The Pain Clinic.

Many vets provide pain management and follow-up. We offer dedicated pain care and structured monitoring between appointments. Remote adds scheduled veterinary review alongside your usual vet; clinic care adds assessment and treatment with Claire. Your usual practice continues routine care.

Specialist pain clinics offer interventional procedures like nerve blocks, joint injections (intra-articular), regenerative medicine techniques and other advanced diagnostics and treatments by association with a wider, on-site team of RCVS/EBVS anaesthesia, imaging and surgical specialists. We provide the care and co-ordination between those appointments, with continued observations and supportive treatments.

Painspan is designed for pets with chronic or recurrent pain conditions where an in-depth assessment, ongoing monitoring, functional tracking and multi-modal, holistic management would support better quality of life. If you're unsure, talk to us about your pet's specific needs. We'll be transparent about whether this service is appropriate.

No, we contact your primary care vet to ensure communication is open between us regarding your pet's current clinical situation. We request information about relevant history and current medications, then provide a report so that everyone is kept in the loop.

It depends on the programme. Painspan Remote does not prescribe. Your own vet keeps clinical responsibility and prescribes, and we send them what we see. In the Pain Clinic, your pet is under our care, so we can take on prescribing for chronic pain, including controlled medication where appropriate, after a hands-on examination. We give you a written prescription so you can choose the most cost-effective pharmacy. For safety, you will have access to our affiliated out-of-hours emergency service, and we may ask for an occasional blood test from a GP vet if your pet is on long-term medication.

The clinic is not an emergency service. Pain Clinic patients have access to our affiliated out-of-hours emergency service. Painspan Remote members keep their own practice and its out-of-hours provider as their first call. We confirm your pet's arrangements in writing at the first appointment.

Greenway Veterinary Acupuncture provides acupuncture on a referral basis from your GP vet. This is when your pet has undergone full assessments and diagnostics with your main vet and/or specialist, has a full management and medical plan in place and you and your pet's care team would like a regular acupuncture session added in or continued. Acupuncture may be a part of the Painspan treatment plan but Painspan embraces the whole field of pain and mobility management.

Yes. We coordinate with physiotherapists, hydrotherapists, osteopaths and other practitioners to ensure we maximise each other's expertise. We help integrate therapies into the broader management plan and monitor how rehabilitation exercises and physiotherapy strategies are working in the context of daily life.

No. The free account is for your own notes, medication history and check-ins. It does not include clinical review, monitoring or advice. You can download the record to share with your vet. Veterinary review is part of our paid services; Painspan Remote currently has a waiting list.

Membership runs month to month, with no minimum term or exit fee. You can stop with a month's notice. The one-off £350 Complete Care Assessment includes your first recheck, whether or not you join. If you leave, we send your pet's pain scores and gait reports to you and your own vet.

Monthly Sightline scoring and Pawscheck gait analysis, reviewed by a veterinary surgeon, plus video check-ins, letters to your own vet and as much conversation with Claire as you need. Medication, additional rechecks and home visits are charged separately.

Cover depends on your policy. Ask your insurer about assessment, recheck, medication, acupuncture and membership fees. We provide itemised invoices and supporting information for your claim.

Contact Claire if you notice a change. We review your observations, pain scores and gait reports to decide whether the care plan needs to change. If you are worried about your pet's quality of life, we make time to discuss that with you. Out of hours, Pain Clinic patients use our affiliated out-of-hours emergency service; Painspan Remote members contact their own practice or its out-of-hours provider.

Your practice receives a letter after each significant change to the care plan. Your own vet continues to provide routine care, and we keep any specialists involved informed.

Painspan is our method: Meet, Measure, Manage, Monitor. Sightline scores how your pet feels, Pawscheck measures how a dog moves, and a veterinary surgeon reviews the trend and adjusts the plan between visits. Painspan Remote delivers it alongside your own vet. The Pain Clinic delivers it with Claire, including assessment and prescribing.

Home visits cover London and the South East, from Oxford to Essex. Further afield, Painspan Remote will provide monitoring alongside your own vet. Its waiting list is open; it is not taking new members yet.