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    <lastmod>2021-04-19</lastmod>
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    <loc>https://www.thecountryphysio.co.uk/blog/setting-up-a-business-in-a-pandemic</loc>
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    <lastmod>2021-04-13</lastmod>
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      <image:title>Blog - Setting up a business in a pandemic.</image:title>
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      <image:title>Blog - Setting up a business in a pandemic.</image:title>
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      <image:title>Blog - Setting up a business in a pandemic.</image:title>
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      <image:title>Blog - Setting up a business in a pandemic.</image:title>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/returning-your-horse-to-work-following-a-tendon-or-ligament-injury</loc>
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    <priority>0.5</priority>
    <lastmod>2021-03-10</lastmod>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/what-are-trigger-points</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-17</lastmod>
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      <image:title>Blog - What are Trigger Points?</image:title>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/a-day-in-the-life-of-a-horse-physio</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-11</lastmod>
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      <image:title>Blog - A day in the life of a horse physio - As a veterinary physiotherapist everything that I do in centred around the following goals: reducing pain, restoring function, and improving performance. And this focus allows me to work with horses and owners to achieve their short- and long- term goals.</image:title>
      <image:caption>A general workday for me will start at 9am (on days that I am not lecturing). However, some clients have horses up to 2 hours away, so my day in reality starts much earlier. If the client’s horse is new to me, I begin by noting down their contact details, case history and the history of any presenting complaints. I also like to take a triage approach to veterinary physiotherapy: what are the things I can do to help this horse? What can I not do anything about but can do to help/support this horse with (some conformational traits for example)? And lastly what can somebody else do about the issue? For this reason, I also ask for details relating to the horse’s vet, saddler, farrier, dentist and instructor. Once all of this has been noted, I start the assessment. To begin with I will perform a static assessment. This considers the horses conformation, joint angles, muscle atrophy/hypertrophy, and obvious muscle imbalances. Following a static assessment, I will move on to relate how the horse’s conformation affects its movement in a dynamic assessment; this includes gait analysis. Straight/circles Hard/soft ground In-hand/ridden/lungeing (rider and tack influences) Walk/trot/canter/transitions Neurological tests (where appropriate) Finally, once this has been assessed I can get my hands on the horse and perform tissue palpation. With palpation I am looking for: Muscle symmetry and balance Bony landmark symmetry Soft tissue quality Effusion Heat Fibrosis Muscle tone and condition And I will then test the Range of motion (ROM) of all of your horse’s joints. After the assessment has taken place, a treatment plan can be formed. Long- and short- term goals will be set that are achievable, objective and measurable so that I can be accountable for any progress made. The range of therapies that I chose will depend on the tissue pathologies and the different stages of repair (acute, sub-acute, chronic). There are likely to be elements of active and passive rehabilitation modalities in the plan. Passive treatment includes how I, as a vet physio, can influence the healing of the tissue whilst I am present and the affects thereafter; from massage, stretching, electrotherapies etc. Active treatment is usually given as ‘homework’ to the owner, remedial exercises, lungeing, schooling and lateral work, and cardiovascular fitness all fall under this category. I may enhance active rehabilitation, where needed, by prescribing the use of training aids and/or kinesiotaping.   The role of the veterinary physiotherapist in active rehabilitation is just as important as the passive work that we do. This is down to having spent years studying the anatomy and biomechanics of animals so that we know how best to support them. Any active rehabilitation needs to be careful not to aggravate any underlying conditions and the timings of all activities need to be carefully planned and monitored. The physiotherapist will consider the animal as a whole and prescribe exercises that are individually tailored to the stage of healing/targeted area and they will continually monitor and observe the animal’s response to treatment and put adaptations to the plan in place when they are needed.</image:caption>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/kinesiology-tape-and-horses</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1611063359101-8NVQBSPGBRQYS0P8VP55/rocktape.png</image:loc>
      <image:title>Blog - Kinesiology Tape and Horses - Kinesiology Tape</image:title>
