Pain is an unfortunate part of life for many of our pets. Dogs and cats are much better at hiding their pain than people, and it can go unnoticed for a long period of time. Pain is often a debilitating condition which slows healing, interferes with immune system function, and  decreases our pets’ quality of life.

Some signs of pain include limping, change in walking style, not wanting to jump up (especially cats), lack of grooming or overgrooming/licking a particular area, not wanting to be touched or brushed, difficulty settling, loss of appetite, sleeping more, and unexplained aggression.

However, there is so much more to managing arthritis and musculoskeletal injuries than just pain relief. Pain relief is very important, but if the dog or cat also has joint stiffness or weak muscles, pain relief alone is going to improve their mobility. They will still struggle to go for walks, struggle to play, struggle to get around the house.

Rehabilitation can be considered in two parts:
1. Conditioning – here we are working with dogs (and puppies!) who do not have major problems, but are looking to improve their physical strength, cardiovascular fitness, flexibility and body awareness in order to reduce risk of injury and arthritis in the future, or to improve their current sporting/working performance.
2. Therapeutic rehabilitation – still working on improved strength, cardiovascular fitness, flexibility and body awareness, but now we are working with dogs who have arthritis, or injuries, or have had surgery, or have neurological problems.

Rehabilitation is key to helping our pets be better able to participate in their daily activities, to maintain more normal movement patterns and decrease risk of injury, and to plain have fun! It boosts their confidence, decreases anxiety, provides mental stimulation, and improves their bond with the humans lucky enough to share their lives.

Our Rehabilitation and pain management service is available to our own clients, and also on referral basis – for referral details, please see the bottom of this page.

Who should consider rehabilitation/pain clinic treatment?

Patients with the following conditions would benefit:

– arthritis

– musculoskeletal injuries

– pre- and post-operative orthopaedic patients

– cancer patients

– patients with disc disease/back problems

– any other type of chronic pain, e.g. mouth pain with stomatitis in cats

– patients with neurological conditions, e.g. degenerative myelopathy, vestibular disease

– pets who need to lose weight

– sporting dogs looking to improve their fitness or competition performance


What treatments do we offer?

acupuncture, including electroacupuncture

laser therapy

stem cell and platelet rich plasma injections

– transcutaneous electrical nerve stimulation (TENS)

– neuromuscular electrical stimulation (NMES)

– therapeutic ultrasound

– PEMF (pulsed electromagnetic field therapy)

– therapeutic exercises

– massage and stretching

– weight loss

– nutrition counselling

– pain medication for acute and chronic conditions

– epidurals and nerve blocks for surgical patients



– history review

– gait/movement analysis

– musculoskeletal assessment

– goal setting

– treatment plan

– pain management plan

– home exercise program

Cost: £120 for referred patients (see bottom of page), £80 for current clients

Followed by:
In-clinic treatment sessions (multi – modal)

– 45min

– includes a combination of the following: therapeutic exercises, acupuncture, TENS/NMES, laser, ultrasound, PEMF, joint mobilisations, massage/stretching

Cost: £66

In-clinic treatment sessions (single modality)
– 20-30min

– includes one of the following: therapeutic exercises, acupuncture, TENS/NMES, laser, ultrasound, joint mobilisations, massage/stretching

Cost: £30-45 depending on modality


NEW! Group therapeutic exercise classes!

Join us as we work work on muscle strength, proprioception, joint range of motion, and soft tissue stretching and mobilisation. The group sessions involve rotating through a range of exercises (aka circuits for dogs! 😊) followed by some gentle stretching and massage.


1. Wednesday 7th June 12:00-12:45pm

2. Wednesday 7th June 6:00-6:45pm

3. Wednesday 21st June 12:00-12:45pm

4. Wednesday 21st June 6:00-6:45pm

We only have space for 4-5 dogs per class, and (although there should not be any direct contact between the dogs) your dog will need to get on well with others.

Cost: £30 (inc VAT) per dog

Please contact the clinic if you would like to book a place!


Referral Service

If you are not a registered client and think your pet would benefit from our rehabilitation/pain clinic services, your current vet can refer you for treatment. Please be aware that we shall need to see a copy of your pet’s medical history (including any radiographs) prior to your first appointment.  Also, please note that as a professional courtesy we would be unable to provide any general practice services to your pet, and for any treatment other than as relates to rehabilitation/pain management you will need to continue to seek care with your current veterinary practice.

Who runs the Rehabilitation and Pain Clinic?

Dalya Livy BVSc MVS CertVA CertSAM PGDip(PainMgt) MRCVS has over 20 years of experience as a veterinary surgeon, holds RCVS Certificates in Veterinary Anaesthesia and Small Animal Medicine, has undergone acupuncture training with International Veterinary Acupuncture Society, and holds a postgraduate diploma in Pain Management from the University of Edinburgh School of Medicine. She has previously run pain clinics at Willett House Veterinary Hospital in Middlesex, and at Southern Counties Veterinary Specialists referral hospital in Ringwood, and is currently studying towards the Certified Canine Rehabilitation Practitioner qualification via University of Tennessee.

Register with us online

Please fill in the form, or come and have a chat to us in person!

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