Sivaraman Balasubramanian

Dr Sivaraman Balasubramanian

Orthopaedic Surgeon

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EXPERTISE IN
• Elbow surgery • Shoulder surgery • Shoulder dislocation • Elbow dislocation - Simple and Complex • Shoulder replacement • Elbow replacement • Sports Injuries • Shoulder arthroscopic procedures • Elbow arthroscopic procedures
Expertise in

Medical and Surgical Treatments Offered

  • Assessment and non-surgical management of shoulder and elbow pain

  • Shoulder and elbow sports injury treatment

  • Physiotherapy-led rehabilitation and image-guided treatment planning

  • Hydrodilatation for frozen shoulder

  • Shoulder arthroscopy

  • Rotator cuff repair

  • Arthroscopic shoulder stabilisation for recurrent dislocation

  • Bankart and SLAP repairs

  • Remplissage procedures

  • Posterior labral repair and labral cyst decompression

  • Arthroscopic capsular release for frozen shoulder

  • Acromioclavicular joint excision

  • Shoulder resurfacing

  • Short-stem shoulder replacement

  • Total shoulder replacement

  • Reverse shoulder replacement

  • Total elbow replacement

  • Surgical treatment of tennis elbow

  • Distal biceps tendon repair and reconstruction

  • Treatment of shoulder and elbow dislocations

  • Fixation of complex upper-limb fractures

  • Treatment of proximal humerus, scapular, radial head and capitellum fractures

  • Management of shoulder fracture-dislocations and complex elbow trauma

Professional Profile

Dr B. Sivaraman

UK-Trained Shoulder and Elbow Surgeon in Chennai, India

FRCS (Trauma & Orthopaedics) | UK CCT/CESR | Former NHS Shoulder and Elbow Consultant | Shoulder Arthroscopy, Joint Replacement and Complex Upper-Limb Trauma

Dr B. Sivaraman is a UK-trained consultant orthopaedic surgeon in Chennai specialising in shoulder and elbow surgery, sports injuries and complex upper-limb trauma.

He practises at Apollo Hospitals, Greams Road, Chennai, and has more than 17 years of orthopaedic experience, including approximately 13 years working within the UK National Health Service.

His specialist practice includes rotator cuff surgery, keyhole shoulder procedures, shoulder stabilisation, frozen shoulder treatment, shoulder and elbow replacement, fracture reconstruction and the management of complex or previously unsuccessful shoulder surgery.

Dr Sivaraman consults patients from India and overseas, including people from the UK, United States and other countries considering specialist orthopaedic treatment in India.

Watch Dr Sivaraman discuss shoulder conditions and treatment:

Professional Profile

Before returning to India, Dr Sivaraman worked as a Shoulder and Elbow Consultant at Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust.

His UK qualifications and training include:

  • Membership of the Royal College of Surgeons of Edinburgh

  • FRCS in Trauma and Orthopaedics

  • UK CCT/CESR recognition in Trauma and Orthopaedic Surgery

  • British Orthopaedic Association fellowship training in shoulder and elbow surgery in Teesside

  • Fellowship training in upper-limb and major trauma surgery in Stoke-on-Trent

  • NHS consultant experience in specialist shoulder and elbow surgery

His combination of UK fellowship training, NHS consultant experience and current practice in Chennai allows him to communicate clearly with international patients and collaborate effectively with physiotherapists, primary-care doctors and musculoskeletal clinicians.

Dr Sivaraman’s approach is based on accurate diagnosis, evidence-informed treatment and shared decision-making. Surgery is recommended only where it is considered clinically appropriate and where the likely benefits outweigh the risks and limitations.

Shoulder and Elbow Conditions Treated

Dr Sivaraman assesses and treats a broad range of shoulder, elbow and upper-limb conditions, including:

  • Shoulder pain and restricted movement

  • Rotator cuff tears

  • Rotator cuff tendinopathy

  • Shoulder impingement

  • Recurrent shoulder dislocation

  • Shoulder instability

  • Frozen shoulder

  • Shoulder arthritis

  • Elbow arthritis

  • Acromioclavicular joint disorders

  • Biceps tendon injuries

  • Labral tears

  • SLAP lesions

  • Sports-related shoulder injuries

  • Sports-related elbow injuries

  • Tennis elbow

  • Proximal humeral fractures

  • Scapular fractures

  • Complex shoulder and elbow trauma

  • Elbow fractures and dislocations

  • Failed previous shoulder surgery

  • Persistent pain following shoulder surgery

  • Shoulder and elbow joint replacement assessment

Shoulder and Elbow Procedures

Where surgery is indicated, Dr Sivaraman’s practice includes:

  • Arthroscopic rotator cuff repair

  • Arthroscopic shoulder stabilisation

  • Bankart repair

  • Labral repair

  • SLAP lesion repair

  • Remplissage procedures

  • Posterior labral repair

  • Arthroscopic capsular release for frozen shoulder

  • Acromioclavicular joint excision

  • Shoulder resurfacing

  • Anatomic total shoulder replacement

  • Reverse shoulder replacement

  • Total elbow replacement

  • Proximal humeral fracture surgery

  • Scapular fracture fixation

  • Complex elbow fracture reconstruction

  • Treatment of elbow fractures and dislocations

  • Revision assessment following previous shoulder surgery

The most appropriate treatment depends on the diagnosis, severity of symptoms, scan findings, functional limitations, previous treatment and the patient’s overall health.

