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News & advice

Physiotherapy news & advice

Practical, research-backed articles from Nicholas on the conditions he treats every day.
Crutches

7 October 2026 · 5 min read

When do you need to use crutches?

When do you need to use crutches? After surgery on the lower limb if the surgeon’s protocols require non weight bearing (NWB) or partial weight bearing (PWB). If you have an…

Carpal tunnel syndrome

18 September 2026 · 8 min read

Carpal tunnel syndrome or referred neck pain/cervical nerve root compression?

What is carpal tunnel syndrome? Carpal tunnel syndrome occurs when the median nerve, which is in the centre of the palmar side of your wrist, is compressed as it passes through the…

11 September 2026 · 3 min read

Why do perimenopausal women develop musculoskeletal pain and inflammation?

Why do pain symptoms increase with menopause? Between 40-60% of perimenopausal and menopausal women have musculoskeletal pain and inflammation. Oestrogen has an anti-inflammatory…

Breathing exercises

17 July 2026 · 9 min read

Physiological Effects of Yoga Breathing Techniques for Relaxation or Stimulation.

What types of Yoga Breathing are there and what are they good for? The most gentle yoga breathing is Savasana (Corpse Pose). This is usually used at the end of a yoga class to…

21 April 2026 · 4 min read

Guidelines for treatment of Temporomandibular Joint Disorders

Temporomandibular disorders (TMDs) are the second most common reason for orofacial pain. Pain in the muscles of the jaw is the most common diagnosis. To improve the treatment…

11 February 2026 · 4 min read

Musculoskeletal Side Effects from Immunotherapy

Cancer immunotherapy, commonly using immune checkpoint inhibitors (ICI), has revolutionized the treatment of previously hard to treat metastatic (stage four) cancer. The main…

1 February 2026 · 7 min read

Stress, Anxiety and its Effect on Pain, Muscles and digestion

Stress can cause muscle tension and conditions related to muscle tension such as temporomandibular joint dysfunction (TMD), tension headaches and migraines, low back pain, neck and…

Acupuncture

20 January 2026 · 4 min read

Acupuncture/dry needling helps low back pain, whiplash, neck pain, and arthritic joint pain.

Some national guidelines do recommend acupuncture/dry needling for some conditions including low back pain, while others do not. However, when you review the evidence, there is a…

Neck Pain

28 December 2025 · 5 min read

How to choose a pillow if you have neck pain

It is important to remember when choosing a pillow for your neck pain that there is a lot of variability in neck thickness, shoulder width and neck length. This means that there is…

Arthritis

21 December 2025 · 3 min read

Ankylosing Spondylitis, Axial spondyloarthritis and related conditions.

Axial spondyloarthritis is a classification that includes Ankylosing Spondylitis but also includes a similar condition that does not have the charachteristic bamboo spine…

Artificial Intelligence

27 November 2025 · 2 min read

Using Artificial Intelligence (AI) to investigate your pain and dysfunctions before your physiotherapy appointment

Artificial Intelligence (AI) is changing the way we approach health and wellbeing. Here’s how you can use AI to better understand and manage your health—especially for issues like…

Sport

7 September 2025 · 12 min read

What are common mistakes when training in the gym?

Weight lifting is recommended for most people, especially as you get older as it helps to reduce muscle atrophy, improve bone density (osteoporosis) and improve balance. Athletes…