Hi, I'm Ciara

If you have a horse purely for

love & fun,

but need answers,

relief from pain

& to move freer together

You're in the right place

You're doing all the right things.

You're trying to listen to your horse.

But nobody has been able to really get to the bottom of their issues, to get them truly comfortable and happy.

I look at the horse as a whole, and in-depth assessment. I explain things so you can understand.

We get your horse feeling better together.

How I help people & their horses;

FAQs; What you actually want to know before booking

What qualifications do you have?

I have a BSc(Hons) Physiotherapy [3 year full-time human Physiotherapy degree], plus a PG.Dip. Veterinary Physiotherapy [Masters-level 2 year degree in the animal side of Physio].

I am a Cat.A member of ACPAT (Association of Chartered Physiotherapists in Animal Therapy), RAMP member (Register of Animal Musculoskeletal Practitioners), CSP member (Chartered Society of Physiotherapy), and registered with the HCPC (HealthCare Professions Council).

What experience do you have?

I've been a Chartered Physiotherapist since 2010, initially going into rotations in the NHS; Burns & plastic surgery (lots of scar management), Hands (lots of tendon surgeries), Neurological rehab, as well as the 'classic' MSK departments. 

I then became a specialist senior Musculoskeletal Physio in 2013, where I've developed a huge amount of skills diagnosing people with any given pain in their body, and the most effective treatment options from continually updated evidence.

Since also qualifying in animals in 2016, I've treated various conditions, e.g. Kissing spine, suspensory lesions, hamstring muscle tears, lots of Arthritis, headshaking, navicular syndrome, facet joint arthropathy, and a load of weird & wonderful pains & restrictions that haven't been able to get specifically diagnosed.

I love working as part of a team, having worked with specialist thermography clinics, Vet lameness work-ups, farriers, saddlers/fitters, dentists and instructors. 

I ran a collaborative clinic with a brilliant dressage instructor using an equine simulator, combined with Physio to really get the best results with riders. I can then put this together with assessing & treating the riders' horse(s), shedding light on things that wouldn't be possible without my double profession & collaboration!

How much do you charge?

Equine initial appointment = £75 (plus travel), all follow-ups £70.

Human initial appointment = £60, follow-ups reduced to £55 when combined with an equine appointment on the yard.

Canine/small animal initial = £65, follow-ups £60.

All plus travel; 0-5 miles of base in East Grinstead = free

5-10 miles = £5

10-15 miles = £10

15-20 miles = £15

20+ miles = £20 *special agreements only

Online resources:

The Arthritis Answer Vault = £58 to learn everything you need to know about managing OA

Symmetry & Synergy for riders = £46 (quick simple videos of movements to be a better rider)

Track & Tame your Horse's Pain = £9 for a journal diary to help you figure out patterns

What areas do you cover?

I'm based in East Grinstead, West Sussex, and travel up to 45 minutes radius from there. (So parts of Surrey, West Sussex, East Sussex & Kent; I'm on the border of all of them!)

Do you use machines or just hands-on?

I use whichever method is most effective for the individual in front of me. 

I have a wide range of options, including H-wave, nmes, Laser, PEMF, therapeutic Ultrasound....

Plus hands-on techniques including joint mobilisations, manipulations, myofascial release, trigger point therapy, scar massage techniques...

plus things like splinting, kinesiology taping, etc.

But honestly, it's all about the assessment. You need to know what's actually wrong, to choose the right treatment. This is where my passion and skills are!

My horse is very precious to me, I'm very cautious of who I want touching them. How do I know I can trust you?

Honestly, this is the type of horse owner I love the most. Knowing that you're very protective, gives me confidence that you always want to do the best thing for them. 

What makes me different from other therapists is my passion for listening to the horse. I have a keen interest in equine behaviour & mental wellbeing, and regularly do extra learning on these things. So I base my physical assessment on behavioural signs & facial expressions, as well as the hands-on 'feel'.

When treating, I constantly monitor how your horse is feeling, and respect them when they say no. I don't push into stress, I give them breaks when needed, or adapt my treatment if they're too worried. There is always something else I can do!

How do I know if you can actually help MY horse, who has a long complicated history?

The complex ones are my favourite!

My experience in the NHS has not been with simple things that just get a bit of massage. Oh no, that's not what Physio is. (Any patient walking into our hospital department asking for a massage is laughed at quite frankly)

Physio is all about clinical reasoning. Taking the history of medical conditions, previous injuries, current presentation/assessment findings, plus evidence-based knowledge, and putting it all together. 

I LOVE working out what's been bothering horses, whether a new thing or a real long-term bug-bear, particularly those behavioural issues that you're not sure if it's actually pain. 

Including those that nobody else has been able to find the problem. 

I dig deep, test everything possible, and work as a Team with your Vet to give you answers.

How do you help riders? (What would you help ME with?)

Most horsey people have aches & pains somewhere... you spend your time lifting water buckets, hay bales, balancing work with sorting your horse. Lots of one-sided things, not usually with the best posture...

Then add to that a few injuries (horse related, or just plain silly moments!), which you don't bother getting treated for years. Because 'be alright'...

But how much is your build-up of strain, stiffness, tight muscles, scar tissue and compensations affecting how you ride?

Can you really expect your horse to be 'through', balanced, and supple? When your tight hips and stiff back are blocking them; when your dropped shoulder limits how much the horse can bend?

I've spent 15 years diagnosing people and getting them out of pain. You can pretty much give me any pain in any part of your body, and I can tell you what's wrong (actual diagnosis) and how to sort it.

If you're one of the lucky ones without actual pain, but you just can't get your body to do what you know you need to do when riding; I do a full assessment like an MOT. I'll find where you need loosening up stiff joints, release muscles that restrict your riding position, and give you targeted strengthening for your weak muscles.

My aim is to get you moving freely with your horse, sitting straighter, with better control so you don't get thrown off balance when they do their 'quirky' things.

Do you need me to get consent from my Vet to treat my horse/dog?

It depends... If your horse or dog is lame, or has very obvious pain, then yes I need Veterinary consent. The animal should have seen a Vet before Physio can be confirmed suitable/safe. If they have a diagnosed condition or injury that we're treating (e.g. Kissing spine, Suspensory injury, specific Osteoarthritis), the Vet needs to confirm they're happy for Physiotherapy.

For niggles, feeling a bit stiff, 'not quite right' but nothing concrete enough for investigations, and just MOT check-ups, then we no longer need Veterinary consent. Maintenance 'routine' appointments can be self-referred, with the understanding that I will contact the Vet if there is lameness or something that needs investigating.

It's all to protect your horses & dogs, ensuring they get the most effective care, safely.

What my clients have said lately;

"She doesn't look like she's running from pain now...

She just seems happier & more relaxed since we had you out. It's such a relief!"

"He's been like a different horse since you treated him,

happily going forward & not a single buck"

"I felt her properly lift her back for the first time,

even before she had kissing spine"

See what my clients think;