Experts in whole animal assessment of pain – a review of medical history and investigations, and thorough assessment of the pet and their lifestyle enables us to gather an accurate picture of the types of pain, it’s impacts, and enables us to formulate rational treatment plans
Initial consultation £360
Preappointment review of medical history and results of imaging/ investigation
Preappointment clinical metrology instruments to evaluate pain
In person 60 minute consultation
Comprehensive report provided to you and your vet
Written prescription if required
Email support for 2 months
Repeat consultation £180
Preappointment review of medical history/imaging and response to treatment
Preappointment clinical metrology instruments to evaluate pain
In person 30 minute consultation
Comprehensive report provided to you and your vet
Written prescription if required
Email support for 2 months
Online consultation £120
Preappointment review of medical history/imaging and response to treatment
Preappointment clinical metrology instruments to evaluate pain
Online 30 minute consultation including your vet and physio if desired (they may charge for this additionally)
Comprehensive report provided to you and your vet
Email support for 2 months
Repeat prescription £3 (£0 if associated with consultation)
Insurance form completion £0
Additional procedures – contact us to enquire
Chronic pain conditions develop over months to years. Attempting to address all aspects of these conditions in a standard 10 minute vet consult is impossible. Each pain presentation is unique and encompasses an individual constellation of changes. Your vet will be experienced at managing most common presentations, however when pain conditions become more severe, or are not responding as anticipated to treatment then expert advice can be vital to a successful outcome. A report is always provided so that your vet, physiotherapist, and allied professionals are fully informed.
What are your options?
In person consultations deliver a holistic assessment of pain – considering previous history and investigations, thorough assessment of the pet and their lifestyle enables an accurate picture of the types of pain and its impacts, allowing rational re-evaluation and prescription of analgesic medications or recommendation for other treatment modalities.
An online review can highlight potential additional treatment options to discuss with your primary vet, a report is always provided so that your vet is fully informed.
Physical therapies, including acupuncture and laser, can target different aspects of the pain pathway, working synergistically with medication. Although some red light treatments are available direct to pet owners, they are unlikely to penetrate the skin surface, therefore laser light is recommended for treating muscle and fascia problems.
Ultrasound is a non-invasive way of looking at the structure of soft tissues such as muscles and tendons. In most cases dogs and cats can undergo ultrasound imaging without sedation or anaesthesia.
Delivering medications close to peripheral nerves can manage pain in specific areas. James has undergone additional training to use electrolocation and ultrasound to specifically and safely reach the target nerves. In successful cases, prolonged pain relief can result from a single injection performed under a short sedation.
Low back pain related to disc degeneration can respond to epidural injections performed under a short anaesthetic. James has undergone additional training to perform epidural injections.
Injections of anti-inflammatories, hydrogel cushioning compounds, and stem cells can provide effective relief from joint pain and minimise the need for systemic medications. James has undergone additional training to perform intra-articular treatments.
Case studies
Case Study P
P had a 12 month history of chronic right forelimb lameness. She had undergone CT scans which showed changes in her left elbow and sacroiliac joints. Evaluation demonstrated marked myofascial pain of right trapezius and left hypaxial muscles. Alteration of her medication and monthly acupuncture treatment led to dramatic improvements in her mobility, interaction with her owner, and quality of life.
Case Study K
K had a longstanding issue of guarding items in the household, gastrointestinal problems, and exhibiting anxious behaviour, which had continued despite behavioural referrals, and an underlying pain was suspected. Painkillers had been prescribed but the source of pain was unknown. He exhibited a wide based stance with a shortened stride in his hindlimbs and significant pain in his hypaxial muscles, which could have been related to a protective stance due to abdominal pain. Additional medications to assist his stomach, painkillers to address muscle pain, and some management changes all contributed to a vast improvement in his behaviour.