Dr. André-Nicolas Cojocaru

As an Chirurgien orthopédiste, Dr. André-Nicolas Cojocaru diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Degenerative Joint Diseases

• Rheumatoid Arthritis (Orthopedic Management): Addressing the musculoskeletal consequences of autoimmune joint diseases in collaboration with rheumatologists.
• Avascular Necrosis (Osteonecrosis): Treating bone death caused by a loss of blood supply, commonly affecting the hip, knee, or shoulder, which can lead to joint collapse.
• Osteoarthritis: Comprehensive treatment including non-surgical options (medication, injections, therapy) and surgical joint replacement when indicated.

Bone Joint Disorders General

• Bone Infections (Osteomyelitis - Surgical Debridement): Operative treatment to remove infected bone and tissue.
• Tendonitis and Bursitis (Persistent/Severe): Surgical management for chronic or severe cases of tendon inflammation (tendonitis) or bursa inflammation (bursitis) unresponsive to conservative care.

Traumatic Injuries

• Fractures (Broken Bones): Comprehensive care for broken bones, ensuring proper alignment, healing, and restoration of function.
• Sprains and Strains: Diagnosing and treating ligament sprains (stretching or tearing of ligaments) and muscle/tendon strains (injuries to muscles or tendons).
• Complex Musculoskeletal Trauma: Specialized care for severe injuries involving multiple fractures, open fractures, pelvic fractures, or significant soft tissue damage.

This list provides examples of conditions commonly managed. A comprehensive diagnosis and treatment plan, which may be surgical or non-surgical, are always based on an individual assessment by Dr. Cojocaru, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• Complex Fracture and Trauma Surgery: Advanced surgical techniques for managing complex musculoskeletal trauma.
• Diagnostic Imaging Interpretation (Musculoskeletal): Utilizing advanced imaging to accurately diagnose fractures, soft tissue injuries, arthritis, and other musculoskeletal pathologies.
• General Orthopedic Surgical Procedures: Performing a wide range of surgical interventions for various musculoskeletal conditions affecting different parts of the body.
• Knee Replacement Surgery (Total & Partial): Surgical replacement of the knee joint, including total knee arthroplasty and unicompartmental (partial) knee replacement, for severe arthritis or injury.
• Non-Operative Orthopedic Care: Exploring all appropriate non-operative avenues before considering surgery.

Note: This list highlights some of the key services offered by Dr. Cojocaru. Not all services may be listed, and the suitability of any procedure or treatment depends on individual assessment and referral. For a comprehensive understanding or to discuss your specific medical needs, please schedule a consultation.

All surgical and non-surgical treatments by Dr. André-Nicolas Cojocaru adhere to the scope of practice for Chirurgien orthopédistes in QC and the standards of The Collège des médecins du Québec (CMQ).

At AssessMed, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Cojocaru frequently works with patients towards outcomes such as:

• When their fingers getting stuck in a bent position (trigger finger) begins to noticeably impact daily life and well-being, Dr. Cojocaru helps patients strive for improved hand or foot function for daily activities. This makes participating in activities such as reaching overhead or behind their back comfortably (for shoulder issues) a pleasant and possible experience again.
• Dr. Cojocaru expertly assists individuals in navigating the complexities of numbness and tingling in their hand, especially at night (like carpal tunnel). A successful and well-managed treatment outcome, exemplified by successful healing of their broken bone (fracture), means they can happily and comfortably get back to participating in fitness classes or going to the gym.
• Dr. Cojocaru often consults with patients whose a growth or lump on one of their bones or in their muscles significantly limits their enjoyment of throwing a ball or swinging a racket effectively or impacts their well-being. The clear goal of care is to achieve an effective surgical or non-surgical treatment plan tailored to their needs and thereby restore their active and healthy lifestyle.

Your personalized treatment plan, whether surgical or non-surgical, developed in consultation with Dr. Cojocaru, will be carefully designed to help you achieve your specific musculoskeletal goals. Dr. Cojocaru is committed to providing expert orthopedic care to help you regain mobility and improve your quality of life.

