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–Hippocrates

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Category Archives: Hand & Wrist

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

3-d printing replacement bones – the future is here!

In an article published last month in the Journal of Hand Surgery (Eur), a research group in Switzerland reported on the first use of a 3D printed bone replacement with amazing results. They used a 3D printer to recreate the scaphoid bone made out of alumina ceramic (same material as some hip replacements) and re-implanted it back into the body to undergo testing. Granted the study was performed in a laboratory rather than real life, but the implications for the future are ... Read More
February 25, 2018 By Jai Sungaran in , ,

Psychological effects of work-related hand trauma

The hand is a commonly injured part of the body, especially in some occupations. It is critical to both accomplishing tasks and interacting socially so the injured hand becomes an issue in many ways. Our hands are almost always in our line of sight and is also highly visible to others. Therefore it is almost impossible to avoid viewing the disfigured hand, which in itself is a traumatic experience. The psychological effect of hand trauma cannot be ignored when dealing with patients who have ... Read More

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 , , , , ,

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 , , , , ,

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

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 , , , ,

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 , , , , ,

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

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 , ,

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