Hi, my name is

Nick Elorreaga,

The Hypermobiltiy Physio

Personally living with hypermobile Ehlers-Danlos Syndrome was a huge driving force in why I became a physio in the first place. Now I aim to use my formal training and constantly growing professional expertise, hand in hand with my own lived experience, to help others like me to live the best lives they can.

About Me

I am a UK-based, HCPC-registered Physiotherapist and member of the Chartered Society of Physiotherapists.

I am currently working full time in the NHS as an outpatient musculoskeletal physiotherapist. In my NHS role I treat all manner of people, with all manner of musculoskeletal conditions. However, I rarely get to see as many hypermobile folks in this setting as I’d like. Even among those who I do see, I don’t get to give them the degree of time and attention that they really need to get the best care, as the service simply isn’t set up for meeting the more complex needs of the clinically hypermobile population (through no fault of its own).

As a result, I will occasionally take private consultations for individuals with hypermobility related pains and functional restrictions that find me online, seeking my guidance on how to maximise their function and overall wellness.

My capacity for private clients of either type is limited as a result of the rigour and intensity of my NHS work combined with my own health-related limitations, but don’t let that stop you from reaching out. I operate a waitlist for individuals that are very keen to work with me, and I make sure that by keeping my active client list to a realistic size, those who I am working with at any given time are not too restricted in appointment frequency where needed.

Outside of Hypermobility Spectrum Disorder and Hypermobile Ehlers-Danlos Syndrome, here are a few of my other clinical interests:
  • Dysautonomia and POTS
  • Chronic Fatigue
  • Pain Science Education
  • Acceptance and Commitment Therapy
  • Neurodivergence
  • Gender Diversity

Experience

Musculoskeletal Physiotherapist - 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.

Hypermobiliy Physio - Private Work
Aug 2025 - present

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.

Owner | Author @ Nick-E.com - Pre-Clinical Work
Nov 2015 - present
  • 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.

Education

2021 - 2023
Master of Science: Physiotherapy (Pre-registration)
King's College London
GPA: Distinction

Dissertation:

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2016 - 2020
Bachelor of Science: Sport and Exercise Science
University of Bath
GPA: First Class (Honours)

Dissertation:

Extracurricular Activities

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Post-Registration CPD and Certifications
Courses or certifications I have completed since becoming HCPC-registered that have influenced my practice

Acceptance and Commitment Therapy - Association of Psychological Therapies - 2024

  • A self paced online certification to train in the delivery of Acceptance and Commitment Therapy. I supplemented this with studying ‘ACT Made Simple’ by Russ Harris to get two different perspectives on the modality at the same time. Regularly trying to find ways of integrating the concepts of ACT into physio treatment in a way that respects the limits of my scope of practice as a non-psychologist.

Mastersessions - Dr. Lorimer Moseley - 2024

  • An intensive 2 seminar (8hr x2) over one weekend, covering the latest advancements in research on pain science education in the treatment of chronic primary and secondary pain. Integration with models of conceptual change from educational science (e.g., ICAP model) to maximise the effectiveness of these interventions.

Recognising Rheumatology - Jack March - 2025 - (Ongoing)

  • A self paced online course centred around the recognition, pathophysiology, pharmacological treatment and physio management of a number of rheumatological diseases including Rheumatoid Arthritis, Axial and Peripheral Spondyloarthropathy (including psoriatic arthritis and ankylosing spondylitis), Gout, Polymyalgia Rheumatica, Sjogren’s Disease and Systemic Lupus Erythematosus.

EDS ECHO Program - Ehlers Danlos Society - 2024-2025 (Ongoing)

  • A series of weekly interactive 90 minute webinars covering a number of topics on the multi-disciplinary management of patients with Ehlers-Danlos syndrome. Topics ranging from sleep disorder, dysautonomia and [], to [], [] and []
Pre-Clinical Certifications
Courses or certifications I completed prior to physio registration that still influence my practice
  • Level 3 Personal Trainer - ActiveIQ - 2017

  • Level 3 Sports Massage Therapist - iTEC - 2018

  • Level 2 Olympic Weightlifting Coach - British Weightlifting Association - 2017

Projects

Learn about Hypermobility
Learn about Hypermobility
Educational content made for people without a background in medical science that want to understand more about their bodies and how to live well in the face of health challenges.
Resources for Educators
Resources for Educators
Resources for other clinicians, coaches and anyone who wants to make a positive difference in the lives of hypermobile people, to boost their understanding of hypermobility and hypermobility-adjacent issues
Remote Consultations
Remote Consultations
Get in touch if you struggle with hypermobility-related functional limitations and/or pain, and want to meet with me digitally to learn how to live a better life.

Get in Touch

My inbox is always open. Whether you have a question or just want to say hi, I’ll try my best to get back to you!