Dr Gabriel Pirjol


Our frequently asked questions below are here to help resolve any concerns you may have concerning open surgery, arthroscopy and orthopaedic conditions.

Ankle fusion takes approximately 2 hours, but each case is different and can take longer sometimes. As with all the other surgeries, the choice of anaesthesia ( general anaesthesia, spinal anaesthesia or regional anaesthesia) is left to the discretion of the anaesthetist.

The ankle will be numb after surgery with adequate oral and intramuscular analgesia prescribed when and if needed.

After surgery, you will remain in the recovery room for around an hour before the drowsiness subsides and you begin to feel better.

Ankle fusion surgery is designed to make your ankle pain free. Although the limp caused by the pain will be gone, one expects the stiffness of the ankle to cause a certain limp. Dr Pirjol will prescribe special orthotics to restore some of the gait roll over.

Arthroscopic surgery is less traumatic on the tissues, reduces post-op pain and facilitates rehabilitation. The stay in hospital is nevertheless similar in order to observe for complications and is different from joint to joint and from procedure to procedure.

Calcification of the shoulder occurs when calcium deposits form within your rotator cuff tendons. This condition causes pain when you move the shoulder.

In the event that non-surgical treatment doesn't help and the pain is significant, we will have to perform a calcification clean-up to remove the calcific deposits by means of arthroscopic surgery.

Runner's knee, medically known as Patellofemoral Pain (knee pain syndrome), occurs due to a structural defect or occurs as a result of overly stretched (tight) hamstrings or Achilles tendon, a raised kneecap, over-exercising and knee injuries.

Forceful impact or trauma is the main reason for a ligament tear. Running or landing in an awkward position causes your ankle to twist out of place, causing a tear in the ligament.

We treat mild sports injuries conservatively by applying R.I.C.E (Rest, ice, compression, elevation). One can add for the more severe types anti-inflammatory medications for pain management and immobilisation of the affected joint.

Soft tissue injuries are a broad group of conditions that can cover a multitude of ailments, from very mild sprains to severe ligaments injuries. An appropriate diagnosis based on a clinical and radiological assessment will decide the correct line of treatment eventually.


Dr Gabriel Pirjol is an orthopaedic surgeon based in KwaZulu-Natal at St Augustine's Hospital in Durban. He also operates from Westville Hospital and Capital Haematology Hospital.


Telephone: +27 31 202 5463

Email: gpirjol@gmail.com / opaed001@gmail.com

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