https://www.shoulderdoctor.com.au/Our-Expertise daily 0.75 2021-04-16 https://www.shoulderdoctor.com.au/home daily 1.0 2022-12-15 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1621382791565-0203VV14ROU7IMGXPK1J/Shoulder_Doctor_Headshot.jpg Home https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1620955936210-A96G13J5THA5BITKHXK5/0N8A0957.jpg Home https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1620955917240-RZYGLAQGMYL1T6KKPDOU/0N8A0931.jpg Home - Providing you with personalised patient care Dr Nandapalan is committed to enhancing patient experiences and ensuring they achieve the best possible outcome, through innovative thinking and medical excellence. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618281322039-URVD3GLQUP84PY57EQJ8/unsplash-image-gtkvIGeHAn4.jpg Home hand-drawn empty pill bottle icon https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618278482001-T5CXOO28QX1YHUB1E7NE/unsplash-image-xEK8bas1vqI.jpg Home hand-drawn armchair icon https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618278421138-17NAEEN6RPEEGXVLY027/unsplash-image-EvAZBGM2mr8.jpg Home hand-drawn aim target icon https://www.shoulderdoctor.com.au/services daily 0.75 2021-05-20 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1620957633292-2UYVPJ9B9KPMF2ZF8ZV0/0N8A0465-colour.jpg Services - Book an appointment to discuss relief from the issues above & more https://www.shoulderdoctor.com.au/meet-the-dr daily 0.75 2021-05-20 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1620957605005-BC3Z6UJDW8466KB70IIR/0N8A0465-colour.jpg Meet the Dr Dr Nandapalan is an Australian trained Orthopaedic Surgeon with subspecialty interests and training in Shoulder, Elbow and Hand Surgery. He specialises in arthroscopic, reconstructive and arthroplasty surgery for sports and degenerative conditions. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1620957647753-A9AKS3MFVDMI59BFT5XS/0N8A1054-colour.jpg Meet the Dr - Shaping the next Generation Dr Nandapalan values teaching as well as surgery, currently working as a clinical lecturer at The University of Sydney. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618913337820-NFWGIQDDYULNE93GZUV7/unsplash-image-xEK8bas1vqI.jpg Meet the Dr https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618913394170-AN2MCHHWIXBSLCLK45S6/unsplash-image-T0xPy9PDyf4.jpg Meet the Dr https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618281322039-URVD3GLQUP84PY57EQJ8/unsplash-image-gtkvIGeHAn4.jpg Meet the Dr https://www.shoulderdoctor.com.au/shoulder-replacement daily 0.75 2021-05-14 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618539545232-XSXZVS2RPC3FCE8YEIMV/unsplash-image-t2rbeRBJuYo.jpg Shoulder Replacement - Shoulder Arthritis Symptoms, Diagnosis & Treatment https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618548763119-LKT3MKTW9N3GGYEHNGYT/unsplash-image-nDPtyHENkK0.jpg Shoulder Replacement https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618548859639-0PETP13FYDIEP3PBHLPR/unsplash-image-P-0xj_CW86Y.jpg Shoulder Replacement https://www.shoulderdoctor.com.au/rotator-cuff-repair daily 0.75 2021-04-19 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618554287585-YIYTV7A68B9PW5MBSBTD/unsplash-image-906q22l1VEY.jpg Arthroscopic Rotator Cuff Repair - Rotator Cuff Tear Rotator Cuff Tears can occur from a traumatic injury to your shoulder or from “wear and tear”. As we get older the quality of our tendons diminishes and become more predisposed to tearing. The Rotator Cuff tendons most commonly tear off their bone insertion. The degenerative tears are often caused my “shoulder impingement” where the tendon is crushed by the overlying part of the shoulder blade, the acromion. The traumatic tears result from forceful tearing of the tendon off the bone. For example from a fall. