Frequently Asked Questions

Not always, but a referral letter from your GP or another doctor is helpful, and some medical schemes prefer or require one. Bring it if you have one.

No. Many shoulder and upper-limb problems are treated successfully without surgery. The first visit is an assessment to find the cause and discuss your options.

Your ID and medical scheme card, any referral letter, your actual X-rays or scans and their reports, a list of your medication and allergies, and your questions.

Shoulder surgery is often done under a general anaesthetic combined with a nerve block for comfort afterwards. Many hand and wrist procedures are done under local or regional anaesthetic. The anaesthetist will discuss the best option with you.

It depends on the operation. Many smaller procedures are day-cases, so you go home the same day. Larger operations such as a shoulder replacement usually need one or more nights. You will be told in advance.

Every operation carries some risk, and these differ by procedure. Dr Julyan will explain the specific benefits and risks for your operation before you consent, so you can make an informed decision.

Some pain is expected early on and is usually well managed with the medicine you are given. Taking it regularly at first works better than waiting for pain to build up.

For many shoulder operations, commonly around 4 to 6 weeks, but this varies with the procedure. You will be given specific instructions.

Not while your arm is in a sling. You may drive once you are out of the sling, off strong pain medicine and can safely control the car — often several weeks after shoulder surgery.

Desk work is often possible within a few days to about two weeks; manual work usually takes longer. A sick note can be arranged, and a graded return discussed.

Lighter activity is often built up around three months, with higher-demand or contact sport later. Your physiotherapist and surgeon will guide you.

Physiotherapy or hand therapy is an important part of recovery for most shoulder and upper-limb operations. You will be advised when to start and what to do.

Planned surgery usually needs pre-authorisation, and cover depends on your scheme and plan. Authorisation confirms cover for the admission but is not a guarantee of full payment of every fee. Ask the rooms about possible co-payments.

It is the difference between a fee and what your scheme pays. Ask the rooms in advance; gap cover, if you have it, is designed to help with these amounts.

Your records are kept confidential and handled in line with POPIA and the National Health Act, and used to provide and administer your care.