• I would like to say how brilliant and informative I found your Lower Back Pain Classes. It really makes you realise how some simple advice and information can make a difference. Your attention to each individual on the course is a credit to you.   Jill W
  • Having attended a six week back pain class run by Joel, I am delighted to feel more mobile and virtually pain free. I feel the class has given me the tools to manage my back and to continue to improve.   As an older female, having received physiotherapy for other conditions, both within the NHS and privately, Joel is the best therapist I have experienced, always very professional and respectful when giving treatment. I cannot recommend him highly enough.   Julie R
  • I have worked with many physios and had many injuries in my career but the best treatment comes from Nikki at Elite Therapy, It's a bonus to be able to go there during my training periods in Coventry, I would recommend this to everyone. Kevin Van der Perren 8x Belgian Champion, 3x Winter Olympian
  • One of the biggest advantages of training in the UK is having access to Nikki at Elite Therapy. I find the treatment and staff extremly helpful. I would encourage not only athletes but everyone with everyday aches and pains to check it out!                                                                                                        Jenna McCorkell 9x British Champion, 2010 Winter Olympian
  • Both my wife and I have been clients of Joel's at Elite Therapy and would highly recommend him for his effective treatment, outstanding service and demonstration of absolute focus on our wellbeing, even where that means recommending other treatment / remedies than he personally provides. Outstanding professionalism & integrity! Nick Howes


Patella Tendon Pain | Sports Therapy | Coventry


Patella tendon pain is a common occurrence within the active community and most particularly among distance runners. When dealing with knee pain of this type, it is important to consider how the lower limb is functioning globally. Movements from the foot to the hip or the hip to the foot must be considered.

In most cases, the pain experienced in the knee cap (patella) is due to a lateral pulling placed on it. There are two main structures that can contribute to this lateral pull. The iliotibial band (ITB) and the vastus lateralis (outer quad muscle). Tensions placed onto the ITB from hip muscles such as gluteus medius and maximus and the tensor fascia latae will contribute to the ITB pulling onto the patella. With regards to the vastus lateralis, the main reason believed to contribute to its lateral pulling onto the patella is the ineffective use of the vastus medialis (inner quad muscle).

Therefore treatment should consider both an increase of flexibility to reduce tensions placed onto the patella as well as improvement in function of the above hip muscles and quad muscles. Speaking from experience, over the last couple of years, due to an increase in long distance running (and my running technique!) I began to experience patellar pain in both of my knees. Last October I decided to get on a rehab regime.

I worked on my function from my hip down to my foot and received regular treatment to reduce tensions onto the patella. After a couple of months I have been able to reduce the pain I experience during daily activities and just recently I went for my first run. In that run I changed my running style, working on my pelvic positioning and used a mid to forefoot foot strike. Allowing time for these changes to occur has seemed to be very beneficial for my knee pain.

Unfortunately for me, my calves are screaming at me because of my new found running technique! Does anyone know a good sports therapist!?

Yes, that is right, even us therapists go through it!



Joel PoirierThe Author Joel Poirier has been running the Elite Therapy Clinic for 7 years. The Company provide Sports Therapy, Sports massage and Physiotherapy treatment at his clinic in Coventry.

Joel is a fully qualified Sports Therapist, and after practicing sports therapy for 5 years graduated in Physiotherapy. He has worked with teams such as Nottingham Forest FC, UK Athletics, Great Britain IHC and Coventry Blaze IHC.