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618538472672-DMKU9PFDF6Z9VNKFCMIA/unsplash-image-rNPfyRYqjHY.jpg Arthroscopic Rotator Cuff Repair https://www.shoulderdoctor.com.au/shoulder-dislocation daily 0.75 2021-05-14 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1619046643260-4BDOPJTNGKRV40VN7484/unsplash-image-5KY5LP_zc44.jpg Shoulder Dislocation/Instability - Shoulder Instability Symptoms Apart from the obvious shoulder dislocations or subluxations, patients may experience a feeling of instability or pain when performing certain activities or in certain positions https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618790905264-1AKLJVY6KMPP4K0O4A1Z/unsplash-image-G8R6Kf5mg5o.jpg Shoulder Dislocation/Instability https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618791098955-E3OIWL22GRVCCBJYF00U/unsplash-image-TtIzOnxvb8M.jpg Shoulder Dislocation/Instability https://www.shoulderdoctor.com.au/other-shoulder-conditions daily 0.75 2021-05-20 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618281322039-URVD3GLQUP84PY57EQJ8/unsplash-image-gtkvIGeHAn4.jpg Other Shoulder Conditions - Symptoms & Diagnosis The initial “Freezing” phase of a Frozen shoulder is highlighted by pain primarily and then stiffness. With the “Frozen” phase the pain improves but the stiffness is still quite bad. Finally, the “Thawing” phase involves the stiffness finally improving. A Frozen shoulder can be diagnosed primarily by symptoms and radiological investigations such as Ultrasound or MRI scans. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618795074275-5FEWV4IDTXNTITM736NQ/unsplash-image-zHSX9o2_B7Y.jpg Other Shoulder Conditions https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618794096294-3CZ5V4GE9TUIC0I2FU1I/unsplash-image-zYHuntvIm0I.jpg Other Shoulder Conditions - Shoulder Impingement Causes | Symptoms | Diagnosis | Treatment https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618796816133-QVDPJSTTECU8VRZTTG7B/unsplash-image-gUPznplBsLI.jpg Other Shoulder Conditions - Calcific Tendinitis https://www.shoulderdoctor.com.au/elbow-arthritis daily 0.75 2021-04-19 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618798056150-TU32GBNFN2SJXVDB623G/unsplash-image-vUuThOgxETY.jpg Elbow Arthritis - Elbow Arthritis Symptoms & Treatment https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618798945038-4Z3C9T0CXCEM9ZPEOM07/unsplash-image-1jbrIJVACOI.jpg Elbow Arthritis https://www.shoulderdoctor.com.au/tennisgolfers-elbow daily 0.75 2021-04-21 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1619047392790-IKEZD7FYDV7UD0FR4Q7U/unsplash-image-H4STV63ICrs.jpg Tennis/Golfers Elbow - Lateral epicondylitis (Tennis Elbow) Symptoms Lateral epicondylitis usually presents with pain as the most common symptom. There is usually associated tenderness on the outside of the Elbow. Patients may also notice a decrease in grip strength. Tennis elbow symptoms can last for up to 24months https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618812455116-QGUA1WI3TY0NA1C5OI0O/unsplash-image-FuKz3TatmMY.jpg Tennis/Golfers Elbow - Medial epicondylitis Symptoms Medial epicondylitis usually presents with pain as the most common symptom. There is usually associated tenderness on the inside of the Elbow. Patients may also notice a decrease in grip strength. Golfer’s elbow can be associated with nerve compression or ligament injury on the inner side of the elbow. https://www.shoulderdoctor.com.au/cubital-tunnel-syndrome daily 0.75 2021-04-19 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618798056150-TU32GBNFN2SJXVDB623G/unsplash-image-vUuThOgxETY.jpg Cubital Tunnel Syndrome - Treatment Sometimes Cubital tunnel syndrome will improve spontaneously. But most of the time will require some treatments. Initially the non-operative methods include: Non-steroidal anti-inflammatory medication Splinting, particularly at night time to avoid elbow flexion which tightens the canal https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618814540206-S7HFRHKRMF8NH6XH590Y/unsplash-image-5u4L-E4eQWw.jpg Cubital Tunnel Syndrome https://www.shoulderdoctor.com.au/carpal-tunnel-syndrome daily 0.75 2021-04-21 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618815869967-KKT1ZMZNX88M8Q659WGJ/unsplash-image-T0xPy9PDyf4.jpg Carpal Tunnel Syndrome - Carpal Tunnel Syndrome Symptoms, Causes & Treatment