      <image:caption>First used on human patients in Japan by acupuncturists and chiropractors, kinesiology tape has numerous qualities that can be used by equines and equestrians to improve sports performance by activating the nervous and circulatory systems to encourage healing in the treatment of: Injured muscles Swelling/oedema Tendon and ligament lesions Lymphoedema Kinesiology is renowned for its therapeutic properties that help with the reduction of pain sensation, promoting circulation, reducing bruising, and helping with biomechanical and postural dysfunction. RockTape have developed an extra sticky tape that is suitable for the equine patient, and it is this brand that I personally use in conjunction with other manual and electrotherapies.</image:caption>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/studying-to-become-a-vterinary-physiotherapist</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1611064247565-9415WR0U59Y3YNJMDDW7/cows.jpg</image:loc>
      <image:title>Blog - Studying to become a Veterinary Physiotherapist</image:title>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/tens-machines-for-horses</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1611062467098-8I8R4NTXAXGGK7Q0L8TZ/tens+machine.png</image:loc>
      <image:title>Blog - TENS Machines for Horses - Transcutaneous Electrical Nerve Stimulation (TENS)</image:title>
      <image:caption>On application of a TENS machine, electrical stimulation is delivered in order to excite the sensory nerves. This, in turn, stimulates either the pain gate mechanism and/or the opioid system which will give a degree of symptomatic pain relief. Extensive research is in place to evidence the pain relieving properties of TENS for both chronic and acute cases. TENS is delivered from a small hand held device, that is powered by batteries, to the tissue via electrodes over conductive gel. This treatment technique is non-invasive and has fewer side affects that traditional pain relieving drug treatment options. This small, pain relieving miracle machine has numerous applications and can help in a range of cases. As well as reducing pain, this little machine has a range of other functions that can help with building muscle strength and reducing muscle spasms, when put on the right settings.</image:caption>
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  </url>
  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/conservative-management-what-is-it-and-does-it-work</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-11</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1610724830572-1TZNUYBFPH02WYB9YOGU/francis+ridden.jpg</image:loc>
      <image:title>Blog - Conservative Management, what is it and does it work? - This blog post is being written in the spirit of National ‘Without a scalpel day’. National without a scalpel day happens on January the 16th every year and is in the spirit of a movement towards a world with ‘less pain, more gain’.</image:title>
      <image:caption>Especially beneficial for orthopaedic and neurological patients, conservative management uses a plethora of therapeutic modalities, appropriate for long term treatment, with the aim of improving the quality of life of patients through pain management, improving range of motion of affected joints, maintaining and rebuilding muscle mass, strengthening of muscle force, improvement of the overall body condition and weight management of overweight patients.   Yes some horses will need surgery due to the complexity of their injury/condition, and the use of nonsteroidal anti-inflammatory drugs is effective and useful for animal experiencing pain. However, surgery carries many risks and also the long term treatment with some drugs could pose problems for animals; gastro-intestinal problems are a common side effect and so physiotherapy modalities like thermo/cryotherapy, massage, LASER and transcutaneous electrical nerve stimulation (TENS) could be a better long-term solution for some patients.</image:caption>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/how-often-should-a-horse-have-physiotherapy</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1610723830811-35WG33FHUU2MK4VZGDU9/IMG_4946.png</image:loc>
      <image:title>Blog - How often should a horse have physiotherapy? - Each and every case must be assessed for their individual needs and treatment plans made accordingly. Therefore, the answer is not straight forwards, it is case dependant.</image:title>
      <image:caption>Some clients receive weekly physiotherapy treatments, and this is because some medical cases require intensive rehabilitation. Some such cases include those with kissing spine, tendons/ligament injuries, those recovering post operatively, and/or those the have severe musculoskeletal issues. Cases that require pain relief will definitely be seen on a regular basis initially with the hope that, as their condition improves and their pain is relieved, the frequency of their treatments can be spread out. The majority of my clients receive monthly treatments, and this is because the majority of my client’s horses are, thankfully, fit and healthy competition horses. These horses (and owners) are incredibly hard working, and their muscles pay the price for this! Regular physiotherapy, therefore, can be used to target and treat knots that tend to form in their hard-working muscles. I also work, alongside the owners chosen trainer, to help develop a remedial exercise plan. This plan is completely tailored to the individual job of the horse and it aims to help improve the horses muscle quality, range of motion (stride length) and overall fitness. Some horses are also seen less frequently, some leave up to 6 months to a year between treatments! These horses are typically less active than those seen on a monthly basis and they may enjoy light competition or be happy hackers. All horses can benefit from physiotherapy, but the treatment route they take is completely individual to their needs; I will prescribe the plan that has the best interest of the horse in question.</image:caption>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/blog/blog-post-title-two-synrh</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2021-02-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1613207085403-D4UJ51CXIIOLF4GP4JV8/IMG_0714.jpeg</image:loc>
