
Dr David Graham B.phty (Hons) MBBS FRACS (Orth) FAORTHA PFET (Hand surgery).
A/Prof Graham graduated from the University of Queensland (UQ) with a Bachelor of Physiotherapy with honours and went on to complete a Bachelor of Medicine and Bachelor of Surgery at UQ. After working as a junior doctor in Brisbane and the Gold Coast, Dr Graham subsequently completed his advanced training in Orthopaedic Surgery in NSW. Following Orthopaedic training, Dr Graham completed the Hand, Wrist and Microsurgery fellowship at the Royal North Shore Hospital / The Children’s Hospital at Westmead in Sydney, and international hand fellowships including; Ganga Hospital (Coimbatore, India) and the University of California Irvine/ Shriners Hospital Los Angeles / Children’s Hospital of Orange County (USA). Dr Graham has also travelled to visit and work with hand surgery professors in Japan and Spain.
Dr Graham worked as a consultant Hand, wrist and microsurgeon at the Sydney Hospital Hand Unit, as well as at the South Western Sydney Hand Unit (Fairfield Hospital) prior to returning to Queensland.
Dr Graham has a strong interest in teaching and research, and holds academic title with the University of Queensland, Griffith University and Bond University and has been awarded the title of Associate Professor due to his commitment to research and teaching. Dr Graham has many peer reviewed published research papers in Orthopaedic and Hand surgery and presents at local, national and international hand surgery conferences.
Dr Graham was selected for the 2018 Australian Hand Surgery Society (AHSS), American Society for Surgery of the Hand (ASSH) travelling hand fellowship, visiting the Mayo Clinic Rochester MN, Hospital for Special Surgery (HSS) New York NY, Curtis Hand Centre Baltimore MD, Rothman Institute, Philadelphia PA.
Dr Graham regularly travels overseas on Orthopaedic outreach trips, with the aim of providing quality health care to all, and to provide teaching of the local surgeons and surgical trainees. These trips are in conjunction with the Australian Hand Surgery Society , American Society for Surgery of the Hand Touching Hands project, Orthopaedic Outreach and AUSNEP. These have included trips to Nepal, Cambodia and Fiji, with future trips to the Solomon Islands planned.
Ausnep Australia is humbled and delighted that Dr Graham heads the Hand Surgery program in Nepal, and continues his relationship with Ausnep.
Dr Brahman Sivakumar is an orthopaedic surgeon who has sub-specialized in the management of hand, wrist and peripheral nerve conditions, as well as microsurgery. After obtaining his medical degree from the University of New South Wales in 2007, Brahman underwent orthopaedic training at centres throughout NSW and QLD. He completed his surgical training in 2017, before sub-specialising in hand surgery via the Post Fellowship Education and Training [PFET] programme under the auspices of the Australian Hand Surgery Society. He has also completed the Carl Zeiss Microsurgery Fellowship at Ganga Hospital in Coimbatore, India, and will maintain his skills by undertaking training in the United Kingdom and Europe in the future. In addition to his clinical practice, Brahman has a strong interest in research and academics. He has authored over over 65 peer-reviewed publications and 2 book chapters, and has had the opportunity to present both locally and internationally. He is currently a PhD candidate at the University of Sydney, where he is undertaking a combination of clinical and laboratory research. Ausnep Australia is delighted to welcome Dr Sivakumar to the team to provide such a valuable ongoing service to the people of Nepal. |
David and his wife, Hand Therapist, Marin Graham. together form a 'dynamic duo'. The are both unassuming skilled health professionals. Providing education, & life changing opportunities to those who could not ordinarily access this level of care.
David & Marin will travel to Nepal in April 2019, to again give their time, share their knowledge & provide incredibly life changing procedures.
They are self-funded volunteers.
David & Marin will travel to Nepal in April 2019, to again give their time, share their knowledge & provide incredibly life changing procedures.
They are self-funded volunteers.

Marin Graham
B App Sc (Phty)
Accredited Hand Therapist (AHTA)
Certified Hand Therapist (USA)
Marin began her career working in the rehabilitation of patients in tertiary trauma hospitals in Sydney including Prince of Wales Hospital, Sydney Children’s Hospital - Randwick and Liverpool Hospital. After discovering the art of hand therapy, and seeing first-hand the impact of high quality hand therapy on the quality of life of her clients, she has devoted her work to hands.
Marin has had experience working at The South Western Sydney Hand Unit and The Sydney Hospital Hand Unit prior to working in private practice.
Marin attends interstate, national and international hand therapy courses and conferences including at the University of California Irvine, USA and has an interest in the rehabilitation of the hand and upper limb following trauma.
Marin is passionate about providing quality hand therapy and contributing to the progression of hand therapy.
B App Sc (Phty)
Accredited Hand Therapist (AHTA)
Certified Hand Therapist (USA)
Marin began her career working in the rehabilitation of patients in tertiary trauma hospitals in Sydney including Prince of Wales Hospital, Sydney Children’s Hospital - Randwick and Liverpool Hospital. After discovering the art of hand therapy, and seeing first-hand the impact of high quality hand therapy on the quality of life of her clients, she has devoted her work to hands.
Marin has had experience working at The South Western Sydney Hand Unit and The Sydney Hospital Hand Unit prior to working in private practice.
Marin attends interstate, national and international hand therapy courses and conferences including at the University of California Irvine, USA and has an interest in the rehabilitation of the hand and upper limb following trauma.
Marin is passionate about providing quality hand therapy and contributing to the progression of hand therapy.
Natalia Alfaro
Accredited Hand Therapist AHTA
Certified Hand Therapist (USA), and a full member of the
Degree in Applied Science (Occupational Therapy) from the University of Sydney in 2012.
Natalia knew her passion was in treating upper limb conditions during her final clinical placement at university where she was able to first experience hand therapy. Following graduation, Natalia spent many years working in the Sydney Hospital Hand Unit, gaining extensive experience in acute, chronic and complex traumatic upper limb injuries.
In 2015, she completed the Sydney Hospital Hand Therapy Clinical Fellowship with a project on the effectiveness of hand therapy intervention following the release of Dupuytren's contractures and completed a Post Graduate Diploma in Hand Therapy through the University of Derby in the UK in 2017.
Natalia is heavily involved in teaching and supervision, always wanting to continue to progress and improve the profession. She has presented at courses on topics including upper limb anatomy, wound and scar management, and the management of tendon injuries. She also enjoys supervising students during their clinical placements, guiding them to improve their practice and potentially find their own excitement for hand therapy.
Accredited Hand Therapist AHTA
Certified Hand Therapist (USA), and a full member of the
Degree in Applied Science (Occupational Therapy) from the University of Sydney in 2012.
Natalia knew her passion was in treating upper limb conditions during her final clinical placement at university where she was able to first experience hand therapy. Following graduation, Natalia spent many years working in the Sydney Hospital Hand Unit, gaining extensive experience in acute, chronic and complex traumatic upper limb injuries.
In 2015, she completed the Sydney Hospital Hand Therapy Clinical Fellowship with a project on the effectiveness of hand therapy intervention following the release of Dupuytren's contractures and completed a Post Graduate Diploma in Hand Therapy through the University of Derby in the UK in 2017.
Natalia is heavily involved in teaching and supervision, always wanting to continue to progress and improve the profession. She has presented at courses on topics including upper limb anatomy, wound and scar management, and the management of tendon injuries. She also enjoys supervising students during their clinical placements, guiding them to improve their practice and potentially find their own excitement for hand therapy.