Personally living with hypermobile Ehlers-Danlos Syndrome was a huge driving force in why I became a physio in the first place.
As I continue to develop further clinical expertise in hypermobility, my aim with this site is to create educational content that can help other clinicians to up-skill and increase their confidence with identifying and managing clinical hypermobility and its related conditions.
At some point I am planning to populate this area of my website with some informational resources of my own making, but in the meantime, I thought I would try and put together as comprehensive a collection of external resources as I can, to make it so that anyone who visits the site can easily …
One of my historically weaker areas of knowledge within the realm of hypermobility and connective tissue disorder has been my understanding beyond the confines of HSD/hEDS.
This year I have seen a coincidentally higher number of patients coming in asking for formal assessment on their own personal …
The Beighton Score is the most widely known assessment for generalised joint hypermobility, and is currently used as part of the 2017 hEDS Diagnostic Criteria.
This tool has a total score of 9, divided into the following joint movements:
I am a UK-based, HCPC-registered Physiotherapist and member of the Chartered Society of Physiotherapists, currently working full time in the NHS as an outpatient musculoskeletal physiotherapist.
I myself was diagnosed with hypermobile Ehlers-Danlos syndrome as a child. My experience with this condition, both personally, and observing its effects in those similarly affected in my immediate family, was the main driving force behind why I trained as a physiotherapist. As a result, specialising in clinical joint hypermobility has always been my priority and eventual goal.
At present, I am focusing my energy on improving the quality and accessibility of information out there for other clinicians who help people with hypermobility related conditions.
In future, I aim to produce patient-facing educational content as well, for those without a medical background who want to empower themselves in their own management of their hypermobility. I am not currently looking to take on private physiotherapy clients, but this may change in the future.
Outside of Hypermobility Spectrum Disorder and Hypermobile Ehlers-Danlos Syndrome, here are a few of my other clinical interests:I am currently working full-time for the NHS in outpatient musculoskeletal practice. In this role I spend every day assessing, diagnosing and treating a wide range of musculoskeletal conditions and complaints. This ranges from:
My personal objective in my work 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.
Before embarking on my Master’s degree to qualify as a physio, my end goal has always been to specialise in clinical hypermobility and hereditary disorders of connective tissue; particularly the Hypermobility Spectrum Disorders and Hypermobile Ehlers Danlos Syndrome.
At this point in my career, I am still largely focused on building a strong foundation of general clinical skills and expertise, so I am hesitant to call myself anywhere close to an expert or specialist in hypermobility at this point. However, by nature of my lived experience and special clinical interest in the area, I feel I already have significantly more knowledge than many other clinicians out there on these conditions, and I want to share what specialist knowledge I do have to help fellow healthcare professionals to provide the best care they can to the hypermobile populations they serve.
I am not currently looking to take on private coaching or physiotherapy clients outside of my full-time role in the NHS. I may expand in this capacity in future, but currently I am focusing my free time and energy outside of work on producing educational content.
This website is going to be the repository for said content. There’s not much here right now, but hopefully that will become less and less true over time!
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.
Acceptance and Commitment Therapy - Association of Psychological Therapies - 2024
Mastersessions - Dr. Lorimer Moseley - 2024
Recognising Rheumatology - Jack March - 2025
EDS ECHO Program - Ehlers Danlos Society - 2024-2025
Level 3 Personal Trainer - ActiveIQ - 2017
Level 3 Sports Massage Therapist - iTEC - 2018
Level 2 Olympic Weightlifting Coach - British Weightlifting Association - 2017