Step by Step Veterinary Physiotherapy: For Sport, For Work, For Life.

Step by Step Veterinary Physiotherapy: For Sport, For Work, For Life. Sarah Smith MSc. BSc. HONS FCCA. FCIE. MNAVP. Maintenance and rehabilitation veterinary physiotherapy

A beautiful bright Sunday. It’s December and so we extend a warm festive welcome to our new followers. Time perhaps to r...
30/11/2025

A beautiful bright Sunday. It’s December and so we extend a warm festive welcome to our new followers.
Time perhaps to re introduce myself, my human and equine team before the festive season is truly upon us!
My name is Sarah and I am a specialist equine physio with a Masters degree from Nottingham University. I am a member of the National Association of Veterinary Physiotherapists and Society of Equine Behaviour Consultants. I am an accredited RAMP practitioner. I also work with the University of Nottingham as a placement provider with their final year students which is
We offer:
🌟 Manual therapy, massage and mobilisation
🌟 Exercise therapy and demonstrations, working with you and your horse
🌟 Rehabilitation plans and support following surgery or injections, alongside your vet practice.
🌟 Electrotherapy, INDIBA laser and PEMF.
🌟 Behavioural therapy for the more challenging moments, to decide whether discomfort is emotional or physical and how we can improve the situation.

Annemarie Mullen runs the yard of 2 donkeys, (Lola and Harry) 2 horses (Herbie and Bertie) and our latest recruit Mitsy the pony. We are amateur riders enjoying hacking jumping and the odd bit of dancing in the sand! We experience all the highs and lows of our human clients whose horses range from happy hackers to team GB hopefuls, ex race horses to Irish Draft stallions, the very small and the extremely tall! They are our teachers and our inspiration.

We can be contacted here, on the web site https://www.stepbystepvetphysiotherapy.co.uk/ and on 07885470670.

Winter tune up, not quite right? New horse?
Give us a ring we would love to hear your story.

I was lucky to train with Karen a few years ago . This post describes our role very well!
24/11/2025

I was lucky to train with Karen a few years ago . This post describes our role very well!

✔️Veterinary physiotherapists provide a referral service, complimenting treatments by veterinary surgeons, and aimed at providing quality, tailored physical therapy programs for animals to aid recovery.

❌ Veterinary physiotherapists are not veterinary surgeons and vice versa (unless they have completed both training routes separately)

The ability to provide a physiotherapy service does not come easily -there is no short course to fast track skill learning at this level. It takes:
Hundreds of hours of training to obtain skills worthy of a respected and professional qualification
- Commitment to provide the best research based treatments available.
-Dedication to ongoing CPD to ensure standards are maintained
-Compassion to treat each and every patient as if they were our own - every day with no exceptions.

🐶 Veterinary surgeons and Registered veterinary nurses also have their own rigorous training courses, and we each have very different roles in animal care. Each one invaluable, each one with a unique skill set, and each one complimenting the others.

✨Together we are a team. Together we optimise possibilities in multidisciplinary care
Together we strive for the best outcomes.

For us as individual ‘Veterinary Physiotherapists’ our job titles are not protected in the same way as vets or nurses. This means we have to work hard to earn trust from vets. We find ourselves continually justifying our qualifications, proving our right to be a part of the team and trying to educate owners on how to find an appropriately qualified practitioner.

❤️ Despite this, we continue to wear our hard earned titles with pride, driving not only as an individual clinic but also as a profession, to achieve more for our loyal companions.

🌟🌟Exciting news -   is coming to the UK very soon🌟🌟With an emphasis in 2026 on manual therapy after an exciting year inc...
20/11/2025

🌟🌟Exciting news - is coming to the UK very soon🌟🌟
With an emphasis in 2026 on manual therapy after an exciting year incorporating radio frequency treatments in the practice, I am super excited to
✅ Refresh my manual therapy toolbox
✅ Supercharge my use and knowledge of kinesiology taping.
✅ Teach my clients so that they can help their horses at home.
✅Learn and work with the worlds best Christa Veinotte
✅Use and and supply her amazing products across the UK.

Are you welcoming a new horse to your yard? It's a moment filled with anticipation! Understanding normal equine behavior...
08/11/2025

Are you welcoming a new horse to your yard? It's a moment filled with anticipation! Understanding normal equine behavior during these initial interactions is crucial for fostering lasting relationships. Discover valuable strategies to ensure successful introductions. Read more here: https://wix.to/CQkLGdU

Introducing a new horse to your yard or home can be an exciting yet anxious moment for horse owners and yard managers. Horses are social animals with complex herd behaviour, and their first interactions often set the tone for future relationships. Understanding what normal horse behaviour looks like...

05/11/2025

At every initial assessment for a horse new to the practice and at regular intervals thereafter I will check in with you as to your horse’s dental history and the last time he was checked.

The back of the mouth can only be examined properly by a qualified dental technician or veterinarian using an appropriate equine dental speculum or “gag”.

Thank you to Horses Inside Out for posting this wonderful picture and pointing out the clear connection between dental pain and behaviour and performance issues. It is such an important topic for every horse owner. Gillian Higgins has a great documentary series including a chapter on this topic - the link is below.

Horses’ permanent (adult) teeth begin to erupt at approximately 2.5 years of age, with the appearance of the cheek teeth (premolars and molars) typically completed by 5 years. However, after their initial appearance, equine teeth continue to erupt from the large tooth reservoir deep in the upper and lower jaw as shown in the picture. The average eruption rate is 2–3 mm per year, as teeth gradually wear down due to the abrasive action of chewing. This continuous eruption slows with age, becoming negligible in older horses, typically over 20 years.

If a horse does not receive regular dental checks, it can develop sharp enamel points, hooks, wave mouth, or step mouth, leading to oral pain, ulcers, abscesses, difficulty chewing, weight loss, bit evasion, and performance issues.