Non-Surgical Shoulder and Elbow Treatment

Not every shoulder or elbow condition requires surgery.

Depending on the diagnosis, Dr Sivaraman may recommend:

  • Targeted physiotherapy

  • Activity modification

  • Pain-relieving or anti-inflammatory medication

  • Structured rehabilitation

  • Image-guided injections

  • Monitoring and review

  • Further diagnostic imaging

  • Referral to another appropriate specialist

For international patients, an initial consultation can help establish whether surgery is genuinely required before travel arrangements are made.

Approach to Patient Care

Dr Sivaraman aims to identify the underlying cause of a patient’s symptoms before recommending treatment.

During the consultation, patients can expect a clear discussion covering:

  • The likely diagnosis

  • Relevant X-ray, ultrasound, CT or MRI findings

  • Non-operative treatment options

  • Whether surgery is clinically indicated

  • The proposed procedure

  • Expected benefits

  • Limitations of treatment

  • Material risks and possible complications

  • Postoperative pain management

  • Rehabilitation requirements

  • Expected recovery times

  • Return to work

  • Return to driving

  • Return to exercise and sport

  • Follow-up after returning home

Patients are encouraged to ask questions and take an active role in deciding which treatment option is most appropriate for them.

Shoulder Surgery in India for UK and US Patients

Patients from the UK and United States may consider treatment abroad for several reasons, including:

  • Access to an experienced subspecialist surgeon

  • Reduced waiting times

  • More affordable self-funded treatment

  • Access to modern hospital facilities

  • Availability of online consultations before travel

  • The opportunity to obtain a second opinion

  • Continuity between preoperative assessment, surgery and rehabilitation planning

Treatment abroad is not suitable for every patient. Before travelling, patients should understand the diagnosis, alternative treatments, surgical risks, expected length of stay, rehabilitation plan and arrangements for follow-up after returning home.

Dr Sivaraman will discuss these issues during an initial online or in-person consultation.

 

Professional Qualifications

 

  • MS in Orthopaedics
  • MRCS, Royal College of Surgeons of Edinburgh, UK
  • FRCS Trauma and Orthopaedics, UK
  • UK CCT/CESR in Orthopaedic Surgery
  • Postgraduate Diploma in Orthopaedics, University of Central Lancashire
  • British Orthopaedic Association Shoulder and Elbow Fellowship, Teesside
  • British Orthopaedic Association Upper-Limb and Major Trauma Fellowship, Stoke-on-Trent
Special Interest
  • Shoulder and elbow surgery

  • Arthroscopic and minimally invasive upper-limb surgery

  • Rotator cuff repair

  • Shoulder instability treatment

  • Sports-related shoulder and elbow injuries

  • Frozen shoulder management

  • Shoulder replacement, including reverse shoulder replacement

  • Elbow replacement

  • Complex shoulder and elbow trauma

  • Tendon repair and reconstruction

Professional body registration with number (eg. GMC/GDC)
General Medical Council (U.K): 6071975
Languages

English, Tamil, Telugu

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Frozen Shoulder - Information for Patients
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F.A.Q
F.A.Q

Dr Sivaraman assesses and treats a wide range of shoulder conditions, including rotator cuff tears, shoulder impingement, frozen shoulder, recurrent dislocation, shoulder instability, arthritis, sports injuries and fractures.

Treatment may involve physiotherapy, injections or surgery, depending on the diagnosis and the patient’s individual circumstances.

Not every shoulder condition requires surgery. Dr Sivaraman will review your symptoms, examination findings and relevant imaging before discussing the available treatment options.

Surgery is generally considered when symptoms remain significant despite appropriate non-operative treatment, or when the underlying injury is unlikely to recover satisfactorily without an operation.

Yes. An initial video consultation may be arranged to discuss your symptoms, medical history, previous treatment and available scans or reports. This can help determine whether further assessment or treatment in Chennai may be appropriate.

A final treatment recommendation can only be made after the necessary clinical assessment and investigations.

Dr Sivaraman will explain the proposed procedure, expected benefits, important risks, likely hospital stay and anticipated recovery. 

You will also receive guidance regarding pain management, physiotherapy, use of a sling, return to work, driving and exercise. Recovery times vary according to the procedure and the individual patient.

A rehabilitation and follow-up plan should be agreed before the patient travels home. This may include written clinical information, physiotherapy guidance, postoperative video consultations and communication with the patient’s local doctor or physiotherapist where appropriate.

Patients should also understand whom to contact if they develop concerns or possible complications after returning home.

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