East Midlands Clinical Canine Massage & Rehab

East Midlands Clinical Canine Massage & Rehab Musculoskeletal Therapist and Pain Practitioner providing clinical treatment for dogs. Lisa is a Guild Clinical Canine massage Therapist.
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Working alongside Vets & pain specialists offering clinical massage, osteopathic treatments, nutrition, laser, rehab, and fitness for dogs at clinics in Nottingham. Clinical massage supports dogs with orthopaedic conditions such as arthritis and hip/elbow dysplasia and dogs with neurological conditions. It is a non-invasive natural form of pain relief for dogs, it can relieve discomfort, improve m

obility, and promote physiological well-being. Massage helps improves and addresses a dogs gait, posture, behaviour problems, and can improve performance for sporting dogs. Using skilled canine massage techniques such as Swedish, sports, deep tissue, myofascial release, and performing direct manipulation of muscle and fascia; painful debilitating ‘knots’ (trigger points) that cause referred pain are released, and scar tissue and adhesions can be broken down, improving your dog’s flexibility, mobility and comfort levels. Lisa is passionate about the well-being and health of dogs which has led her to successfully complete a year course as Canine Conditioning Coach from the Accredited Canine Conditioning Academy. By combining both skills: Clinical Canine Massage and Canine Conditioning, Lisa offers massage treatments and safe and effective fitness and conditioning programmes for pet dogs, senior dogs, nervous/anxious dogs, dogs that are overweight and dog’s after post surgery. She specialises working with performance dog’s such as those that do agility, flyball, canicross, obedience, show dogs etc. Alongside Clinical Massage, Canine Conditioning/rehabilitation programmes, Lisa is training to be a Canine Osteopathic Practitioner and will be offering these treatments sessions to your dog soon. Lisa continues to broaden her knowledge by attending regular courses. Most recently she has completed courses in Canine First Aid, Canine Gait & Biomechanics, Rehab Techniques for the Neurological Canine Patient, Canine Behaviour, T-touch, and Canine Nutrition. All clinical canine sessions are delivered in the comfort of the purpose built clinic which is based in South Nottingham, which is designed specifically to cater for your dog’s treatment sessions, including equipment for Canine Postural/Gait Analysis and tailored Canine Conditioning and Rehabilitation Programmes. Lisa is based in Nottingham and has clients from the East Midlands; she covers Nottingham, Derby, Leicester, Lincoln, Northampton.

✨ Developing the Canine Athlete: Show Dog Conditioning & Performance ✨It was a pleasure to meet Sadiki, a beautiful youn...
14/06/2026

✨ Developing the Canine Athlete: Show Dog Conditioning & Performance ✨

It was a pleasure to meet Sadiki, a beautiful young Standard Poodle who is beginning an exciting journey in the show ring and already demonstrating fantastic potential.

During his assessment, we identified opportunities to further develop muscle around the thorax and rib cage, while continuing to enhance gait quality, stride length, core strength, and overall conditioning. As a young dog, Sadiki has plenty of time to mature physically, making this the ideal stage to establish strong foundations for future performance.

As a trained canine fitness coach through the Canine Conditioning Academy, I recognise the important role that conditioning plays in helping show dogs perform at their best. A well-designed conditioning programme can help:

✔ Improve muscular strength and topline stability
✔ Develop core strength to support balance, posture, and efficient movement
✔ Enhance body awareness and precise foot placement
✔ Improve reach, drive, and overall gait quality
✔ Maintain flexibility and joint range of motion
✔ Build physical and mental endurance for long show days
✔ Support injury prevention and long-term musculoskeletal health

In the conformation ring, movement is a key part of the overall picture. Regular conditioning, combined with routine musculoskeletal assessments, massage, PROM, helps dogs move efficiently, comfortably, and confidently while showcasing the very best of their breed.

I’m looking forward to following Sadiki’s progress as we continue to build strength, balance, and athletic performance for a successful future in the show ring. 🐩💚

🖐️ Why My Hands Will Always Be My Most Important Treatment ToolAs a Clinical Canine Massage Therapist and Myofascial Rel...
11/06/2026

🖐️ Why My Hands Will Always Be My Most Important Treatment Tool

As a Clinical Canine Massage Therapist and Myofascial Release Practitioner, I often say that my hands are my most valuable tools.

