Thomas is a full-time MSK physiotherapy clinician of twenty-years standing. He holds posts as an Advanced Physiotherapy Practitioner in primary care (NHS), private practitioner and as clinical lead for the One Health Group Hand Hub. Thomas lectures extensively for the Mulligan Concept, co-teaches The Complete Upper Limb Course, and has special interest in the wrist and hand region. He is an advocate for multi-modal patient management including symptom modification as a process of assessment and treatment, plus lifestyle coaching in the management of musculoskeletal conditions.