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"The natural healing force within each of us is the greatest force in getting well."

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Blog


28 06, 2017

What should I do with my clicky finger?

Trigger digits are a common condition that patients present with. Usually it is more a nuisance problem, but sometimes when a finger "locks" and stays in a flexed position it can lead to permanent damage to the joint and reduce the likelihood of regaining the motion in the finger.  A trigger finger or thumb is caused by thickening of the covering sheath through which a flexor tendon runs. The A1 pulley thickens and causes friction against the tendon below. This leads to a cycle of ... Read More
June 28, 2017 By Jai Sungaran in , , , , ,

16 05, 2017

Physiotherapy Education Evening

We're right into the finalising process for attendees to this exciting Education session. Once again it will be held at Hazelhurst Regional Gallery in Gymea which is an excellent venue with ample parking on site. And the food is top notch too! The theme for our talks is instability and all 4 Surgeons will be covering different areas of instability. We are fortunate that 2 patients have kindly offered their time to assist us with simulated examinations which will be a valuable learning ... Read More

24 04, 2017

Medical Role Models from our ANZAC history

With ANZAC Day upon us, it seemed appropriate to reflect on the service and sacrifice that they made to allow us the liberties we enjoy today. The first Australian to be awarded a Victoria Cross was a Surgeon named Sir Neville Howse VC. He served and a soldier-surgeon in the Boer War with the NSW Army Medical Corps. Captain (Sir) Neville Howse displayed conspicuous gallantry at Vredefort, South Africa, on 24 July 1900, when he ventured onto the battlefield, under intense enemy fire, to ... Read More
April 24, 2017 By Jai Sungaran in ,

09 04, 2017

The funny bone that isn’t so funny

Why do they call it "hitting your funny bone" when you hit the inside of your elbow? After all, anyone who has done this knows it's not funny at all! The area we're talking about is actually not a bone at all, rather it's the ulnar nerve as it passes behind the end of the humerus. The nerve is very superficial through this region and can be easily compressed or irritated by pressure or trauma. In fact, cubital tunnel syndrome (ulnar nerve) is the second most common nerve compression ... Read More
April 9, 2017 By Jai Sungaran in , , , ,

29 01, 2017

Why do I need to see a Hand Therapist?

Patients often ask whether they can continue their rehabilitation with their own Physio or Chiro. Most of the time this is suitable, and may actually be beneficial as they trust their therapist and have a good working relationship already. However with certain aspects of hand surgery, the rehabilitation is very specific and requires the care of a Hand Therapist.  A hand therapist is an occupational or physical therapist who, through advanced continuing education, clinical experience and ... Read More
January 29, 2017 By Jai Sungaran in , , , , ,

23 12, 2016

Merry Christmas and a Happy New Year!

At Southern Hand & Wrist we are thankful for the opportunity to make a positive impact on the lives of our patients. For the kind words of gratitude and the generous gifts from our patients and allied health team members. Working together, we have been able to relieve pain and restore function and that is always our focus.  We wish all our patients, staff and friends a very happy Christmas and a safe holiday period. Dr Sungaran is rostered on call for Orthopaedic trauma at Concord ... Read More
December 23, 2016 By Jai Sungaran in

24 10, 2016

Halloween hand safety tips

Pumpkin hand injuries sound unlikely but each year we see several of these injuries with severe consequences ranging from severed tendons through to nerves and artery injuries as well. It takes just a split second to injure yourself, leaving you with 3-4 months worth of treatment and hand therapy. Not to mention the time off work or school that goes with needing surgery to repair those vital structures in your hands. As Halloween is becoming more and more popular in Australia, we should use ... Read More
October 24, 2016 By Jai Sungaran in , ,

24 08, 2016

Tennis Elbow – steroid injection or not?

Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Many people ask why they have this when they don't even play tennis! Because it is an overuse condition, it can be brought on by many different actions, ranging from repetitive exercise, lifting at work or at home. Some occupations are at a higher risk such as plumbers, carpenters and painters. With regards to tennis, forceful groundstrokes where the wrist is held still against an extended elbow ... Read More
August 24, 2016 By Jai Sungaran in , , , , ,

18 06, 2016

Can your joints predict the weather?

There's an old wives' tale that claims some people can predict storms almost before the weatherman does. Many patients say that they can feel the cold or an upcoming storm in their bones and joints. This can either be in an old injury or scar, or after surgery such as fracture fixation or joint replacement. But is there any scientific basis to these claims? Bones are covered in a layer called periosteum. This is a thin layer of tissue containing nerve endings. The periosteum is the reason ... Read More
June 18, 2016 By Jai Sungaran in ,

05 06, 2016

Fractures of the 5th metacarpal neck (Boxer’s fractures)

The current issue of Essential Surgical Techniques from JBJS (Am) have an excellent article on the surgical treatment of 5th metacarpal fractures. Even though the majority of these fractures  can be managed without surgery, there are those which are too displaced or angulated. If there is significant shortening or angulation the long term consequences for the patient may be minimised with the use of this less invasive technique of intramedullary pinning. This technique is practiced widely by ... Read More
June 5, 2016 By Jai Sungaran in

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