In a profession where we spend years refining our palpation skills, learning to feel subtle changes within tissues, and developing the sensitivity required to perform advanced soft tissue techniques, our hands become far more than simply instruments of treatment—they become instruments of assessment, communication, and connection.

Even after years of study and clinical practice, I still consider myself a student. Soft tissue therapy, particularly myofascial release, is a complex and highly skilled discipline that requires continual learning, refinement, and experience.

🐾 The Science of Touch

The human hand is remarkably sophisticated. Research has shown that specialised sensory receptors within the skin, including Merkel cells, Meissner corpuscles, Ruffini endings, and Pacinian corpuscles, allow therapists to detect subtle variations in tissue texture, tension, temperature, movement, and pressure (Abraira & Ginty, 2013).

These sensory inputs help skilled therapists identify changes within muscles and fascia that may indicate pain, restriction, compensation patterns, inflammation, or altered movement.

When I place my hands on a dog, I am constantly gathering information:

✔ Tissue temperature

✔ Muscle tone and tension

✔ Fascial restrictions

✔ Areas of discomfort

✔ Protective guarding patterns

✔ The dog’s behavioural and physical responses

This immediate feedback allows treatment to be adapted moment by moment according to what the dog’s body is communicating.

💚 More Than Just Hands

Although we often talk about “hands-on therapy,” skilled bodywork involves much more than simply using our palms.

Different structures of the hand and forearm allow us to influence tissues in different ways and depths.

I may use:

• My fingertips for detailed palpation and assessment

• My thumbs for focused trigger point work

• My palms for broad therapeutic contact

• The thenar eminence (the muscular pad at the base of the thumb) for comfortable sustained pressure

• The hypothenar eminence (the muscular pad on the little finger side of the hand) for broader fascial techniques

• The ulnar border of the hand for specific soft tissue mobilisation

• My forearms to apply gentle, broad pressure across larger muscle groups and fascial planes

Using different contact surfaces enables variation in pressure, depth, direction, and sensory input while maintaining a comfortable and reassuring connection for the dog.

For larger dogs in particular, forearm techniques often allow deeper tissues to be engaged more effectively while reducing focal pressure and creating a calmer, more sustained therapeutic contact.

🌿 Why Connection Matters

One of the greatest advantages of manual therapy is the ability to develop a continuous dialogue with the patient’s body.

Unlike machines, my hands allow me to feel how tissues respond in real time. I can detect subtle releases, identify protective muscle guarding, monitor discomfort levels, and observe changes as they occur during treatment.

Research has demonstrated that therapeutic touch can influence both physiological and neurological responses, helping to reduce sympathetic nervous system activity, improve relaxation, and support pain modulation (Field, 2016).

For many dogs, this physical connection becomes an important part of the rehabilitation process.

References

Abraira VE & Ginty DD (2013). The sensory neurons of touch. Neuron, 79(4), 618–639.

Field T (2016). Massage therapy research review. Complementary Therapies in Clinical Practice, 24, 19–31.

🙏CAM4animals. As both a therapist and a dog owner, I understand how deeply the loss of a canine companion can affect us....
10/06/2026

🙏CAM4animals.

As both a therapist and a dog owner, I understand how deeply the loss of a canine companion can affect us. For those of my clients currently experiencing bereavement, and as I navigate this journey myself, please know that you are in my thoughts. Wishing you comfort, strength, and peace as you remember the love and companionship that made your bond so special. 🐾💚

A leading pet bereavement counsellor looks at what to expect in dealing with end of life care and suggests ways of coping with the grief

🐾 Is Your Dog in Pain? 🐾No one can truly rule out another being’s pain.Not me. Not you. Not a doctor. Not even a vet.Thi...
10/06/2026

🐾 Is Your Dog in Pain? 🐾

No one can truly rule out another being’s pain.
Not me. Not you. Not a doctor. Not even a vet.

This is especially true when it comes to our dogs.

Dogs often express pain in subtle and complex ways—it is not always obvious like limping or crying. Pain can present as changes in behaviour long before physical signs are noticed.

