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Multidisciplinary musculoskeletal care · Wollongong

Shoulder, elbow, wrist and hand

Shoulder, elbow, wrist and hand care in Wollongong

Orthopaedic assessment and treatment for shoulder, elbow, wrist and hand conditions, with physiotherapy, imaging and rehabilitation connected around the same goals.

A referral is generally required for an orthopaedic appointment. Physiotherapy and other allied health services can generally be booked directly.

Dr Jasan Dannaway, orthopaedic surgeon specialising in shoulder, elbow, wrist and hand care
Clinical leadDr Jasan DannawayShoulder, elbow, wrist and hand orthopaedic surgeon
Multiple ways to startBegin with a referred specialist assessment, or book physiotherapy or injury care directly. The patient services team can help you choose.
On-site imagingX-ray and musculoskeletal ultrasound may support assessment when clinically appropriate.
One connected planCare can move between specialist, allied health, imaging and rehabilitation without starting again.

How the pathway can work

Start with the appointment that best fits the problem.

The first appointment depends on the injury, symptoms, referral status and goals. The wider team can be added as the clinical question changes.

Whichever way you start, on-site X-ray and ultrasound, exercise rehabilitation and nursing care connect to the same plan rather than being a separate referral.

Dr Jasan Dannaway

Specialist depth for decisions that need it

Dr Jasan Dannaway

Dr Dannaway provides orthopaedic assessment and treatment across the shoulder, elbow, wrist and hand. His earlier career in physiotherapy informs a practical approach to both non-operative care and surgery.

Rotator cuffShoulder instabilityElbowCarpal tunnelWrist and handFractures
View Dr Dannaway's profile →

Conditions we assess and treat

From persistent pain to acute injury.

Assessment considers the diagnosis, function, goals and whether non-operative care, further investigation or specialist treatment is appropriate.

Rotator cuff and shoulder pain

Tendon injury, weakness, bursitis, impingement and pain affecting sleep, work or overhead activity.

Frozen shoulder

Progressive pain and stiffness that can make dressing, reaching and daily movement difficult.

Shoulder arthritis and instability

Joint degeneration, recurrent dislocation, labral injury and symptoms following trauma.

Elbow conditions

Tennis elbow, golfer's elbow, bursitis, arthritis, tendon injury and ulnar nerve symptoms.

Carpal tunnel and nerve compression

Numbness, tingling, weakness and pain associated with nerve irritation or compression.

Wrist and hand conditions

Sprains, tendon problems, ganglion cysts, trigger finger, arthritis and hand deformity.

Upper-limb fractures

Assessment and treatment planning for suitable fractures of the shoulder, elbow, wrist and hand.

Sports and activity injuries

Acute and overuse injuries with a coordinated pathway back to meaningful movement.

Wrap-around care, on site

Down the corridor, not across town

A shoulder, elbow, wrist or hand problem is rarely settled in one consultation. Imaging, hands-on rehabilitation and the surgical decision sit in the same building and talk to each other, so a scan does not mean a second trip across town and a rehabilitation plan does not start from scratch.

On-site X-ray and musculoskeletal ultrasound, physiotherapy and specialist review are all part of the same pathway. See the full team or read more about imaging and investigations.

Example pathways

Three ways the same team works together

These are examples rather than fixed tracks. They show how referral, imaging, surgery and rehabilitation connect in practice when it all sits in the one building. The people above appear in all three.

Route one · With surgery

A rotator cuff tear that needs repair

  1. A GP referral brings you to Dr Jasan Dannaway. Where imaging will answer a specific question, X-ray or ultrasound happens on site rather than as a separate appointment somewhere else.
  2. The decision to operate is made together — the images alongside the examination, and what you are trying to get back to. Physiotherapy may begin beforehand to protect movement and prepare the shoulder.
  3. After surgery, nursing supports wound care and the early weeks. Physiotherapy follows the surgeon’s protocol in the same building, so progress is visible to the person who operated.
  4. Exercise physiology takes over the strength and capacity work for lifting, work and sport.

Involved: orthopaedic surgeon · imaging · nursing · physiotherapy · exercise physiology

Route two · Without surgery

Shoulder pain better managed without an operation

  1. Specialist review establishes what is driving the pain, with imaging on site where it would change the plan.
  2. The decision is made to trial non-surgical treatment first. Surgery is not being considered at this stage, and the shoulder is better managed through physiotherapy.
  3. Rather than sending you elsewhere, the surgeon introduces you to a physiotherapist in the same building and sets the plan with them. A guided injection may be used where it is clinically appropriate to make rehabilitation possible.
  4. The specialist stays across how you go. If the shoulder does not respond as expected, review is arranged without starting again from the beginning.

Involved: orthopaedic surgeon · imaging · physiotherapy · exercise physiology

Route three · Straight to allied health

Wrist pain after a fall, with no referral

  1. Physiotherapy can be booked directly. No GP referral is needed to be assessed.
  2. If imaging would change the treatment, X-ray or ultrasound is arranged on site.
  3. For many people this is the whole path back to full movement, with treatment continuing under the physiotherapist who did the assessment.
  4. If the findings warrant a surgical opinion, Patient Services arranges this and works with your GP on the referral, rather than leaving you to start the process yourself.

Involved: physiotherapy · imaging · orthopaedic surgeon where needed

These are illustrations of how the model works, not treatment plans. Your pathway depends on your diagnosis and is decided with your clinician.

One plan

Assessment, decisions and recovery connected.

1

Clarify the problem

Clinical assessment begins with the practitioner best suited to the symptoms and referral status.

2

Use imaging purposefully

X-ray or ultrasound may be added when it is likely to change diagnosis or management.

3

Understand the options

Non-operative care, injections, procedures or surgery are discussed in the context of the patient's goals.

4

Build recovery

Physiotherapy, exercise rehabilitation, nursing and follow-up remain connected to the plan.

Your next step

Choose the route that fits your needs.

The patient services team can also help when the right starting point is not clear.