Frequently asked questions

Answers to your questions - Upper Limb, Orthopaedic procedures.

What conditions does Dr Clifton Treat?

Dr Clifton is a highly skilled orthopaedic surgeon who specialises in the diagnosis and treatment of a wide range of musculoskeletal conditions. His expertise includes:

Shoulder Conditions: Dr Clifton treats various shoulder issues, including rotator cuff tears, shoulder impingement syndrome, frozen shoulder (adhesive capsulitis), shoulder arthritis (both osteoarthritis and rheumatoid arthritis), labral tears (such as SLAP lesions), shoulder instability and bursitis.

Elbow Conditions: He manages conditions like tennis elbow (lateral epicondylitis), golfer's elbow (medial epicondylitis), elbow arthritis, ulnar nerve entrapment (cubital tunnel syndrome), elbow bursitis (olecranon bursitis), distal biceps tendon rupture, elbow fractures and dislocations.

Wrist Conditions: Dr Clifton treats various wrist disorders, including carpal tunnel syndrome, wrist arthritis (osteoarthritis and rheumatoid arthritis), De Quervain's tenosynovitis, ganglion cysts, wrist fractures (such as scaphoid fractures), triangular fibrocartilage complex (TFCC) tears, Kienböck's disease (avascular necrosis of the lunate) and wrist tendinitis.

Hand Conditions: His practice also covers hand conditions such as trigger finger (stenosing tenosynovitis), Dupuytren's contracture, rheumatoid arthritis of the hand, osteoarthritis of the hand and fingers, mallet finger, hand fractures, and flexor tendon injuries.

Dr Clifton employs advanced techniques and personalised treatment plans to address each condition, ensuring optimal outcomes and recovery for his patients.

What does recovery from shoulder surgery look like?

Recovery from shoulder surgery varies depending on the specific procedure performed and the individual patient’s health, but generally, it follows a structured process. Initially, you will likely need to wear a sling to immobilise the shoulder and protect the surgical site. Pain management and anti-inflammatory medications are prescribed to help manage discomfort and reduce swelling.

In the first few weeks, you’ll focus on gentle range-of-motion exercises as advised by Dr Clifton or physiotherapist, to prevent stiffness and promote healing. Physical therapy often begins shortly after, with a focus on restoring strength, flexibility and functional mobility.

Adhering to the prescribed rehabilitation programme is crucial for a successful recovery. Most patients can expect to return to daily activities within a few months, though full recovery to pre-surgery activity levels may take up to 6 months or longer. Regular follow-up appointments with your surgeon will help monitor progress and adjust the rehabilitation plan as needed to ensure the best possible outcome.

What are the risks and complications of shoulder surgery?

Shoulder surgery, like any surgical procedure, carries potential risks and complications. Common risks include infection at the surgical site, which can be managed with antibiotics but may require additional treatment if it becomes severe.

There is also a risk of bleeding or blood clots, which can occur during or after surgery and may need medical intervention. Other potential complications include stiffness or reduced range of motion, which can result from scar tissue formation or inadequate post-surgical rehabilitation.

Nerve damage is another risk, potentially causing numbness or weakness in the shoulder or arm. In some cases, the surgical repair may not fully resolve the problem, leading to persistent pain or the need for additional surgery. Dr Clifton will discuss these risks in detail before the procedure, and he will take measures to minimise complications and ensure a smooth recovery.

Best treatments for tennis elbow?

The treatment for tennis elbow, or lateral epicondylitis, typically begins with non-surgical methods aimed at reducing pain and inflammation while promoting healing.

Initial treatments often include:

* Rest and Activity Modification: Avoiding activities that exacerbate the pain can help reduce stress on the elbow. Modifying or temporarily stopping activities that involve repetitive arm movements is crucial.

* Ice Therapy: Applying ice to the affected area several times a day can help reduce inflammation and numb the pain.

* Over-the-counter Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help manage pain and reduce inflammation.

* Physical Therapy: A physical therapist can provide exercises to strengthen the forearm muscles and improve flexibility, which can alleviate strain on the elbow.

* Bracing: Wearing a forearm brace or elbow strap can help reduce strain on the elbow and relieve pain.

If conservative treatments are ineffective, more advanced options may be considered, such as:

* Corticosteroid Injections: Injections can provide temporary relief by reducing inflammation in the elbow joint.

* Platelet-Rich Plasma (PRP) Therapy: This treatment involves injecting a concentration of platelets from your own blood into the elbow to promote healing.

*Extracorporeal Shock Wave Therapy: This non-invasive treatment uses shock waves to stimulate healing in the affected area.

In rare cases where symptoms persist despite extensive conservative treatment, surgical options might be explored. Surgical intervention aims to remove degenerated tissue and promote healing of the tendons. Dr Clifton will discuss the most appropriate treatment plan based on the severity of your condition and your response to initial therapies.

Where is Dr Clifton's Clinic? 

Perth Orthopaedic & Sports Medicine Centre
Level 1, 1 Havelock Street West Perth WA 6005
08 9212 4200

What are the clinic's operating hours?

The clinic is open Monday to Friday from 9:00 AM to 5:00 PM. Appointments outside these hours may be arranged on a case-by-case basis.

Do I need a referral to make an appointment?

While a referral is not required for a consultation, it is recommended. A referral can provide Dr Clifton with important medical information

What are Dr Clifton's qualifications?

Dr Clifton holds an BA, BMBS, FRACS, FAOrthA. He is a Fellow of the Royal Australian College of Surgeons and the Australian Orthopaedic Association.

What are Dr Clifton's specialties?

Dr Tom Clifton is a highly skilled Orthopaedic Surgeon with a specialised focus on the following areas:

Shoulder Surgery: Dr Clifton has extensive experience in managing a wide range of shoulder conditions, including rotator cuff tears, shoulder instability, and arthritis. His expertise includes both minimally invasive techniques and complex reconstructive surgeries.

Elbow Surgery: Dr Clifton specialises in treating various elbow conditions such as tennis elbow, golfer's elbow, and elbow arthritis. His practice involves both conservative management and advanced surgical procedures to address elbow pain and dysfunction.

Upper Limb Surgery: Beyond the shoulder and elbow, Dr Clifton also focuses on the entire upper limb, including the wrist and hand. He handles conditions like carpal tunnel syndrome, wrist fractures and hand tendon injuries with both surgical and non-surgical approaches.

Sports Injuries: Dr Clifton has a particular interest in treating sports-related injuries involving the upper limb. His approach often includes tailored rehabilitation protocols to help athletes return to their activities as quickly and safely as possible.

Dr Clifton’s comprehensive training and experience in these areas ensure that he provides expert care tailored to the specific needs of each patient.

Does Dr Clifton participate in research and teaching?

Dr Clifton actively conducts research and contributes to papers relating to his Upper Limb specialty, you can find a list on Dr Clifton's research on the about page