Mochi is a 3lb female Pomeranian, part of our Animal Assisted Therapy program. She may be present during treatment as a complementary therapy provider.

Research has found that pet therapy can alleviate pain, reduce  stress, improve overall  cardiovascular and psychological health to people of all ages with a wide range of health problems.

Your well-being is our priority. Should you have any issues with dogs we will make arrangements for her to be absent. 

Patricia Miyuki Hirai

MSc, DO, BSc (Hons), PT


Miyuki has a Bachelor in Physiotherapy from the University of the State of Sao Paulo (UNESP). She later specialized in Osteopathy and Manual therapy at Instituto Docusse de Osteopatia e Terapia Manual in Sao Paulo, Brazil and post-graduated with a Master Degree in Osteopathy at the British School of Osteopathy (former University College of Osteopathy) in London, UK. In addition, Miyuki is a certified Pilates Instructor and regularly attends courses and conferences to provide the most updated service to her patients. 

With more than 10 years of research and practice, Miyuki is known for treating complex patients that do not respond to conventional treatment.​ 

Her treatment approach focuses on identify and treat the cause of a symptom, prevent injuries and maintain overall health.


Miyuki can provide treatments in both English and Portuguese languages. 

  • Myofascial Release Techniques

  • Visceral Therapy

  • Extremity and Spinal Join Mobilization/Manipulation

  • Proprioceptive Neuromuscular Facilitation

  • Manual Lymphatic Drainage

  • Neuro-motor control and stimulation 

  • Master of Science Osteopathy (Pre-Registration)

The British School of Osteopathy, London, United Kingdom

Defense: “The influence of cranial-sacral osteopathic treatment in the recovery and performance of young soccer players: a pilot single-blind randomised controlled trial” (ISRCTN11632545)

  • Specializing in Structural, Visceral, Cranial Osteopathy and Manual therapy

Instituto Docusse de Osteopatia e Terapia Manual, São Paulo

  • Bachelors Degree in Physiotherapy - Universidade Estadual Paulista (UNESP) – Presidente Prudente, SP, Brazil

Scholarship: Institutional Programme of Scientific Initiation from The Brazilian National Council for Scientific and Technological Development– CNPq (Brazil)

Project: “The influence of a physical exercise programme on heart rate variability in obese children”

Scholarship: Excellence Program System II from Pró-reitoria de Extensão Universitária – PROEX (Brazil)

Project: “Primary and secondary prevention programme in cardiovascular diseases at The Studies and Assitance Centre – Presidente Prudente, Brazil”

Registrations & Memberships

UK General Osteopathic Council (GOsC) | 9568 
Canada (Osteopathy BC) |1211
Brazil Conselho Regional Fisioterapia e Terapia Ocupacional (Crefito-3) | 157435-F  

Patricia Miyuki Hirai I'm Registered Mar