Common signs may include:

• Behavioural changes
• Reactivity or increased sensitivity
• Avoidance or reluctance to be touched
• Withdrawal, irritability, or low mood
• Difficulty settling or resting comfortably
• Growling, snapping, or resistance when handled

⬇️⬇️⬇️⬇️

⚠️ Behavioural issues and reactivity should never be dismissed without considering pain first.

Chronic musculoskeletal discomfort is often an underlying cause and can significantly affect your dog’s wellbeing, mobility, and quality of life.

If you are concerned your dog may be in pain, your first step should always be a veterinary examination to rule out underlying medical conditions.

At East Midlands Clinical Canine Massage & Rehabilitation Therapies, I offer professional musculoskeletal pain assessments from my clinic

If you would like to discuss your dog’s mobility, comfort, or book a musculoskeletal pain assessment, please get in touch ⬇️

I’m here to help.

Lisa
Canine Musculoskeletal & CAM Veterinary Pain Practitioner

📧 [email protected]
📞 07418 082 240

📚 References
• Mills et al. (2020). Pain and problem behaviour in cats and dogs. Journal of Veterinary Behavior
• Mathews (2008). Pain assessment and general approach to management. Veterinary Clinics of North America: Small Animal Practice
• Stasiak et al. (2003). Development of the Glasgow Composite Pain Scale. Research in Veterinary Science
• Mills & Luescher (2006). Veterinary Behavioural Medicine. Saunders Elsevier

🟢 What Makes My Gait Assessments Different?My gait and postural assessments are designed to provide far more than a simp...
06/06/2026

🟢 What Makes My Gait Assessments Different?

My gait and postural assessments are designed to provide far more than a simple observation of how a dog moves.

Using a combination of detailed postural evaluation, slow-motion and frame-by-frame video analysis, functional movement assessment, rehabilitation-based movement screening, and biomechanical interpretation, I build a comprehensive picture of how your dog moves, functions, compensates, performs, and adapts to pain or dysfunction.

🟢 My assessments may include:

• Static postural assessment from multiple angles
• Slow-motion and frame-by-frame video gait analysis
• Walking, trotting, turning, transitions, and functional movement tasks
• Assessment of weight-bearing patterns and limb loading
• Evaluation of muscle development, symmetry, and compensatory movement patterns
• Functional movement screening utilised within rehabilitation settings
• Movement assessment using a FitFur Life treadmill analysis where appropriate, allowing controlled observation and detailed analysis of gait patterns

This approach allows subtle abnormalities to be identified that may otherwise go unnoticed during routine observation.

🟢 Advanced Clinical Analysis

Many musculoskeletal issues do not initially present as obvious lameness.

Instead, they often appear as subtle changes in posture, movement quality, performance, behaviour, or weight distribution.

Through detailed video analysis, treadmill assessment, postural evaluation, and evidence-based movement analysis techniques, I can identify:

• Reduced stride length
• Altered joint range of motion
• Limb offloading and asymmetrical weight-bearing
• Compensatory movement patterns
• Spinal and pelvic dysfunction
• Muscular imbalances and areas of overload
• Altered movement strategies that may indicate discomfort or dysfunction
• Biomechanical inefficiencies that may impact performance and long-term musculoskeletal health

🟢 Clinical Expertise & Interpretation

Technology is only as valuable as the clinician interpreting the findings.

My assessments are supported by:

✔ Advanced education in canine anatomy, biomechanics, rehabilitation, and pain physiology
✔ Specialist training in advanced gait analysis and movement assessment
✔ Advanced study of sporting dog biomechanics and performance analysis
✔ Clinical experience identifying compensation patterns and musculoskeletal dysfunction
✔ Ongoing professional development in rehabilitation science and canine movement analysis
✔ Integration of findings alongside veterinary history, clinical signs, and diagnostic investigations where appropriate

My particular area of interest is canine biomechanics and the analysis of movement in sporting and working dogs. This enables me to assess not only signs of pain and dysfunction, but also movement efficiency, performance limitations, compensation strategies, and potential injury risk factors.

This combination of advanced training, clinical reasoning, specialist biomechanical knowledge, and detailed movement analysis allows me to provide an exceptionally thorough assessment of your dog’s posture, gait, movement quality, and functional performance.

