Biomechanics applies those laws to biological structures. Joints, tendons, bones, motion.
Biotensegrity describes how living tissues distribute, store, redirect, and tolerate those forces over time using tension, elasticity, and redundancy.

That’s the hierarchy. Not three competing belief systems.

A tensegral structure still obeys Newton’s laws. It still has centres of rotation. It still experiences moments. It still fails when loads exceed capacity. Just often later, and more creatively, than rigid structures.

Yes, horses are non-linear systems.
Yes, forces are distributed.
Yes, tissues store and release energy.
Yes, compensation exists.

None of that means moments stop existing. None of it means equilibrium stops mattering. None of it means geometry, leverage, or load paths become irrelevant.

In fact, biotensegrity only works because biomechanics is obeyed. It is a buffering strategy. A way of surviving imperfect alignment, uneven terrain, fatigue, growth, and injury within the rules of physics.

And here’s the key point that keeps getting missed

Compensation is not a design goal.
It’s a survival mechanism.

A biotensegral system can tolerate imbalance, for a time. But persistent imbalance still loads the weakest link. Tendons still strain. Ligaments still fail. Structures still collapse when limits are exceeded. Otherwise horses wouldn’t get injured!!!

So when we talk about biomechanics, equilibrium, moments, and balance, we’re not denying biotensegrity. We’re describing the force environment that biotensegrity is responding to.

Horses are not magical beings that transcend nature.
They are extraordinarily well-adapted biological systems operating within it.

And understanding the physics doesn’t reduce that complexity, it explains why it exists.

🇮🇲 IOM clients 🇮🇲 I am over again 13/14/15 Feb for some physio 🐶 🐱 🐴. Gauging interest so please pop me a message if you...
09/01/2026

🇮🇲 IOM clients 🇮🇲

I am over again 13/14/15 Feb for some physio 🐶 🐱 🐴.

Gauging interest so please pop me a message if you would like to book in. New clients welcome!

Can you spot the difference between these two different sets of paw prints!? 👀 Hint: one dog is ataxic and arthritic. Pa...
08/01/2026

Can you spot the difference between these two different sets of paw prints!? 👀

Hint: one dog is ataxic and arthritic.

Paw prints can highlight:
🐾 Stride length
🐾 Gait symmetry
🐾 Toe dragging/scuffing
🐾 Step width

If you are super critical then you might notice the intermittent toe drag on the “normal” picture. Gloria just needs a nail trim😂.

Our dogs always leave clues, we just need to know where to look at how to spot them 🔎.

01/01/2026

As many of you know, I am quite passionate about exercise prescription🤭. So, it only felt right to draw inspiration from that for my Master’s dissertation.

I am conducting a study on compliance and perspectives around equine exercise prescription, from the perspective of owners and/or vet physio’s. If you fit into either of these categories, please consider taking a fee minutes to complete my questionnaire 🐴.

Your anonymized responses will contribute to meaningful research and help improve understanding in equine rehabilitation and exercise planning.

Thank you for your valuable contribution 💚.

Address

Sutton Lane
Middlewich
CW100AH

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