      <image:title>Blog - Tendon Injuries - A multimodal approach is needed in tendon injuries to give the horse the best possible outcome. In the short term it is all about reducing inflammation, box rest, cold hosing and bandaging can all be used to help this. In the long term, the main aim is to encourage an improved fibre alignment and regulate scar tissue formation, so that the tendon retains its elastic and tensile strength properties. It can be a long process, but tendon regeneration can be massively improved by use of LASER therapy. LASER therapy involves directing high intensity, near infra-red light into the injured tendon tissue. This in turn leads to an increased blood flow to the area. More blood flow = an oxygenated environment that is more conducive to tissue healing. LASER therapy is also renowned for its effect on the delivery of energy to the cells that repair injured tissue and collagen production, which will all lead to an improvement in the alignment of collagen which means increased strength and elasticity in the scar tissue.</image:title>
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    <loc>https://www.thecountryphysio.co.uk/blog/blog-post-title-one-a9f4x</loc>
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    <lastmod>2021-02-11</lastmod>
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      <image:title>Blog - Saddle Placement.</image:title>
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    <lastmod>2021-04-19</lastmod>
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    <loc>https://www.thecountryphysio.co.uk/home</loc>
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    <lastmod>2024-05-30</lastmod>
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      <image:title>The Country Physio | Equine Physiotherapist - Equine physiotherapy specialist</image:title>
      <image:caption>Ella Ditchfield BSc (Hons) Veterinary Physiotherapist and FEI Permitted Equine Therapist, based in the North of Wales and the North West of England. I’m a vet physio who specialises in veterinary physiotherapy for horses. I treat to aid rehabilitation following injury/illness, reducing pain and improving movement. I also treat horses at the very top of their athletic career to maintain peak condition. I have previous experience working in an equine orthopaedic veterinary surgery and I have also worked with some top level dressage horses and riders, as well as in a multitude of other disciplines including polo. I am governed by the National Association of Veterinary Physiotherapists (NAVP) and fully insured too for your peace of mind. To find my name listed on the NAVP website, click here. I am also a Permitted Equine Therapist for the FEI after being examined on the FEI code of conduct, FEI regulations and FEI anti-doping regulations which means that I am able to attend and treat at official FEI functions as a carded professional. Primarily I am based in the North of Wales (Flintshire) but also cover the North West of England. My core working areas cover: Flintshire, Wrexham, Denbighshire, Conwy, Cheshire and Lancashire. I am, however, happy to travel further afield for group bookings or travel cost coverage.</image:caption>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1b15ef01-c527-4f64-9ff5-aba7888d0bc4/Archie.png</image:loc>
      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/62643587-37d7-4f5f-a6b5-4e33f8d3b473/Joey+2.png</image:loc>
      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/180f4174-5e80-4b13-8c55-ca26576409d6/Jo.png</image:loc>
      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/d8f4b588-99cc-465b-b2c3-b849759ddcb5/Joey+3.jpg</image:loc>
      <image:title>The Country Physio | Equine Physiotherapist</image:title>
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  <url>
    <loc>https://www.thecountryphysio.co.uk/get-in-touch</loc>
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    <loc>https://www.thecountryphysio.co.uk/my-services</loc>
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    <lastmod>2025-05-13</lastmod>
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      <image:title>Horse physiotherapy treatments - Massage</image:title>
      <image:caption>Deep massage techniques target damaged and fatigued tissue (muscles, fascia, ligaments, and tendons). Horses that resent tack (i.e. are “girthy” or “cold backed”) are typically trying to show that they have pain. This usually stems from the poll area and down their Brachiocephalicus muscles (down their neck), to their Longissiums Dorsi muscle which runs the entire length of the back. And those horses that appear “girthy” may have pain through their Pectoral muscles that lie beneath the girth. Pressure points can appear in these areas which can be remedied by use of deep massage manipulation therapies. Muscles can also become tight and painful through work load increase, or if a horse changes its gait to compensate for other injuries; these can be loosened off to remove pain by use of massage. Massage can also help to relieve swelling/fluid build up (like “filled legs”). Massage works with the lymphatic system to clear away the swelling quicker that it would naturally.</image:caption>
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      <image:title>Horse physiotherapy treatments - I use Equicantis</image:title>
