Sue has worked in the equestrian world for over 30 years, immersing herself in the real challenges horses and riders face. She is passionate about translating science into understanding, helping owners and riders apply the latest research in ways that truly make sense day to day.

A Chartered Physiotherapist, ACPAT & RAMP registered, Sue believes physiotherapy is both science and art - grounded in evidence, refined through years of observation and hands-on experience. She is evidence-informed and always learning, blending data with intuition to support the individual in front of her.

Sue practises human physiotherapy in Stafford and runs equine clinics and a mobile service across the Midlands.


Experience & Approach

Through decades of experience, Sue has developed a compassionate, proactive, evidence-informed approach to supporting musculoskeletal health in both horses and humans.

She has published several books — including Horse Massage for Horse Owners and Understanding Horse Performance: Brain, Pain or Training? — and co-authored Harmonious Horsemanship with Dr Sue Dyson.

Sue’s philosophy & promise

“Every horse and human is unique. My job is to interpret the science — and apply it with care, curiosity, and respect.”

Attention to evidence & science, not gimmicks

Respecting each horse and human as an individual

Teaching clients to think, observe, adapt — not follow blind protocols

Maintaining the highest professional standards of continuing development

Sue’s long-term goal is simple: that every horse person understands the vital links between pain, behaviour, and performance.

Background & qualifications

BSc (Hons) Physiotherapy, King’s College London

MSc Veterinary Physiotherapy, Royal Veterinary College

BSc (Open), Open University 

Member, Register of Animal Musculoskeletal Practitioners (RAMP)

Member, Association of Chartered Physiotherapists in Animal Therapy (ACPAT)

Member, Chartered Society of Physiotherapy (CSP)

Member, Health & Care Professions Council (HCPC) 

Intelligent Horsemanship Recommended Trainer 

Recognised as

Best Equine Physiotherapist 2018 - Midlands Enterprise Awards

Best Equine Physiotherapist 2020 (UK) - Pet Products and Services Awards

Equine Physio Specialist of the Year 2021 (UK) - Influential Businesswoman Awards 

Equine Physio of the Year 2023/24 (UK) - Global Awards 

Leading Equestrian Physiotherapist 2025 – Staffordshire (SME News Awards)

Sue continues to share her knowledge through events, articles and online education, inspiring owners, riders and professionals to understand the vital connections between pain, behaviour and performance.

Published Writing

Harmonious Horsemanship

(co-authored with Dr Sue Dyson)

This ground-breaking work introduces the Ridden Horse Ethogram, a tool to evaluate 24 subtle pain behaviours in ridden horses. Sue and Dr Dyson guide you to use this ethogram to optimise your horse’s potential, improve partnership, and enhance performance.

Horse Massage for Horse Owners

A clear, practical guide to equine massage, including hands-on techniques. Sue teaches you how to create a complete massage routine for your horse, helping reduce stiffness, support comfort and improve performance. 

Understanding Horse Performance: Brain, Pain or Training?

In this book, Sue introduces her BPT methodology, helping you explore whether your horse’s behaviour or performance challenges stem from mental (brain), physical (pain) or training factors, and how to address them. 

Podcast

Sue was a guest on Dr David Marlin’s Stable Science podcast in November 2023. 
You can listen here: Recognising pain in the ridden horse with Sue Palmer 

Listen online 

Magazine Articles

Sue has written articles about horse physiotherapy, including the link between pain and behaviour, in many equestrian magazines. Here are a few examples. 

Learn with Sue – Courses & Books for Horse Owners

Alongside her physiotherapy practice, Sue shares her knowledge through bestselling books and online courses designed to help horse owners, riders, and professionals better understand movement, behaviour and well-being.Learn

“"This exciting collection of practical tips encourages the reader to look at life from their horse’s point of view, with unique hand drawn cartoons that have them giggling to themselves while they read."”

Staffordshire Outlook’s review of Sue’s fantastic book Helpful Horse Hints.

“"She turned my moody mare into a happy horse."”

Sue’s nomination for Your Horse’s Inspiration Award from Andrea Parry-Clarke

“"Get your nose into one of these reads and grey January will be over in a flash"”

Horse and Hound listing “Understanding Horse Performance Brain, Pain, or Training?” as a recommended read

“"Whether you are struggling with a training issue or want to improve your relationship with your horse, Sue Palmer’s wise words will help."”

Horse Magazine recommending “Understanding Horse Performance Brain, Pain, or Training?” as their book of the month in December 2016

“"I definitely feel equipped to carry out this routine for my own horse now that I’ve seen the DVD, and recommend it as an easy, effective way to learn this new skill."”

Review of Sue’s DVD: Horse Massage for Horse Owners from the Horsemanship Magazine.

“"We are trying to raise awareness to help protect the general public from unscrupulous practitioners."”

Sue as quoted in Frontline, raising awareness of chartered physiotherapists.

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Sue's Blog