Two physiotherapists write book tackling the 'notoriously difficult' topic of cauda equina syndrome

Two physiotherapists with 'coal face' expertise – Tom Jesson and Rob Tyer – tackle the potentially thorny topic of cauda equina syndrome (CES) in a new book designed to instil confidence in clinicians.

Rob describes himself as an advanced practice physiotherapist and clinical lead, turned university lecturer. Tom, who says Rob has been his mentor in the past, specialises in treating people with nerve root problems. Both enjoy writing and passing on their practical knowledge. 

'We think that our mix of coal-face experience and writing skill makes Cauda Equina Syndrome: The clinician's guide a book that can take you to the next level in your practice,' they note on a site promoting the book.

'We're not saying it will be easy! We don't offer quick fixes. CES is always going to be a challenge. But this book will help you to meet that challenge with skill and confidence.' 

Five-star review

Their site is enlivened by plaudits from a number of physios and osteopaths. Specialist physio June Lanigan, who gave the book five stars, writes: 'This book is an important contribution to not only physiotherapy but all MSK healthcare.

'It provides much-needed clarity, evidence and guidance to clinicians. It is essential reading and I'm sure will save many patients from severe disability by making clinicians more aware of how CES can present and the steps to take if CES is suspected.'

Too often, you and your patient have a long and confusing conversation. No clear picture emerges. You have to decide, is this an emergency? Should you refer them to A&E? But the decision seems impossible ...

Learn to take things in your stride

Tom and Rob suggest that identifying CES can put practitioners under pressure, because the clock is ticking and a referal to A&E might be necessary. 'Too often, you and your patient have a long and confusing conversation. No clear picture emerges. You have to decide, is this an emergency? Should you refer them to A&E? But the decision seems impossible ...'

'CES is notoriously difficult for MSK clinicians like us to handle. But really, it's just like anything else: with the right knowledge and some good advice, you can take it in your stride. Those long, confusing conversations can become clearer, and those impossible decisions can become possible.'

They add: 'And the more you know, the more you can help your patient. And the more you can help your colleagues, too.'

Copies of the book cost £25, and discounts for bulk orders might be available.

To find out more, visit: https://thecesbook.com/?s=03