Individual care is at the heart of our approach

Recovery & Beyond: Cardiff Shoulder Pain Treatment

The shoulder is an incredibly mobile joint that relies on the interaction between muscles , tendons and joints to achieve a wide range of functions from every day functions such as getting dressed , drying your hair and putting on your seatbelt   to throwing a javelin  , dancing  , and  gymnastics .

Due to the mobility available shoulder instability and tendon problems are very common and can cause pain or lead to impingement.

Rotator Cuff

Bursitis , Capsulitis (frozen shoulder) and Rotator Cuff dysfunction can occur independently ,  or as a result of other conditions present within the shoulder ,  likewise their presence   can cause other problems in the shoulder.  If you consider this complex  shoulder arrangement then factor in the neck , ribs and AC joint as possible causes of shoulder pain and the fact that quite often someone will have a combination of issues present , then the importance of accurate diagnosis and understanding  in treating these shoulder conditions  successfully can be appreciated.

Early intervention – Some conditions such a large acute Rotator Cuff tear may need urgent onward referral as successful surgical repair is dependent on rapid intervention   . As always early treatment can prevent the progression to a chronic condition and normally means less intervention is needed to manage the problem

Assessment – The complexity of the shoulder means that a thorough assessment and understanding is needed to successfully treat and rehabilitate a shoulder problem as quickly as possible.

Treatment – Our aim of treatment is to resolve potential underlying causes of your shoulder problem as well as symptomatic treatment to help the healing process and allow functional rehabilitation. We have good working relationships with local shoulder specialists  and can refer accordingly or will liase with your GP if required .

Most of our shoulder problems are treated with joint and soft tissue therapies aimed at resolving the underlying contributing factor or factors  Our team will take you right through the initial stages of treatment through to full rehabilitation getting you back to your day to day activities ,  work and sport.

Post – operative shoulder treatment .

Should surgical intervention be required then post operative treatment and rehabilitation will vary dependent on the type of procedure  carried out . Usually your surgeon will forward correspondence to us outlining a treatment plan and we will liase with your surgeon as rehabilitation continues informing them of your progress.  Here at Recovery and Beyond Physiotherapy we have a rehabilitation studio and also have use of a personal training gym allowing us to take you through whatever programme of care needed to restore  normal function .

Anyone can self refer to us post operatively , you will just need to let your surgeon and insurance company if using that you are coming to us for post operative treatment and then book  an appointment with us and we will take care of the rest .


  • Frozen shoulder (Capsulitis)
  • Bursitis
  • AC joint injury
  • Osteoarthritis
  • Instability
  • Rotator Cuff tears or tendon pathology (Tendonitis/Tendinopathy)

Common  Causes of Shoulder pain

Some conditions such as bursitis or primary frozen shoulder can occur spontaneously

Trauma – a fall on the shoulder or outstretched arm and are classic injuries which can cause damage to many structures in the shoulder

Rotator Cuff– This normally means repeatedly using the shoulder in a poor position leading to pain and damage.  The poor position can be due to posture , excessively tight , weak or imbalanced muscles so can be also as a result of previous trauma.

Degenerative changes – Wear and tear of the rotator cuff is common as well as osteoarthritis of the gleno – humeral or acromio – clavicular joint.  These can be painful themselves , can lead to overuse conditions a s above and contribute to other conditions

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