Individual care is at the heart of our approach

Recovery & Beyond: Elbow Pain & Wrist and Hand Treatment in Cardiff

The elbow, wrist and hand allow us to perform precise movements with great dexterity.  We regularly treat injuries to these areas due to overuse and trauma.  Tennis elbow occuring on the outside , and Golfer’s elbow , on the inside , are degenerative conditions of the tendons  and quite often arise in individuals who do not play these sports.  They seem occur for no apparent reason but  careful assessment  should always be able find an underlying contributing  factor which  results in the tendons not being able to deal with the stresses placed upon them.

Overuse – Muscle and nerve entrapements around the elbow are common in those who weight train or climb regularly.  Other overuse injuries at the wrist  and hand  come under the collective title of Repetitive Strain Injuries (RSI) and are far more prevalent in office worker’s and those regularly at a desk and / or PC for long hours. These overuse injuries  are also becoming more prevalent  due to the length of time people are spending on their phones texting and emailing  etc…

Trauma – Traumatic injuires  in the elbow , wrist and hand occur either following a fall , certain sports  or after being immobilised following a fracture , where quite often there would have been some soft tissue injuries sustained  at the same time as the fracture , due to the immobilisation enabling the fracture to heal  the soft tissues can  stiffen up during the time in the cast and need to be addressed to restore  normal movement and function.  We often treat MMA fighters , crossfitters and climbers after some kind of overstretching to the wrist or fingers during training or competition .

Early Assessment

Due to the sometimes slow onset nature of these conditions we mainly see people when they have had a problem for a while  and it  has not managed to resolve with time.  We encourage early  assessment for any elbow , wrist or hand  problem  as appropriate intervention should mean a quicker return to full movement and  the ability to rehabilitate more effectively.  Also early intervention in overuse conditions should prevent the developments of chronic conditions which are notoriously difficult and time consuming  to resolve.


You can expect a structural assessment of the local areas involved as well as an analysis of any potential problems contributing to these injuries ,  for example  whole body movement should be looked at  if specific to sport . For RSI injuries  assessment  can also include an on site  assessment of  the work station  if required  .



The knee is composed of the tibio – femoral joint , between the tibia and femur , and the patello – femoral joint , between the patella and a groove on the front of the femur.

Injuries to the tibiofemoral joint  tend to be traumatic , commonly due to to excessive twisting and turning motion, and may result in damage to any of the 4 stabilising ligaments and the menisci. 

The Anterior Cruciate Ligament (ACL) rupture is the knee injury that usually takes the longest time to return to sport and is commonly seen at Recovery & beyond.  ACL rupture results in instability of the knee , for many people the most appropriate  intervention would be surgical ACL reconstruction but for some conservative management may be more suitable.  Rehabilitation after ACL reconstruction takes time , is very specific , and is done under the guidance of a Physiotherapist. We will liase closely with your surgeon , we have very good working relationships with the local Surgeons  and regularly receive referrals directly from them  .  Non operative management has similar principles to post operative rehabilitation , increasing the functional control and strength of the affected knee.  Specific protocols and careful progression is needed to ensure a successful outcome.

Injuries to the front of the knees tend to be overuse injuries.  Anterior Knee Pain is a term used for pain in this area due to a combination of mainly biomechanical factors while Jumper’s knee is overuse condition of the tendon between the kneecap and the leg.  These conditions need careful assessment by an experienced Physiotherapist  as  identification of the faulty mechanisms which can be  anywhere through the  kinetic chain that affects the knee is key to resolving the issue.  These biomechanical factors can occur in combination with growth spurts and may result in  children and adolescents  developing excessive traction from the patella tendon resulting in Osgood – schlatter’s disease , or less commonly  Sinding-Larsen and Johansson syndrome.  There is much that can be done to improve function and movement , and maintain the clients sporting goals .  We regularly see  young people in the in clinic and understand how frustrating it can be , we are on hand to offer treatment and  advice and to provide the support needed to keep up with training  schedules.

Early Assessment

Some traumatic knee injuries such as to the posterolateral corner need urgent surgical referral to prevent further long term damage , while other traumatic injuries leading to instability need early assessment to determine the appropriate management and referral if appropriate. 


Our staff have extensive experience in assessing knee injuries  , which is needed to ensure an effective treatment plan can be formulated.  Asessment needs to encompass testing of the structures of the knee as well as the biomechanical factors that may lead to overuse on parts of the knee.  This analysis would include the effect of other parts of the body on the knee and vice versa.


