Tendon Pain Clinic
Tendon problems are very common and can be painful. They can often be quite debilitating, severely limiting our daily activities and sports performance. Tendinopathy issues are often poorly understood, leading to further long term issues and delays in recovery.
At our Cardiff Tendon Pain clinic, we provide an accurate diagnosis which will guide personalised treatments and rehabilitation programs, driven by clinical evidence and our own experience in the field of elite sports medicine. Our Specialist team have extensive experience working with recreational and elite athletes with tendon injuries. All therapeuatic treatments and rehabilitation programs are performed in our Cardiff clinic, utilising the latest and best technology and treatments.
Conditions that we treat
Tennis / Golfers Elbow
Plantar Fasciitis / Heel pain
Patella (Knee) Tendinopathy
Trochanteric (Hip) pain syndrome
An initial assessment with one of our specialist team involves a 60 minute initial consultation. This will include an examination exploring the history of the injury, possible causes including biomechanic assessment, and its relation to your to physical activity and or your specific sport. Part of the diagnostic process may include further investigation by MRI or Diagnostic Ultrasound scanning.
If a tendinopathy is diagnosed, one of the primary interventions is a specific rehab exercise program. This is coupled with reviewing your specifc training load. Incorrect exercises and inappropriate training loads can significanty aggravate the problem. Getting your training load right and performing the correct rehabilitation exercises can help to allow many tendinopathies to be resolved, allowing individuals to return to their normal levels of performance.
Advanced Treatment for Tendinopathy Pain
It is important to note that the majority of tendon problems do not require surgery. Unfortunately, in a significant number of cases exercises alone will not resolve tendinopathy cases, especially when the problem has been going on for some time. In these cases we introduce additional treatment methods, always starting with treatments that involve no injections and no surgery.
For the first time in Cardiff, Health & Sports Physiotherapy tendon clinic brings together a group of clinicians with significant experience in elite sport and expert skills in diagnosing and treating tendon conditions. We use the latest techniques and treatment technology including;
Musculoskeletal (MSK) Diagnostic Ultrasound - Musculoskeletal diagnostic ultrasound is an injury diagnosis assessment technique that uses sound waves to create images of muscles, tendons, ligaments and joints throughout the body.
MSK ultrasound serves as an excellent imaging tool and is extensively utilised as an assessment technique by sport and exercise medicine professionals, offering an objective method to confirm clinical examination findings. We use diagnostic ultrasound for imaging examination of the various tendonopathy conditions and associated tissues.
Our sports and musculoskeletal specialists are fully trained in MSK diagnostic ultrasound. They will utilise this assessment modality to complement their clinical findings, to offer patients a more accurate diagnosis and therefore a more targeted treatment and rehabilitation plan.
Shockwave Therapy - Radial Shockwave Therapy (RSWT) is a procedure where shock waves are passed through the skin to the injured part of the body being treated, using our Swiss Dolorclast® Shockwave Unit.
The shockwaves are mechanical and not electric. They are audible, low energy sound waves, which work by increasing blood flow to the injured area. This initiates an inflammation-like response in the injured tissue, accelerating the body’s healing process by increasing cell generation and dissolving calcium deposits.
Shockwave therapy can be very successful in patients who have failed to respond to conservative treatment of tendon pain. The combination of shockwave therapy and a graded tendon re-loading rehab program with our physiotherapists is recommended to give increased treatment benefits. You will usually require a course of up to six treatments, 7 to 10 days apart.
The National Institute for Health and Care Excellence (NICE) have deemed this procedure to be safe. Studies have shown shockwave therapy be an effective treatment for a number of common issues such as plantar fasciitis, tennis elbow, patella tendon and achilles tendon tendinopathy injuries. .
Instrument Assisted Soft Tissue Mobilisation (IASTM) is a unique and popular treatment for myofascial and soft tissue restriction. Our clinicians use IASTM to implememt techniques to provide a mobilising effect to scar tissue and myofascial adhesions, enabling them to effectively increase joint range of motion and mobility - resulting in improved patient outcomes.
