Based in Byley, Middlewich, RPM Equine provides veterinary physiotherapy for horses across Cheshire, Knutsford, Northwich, and the wider North West. Every session is led by Ruby Milne, a postgraduate-qualified vet physiotherapist, combining detailed clinical assessment, hands-on treatment, and structured exercise prescription to support recovery, optimise performance, and prevent future injury.
Conditions Physiotherapy Can Help With
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Back Pain and muscular tension
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Reduced performance or loss of impulsion
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Poor engagement or uneven movement
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Kissing spines (dorsal spinous process impingement)
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Sacroiliac pain or dysfunction
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Tendon and ligament injuries
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Post-operative rehabilitation
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Muscle asymmetry or weakness
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Stiffness or reduced range of motion
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Compensation following lameness
01
Assessment
Each session begins with a detailed discussion of your horse’s medical history, workload, lifestyle, and any concerns you may have. This is followed by a static and dynamic assessment, observing posture, conformation, and movement in walk and trot, both in-hand and on the lunge/ridden, where appropriate. A thorough hands-on evaluation is then carried out, including palpation of muscles, joints, and soft tissues to assess for areas of tension, pain, or asymmetry. Together, these steps help build a complete picture of your horse’s physical condition and functional ability.
02
Therapeutic Aims
From the assessment, a unique and targeted problem list is developed. This forms the foundation for a personalised treatment approach. Based on clinical findings and your goals for your horse, I’ll evaluate initial treatment using appropriate manual techniques, electrotherapies, and/or therapeutic exercises. A tailored therapeutic plan is then created to support ongoing progress and long-term outcomes.
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Treatment
Each treatment session is designed to address your horse’s specific needs, combining hands-on techniques, electrotherapies, and tailored exercises to support recovery, improve performance, and enhance overall well-being. The approach is always evidence-based and individualised, ensuring the most effective outcomes for your horse.
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Prescribed Exercise
Therapeutic exercise is a vital part of the rehabilitation and conditioning process. These exercises are individually prescribed to support your horse’s therapeutic plan and on-going aims. tailored to meet their specific stage of healing and functional goals.
Each exercise is demonstrated and explained clearly, with guidance on frequency, surfaces, and progression. Owners receive a written home exercise programme after each session so they can support their horse's progress confidently between visits.
Evidence-Based Rehabilitation
A key focus of RPM Equine is therapeutic exercise prescription. Rather than relying solely on passive treatments, rehabilitation programmes are designed to restore correct movement patterns, improve strength and stability, and reduce the risk of re-injury. Owners receive clear guidance and structured exercise plans so they can confidently support their horse between sessions.
Modalities
Full descriptions of each modality available on request
Pricing
Physiotherapy Assessment & Treatment: £75
Home Visit: Available — contact us to discuss travel area and pricing
Note: Pricing reflects a full clinical assessment, not a 30-minute appointment. Sessions typically last 60-90 minutes.
