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For Vets

Equilibre is led by Lorna Brokenshire-Dyke – a practising veterinary surgeon (VetMB, MRCVS) and qualified veterinary physiotherapist (MSc, MNAVP, MRAMP). Referring to Equilibre means working with a physiotherapist who also holds veterinary medical training – a colleague who understands your clinical reasoning, speaks your language and will communicate with the precision you would expect from a peer.

 

 

 

 

 What a dual-qualified practitioner brings to a referral

Clinical veterinary perspective

Lorna's veterinary training informs how she reads a clinical picture, providing an additional clinical layer within the physiotherapy assessment and treatment process that goes beyond the scope of a single-discipline practitioner. This allows clearer differentiation between primary pathology, compensatory dysfunction and emerging issues, and ensures that the right moments for communication or referral back to you are recognised and acted upon.

Familiar with both sides of the referral relationship

Practising as both a veterinary surgeon and a veterinary physiotherapist, Lorna understands how to make a referral clinically useful from both sides. She appreciates the diagnostic reasoning behind the veterinary management plan and can align physiotherapy goals accordingly. The result is a strengthened clinical picture and an effective working relationship between disciplines.

Integrated medication awareness 

Current and recent medication – NSAIDs, corticosteroids, joint medications – is factored into rehabilitation planning. Exercise progression is designed within a full understanding of pharmacologically managed pain, ensuring that clinical decisions are made in full awareness of the horse's broader medical management.

Integrated neurological awareness

Neurological awareness is integral to every assessment. Subtle deficits that may mimic musculoskeletal dysfunction are recognised appropriately and dictinct froma primary MSK cause – ensuring the clinical picture is interpreted accurately and that onward referral is initiated where indicated.

Acupuncture within the same consultation

Western veterinary acupuncture is available alongside physiotherapy where clinically indicated – without the need for a separate referral pathway or practitioner. For referring vets, this means that acupuncture can be incorporated into the treatment plan from the outset, whether for muscle tension, pain management, neurological cases or chronic conditions, with treatments documented within a single integrated report.

Structured clinical reporting

Referral reports are written by a fellow veterinary surgeon, using appropriate clinical language and the right level of detail. Reports avoid lengthy narratives and instead are structured to surface the clinically relevant information quickly: findings, treatment, response and any recommendations for onward management or further investigation presented clearly and efficiently.

When to refer

Concurrent with disease

  Specific diagnosed 

  musculoskeletal conditions

  • Arthropathies

  • Tendinopathies

  • Desmopathies

  • Myopathies

  • Neuropathies

  • Overriding dorsal spinous processes 

  • Sacroiliac disease 

  • Neurological cases, including cervical vertebral compressive myelopathy

  • PPID / EMS with loss of muscle condition and strength

Musculoskeletal

  • Post-surgical or post-injury rehabilitation

  • Neck, back, pelvic and sacroiliac pain or dysfunction

  • Innate gait asymmetry/ laterality – beneath lameness threshold

  • Compensatory dysfunction following primary diagnosis

  • Muscle atrophy or asymmetry

  • Poor topline or core abdominal strength

  • Chronic pain and palliative care

   ​​

Performance

  Where pathology has been ruled

  out or appropiately addressed

  • Behavioural changes under saddle – no primary cause found

  • Loss of suppleness, engagement or collection

  • Return to work following layoff or injury

  • Poor performance where musculoskeletal pain is suspected

  • Pre-competition preparation

  • Post-competition maintenance

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Equilibre is the trading name of Equilibre Vet Ltd,  

a private limited company practising in Suffolk and 

surrounding counties, registered in England and Wales,

company number 14522693

© Equilibre 2026 | Privacy Policy | Terms of Business | Cookie Policy

RCVS
BEVA
NAVP
RAMP
ABVA
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