Handle CES with confidence

  • Cauda Equina Syndrome: The MSK Clinician's Guide
  • Cauda Equina Syndrome: The MSK Clinician's Guide
  • Cauda Equina Syndrome: The MSK Clinician's Guide
  • Cauda Equina Syndrome: The MSK Clinician's Guide

Do you find yourself lost in long conversations with your patients about their 'red flags'? Or stuck on the fence trying to make tricky decisions about their care?

Cauda Equina Syndrome: The MSK Clinician's Guide shows you how to meet the challenge of potential CES with skill and confidence.

"I feel like this is the type of stuff that separates expert clinicians from the others!" - Tim, physio.

Click here to look inside the book.

This page is for an ebook for personal use. If you are purchasing an ebook for your team, department or library, please go to the group licence page

Regular price

What are you getting?

Knowledge, advice and 'lightbulb moments' about:

  • How to think about CES beyond red flag checklists.
  • What causes CES and how that relates to the symptoms.
  • How CES unfolds over time, and why the red flags we look for are often 'too late'.
  • How bladder, bowel, saddle and sexual symptoms present... And how to tell them from red herrings.
  • How to navigate a succesful CES conversation (including example questions for each symptom).
  • How to make a CES decision. A&E? Urgent scan? Safety netting?
  • How to act on that decision so that everything goes smoothly.

Want to look inside? Click here to see the first few chapters



The book has a section on how to refer your patient which is fairly specific to the UK. We also use UK-centric words such as 'A&E', which you might not be used to. Other than that, this book should be relevant to your practice.

If it isn't, we have a 100%, no-hard-feelings refund policy 👍


We assume the reader has some experience in asking patients about CES and knows their 'red flags'. If you've had an MSK placement and/or taken a special interest in MSK, then the book will probably work for you. If that's not you, then some parts might be a bit advanced.

Note there is a 'basics' chapter at the beginning to help you get up to speed.


The book is written for MSK clinicians at the novice and intermediate stages. The goal of the book is to help people get to the advanced stage, so if you feel like you're already there (when it comes to CES) then it might not be for you.

That said, if you're a specialist clinicians then you'll probably be interested in our approach and it might give you some ideas when it comes to teaching others others. You should also pick up on some facts you haven't heard before. But a lot of the material might be familiar.

When considering your purchase, remember there is a 100% no-hard-feelings refund.

Yes. We recognise that £25 is a lot of money in some parts of the world.

Unfortunately we can't automate a discount, so please email us using the contact form—the link is located at the bottom of this page. Let us know where you are from and we will send you a code for a 'parity pricing' discount based on your location.

EDIT - Expensive shipping to your country? Unfortunately shipping to some parts of the world is very expensive and this is a cost we can't minimise. Please note that there is a forthcoming ebook version of the book - if shipping is expensive to where you live, then it might be a good idea to wait for this.

Why learn from us?

Rob Tyer is an Advanced Practice Physiotherapist and clinical lead, turned university lecturer. His clinical specialty is coaching other clinicians through tricky decisions, especially CES decisions. CES: The Clinician's Guide is packed with his knowledge, insight, tips and tricks.

Tom Jesson is a physiotherapist with a specialty in nerve root problems. He has written one book about radicular pain, and published peer-reviewed research on the topic. He is also a writer, practiced at summarising complex information in an easy-to-read style.

After Tom published his first book, he decided he wanted to work with a coauthor for his next book. His old mentor Rob was the first person he thought of. And now here we are :)

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.

CES books around the world!

Customer Reviews

Based on 19 reviews
John Drummond

Tom and Rob have managed to create something rare: a book which is easy to follow and fun to read with instant clinical utility, which would be equally valuable to a student or new graduate and an experienced clinician.One key benefit is the clinical tips and case studies which feels like a direct insight into specialists' clinical reasoning and 'patter', which is second to none. Get this book in your clinic now!

Amanda Stephenson
Cauda Equina Syndrome: The MSK Clinician's Guide

Whenever I read Tom and Rob's work I learn something new. This book is an A-Z manual for assessing cauda equina syndrome and has extremely helpful suggestions for discussing its symptoms with your patients.

Toby Pollard-Smith
CES book

After reading, I was much more comfortable taking a clearer history than I ever have before.I went through the systems more confidently, asked better-worded questions, and explained my concerns in a way that didn't freak my patient out (which makes a change!)

Alex Manley
Incredibly helpful.

I saw a patient last week with some bladder incontinence. I used a lot of the strategies in this book and I would say it went 100x better.

Lauren Swakamisa
Must-have for MSK clinicians

The writing style makes for really easy and enjoyable reading and I’ve already started to apply knowledge from the book into my practice day to day. Thanks Tom and Rob!