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BEST-BOX: Too Good To Be True or Total Game-Changer?

Dr. Karyn Kanowski, BVSc MRCVS (Vet)
By Dr. Karyn Kanowski, BVSc MRCVS (Vet)Updated on June 16, 2026
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For the sceptics amongst us, things that seem too good to be true usually are, but the groundbreaking diagnostic and therapeutic system from EQUUSIR may just be the exception to the rule. At first glance, you might be forgiven for thinking that the BEST-BOX looks suspiciously like a doggy-sized microwave oven, but rest assured, this is not the case! Although it will keep your dog toasty and warm at 98.6 to 107.6oF (37 to 42oC) during treatment.

This remarkable metal box has been used successfully for over a decade in the European horse racing industry, but its full potential is only starting to be unlocked since being introduced to the canine veterinary world. You may be familiar with the increasing popularity of red light, laser, and LED light therapy in treating a range of conditions, from the visible signs of aging, osteoarthritis, and even immune-mediated disease. These are all forms of photobiomodulation (PBM). Although the therapeutic benefits of PBM are becoming increasingly well-regarded in the scientific, medical, and veterinary communities, the use of this technology as a diagnostic tool is not so widely known. And combining both in a single, non-invasive machine is nothing short of revolutionary.

According to Dr. Jaime Pickett, EQUUSIR's Chief Veterinary Officer, with the exception of acute conditions that require immediate surgical, medical, or physical intervention, there are very few health conditions that cannot benefit from PBM therapy. We sat down with Dr Pickett to find out more about BEST-BOX and whether or not it really is too good to be true.

What Is The BEST-BOX?

The BEST-BOX uses three different modalities –  photobiomodulation (PBM), which is the wavelengths of the light spectrum, infrared B for heat, and an electromagnetic field for neurostimulation. For an initial program, your dog is placed in the box for three sessions over the course of three days.

  • Day One: The session lasts about 24 minutes and includes an initial assessment followed by a personalized application of light therapy and neurostimulation for 20 minutes. This is then followed by a two-minute follow-up assessment.
  • Day Two: a 20-minute follow-up treatment customized to the dog’s needs is administered, followed by another two-minute follow-up assessment.
  • Day Three: a 20-minute follow-up treatment and discussion with the veterinarian to discuss the next steps for the dog’s long-term health and well-being, and potential treatments as part of a maintenance plan.
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What Does It Do?

The BEST-BOX can diagnose and treat multiple conditions, including those affecting the gastrointestinal, thoracic, pelvic, musculoskeletal, cervical, cerebral, and central nervous systems. Some common concerns addressed include problems with the digestive system, liver, skin, urinary system, immune system, orthopedic issues, endocrine disorders, inflammation, and pain. It can also help manage behavioral concerns like anxiety and stress, and help with emotional regulation.

In many cases, dogs have been able to have their long-term medications reduced, even stopped completely, eliminating the risks of drug side effects. Chronic conditions will require repeated treatments, but the treatment interval will depend on the individual patient, as well as the type and severity of the disease being targeted.

With its origins in optimizing the performance of racehorses, the BEST-BOX can also be used to help active, sporting, or working dogs recover more quickly and reduce the impact of intense activity on bones, joints, and soft tissue.

What About Cats?

At this stage, the BEST-BOX is only being used for dogs, but that will soon change. Although the basic diagnostic and therapeutic principles will be much the same for our feline friends, the problem is with posture. While dogs tend to stand or lie flat in the box, cats will usually curl up, which limits the capacity for accurate mapping and treatment. Dr Pickett admits that sedation could be considered, but they hope to have a solution to this logistical issue soon. After all, a non-invasive treatment for hyperthyroidism and kidney disease in cats, without the need for daily medications or radiation therapy, would be an absolute game-changer!

Is It Safe?

The technology used in the BEST-BOX is very similar to that used in human therapy, and there is no risk of radiation, microwave exposure, or anything else that you might be worried about. And rather than treating disease by introducing foreign chemicals into the body, the treatments stimulate cellular repair and regeneration, essentially allowing the body to heal itself.

In fact, pet parents are encouraged to sit with, even pet, their dogs while they are receiving their treatment. The BEST-BOX is not just limited to use in a veterinary setting, and has been installed at boarding kennels and agility clubs, though Dr Pickett recommends that any use be under veterinary guidance.

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Is It Too Good To Be True?

No drugs, no pain, no side effects? You might be suspicious that this new form of therapy is far too good to be true, but the company is willing to put its money where its mouth is. EQUUSIR has a pilot program whereby they will deliver the box for a free, three-month trial before committing to purchasing or leasing the BEST-BOX, and so far, none have been returned!

Only time will tell for certain just how much of an impact this new technology will have on the veterinary world, but we can’t wait to see if the BEST-BOX will change the way we diagnose and treat pets forever.

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Dr. Karyn Kanowski, BVSc MRCVS (Vet)
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Dr. Karyn Kanowski, BVSc MRCVS (Vet)

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