The unique technique uses specially designed stainless steel instruments, along with appropriate therapeutic exercise to treat areas exhibiting soft tissue restriction. The IASTM treatment is used to stimulate connective tissue remodeling through resorption of excessive fibrosis, along with inducing repair and regeneration of collagen secondary to fibroblast recruitment. In turn, this can result in the release and breakdown of scar tissue, adhesions, and fascial restrictions.
IASTM techniques are accepted worldwide by clinicians, elite athletes and everyday patients as a trusted and effective treatment for tendon rehabilitation.
Non-conservative intervention for Tendinopathy Pain
For those individuals who do not improve with rehab and conservative treatment, further options are available. We work in collaboration with leading Specilaist Sports Physician, Dr Daniel Vaughan Clincial Director at Pro Sports Medicine, who can also offer diagnostic ultrasound scans when needed, as well as non-surgical options including Platelet Rich Plasma , Autologous blood and modified high volume injections as needed..
In addition we can advise on the most appropriate surgical intervention techniques and leading surgeons in this field.
Meet the Team
Daniel Jones Msc MCSP AACP
Director / Chartered Physiotherapist
Daniel graduated from the University Of Wales College Of Medicine in 2003, with a BSc Honours degree in Physiotherapy. Throughout his career he has developed a broad range of clinical experience, from working with the general public to elite sports athletes.
He has previously worked in New Zealand, Australia and the U.K., with a specialist interest in musculoskeletal and sports medicine and has completed an MSc in Sports Physiotherapy at Cardiff University.
Daniel has worked with a number of professional sports teams including Worcester Warriors, Gloucester Rugby and the Welsh Rugby Union as Head Physiotherapist to the Wales National Sevens Squad. Daniel is currently Head of Medical Services for Guinness Pro14 rugby team the Cardiff Blues.
Gruff Parsons Msc MCSP
Following his undergraduate studies at the University of Nottingham in 2010, Gruff worked in private practice in London, before joining Health & Sports Physiotherapy whilst taking up a role as the Lead Academy Physiotherapist at the Cardiff Blues. Following two seasons with the Blues and completing his Sports and Exercise Medicine masters, Gruff worked in an interim role with Wales National Rugby Sevens as the Lead Physiotherapist.
Subsequently, Gruff joined London Scottish Rugby club as the Head of Medical Services for a two-season period before joining England National Rugby Sevens as Head Physiotherapist in 2016. During this period, Gruff worked at numerous tournaments across the globe on the World Sevens Series and was a part of the Commonwealth Games bronze medal winning team on the Gold Coast in 2018. After a successful period at the RFU, Gruff re-joined the Heath & Sports Physiotherapy team in July 2018, alongside his primary role as Senior Team Physiotherapist at the Cardiff Blues.
Dr Daniel Vaughan
Specialist Sports Physician
Dr Vaughan is first team doctor for Newport County Football Club, Cardiff Blues Rugby and Medical Officer to the British Boxing Board of Control. Having completed undergraduate training in Exeter, he has worked within the UK and Australia where he has developed his sport and exercise interests with the Newcastle Knights & Manley Sea Eagles NRL teams.
He has post-graduate qualifications in sport and exercise medicine and musculoskeletal ultrasound and has been awarded membership to the faculty of Sport and Exercise Medicine, Ireland. Dr. Vaughan has a special interest in the prevention, diagnosis and treatment of joint and soft tissue problems in elite athletes and the non-sporting population alike. He believes strongly in the use of sports medicine as a way to develop a strong and robust individual to achieve their aspirations – whether this be in sport, life or both.
He prides himself on providing bespoke, evidence based care, centred on the individual. He is proficient in diagnostic ultrasound examinations as well as using this to guide a variety of joint and soft tissue injections including steroids (cortisone), platelet rich plasma (PRP) and visco-supplementation like hyaluronic acid (Ostinil). Dr Vaughan is a director of our sister company Pro Sports Medicine and can request blood tests, imaging (like x-rays and MRI) and perform onward referral to his close network of specialists such as orthopaedic surgeons.
Dr. Vaughan has a background as a semi-professional rugby and cricket player, gaining schoolboy honours for Wales in both sports. His current sporting and clinical interests include rugby, football, cricket, weightlifting, athletics and golf.