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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.

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 carpal tunnel. The carpal tunnel is the area between the two rows of small bones in the wrist, called carpal bones, and the [...]

By |2026-09-18T17:51:49+01:00September 18th, 2026|carpal tunnel syndrome, Neck Pain, Physiotherapy|0 Comments

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 and immunosuppressive effect. It also helps to inhibit pain pathways in the spinal cord, which reduces your perception of pain. So when the levels of oestrogen fall during menopause, pain, inflammation and [...]

By |2026-09-18T09:19:43+01:00September 11th, 2026|Physiotherapy, Uncategorized|0 Comments

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 create a relaxed state. Pulse mediated relaxation breathing was devised more recently by Dr Vijay Pabbathi, from whom I have learned [...]

By |2026-08-26T15:47:03+01:00July 17th, 2026|Breathing exercises, Pilates and Yoga|Comments Off on Physiological Effects of Yoga Breathing Techniques for Relaxation or Stimulation.

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 outcomes of TMD, in the last few of years, guidelines have been released by the Royal College of Surgeons, British Medical Association, British Orthodontic Society, and NICE [...]

By |2026-09-27T17:45:47+01:00April 21st, 2026|Uncategorized|Comments Off on Guidelines for treatment of Temporomandibular Joint Disorders

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 difference to other treatments such as chemotherapy is that it boosts the immune system rather than impairs it. Chemotherapy tries to kill cancer cells by using medications that are toxic to cancer [...]

By |2026-05-23T09:33:40+01:00February 11th, 2026|Uncategorized|Comments Off on Musculoskeletal Side Effects from Immunotherapy

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 shoulder pain and dizziness. Stress creates muscle tension by activating your sympathetic nervous system and releasing adrenaline making you ready for a fight or flight response. In most cases, [...]

By |2026-05-23T09:34:09+01:00February 1st, 2026|Uncategorized|Comments Off on Stress, Anxiety and its Effect on Pain, Muscles and digestion

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 lot of evidence that acupuncture and dry needling is helpful in a large range of musculoskeletal conditions including low back pain, neck pain and post whiplash injuries and [...]

By |2026-03-11T22:59:28+00:00January 20th, 2026|acupuncture|0 Comments

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 no one pillow that will suit everyone. The type of pillow that may be beneficial for you is partly determined by the [...]

By |2026-05-26T21:43:59+01:00December 28th, 2025|Neck Pain|Comments Off on How to choose a pillow if you have neck pain

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 presentation on X-Ray imaging. The bamboo like image is from one vertera forming bony bridges (fusing) with its adjacent vertebra along the ligaments between vertebrae, especially the outer fibres of the disc [...]

By |2026-03-18T20:42:49+00:00December 21st, 2025|ARTHRITIS|0 Comments

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 muscle, joint, or movement problems. AI can help you understand your symptoms. Recent studies show that AI can be as accurate as a health professional for certain [...]

By |2026-09-27T10:26:14+01:00November 27th, 2025|Artificial Intelligence|Comments Off on Using Artificial Intelligence (AI) to investigate your pain and dysfunctions before your physiotherapy appointment
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