Melbourne Hand Surgery 


Latest news: Masks are and will remain mandatory when you attend our practice in person, and we request that you log your attendance via our Victorian Government QR code, by entering location code 3D7RE3 into the Services Victoria App or by writing your details on the physical register at our reception.

In accordance with the current COVID peak (black) status consultations are now being conducted via videoconference, with in person consultations by exception. Hospital elective surgery is limited to Category 1 and urgent 2A surgeries only. All individuals undergoing elective surgery are required to obtain a negative COVID test within 72 hours of their scheduled surgery and must self-isolate from the time of their test until their hospital admission. Dr Tomlinson is operating at The Avenue and Glenferrie Private. 

Videoconsultations are conducted via telehealth at our dedicated virtual clinic to maximise patient and staff safety. For in person consultations we have enhanced hygiene measures in our rooms including acrylic screens, masks, hand sanitiser, face shields and physical distancing-related changes. We require that all patients provide a referral prior to booking an appointment so that we can identify and manage urgent and emergency conditions in a timely manner, and so that our surgeons can assess your suitability for a telehealth appointment and identify any further information or tests that might be required before your consultation.      If you are eligible to get vaccinated, please do so. 

Pain Management

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PLEASE NOTE: All medications can have side effects. Please use only as directed. Incorrect use could be harmful. Consult your health care practitioner if pain or symptoms persist.

Adequate pain control plays an important role in maximising function when you have a painful hand condition or injury. We strive to manage your pain using combinations of splinting, activity modification, local anaesthetic, oral medications and non-medication techniques. Some hand and wrist surgeries are sufficiently painful that we recommend an overnight stay in hospital as a routine in order to manage your pain optimally. Most hand and wrist surgeries are suitable to be performed as day-case operations, using a combination of local anaesthetic (administered at the time of surgery) and oral medications (which you take at home) to manage your pain.


Paracetamol is a very valuable and effective pain medication. Some people mistakenly think that because paracetamol is available over the counter that it is not very effective. However, taking regular paracetamol (which means 2 tablets four times a day for most adults) will provide a reduction in your pain, even if you still need to take stronger pain killers. By taking regular paracetamol you will reduce your need to take stronger pain killers, which will reduce the side effects of nausea, constipation and confusion that are common with strong opiate pain killers. 

For more information about paracetamol please follow this link to the National Prescribing Service website.


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Ibuprofen is a medication from the family of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). Aspirin, naproxen and diclofenac are other NSAIDs that you may have heard of. Ibuprofen can be purchased over the counter from supermarkets and pharmacies. The usual adult dose is 200-400mg three times daily.

Ibuprofen can have side effects including irritation of the stomach lining and stomach ulcers. For this reason it is recommended that ibuprofen be taken with food. Ibuprofen can lead to an exacerbation of asthma in some individuals. Ibuprofen should not be taken by pregnant women. For more detailed information please speak with your doctor or pharmacist, and refer to the information available from the National Prescribing Service website.

For post operative pain I commonly recommend taking ibuprofen in addition to paracetamol. The combination of paracetamol and ibuprofen will often be sufficient to manage moderate pain. In many instances if you take regular paracetamol and ibuprofen you will not need to take stronger pain killers like codeine, tramadol and oxycodone – so you will be able to avoid the side effects of nausea, constipation and confusion that are common with strong opiate pain killers.

Ibuprofen is available in a topical gel form. This is not suitable for immediate post operative use but may be suitable in other circumstances – discuss with your doctor or pharmacist if you would like to consider this treatment.


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Click here to view information regarding tramadol.


Click here to view information regarding oxycontin.


Click here to view information regarding oxycodone.

Additional Pain Management Resources

Pain Management: Frequently Asked Questions

Over The Counter Pain Medications Explained

Chronic Pain: What Can I Do?

My Pain Management Plan - Having structured plan can help chronic pain management

Using Opioid Medications for Chronic Pain

Helping You To Manage Your Arthritis Pain - A booklet with information and a pain diary to manage your arthritis pain.

My Pain Diary


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