https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618815459965-KAVAHJO7FKXA1MUDXTQT/unsplash-image-l3X3rcG_A44.jpg Carpal Tunnel Syndrome https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618816837478-7N8NIYPER94MWCT5CKW2/unsplash-image-D9kOnC_1AHw.jpg Carpal Tunnel Syndrome https://www.shoulderdoctor.com.au/hand-wrist-arthritis daily 0.75 2021-04-21 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618891507504-Y45JNQDJGQWWQNGAVB37/unsplash-image-0EVKn3-5JSU.jpg Hand & Wrist Arthritis - Hand & Wrist Arthritis Symptoms, diagnosis & Treatment https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618890785884-27LK45717V6SZ4S57FUS/unsplash-image-Xodzxosar18.jpg Hand & Wrist Arthritis https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618891873360-IUXUOZZGCYN03HWQ9EIV/unsplash-image-IvTCN1H4X1k.jpg Hand & Wrist Arthritis - Base of Thumb Arthritis With base of thumb arthritis, pain is the most predominant symptom. This is particularly worse with a “pinch grip” but may be constant. The thumb also slowly adopts a position of “thumb in palm” in addition to less movement. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618891103572-0PHHG24J65HZVC13XCL8/unsplash-image-DlvjeOk1qkg.jpg Hand & Wrist Arthritis https://www.shoulderdoctor.com.au/other-hand-conditions daily 0.75 2021-04-21 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618895887150-3LCL73T4KQLLJ7U0OCE0/unsplash-image-T0xPy9PDyf4.jpg Other Hand Conditions - Ganglion A Ganglion is a Cyst which usually arises from a joint, ligament or tendon. It is lined with synovium and contains Mucin or joint fluid. Ganglions can fluctuate in size and have a tendency to re-occur even after rupture or aspiration. The are most common on the dorsal wrist, then volar wrist and fingers. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618897461948-OPTHJIXQHJ8FT0SFJNK2/unsplash-image-FuKz3TatmMY.jpg Other Hand Conditions - Trigger Finger Non operative methods of treating Trigger finger include: Splinting Non Steroidal anti-inflammatory medications Corticosteroid injection Activity modification Failing these options, surgery can be considered for definitive treatment. The surgery for Trigger Finger is a small day only procedure. It involves a small incision less then 1cm and the release of the A1 pulley of the flexor tendon. Following surgery, you are able to bend and use all your fingers immediately. The wound will take 10-14 days to heal. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618897358929-TZ8QEGFZGQU8XEZUYSF0/unsplash-image-xLdvOK0Jj4g.jpg Other Hand Conditions - De Quervain’s Tenosynovitis De Quervain’s Tenosynovitis is initially treated non operatively with: Non Steroidal Anti Inflammatory medications Rest Splints Corticosteroid injection to the region Failing non operative measures to treat De Quervain’s Tenosynovitis, surgery is then indicated. This is a small day only procedure which involves a small incision and release of the 1st Dorsal compartment. Symptoms generally settle down quickly and you have full use of the fingers and hands immediately post operatively. https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618897816774-8UZFRWKVOZEL574Y1X2X/unsplash-image-3opPLDft2lc.jpg Other Hand Conditions - Dupytren’s Contracture Dupytren’s disease is usually managed non operatively until the degree of the contracture is severe enough effect daily activities. The main reason for this is due to the inevitable recurrence of the disease. Treating the contracture can be addressed by the following methods: Collagenase injection Partial or complete fasciectomy Skin graft https://www.shoulderdoctor.com.au/contact daily 0.75 2025-08-18 https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1618810824269-E3XNUHJV25SJNHN8X66K/unsplash-image-UZDQG8H2bEY.jpg Contact https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1619046061061-VZB5QXTNON82FPX4QCID/unsplash-image-P8qlhXgvNIw.jpg Contact https://images.squarespace-cdn.com/content/v1/6073b911301fd11d1e650cec/1619046116807-IQCG6Z65CXYSIHDUMN80/unsplash-image-DlvjeOk1qkg.jpg Contact