Handle CES with confidence

What readers say

  • ★★★★★

    Extremely high value information.”

    “I feel like this is the type of stuff that separates expert clinicians from the others!

    “Far beyond what I have seen anywhere else.”

    Tim Ireland, early career physio
  • ★★★★★

    “This is a 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!”

    Lauren Swakamisa, FCP
  • ★★★★★

    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.”

    Alex Manley, new grad physio.
  • ★★★★★

    “I highly recommend this book to all regardless of experience.”

    “It will give you a different perspective on how to ask questions related to CES, making the whole conversation a better experience for patient and clinician alike. ”

    “Unlike a lot of books on heavy subjects, it's really easy to read and makes a lot of sense!”

    Amanda Wreford-Brown, spinal specialist physio
  • ★★★★★

    “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!)”

    Toby Pollard-Smith, osteopath

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

Useful, interesting, and never, ever boring!

A stylish paperback.

Ebook version also available for preorder - release date Spring 2023.

100% refund available if it turns out the book isn't for you.

Regular price

How this book can help you

Your patient has low back pain and sciatica. You ask them about the CES 'red flags'.

"Any changes when urinating?"

"Well, yes, I do think I've been going less than usual..."

What happens now?

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. Meanwhile, the clock is ticking...

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.

And the more you know, the more you can help your patient. And the more you can help your colleagues, too.

We wrote CES: The Clinician's Guide to help you get to that point.

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

More readers' testimonials

  • ★★★★★

    “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.”

    Amanda Stephenson, MSK physio
  • ★★★★★

    “This book really simplifies CES into an easy to read and practical guide. It makes difficult decisions and awkward conversations easy with straightforward information on how to identify and manage CES. ”

    “The book is a must have in every private practice! ”

    Ben Strachan, private physio
  • ★★★★★

    “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!

    John Drummond, team lead physio
  • ★★★★★

    “This book is an important contribution to not only Physiotherapy but to 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.”

    June Lanigan, specialist physio
  • ★★★★★

    “A must read for any clinician working in primary care dealing with patients with back pain. ”

    “This book provides loads of useful titbits to help guide clinical reasoning. I have tried and tested it on my patient's since and definitely felt a lot more confident discussing sexual dysfunction and bladder and bowel function.”

    James Underwood, First Contact Practitioner

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'

ℹ️ 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.

Get your copy!

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

Useful, interesting, and never, ever boring!

A stylish paperback.

Ebook version also available for preorder - release date Spring 2023.

100% refund available if it turns out the book isn't for you.

Regular price

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 12 reviews
Excellent resource

I thought this was a really great book. Something every clinician should read and have to refer back to as needed. Very clearly laid out and easy to read. Thanks Tom and Rob!

Kat Netherton

This is a gem of a book. Easy to read and conveys complex ideas in simple terms. The case scenarios are relevant and applicable to real life. Thanks Rob & Tom.

Daniel McCarthy
Must read for MSK practitioners

Easy to read, succinct, and discusses managing ambiguity incredibly well.

Rory Twogood
Essential reading for all MSK clinicians

Educational, easy to read and directly applicable to practice - immediately recommended to my entire team. Really helps to navigate the grey of CES and paint a clearer picture to aid decision making. Thanks for writing it!

Jack Holroyde

Essential reading for those in MSK, forms the basis for my teaching to new 5s and some more in depth work with supervisors to help the department make better decisions about who to send to ED.
The results? Happier staff, happier patients and ever so slightly less unhappy ED team.
Well done Tom and Rob!