Kay is one of the clinical directors at Back in Shape and has been a Mat Pilates instructor for 17 years, alongside being an osteopath for 19 years. In more recent years, Kay has integrated reformer Pilates into her offerings and teaches individual clients and small groups.

She trained at The British College of Osteopathic Medicine and has done all her Pilates and reformer Pilates training with the APPI (Australian Physio and Pilates Institute). Kay has a specialised way of treating her patients, combining her knowledge and skills in osteopathic manual therapy and Pilates specific exercise prescription. She is also qualified in modern acupuncture/dry needling, which she uses for some musculo skeletal problems.

Kay has personal experience with chronic kidney disease and has also authored a memoir detailing her experience receiving a kidney transplant and starting a family with a transplanted kidney. More details can be found here https://www.kosteo.co.uk