Home/Nicholas Evans

About Nicholas Evans

My name is Nicholas Evans and I have been a physiotherapist since completing a physiotherapy degree at the University of Sydney, Australia in 1994 and a master’s degree in physical therapy from Quinnipiac University (Connecticut, USA) in 2006.

COVID19 recovery advice

The Chartered Society of Physiotherapy has released a video with some general guidance about recovering if you have had COVID 19 using a gradual increase in activity levels. Simple, reassuring advice.

By |2020-11-14T20:19:27+00:00June 24th, 2020|Uncategorized|0 Comments

Physiotherapy during coronavirus/COVID19

Physiotherapy is still possible during the coronavirus lock down, with some restrictions. Non urgent cases can be dealt with remotely via video consultation. If you are having your initial assessment, no palpation or specific tests can be done but a lot of information can be gained by watching how someone moves and what movements are [...]

By |2020-05-24T23:38:52+01:00April 28th, 2020|e-physiotherapy, Physiotherapy, Uncategorized|0 Comments

The Best Options for Treating Tendinopathy (Tendinitis).

There are a number of options for treating tendinopathy/tendinitis. Initially non-surgical options are explored such as strengthening, eccentric strengthening, ultrasound, deep tissue massage, non steroidal anti-inflammatory medication, and dry needling.  If these do not work, more aggressive and costly treatments such as extracorporeal shockwave therapy, and corticosteroid injections may be used. Even more costly are [...]

By |2020-05-24T23:40:36+01:00February 14th, 2020|Uncategorized|0 Comments

Acupuncture/Dry Needling for Knee Osteoarthritis

There has been debate among researchers as to whether acupuncture, electro-acupuncture and dry needling are helpful for controlling pain and improving function in different conditions, injuries and diseases. There is now good evidence that for osteoarthritic knees, it is useful for both pain control and functional improvement, from two systematic reviews published in 2008 and [...]

By |2020-05-24T23:41:01+01:00January 19th, 2020|acupuncture, Knee pain|0 Comments

Breathing and Neck Muscle Strengthening for Neck Pain.

Neck posture is often assumed to be a cause of neck pain, however, there is little research evidence to support this. Neck muscle strength is a different story though as there are links to certain neck muscle weakness and neck pain. People with neck pain have been shown to have a different pattern of neck [...]

By |2019-12-06T13:09:05+00:00December 6th, 2019|Neck Pain|0 Comments

Temporomandibular joint pain and poor balance/proprioception

One of the main problems with resolving temporomandibular joint (TMJ) pain is that jaw clenching occurs without the person realizing they are doing it during the day and at night. At night you can use a mouth guard/appliance that helps inhibit clenching. However, this is not practical during the day and as you have conscious control [...]

By |2019-11-26T14:36:57+00:00November 26th, 2019|Jaw pain|0 Comments

Evidence for physiotherapy management of osteoarthritic knees.

In addition to medication, the main treatments for osteoarthritic knees are weight loss, general exercise and strengthening the muscles around the knee. Joint surgery is always the last option, once you are no longer able to continue with your normal activities of daily living including walking. Other commonly used strategies include pacing your activities to [...]

By |2019-11-10T13:48:18+00:00November 10th, 2019|Knee pain|0 Comments

Gastric Reflux and physiotherapy breathing exercises.

Gastric reflux disease (GERD) is a common condition, especially as people get older, where small amounts of the stomach contents move upwards into the oesophagus, causing a burning sensation due to the high acidity of the stomach contents. Many people do not get symptoms, only discovering they have GERD when they have tests done such [...]

By |2019-11-05T15:01:08+00:00November 5th, 2019|Breathing exercises|0 Comments

Pilates or Yoga, which is better for me if I have back pain?

To work out whether Pilates or yoga is better for you, we need to outline what the differences between Pilates and yoga are. There are some similarities as Pilates is partly based on yoga, in addition to gymnastics and Pilates own input and apparatus. As a brief summary, Pilates involves learning to control the spine [...]

By |2019-11-03T11:02:57+00:00October 30th, 2019|Pilates and Yoga|0 Comments