	Call US (02)47318466		Book Online		Clinics Locations

About Us
- About Doctor Sunner
Services
- Procedures
  - Hip
  - Knee
  - Shoulder
- Conditions
Whats My Score
Education
- Patient
- GP
FAQ
Contact
- Locations
Book Online
02 4731 8466

Book Online
02 4731 8466

About Us
- About Doctor Sunner
Services
- Procedures
  - Hip
  - Knee
  - Shoulder
- Conditions
Whats My Score
Education
- Patient
- GP
FAQ
Contact
- Locations
Book Online
02 4731 8466

ORTHOPAEDIC CONSULTATION

Contact us

Orthopedic Orthopedic Home » Contact us

SCHEDULE AN ORTHOPAEDIC CONSULTATION

We love to listen and we are eager to find a solution for your area of concern. Get in touch with us if you have any queries and we will get back to you as soon as possible.

Layout

Name *

Email *

Phone *

Layout

Clinic Location *

Appointment Type *

THE HIP QUIZ

Oxford Hip Questionnaire

*1. How would you describe the pain you usually have in your hip? *

None
Very Mild
Mild
Moderate
Severe

* 2. Have you been troubled by pain from your hip in bed at night? *

No nights
Only 1 or 2 nights
Some nights
Most nights
Every night

* 3. Have you had any sudden, severe pain (shooting, stabbing, or spasms) from your affected hip? *

No days
Only 1 or 2 days
Some days
Most days
Every day

* 4. Have you been limping when walking because of your hip? *

Rarely/never
Sometimes or just at first
Often, not just at first
Most of the time
All of the time

* 5. For how long have you been able to walk before the pain in your hip becomes severe (with or without a walking aid)? *

No pain for 30 minutes or more
16 to 30 minutes
5 to 15 minutes
Around the house only
Not at all

* 6. Have you been able to climb a flight of stairs? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 7. Have you been able to put on a pair of socks, stockings or tights? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 8. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your hip? *

Not at all painful
Slightly painful
Moderately painful
Very painful
Unbearable

* 9. Have you had any trouble getting in and out of a car or using public transportation because of your hip? *

No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

* 10. Have you had any trouble with washing and drying yourself (all over) because of your hip? *

No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

* 11. Could you do the household shopping on your own? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 12. How much has pain from your hip interfered with your usual work, including housework? *

Not at all
A little bit
Moderately
Greatly
Totally

THE KNEE QUIZ

Oxford Knee Questionnaire

* 1. How would you describe the pain you usually have in your knee? *

None
Very Mild
Mild
Moderate
Severe

* 2. Have you had any trouble washing and drying yourself (all over) because of your knee? *

No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

* 3. Have you had any trouble getting in and out of the car or using public transport because of your knee? (With or without a stick) *

No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

* 4. For how long are you able to walk before the pain in your knee becomes s eve re? (With or without a stick) *

No pain > 60 min
16 - 60 minutes
5 - 15 minutes
Around the house only
Impossible to do

* 5. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee? *

Not at all painful
Slightly painful
Moderately pain
Very painful
Unbearable

* 6. Have you been limping when walking, because of your knee? *

Rarely / never
Sometimes or just at first
Often, not just at first
Most of the time
All of the time

* 7. Could you kneel down and get up again afterwards? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 8. Are you troubled by pain in your knee at night in bed? *

Not at all
Only one or two nights
Some nights
Most nights
Every night

* 9. How much has pain from your knee interfered with your usual work? (including housework) *

Not at all
A little bit
Moderately
Greatly
Totally

* 10. Have you felt that your knee might suddenly give way or let you down? *

Rarely / Never
Sometimes or just at first
Often, not at first
Most of the time
All the time

* 11. Could you do household shopping on your own? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 12. Could you walk down a flight of stairs? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

THE SHOULDER QUIZ

Oxford Shoulder Questionnaire

* 1. How would you describe the worst pain you had from your shoulder? *

None
Very Mild
Mild
Moderate
Severe

* 2. Have you had any trouble dressing yourself because of your shoulder? *

No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

* 3. Have you had any trouble getting in and out of a car or using public transport because of your shoulder? *

No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

* 4. Have you been able to use a knife and fork at the same time? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 5. Could you do the household shopping on your own? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 6. Could you carry a tray containing a plate of food across a room? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 7. Could you brush/comb your hair with the affected arm? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 8. How would you describe the pain you usually had from your shoulder? *

None
Very mild
Mild
Moderate
Severe

* 9. Could you hang your clothes up in a wardrobe, using the affected arm? (whichever you tend to use) *

Yes, easily
With little difficulty
With moderate difficulty
With great difficulty
No, impossible

* 10. Have you been able to wash and dry yourself under both arms? *

Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

* 11. How much has pain from your shoulder interfered with your usual work (including housework)? *

Not at all
A little bit
Moderately
Greatly
Totally

* 12. Have you been troubled by pain from your shoulder in bed at night? *

No nights
Only 1 or 2 nights
Some nights
Most nights
Every night

Your Score

File Upload

Click or drag a file to this area to upload.

Please, upload your file (GP Referral)

X-Ray Imaging Link

Message *

82931

© 2023 Western Orthopaedics | All rights reserved - Website Maintained By: Getfounddigitally

Urgent Appointment Facebook Linkedin