      <image:caption>Using Equicantis allows me to offer you next-level support by creating professional session reports and exercise plans that you can access at the click of a button. Receive reports that cover your animal's session plus annotated anatomical diagrams and/or photos of your animal, where needed, so you can easily see the areas that have been worked on. Using Equicantis' library of exercises, I can create tailored rehab and exercise plans complete with descriptions, photos and videos so you can rewatch them as many times as you like to build your confidence performing the exercises. I will also add the sets and reps for you so you know exactly what you're doing and when to help keep your animal on track. I can send onboarding forms so you can get all yours, and your animals' information uploaded onto my Equicantis database ahead of time, giving me more hands-on time with your animal during our appointment. And I can send email confirmation and reminders of our appointments - handy all round!</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1617183303848-JMJD0XWKMPKSPFGRISBC/120028786_346667326531077_7398440076699360610_n.jpg</image:loc>
      <image:title>Horse physiotherapy treatments - Stretching</image:title>
      <image:caption>Warm tissues, that has been prepared by massage or light work, can be manipulated to lengthen and relax; resulting in a more fluid and supple movement of the horse. Baited stretches (AKA carrot stretches) loosen the neck and back muscles so that a horse can carry itself in a better outline. Baited stretches also target the horses core so that they are able to work ‘over their back’ better. Different leg stretches target specific muscles to aid in the relaxation of hypertonic and sore muscles, in a similar way to massage. A combination of the two techniques can result in greater range of motion of the limbs, thus increasing stride lengths. Tail pulls are another form of stretch. Horses typically enjoy the sensation and lean into the manipulation. This techniques stretches out and releases the Longissimus Dorsi muscle that runs the entire length of the back and often gets painful trigger points within it due to the nature of the saddle being in contact with it.</image:caption>
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      <image:title>Horse physiotherapy treatments - Remedial Exercise</image:title>
      <image:caption>With extensive experience with a range of horses that participate in a number of disciplines, I am very knowledgeable about how horses need to be able to move and use their muscles to succeed in competition. Individual exercise plans will be given to each client to target certain muscles and areas to build muscle, increase suppleness and get the best out of the horse. Dependant on the severity of injury/stage of work that a horse is at, there will be elements of in-hand work and ridden work. In-hand work may include elements of up/down hill work, lateral work, backward work and also lungeing. Lungeing work can incorporate the use of different aids (side reins, equi-ami, etc.). Both ridden and in-hand work will often include pole work, if these are available, as they are an invaluable tool for horses. They encourage horses to stretch down and over their backs, work in a supple outline, and they also increase the range of motion in their leg joints as they must pick their feet up over the poles.</image:caption>
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      <image:title>Horse physiotherapy treatments - Kinesiology Tape</image:title>
      <image:caption>First used on human patients in Japan by acupuncturists and chiropractors, kinesiology tape has numerous qualities that can be used by equines and equestrians to improve sports performance by activating the nervous and circulatory systems to encourage healing in the treatment of: Injured muscles Swelling/oedema Tendon and ligament lesions Lymphoedema Kinesiology is renowned for its therapeutic properties that help with the reduction of pain sensation, promoting circulation, reducing bruising, and helping with biomechanical and postural dysfunction. RockTape have developed an extra sticky tape that is suitable for the equine patient, and it is this brand that I personally use in conjunction with other manual and electrotherapies.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f7c26d9ec5d6e7f6fbf7e0e/1621335381354-8PDSAIZ98QHCGHA0B4KN/LASER+Therapy+by+Ella.jpg</image:loc>
      <image:title>Horse physiotherapy treatments - This electrotherapy machine enhances particular properties of light energy. The targeted tissue absorbs the energy emitted by the LASER and it delivers enough energy to the tissue to cause molecular changes. These molecular changes result in many changes to the cells which can have positive effects. There is a lot of research that backs up the use of LASER therapy for a range of conditions, such as:</image:title>
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      <image:title>Horse physiotherapy treatments</image:title>
      <image:caption>Different to diagnostic ultrasound, therapeutic ultrasound uses sound waves/energy to have biochemical effects on biological tissue. The main benefits of therapeutic ultrasound are: Pain relief Decreased joint stiffness Increased blood flow Stimulation of tissue regeneration and repair</image:caption>
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      <image:title>Horse physiotherapy treatments</image:title>
      <image:caption>On application of a TENS machine, electrical stimulation is delivered in order to excite the sensory nerves. This, in turn, stimulates either the pain gate mechanism and/or the opioid system which will give a degree of symptomatic pain relief.</image:caption>
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  <url>
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    <lastmod>2020-12-15</lastmod>
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