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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.

Extracorporeal Shock Wave Therapy

Extracorporeal Shock Wave Therapy (ESWT) is a treatment where shockwaves are passed through the skin to the injured tendon or ligament. (Extracorporeal means outside of the body) The shockwaves are mechanical, audible, low-energy sound waves, which are applied to the injured area and stimulate tissue healing. Mast cells are initially stimulated by the mechanical forces [...]

What is the difference between a physiotherapist, sports therapist, osteopath and chiropractor?

Protected Titles and Regulation of Chiropractors, Osteopaths, and Physiotherapists  Using the titles of the professions, chiropractor, osteopath and physiotherapist is protected. This means that no one can use these titles except therapists who are registered with their respective regulatory body and have completed the required university degree. The regularory bodies are: the General Chiropractic Council [...]

By |2024-11-26T16:24:53+00:00May 24th, 2020|Physiotherapy|0 Comments

What are 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, dry needling and extracorporeal shock wave therapy.  If these do not work, more aggressive and costly treatments such as corticosteroid injections, platelet rich plasma (PRP) injections or surgical [...]

By |2025-11-23T13:41:28+00:00February 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 |2025-05-04T10:26:15+01:00December 6th, 2019|Neck Pain|0 Comments

Temporomandibular joint pain, vocal dysphonia and poor balance/proprioception

One of the main problems with resolving temporomandibular joint (TMJ) pain and vocal dysphonia is that jaw clenching and tongue tension 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 [...]

By |2024-12-29T11:55:18+00:00November 26th, 2019|Jaw pain|0 Comments

What Evidence is there 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 |2025-09-23T06:39:19+01:00November 10th, 2019|Knee pain|0 Comments

Gastric Reflux and physiotherapy treatments

Gastrioesophageal reflux disease (GERD or GORD) 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/GORD when they have tests [...]

By |2025-12-01T13:58:07+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 |2023-05-03T15:08:26+01:00October 30th, 2019|Pilates and Yoga|Comments Off on Pilates or Yoga, which is better for me if I have back pain?

Home/Nursing Home Visits & stroke rehabilitation in Edinburgh

Sometimes it is necessary for physiotherapy to be provided in the home or nursing home and this is a service provided by e-physiotherapy. Lack of mobility is one of the main reasons for requiring a home visit and we can help with getting mobility back whether it is due to low back pain, a stroke, [...]

By |2025-05-04T10:31:45+01:00October 24th, 2019|Uncategorized|0 Comments
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