🟢 Why This Matters

Sometimes the difference between “everything looks normal” and identifying the underlying problem lies in the details.

If you have concerns about your dog’s movement, posture, performance, comfort, or behaviour, a detailed gait assessment may provide valuable information that supports both rehabilitation planning and veterinary investigation.

📍 East Midlands Clinical Canine Massage & Rehabilitation Therapies

For more information about my gait and postural assessment services, visit:

https://www.emccm.co.uk

🧘‍♀️ Grounding in Clinical Canine Massage & Myofascial Release TherapyAre there other therapists that practice this? I’d...
27/05/2026

🧘‍♀️ Grounding in Clinical Canine Massage & Myofascial Release Therapy

Are there other therapists that practice this? I’d like to know your thoughts and how you may go about this……

Within clinical canine massage and myofascial release therapy, grounding is an important component of both practitioner preparation and therapeutic delivery. Prior to each treatment session, I take time to regulate my own breathing, posture, and focus in order to create a calm, controlled, and clinically supportive environment for the dog.

Grounding refers to the practitioner maintaining physical, emotional, and cognitive presence throughout treatment. This approach supports greater palpation accuracy, improved tactile sensitivity, and enhanced observation of subtle neuromuscular responses during manual therapy interventions.

In canine rehabilitation and musculoskeletal therapy, the therapeutic environment plays a significant role in patient response. Dogs experiencing chronic pain, anxiety, behavioural sensitivity, or previous trauma frequently demonstrate heightened sympathetic nervous system activity, which can contribute to muscular guarding, increased tissue tension, and reduced tolerance to touch.

A calm and regulated practitioner may help facilitate parasympathetic nervous system engagement through co-regulation, slow intentional touch, and reduced environmental stress. This is particularly relevant during myofascial release therapy, where sustained low-load techniques rely on tissue relaxation, nervous system downregulation, and patient trust to optimise therapeutic outcomes.

Grounding techniques such as diaphragmatic breathing, controlled body mechanics, sensory awareness, and mindful therapeutic intent may therefore support:
• Reduced patient reactivity and muscular guarding
• Improved tissue receptivity during myofascial techniques
• Enhanced relaxation and treatment tolerance
• More accurate assessment of soft tissue restrictions and compensatory patterns
• A safer and more effective clinical treatment environment

In practice, grounding is not simply a wellness concept; it forms part of a clinically reasoned approach to manual therapy, supporting both patient welfare and treatment efficacy.







References:
• Becker, L. E., Brumfield, J. H., & McCobb, E. (2020). Physiological and behavioral effects of massage therapy on canine patients: A review of current evidence. Journal of Veterinary Behavior, 37, 28–35.
• Lloyd, J. K. F., & Roe, S. C. (2021). The role of the human–animal bond in veterinary therapeutic outcomes. Veterinary Record, 189(5), e52.
• Schleip, R., & Müller, D. G. (2013). Training principles for fascial connective tissues: Scientific foundation and suggested practical applications. Journal of Bodywork and Movement Therapies, 17(1), 103–115.
• Stecco, C. (2015). Functional Atlas of the Human Fascial System. Elsevie

A difficult post to write… but something I think about often as both a practitioner and a dog owner ❤️🐾One thing I have ...
24/05/2026

A difficult post to write… but something I think about often as both a practitioner and a dog owner ❤️🐾

One thing I have always said, and always will say, is that no dog should live in pain. It is one of the core values behind my clinical practice and something I feel deeply passionate about.

For me, pain management is not optional. If I feel a dog is suffering and their needs are not being supported appropriately, ethically I struggle to continue treatment, because quality of life must always come first.

But here’s the difficult part…
At what point are we helping them live, and at what point are we simply helping them stay alive?

As veterinary medicine advances, we are able to offer more pain relief, more medications, more interventions, and sometimes more time. And in many cases, that time is precious and worthwhile. Good pain management matters. Comfort matters. Dignity matters.

But I think many of us who love dogs deeply have also faced, or will face, the heartbreaking question of when enough is enough.

Are we always keeping them here for them… or sometimes for us?

