Median nerve and transverse carpal ligament

General orthopAedic conditions

Dr Pirjol treats the following conditions:

  • Impingement
    A common cause of shoulder pain is impingement. Shoulder impingement occurs when structures within the shoulder (such as tendons and bones) rub together. Generally, external impingement occurs, where the rotator cuff intrudes into the sub-acromial space. The space between the acromion and the rotator cuff is filled with the sub-acromial bursa, a fluid-filled sac that allows the shoulder to move properly. Any unusual impact on the rotator cuff can cause shoulder pain and impingement.
  • Calcification
    Calcification causes considerable shoulder joint pain. It occurs when there is a build-up of calcium in the rotator cuff. The rotator cuff works to stabilise the humeral head in the shoulder socket. When calcium accumulates in one of the tendons, the rotator cuff is not able to function normally. The calcium deposits trigger inflammation, and can also lead to impingement. For more information on calcification.
  • Rotator cuff tears
    A rotator cuff tear is a common shoulder injury, which can cause considerable discomfort and pain. The rotator cuff is made up of muscles and tendons that join at the top of the upper arm bone (humerus). This group of muscles and tendons allow the arm to move in different directions. When a rotator cuff tendon tears, the tendon pulls away from the bone, damaging the soft tissue or, in some cases, splitting the soft tissue completely. A torn rotator cuff will weaken the shoulder, and make certain movements of the arm difficult.
  • Degenerative conditions of the shoulder, hip and knee
    Arthritis of the shoulder, hip and knees is one of the most common causes of pain. There are several types of arthritis. These include osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.
  • Patella dislocations
    A patella dislocation or dislocated knee occurs when the patella bone is pushed out of place, and soft tissues such as ligaments, muscles and tendons are damaged or strained. Patella dislocations (dislocated knees) are most common in children and young adults. For more information on patella dislocations.
  • Anterior knee pain (Patellofemoral pain syndrome)
    Pain behind the knee or anterior knee pain occurs at the centre and front of the knee. It occurs when the kneecap does not move properly and rubs against the femur, if there is tightness in the thigh muscles, or if the kneecap is placed under stress from physical activity. Anterior knee pain, otherwise known as patellofemoral pain syndrome, is a common sport injury.
  • Common sport injuries
    Sport injuries in the knee and shoulder are among the most common conditions treated by Dr Pirjol. Some common sport injuries include dislocations, impingement, rotator cuff tears, bicep tendon injuries, ligament tears, fractures, and patellofemoral pain syndrome.


Dr Gabriel Pirjol is an orthopaedic surgeon based in Kwazulu Natal at St Augustine’s Hospital in Durban. He also consults and operates from Gateway Hospital in Umhlanga, Westville Hospital and Malvern Medicross.


Telephone: +27 31 202 5463

Email: /

Address : Suite 24 Chelmsford Medical Centre
St Augustine's Hospital
107 J B Marks Road
Berea, 4001