Depending on the findings of our assessment the primary goal would normally be to achieve better movement through the lower limb.  This could include joint and soft tissue treatment directly to the knee and/or to other areas in the body causing excessive stress on the knee.  Some form of exercise  or movement correction would also be included.  Other treatments could include



Strapping / kinesiotaping


Locking or giving way

Pain – would normally be related to specific movements which stress the injured area or in response to repetitive activites






Tel: 02920 625551

corporate physio insurance cardiff

Chartered Physiotherapists in Sports and Exercise Medicine

Recovery & Beyond is a proud member of The Association of Chartered Physiotherapists in Sports and Exercise Medicine.

Yep that’s a mouthful! While our membership underlines our commitment to sports physiotherapy, it’s our years of experience in rehabilitating, strengthening and maintaining sportsmen, both amateur and elite that make us the most proud.

We have slowly built up a centre of excellence that covers many of the aspects involved in preparation, rehab and recovery in the field of sports.

Physio for Runners, Skiiers, Golfers and other sports atheletes

A physio looks at sports performance in a different way than a strength and conditioning coach does. An experienced sports physio will be able to bio mechanically assess an athelete and pin point pr oblems that lead to underperformance or recurring injuries.

We believe these are highly beneficial to all levels and have just launched specialised classes that help you with Skiing Golf and Running to name a few.

chartered society of physiotherapists

We’re proud members of the Chartered Society of Physiotherapists.

This isn’t just so we can show the logo on our site. It’s because we take physiotherapy standards of care extremely seriously.

Experienced Physio’s with manual skills

It’s not easy to become a physio at Recovery & Beyond. You need years of varied experience and advanced skills in manual therapy and manipulation techniques.

These are the skills and attitudes we invest in. They are also, what enables us to help clients recover from injury and chronic long term pain.  We also believe it’s this expertise that sets us apart from other similar healthcare practitioners in Cardiff.

Physiotherapist, Chiropractor or Osteopath? Which one should you choose?

Your body is a a highly connected structure, working on one part in isolation is unlikely to yield long term results. Like many leading practitioners we think about care holistically. To provide this level of care means that we offer the full range of manipulative and therapeutic techniques.

For example, your condition may require manipulation, the kind of treatment Chiropractor’s often provide. However, for long term recovery manipulation  alone may not be enough. To achieve lasting pain relief and mobility manipulation may need to be accompanied by joint mobilisation, soft tissue work and specific exercises. Recovery and Beyond are set up precisely with this type of holistic care plan in mind.

Here are some of the techniques and treatments available


The Physiotherapist may use high velocity low amplitude thrust techniques to increase range of movement at a specific joint . This can produce the characteristic click.

This is a specific technique only to be used when appropriate and only by those with specialist training. This will only be used in treatment when indicated and only done with your prior consent.


Joint mobilisations are repetitive or sustained specific joint movements which are used to relieve pain and increase movement .

Soft tissue techniques e.g. myofascial release

We are trained to use a wide range of soft tissues techniques including sports massage strokes , myofascial release , connective tissue and fascial manipulation , specific soft tissue mobilisation and muscle energy techniques among others . These are combined with other techniques to improve mobility and joint function . We also have two sports massage here at the clinic , and we work closely as part of a team , you may be referred to one of our sports masseurs should more soft tissue massage be recommended .

Neural Mobilisation

If indicated your Physiotherapist may decide to specifically mobilise neural structures , specific stretching movements with a combination of joint or soft tissue mobilisation techniques .

Specific Exercise Prescription

Exercise and functional rehabilitation and prehabititation is paramount in injury recovery and prevention , and is something we take very seriously at Recovery and Beyond Physiotherapy .

Keeping up to date with the latest research is important as things can change quickly in exercise medicine . Our exercises will always be evidence based and our expertise and involvement with sports teams and individuals means we have vast experience in exercise and rehabilitation .

Strength and conditioning principles are used for optimising normal , functional and sporting movement.


We use Acupuncture for pain relief and for the treatment of trigger point . Our approach combines traditional Chinese medicine points as well as additional western approaches including dry needling .

Not all of our Physiotherapists are qualified to provide this as part of your treatment if you are particularly interested in receiving acupuncture or have received it in the past with good effect , please tell reception at time of booking so you are booked in with one of our Acupuncture trained physios . Our clinic is licenced by Cardiff city council to carry out the practice of acupuncture by Qualified personel within the establishment .


We use electrotherapy when appropriate to either help relieve pain or to facilitate the bodys healing process. These are used when necessary but less frequently than our other techniques as we believe improving function with experienced hands on treatment to be the primary target of any intervention and which responds with the best results