“Come with me” Lola caught in glorious sunshine waits for her mate Harry .A new season with its colder shorter days brin...
29/10/2025

“Come with me” Lola caught in glorious sunshine waits for her mate Harry .

A new season with its colder shorter days brings change for our equine friends and challenges to their owners.
A short time to reflect on our mission statement which blends physical and psychological approaches to your horse’s treatments and is woven into my every day.

Now booking into the New Year Step by Step Veterinary Physiotherapy: For Sport, For Work, For Life.

🧡Step by Step to better balance. 🧡Balance pads and baited stretches have been shown in previous studies to enhance postu...
27/10/2025

🧡Step by Step to better balance. 🧡
Balance pads and baited stretches have been shown in previous studies to enhance postural control and proprioception in horses. (1)
In a recent study it had been shown that using graded pads (firm and then medium/soft) first on the hind limbs, then on the forelimbs and finally on all four limbs provides a step wise clinically proven and safe way to challenge a horse’s postural control and improve it within a rehabilitation programme. (2)
A teaching day with 2 students last week used this approach, combining hard/firm pads firstly on hind and then on individual fore limbs in combination with baited stretches.
We clinically reasoned which pads to use to gently challenge her balance whilst doing her stretches.
With huge grateful thanks to owner Julie and her lovely mare Pandee still in work in her mid twenties and one of my first clients after training in Sports Massage around 8 years ago.
(1) K.L. Ellis, M.R. King
Relationship between postural stability and paraspinal muscle adaptation in lame horses undergoing rehabilitation
J. Equine Vet. Sci., 91 (2020), pp. 103-108,
(2) Evaluation of Postural Sway in Horses Standing on Balance Pads of Varying Densities and Limb Placement by Sandro Colla & Melissa King — published in the Journal of Equine Rehabilitation (2025).

Thanks Emotional Horsemanship by Lockie PhillipsI had something similar recently.Ok, so my horses spend a lot of time tr...
25/10/2025

Thanks Emotional Horsemanship by Lockie Phillips
I had something similar recently.
Ok, so my horses spend a lot of time trail riding in the beautiful Rutland countryside, often boxing for 10 or 15 minutes to suitable launch sites then riding for miles. I like the American term rather than “hacking” just because to me it means
🌟 Engaging their whole bodies including their minds,
🌟Space to walk trot and canter over varied terrain and through water.
🌟 Companionship and team work for horses and humans.
🌟 Habituation - the lorry ride means we are going to have fun.
🌟Confidence. Tractors heavy machinery lorries, livestock, great what’s next!
🌟Practice - leg yielding, elastic contact, turn around the forehand and haunches.
🌟 Hills - lots and lots and lots of hills.

Regular full trail riding replaces some of what is lost when we diminish their lives in small paddocks and stables. The physical loss of movement, choice and control is replenished. Mental and emotional self regulation is improved.

Please don’t get me started on the effect on their bodies, when introduced appropriately over time. It is invaluable!

There is a reason why my two choose to come in to the yard by themselves…

because coming in means going out out!

One of the Most Offensive Things a Client Ever Told Me.

It is the hallmark of being professional that often times, you have to bite your tongue, or be calm and quiet in the face of inappropriate behaviour. Thankfully, for the last two years, the folks I have been lucky to work with and work for, have enabled me to be 100% myself. And even solicit my total honest, and unmasked self. They call THAT professional, not the masked politeness that often befalls us all in a working setting.

But before I got that lucky, I was once sitting on a zoom with someone who said something that for me- was wildly, wildly offensive -despite the fact they meant it with good intentions.

"I booked with you because I kept wondering why this guy who appeared to know so much about training, riding and biomechanics, chose to just trail ride."

Framed, of course, in the common mainstream assumption that those that can't do much with horses, trail ride. Or, that lower level horses trail ride. Or that preparing for a trail ride is somehow a lowly endeavour.

I spent about 12 years working in trail riding for the public environments. At various different levels. One employer I had used to only "rescue" horses, meaning not spend more than 1000€ on a horse which in Spain only buys you problem horses. Another would drop a minimum 8000€ on well bred youngsters. The latter once lamented that when they visited breeders and mentioned they run a trail riding outfit, would be shown the horses in the back, with weak spines, minimal bone, poor head set. And she would instead insist on the quality of breeding that they hold Dressage horses in regard for, because her horses work harder and in greater demand than any sport horse could dream of.

What this client said was offensive to me, because they were an intelligent, talented and kind-hearted person making an enormous difference in their local community with advanced, empathic training. And yet, they demonstrated a profound prejudice and ignorance about one of the most difficult jobs you can ever ask a horse to do.

Trail Riding a fit, properly prepared, happy and aware horse is one of the highest expressions of quality training in my humble opinion. Requiring them to be as fit as a sport horse. As calm as a paddock puff. Adaptable as a Police Horse. As agile as a Working Equitation mount. As powerful as an Eventer. As collected as a Dressage horse. Yet be able to do all this with both connection to their rider and independence in their skills, while their rider relaxes and takes in the scenery.

Some of the most impressive feats of training I have ever seen, have been out on the mountain, in the forest.

Not in the arena.

Sending many congratulations to Alison and her lovely mare. A very well deserved result. She had her regular assessment ...
23/10/2025

Sending many congratulations to Alison and her lovely mare. A very well deserved result.
She had her regular assessment and treatment before the big day.




I love these, and this SLEIP software is on my radar for the practice as it helps to build objective data and analysis o...
17/10/2025

I love these, and this SLEIP software is on my radar for the practice as it helps to build objective data and analysis of your horses gait.

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Two Hoots Cottage And Stables
Oakham
LE157QA

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