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Category Archives: Injections

Just because you can, doesn’t mean you should…

As Surgeons we are trained to "fix" a problem. If a bone is broken we can use plates and screws to realign it and relieve pain. If someone cuts their finger, we can repair their nerves, tendons, and arteries to restore its appearance and function. If you have an arthritic joint, chances are we have a replacement that we can implant to improve your motion. But one of the hardest things to do as a Surgeon, is to tell a patient that you cannot help them with an operation. Just think about ... Read More

June 22, 2019 By Jai Sungaran in Developments, Hand & Wrist, Injections, Joint pain, Nerve injury, Research, Teaching, trauma, Work injury

What is that lump on my hand?

Finding a lump on your hand can be distressing for obvious reasons. If there is no real injury to the area then it is difficult to understand why the lump could occur. Fortunately the hand is a relatively uncommon area to develop a cancerous lump. The majority of lumps in the hand are benign and can be easily removed. Ganglion cysts are the most common benign lump to find in the hand and wrist. They typically develop around joints or tendons and are filled with a jelly-like fluid. They can ... Read More

June 18, 2018 By Jai Sungaran in Arthritis, corticosteroid, Hand & Wrist, Injections, Joint pain, Sporting injury, Tendon, trauma, Work injury

When is the right time to have carpal tunnel surgery?

This is a common question I hear from my patients. Surgery is a daunting prospect for anyone, and taking that first step by consulting with a Surgeon can be quite difficult. It may feel like you don't have any other option but to have an operation, but this may not necessarily be the case. Some patients may be better managed with splints, Hand therapy or even targeted cortisone injections. Carpal tunnel syndrome is a result of compression of the main nerve to the hand (median nerve) that ... Read More

April 17, 2018 By Jai Sungaran in corticosteroid, Hand & Wrist, Injections, Nerve injury, Work injury

How does Private Health Insurance affect your treatment.

There has been renewed interest in Private health insurance due to the upcoming increase in premiums as of April 1. Another reason has also been the much criticised changes by BUPA to it's health cover. But do you actually need to have private health insurance to receive treatment in Australia? The simple answer is, no. And that in itself is something we should all be grateful for. Our Health system has many flaws but the fact that every Australian has access to free health care for ANY ... Read More

March 13, 2018 By Jai Sungaran in Arthritis, corticosteroid, Elbow, Hand & Wrist, Injections, Joint pain, lacerations, Nerve injury, Rehabilitation, Sporting injury, Tendon, trauma, Work injury

Smartphone use and thumb pain

How many of us actually do not have a smartphone? This would be a very small number especially given how cheap and available they are. Even our children have toy smartphones that they can play with. On average, we use our Smartphone for almost 4 hours a day, and the increased loads through our thumbs is beginning to take its toll on our bones, joints and tendons. Basically we were never designed to put our thumbs through this level of stress. Opposable thumbs evolved to allow us to grasp ... Read More

September 7, 2017 By Jai Sungaran in corticosteroid, Hand & Wrist, Injections, Joint pain, Tendon, Work injury

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 corticosteroid, Hand & Wrist, Injections, Joint pain, Tendon, Work injury

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 corticosteroid, Elbow, Hand & Wrist, Injections, Joint pain, Sporting injury

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