Musculoskeletal Physiotherapist
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NHS Work
Mar 2024 - present
I am currently working full-time for the NHS in outpatient musculoskeletal practice. I feel very lucky to be part of an excellent team that does its best in supporting me with the challenges of managing my own chronic health conditions, enabling me and encouraging me to continually learn and improve my clinical practice a little bit every day.
The majority of my work given the caseload of this clinic consists of:
- Optimising treatment and eventual self-management of long-term conditions such as Osteoarthritis and Chronic Pain (Primary and Secondary): to minimise the impact of such conditions, and put people back in the driver’s seat of their own lives even where a definitive ‘cure’ is not possible.
- Working with patients on their recovery from self-limiting conditions such as Plantar Fasciitis, Frozen Shoulder and Sciatica: to facilitate the process of recovery, encourage the body in the process of self-healing, and promote understanding of the causes of these conditions to minimise the risk of recurrence.
- Guiding patients through post-operative rehabilitation following orthopaedic surgeries such as total joint replacement and arthroscopic soft tissue repairs: to ensure they are armed with everything they need to maximise the long term function of the body part which has been surgically repaired/replaced/fixated/etc.,
- Screening for more sinister conditions requiring medical intervention beyond physiotherapy that may masquerade themselves as purely musculoskeletal complaints, such as: rheumatological diseases, acute spinal cord compression, stroke, peripheral vascular diseases, cancer, and infection.
My personal objective as a cog in this wider machine is to engage each of my patients as an active participant in their recovery/management wherever I can. Rather than delivering treatment as a top-down authority, I always try to collaborate with the person in front of me to co-create a treatment plan that aligns with their lives, goals and values.
As hard as it can be to consistently achieve this objective under pressure (as the number of people we need to help perpetually exceeds the amount of time and resources we have to do it), I really do love my work in the NHS. Actively contributing to a system that provides access to evidence-based healthcare for the wider population, regardless of their financial means, is a significant and meaningful thing to me. As a person born in the USA, I am acutely aware that publically funded systems like the NHS that are attempting to provide universal healthcare to its citizens are few and far between, and I feel lucky to be a part of it for as long as it continues to strive for that goal. I hope to be able to continue to contribute to such a system in some way or another throughout my career.
Before embarking on my Master’s degree to qualify as a physio, my end goal has always been to specialise in primarily treating people suffering from symptoms relating to, or in the orbit of, the clinical joint hypermobility spectrum. Now that I am properly settling in to my role with my current team on the NHS side, I finally have the capacity to start placing some overdue attention on this over-arching mission of mine.
I am currently in the process of establishing all the relevant legal and logistical digital infrastructure to start formally taking clients outside of my NHS working hours. If you are keen to work with me in the near future, fill out the registered interest form and when the time comes I will get into contact with you!
In the meantime, I am planning to start producing some educational content relating to rehabilitation/physiotherapy more broadly, and then start narrowing in more on hypermobility and hypermobility-adjacent topics once the fundamentals are down.
- Home of two popular free exercise programs for at-home calisthenics exercise: the BWF Primer + BWSF Routine.
- Home of a budding exercise library project with 300+ entries, accessible via a £5/month subscription for non-clients.
- Home of my remote personal training business (Since 2017; most active between 2019 and 2022); soon to be home to my remote health coaching service for international clients.
Nick-E.com is a fitness education website that initially started as a ‘hobby blog’ of sorts, for me to try my hand at writing online tutorials for calisthenics exercises as a teen who was just getting into exercise myself. At the time I was a regular user and eventual moderator of the /r/bodyweightfitness subreddit, a community that (at the time I spent most of my time there) averaged around 2mil subscribed users.
While I was studying my undergraduate degree in Sport and Exercise Science and working part time doing remote personal training, I began to develop it more seriously, creating beginner exercise routines such as the BWF Primer and the Bodyweight Strength Foundations (BWSF) programs, which I am grateful to see are still part of the list of recommended free exercise routine on /r/bodyweightfitness, despite my absence of participation there nowadays.
Over the years I had also been slowly developing an online exercise library for use with my online personal training (And now also online physiotherapy) clients. This is essentially a collection of video entries with information about exercises that can be referenced by my private clients/patients, allowing a higher quality of remote/online exercise instruction.
Development on this library has slowed in recent years as my in-person physio work has taken most of my time, but it’s a project I hope to return to soon, and develop into a more robust platform for remote physiotherapy in future.
My primary goal at present is to take what I’ve learned about educational content creation and independent website development from my ‘fitness’ days on Nick-E.com, and start to produce content that is more healthcare, physio and rehabilitation focused on this site.