It’s a thought that weighs heavily on me, both professionally and personally. Because unlike humans, our dogs cannot tell us when they are tired. They cannot tell us when they are simply existing rather than truly living.

And yet, because we love them so much, we fight for them. We advocate for them. We medicate them. We search for another treatment, another option, another few months.

Sometimes that is absolutely the right thing to do.
Sometimes giving them comfort and support gives them more happy days, more dignity, and more quality time.

But sometimes I wonder whether, as humans, we struggle to let go because we are not ready — even when they might be.

I don’t have the answer to this, and I honestly don’t think there is one single right answer. Every dog, every family, and every situation is different.

As both a practitioner and an owner, I find this one of the hardest parts of loving a dog so deeply. Wanting to do everything possible for them, whilst also questioning whether they are truly comfortable, truly happy, and truly still enjoying life.

I would genuinely be interested in hearing your thoughts and experiences on this difficult subject. Please keep comments kind, respectful, and empathetic — because ultimately, I believe most owners are simply trying to do the very best for the dogs they love ❤️

And if anybody is currently going through any of the above, please know you are not alone. I’m always here if anyone needs support, guidance, or simply someone to talk things through with ❤️🐾

🟢 Pain, fascia, behaviour, and the nervous system…This is something I’ve found myself thinking about more and more in pr...
23/05/2026

🟢 Pain, fascia, behaviour, and the nervous system…

This is something I’ve found myself thinking about more and more in practice recently.

I often say that I’m not a behaviourist or dog trainer, although I’ve completed a number of behaviour-related courses over the years. Behaviour is such a complex area, and I have huge respect for the people who work within it professionally.

One of the things I really value in this profession is being able to learn from others — particularly veterinary behaviourists, trainers, vets, and rehabilitation professionals. Conversations with some incredibly knowledgeable people have made me increasingly interested in how pain, fascia, the nervous system, and behaviour may all influence one another in dogs.

For years I’ve heard phrases like “the body stores trauma” or “fascia holds emotional memory.” I’ve always been curious about how that might actually work physiologically, so I’ve spent quite a bit of time reading around the topic.

Recently I came across an interesting paper by Kotler, Mannino, Fox & Friston (2026):

📖 The body does not keep the score: trauma, predictive coding, and the restoration of metastability.

What I found particularly interesting was the idea that trauma may not literally be stored in tissue itself, but that the brain and nervous system can become locked into protective prediction patterns.

In very simple terms:
🐾 the brain begins expecting threat
🐾 the nervous system stays on alert
🐾 the body continues responding protectively, even when danger may no longer be present

Behaviourists
⬇️⬇️⬇️
When we think about anxious, reactive, hypervigilant, or chronically painful dogs, this starts to feel highly relevant.

Dogs living with pain, repeated discomfort, injury, chronic stress, or negative experiences may show:

• increased tension and muscle guarding
• altered posture and movement patterns
• exaggerated responses
• difficulty relaxing or settling
• avoidance behaviours
• persistent protective patterns long after healing has occurred

To me, this doesn’t lessen the importance of fascia or the body’s role in pain and behaviour, if anything, it reinforces how interconnected the nervous system and body really are.

Therapists
⬇️⬇️⬇️
In rehabilitation work, we regularly see how pain can influence behaviour, and equally how stress and behavioural state can influence pain, movement quality, posture, muscle tone, and recovery.

🟢can you help?

It’s an area I’d genuinely love to understand more deeply.

I’d be really interested to hear thoughts from:
🐾 veterinary behaviourists
🐾 accredited trainers
🐾 clinical animal behaviourists
🐾 rehabilitation professionals
🐾 vets involved in pain management

Especially around chronic pain, nervous system dysregulation, fascia, and behavioural presentation in dogs.

There’s still so much for all of us to learn together in order to better support dogs living with pain.

📌 Client NoticeInvoices have been sent out a week earlier than usual this month, as I will be away for a few days and at...
22/05/2026

📌 Client Notice

Invoices have been sent out a week earlier than usual this month, as I will be away for a few days and attending a professional course.

Could clients please let me know if they don’t receive them.

I’m currently working through a large amount of admin following a very busy month, so thank you for your patience while I get everything caught up.

Thank you for your continued support 🐾

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West Bridgford
Nottingham

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