A healing crisis, sometimes referred to as a Herxheimer reaction, describes a temporary response that may occur as the body begins to rebalance following massage.

After treatment, circulation is increased and metabolic waste products may be mobilised more efficiently. In some dogs, this can lead to a short-lived period in which symptoms appear to worsen before improvement is seen. Not all dogs experience a healing crisis, but when it does occur, symptoms typically begin shortly after treatment and may last for up to 72 hours.

Symptoms can vary in intensity and may include:

• Lethargy or increased sleeping

• Being unusually quiet or subdued

• Increased thirst

• More frequent urination

• Vomiting

• Loose stools or diarrhoea

• A temporary increase in joint or muscular discomfort (occasionally resulting in mild lameness for up to 48 hours)

• A temporary flare-up of existing symptoms

While these signs can understandably be concerning, they are usually short-lived and indicate that the body is responding to treatment. This process reflects the body’s efforts to restore balance and adapt following the release of muscular tension.

If you ever have concerns about your dog following treatment, or if symptoms seem excessive or prolonged, you are encouraged to contact me or your veterinary surgeon for advice.