Nigel has been involved in education from the very earliest stage of his career. In Japan he taught English as a Foreign Language for 5 years in order to finance his studies in East Asian Medicine. This experience taught him the value of a direct, highly practical approach to teaching, involving self-reflective practice and constant peer and teacher evaluation designed to empower the student.

On his return from East Asia to London in1987, he quickly founded the London College of Shiatsu, becoming its principal teacher responsible for teaching all levels throughout the 3-year professional training, curriculum development and academic administration. On his departure for the US in 1992 he ensured the survival of the College by placing it in the hands of his colleague and friend who also studied in Japan. The College is still in operation today and has become one of the most respected Shiatsu Colleges in the UK.

In the US, Nigel became quickly involved in the New York area East Asian Medicine community. Within a year, he had obtained his license to practice in the state and had been offered a post as Dean of the Oriental Medicine department in a school just outside the city. For 8 years Nigel shared his time between teaching, clinical and administrative duties at the school which, during that period, gained national accreditation as well as achieving Masters Degree status for its Acupuncture and Oriental Medicine programs.

In 2001, Nigel made a deliberate move away from academic administration whose challenges had inspired and excited him, but whose demands had gradually taken him away from his clinical work, which has always been his main professional interest. He opened a private practice in downtown New York City, where he still is after almost 10 years, and made patient work the mainstay of his practice.

Alongside his clinical work, Nigel obtained faculty positions at both of the two main schools in the city: Pacific College of Oriental Medicine and Tristate College of Acupuncture where he currently still teaches. Initially offering Shiatsu courses at both institutions Nigel quickly shifted towards teaching both acupuncture and herbal courses with a specific focus on Kampo.

For some years now Kampo education has come to define Nigel's educational endeavors. He set up a one-year Kampo graduate internship in 2000, which he taught continuously for 8 years. This was an NCCAOM-accredited course and the only one of its kind in the US before or since. Some 4 years ago he essentially incorporated much of this material in his Kampo classes at Tristate.

Alongside his faculty work at NY-based Colleges, Nigel has been lecturing widely on Kampo for some years now. He has travelled to over 10 major US cities mostly offering classes on the system of abdominal palpation (Fukushin) used in Kampo.