Your First Consultation
What to bring, what happens at your visit, and why seeing the surgeon does not mean you will need an operation.
Clear, practical information to help you understand your condition and prepare for treatment and recovery.
Patient Information Guides
Practical, plain-language guides in three steps — understanding your problem, your surgery and recovery, and the practical detail. Each guide can be read on screen or downloaded as a print-ready A4 PDF.
Seeing a surgeon does not always mean surgery. Most shoulder, elbow and hand problems are treated without an operation first — with physiotherapy, medication, splints or an injection. When surgery is the best option, it is fully explained before any decision is made.
What to bring, what happens at your visit, and why seeing the surgeon does not mean you will need an operation.
The whole journey at a glance — from consultation and decision to the day of surgery, recovery and follow-up.
Rotator cuff tears, instability, frozen shoulder and shoulder arthritis, explained in plain language.
Carpal tunnel, trigger finger, De Quervain’s and cubital tunnel — symptoms and the options that help.
Your sling, wound care, pain relief, the do’s and don’ts, and the warning signs to act on.
A week-by-week guide to driving, work, sleep, physiotherapy and getting back to sport.
Pre-authorisation, PMBs, ICD-10 codes, co-payments, and what to bring to the rooms.
Straight answers on pain, anaesthetic, driving, work, costs and consent.
Each guide is written for a South African context and is currently marked “draft for clinical review” pending Dr Julyan’s approval before publication.
Common Conditions
A guide to some of the problems seen most often - not a substitute for a professional assessment.
Pain, weakness and night-time discomfort in the shoulder, often from wear or injury.
A shoulder that dislocates, slips or feels loose, commonly after a sports injury.
Progressive stiffness and pain that limits everyday movement of the shoulder.
Pain over the inner or outer elbow from tendon overload.
Numbness, tingling and night pain in the hand from nerve compression at the wrist.
Joint pain and stiffness that may benefit from injections or joint replacement.
Surgery Guidance
These are general guides only. Always follow the specific instructions given to you by Dr Julyan and the nursing team.
FAQs
The rooms are happy to help. Get in touch and the team will guide you.
Contact the rooms