Dr. Cojocaru's practice, AssessMed, is situated in a central location within the Montréal neighborhood of Montréal. The clinic is conveniently located near local healthcare facilities and community services and is accessible via major local public transit routes. Details on parking can be provided when you book your consultation.

Are services provided by an Orthopedic Surgeon like Dr. Cojocaru covered by provincial health insurance (e.g., Régie de l'assurance maladie du Québec (RAMQ))?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Cojocaru are typically covered by provincial health plans such as Régie de l'assurance maladie du Québec (RAMQ) in QC, provided the patient has a valid health card and appropriate referral. Diagnostic imaging ordered is also usually covered. However, some specific items like certain braces, custom orthotics, or advanced biologic injections may not be fully covered or may have associated fees. It's always best for patients to inquire with AssessMed about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

What can I expect at my first orthopedic consultation with Dr. Cojocaru at AssessMed?

The first visit will typically involve a comprehensive musculoskeletal assessment. This includes a detailed discussion of the patient's medical history, the specific problem (e.g., pain, injury, loss of function), how it started, what makes it better or worse, and its impact on daily activities and quality of life. Dr. Cojocaru will review any previous treatments and will perform a thorough physical examination of the affected area(s), assessing range of motion, strength, stability, and tenderness. Any prior imaging (X-rays, MRI, CT scans) will be reviewed. Based on this evaluation, Dr. Cojocaru will discuss their diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment options, both non-surgical and surgical, working with the patient to establish goals.

What does an Orthopedic Surgeon like Dr. Cojocaru do?

An Orthopedic Surgeon like Dr. Cojocaru is a medical doctor (physician) who specializes in diagnosing, treating, preventing, and rehabilitating injuries and diseases of the body's musculoskeletal system. This includes bones, joints, ligaments, tendons, muscles, and nerves. They manage a wide range of conditions such as fractures, arthritis, sports injuries, spinal disorders, and congenital deformities. While they are surgeons, Orthopedic Surgeons use both surgical methods (like joint replacements, fracture repair, arthroscopy) and non-surgical methods (like medication, injections, bracing, or recommending physiotherapy) to treat patients. Their goal is to restore function, alleviate pain, and improve quality of life.

How long is the recovery time after orthopedic surgery with Dr. Cojocaru?

Recovery time after orthopedic surgery varies greatly depending on the type of surgery performed (e.g., arthroscopy vs. joint replacement vs. fracture fixation), the specific joint or bone involved, the patient's age and overall health, and their adherence to the post-operative rehabilitation plan. Some minor procedures may have a recovery of a few weeks, while major surgeries like total joint replacements can take several months for full recovery and return to all activities. Dr. Cojocaru will discuss the expected recovery timeline for a specific procedure during the pre-operative consultation.

What is joint replacement surgery, and when might Dr. Cojocaru recommend it?

Joint replacement surgery, or arthroplasty, is a procedure where damaged or arthritic parts of a joint (like the hip, knee, or shoulder) are removed and replaced with artificial components (prostheses) made of metal, plastic, or ceramic. Dr. Cojocaru might recommend joint replacement if a patient has severe joint pain and loss of function, typically due to advanced osteoarthritis, rheumatoid arthritis, or a significant injury, and non-surgical treatments (like medication, injections, physiotherapy) are no longer providing adequate relief. The goal is to reduce pain, improve mobility, and enhance quality of life.

How does Dr. Cojocaru treat broken bones (fractures)?

Orthopedic Surgeons like Dr. Cojocaru are experts in treating all types of bone fractures. Treatment depends on the type and severity of the fracture, its location, and the patient's overall health. Non-surgical treatment may involve realigning the bone (reduction) and then immobilizing it with a cast, splint, or brace to allow it to heal. Surgical treatment might be necessary for more complex fractures, open fractures (where the bone breaks the skin), or fractures that are unlikely to heal well with casting alone. Surgical options include internal fixation (using plates, screws, rods, or pins to hold the bone pieces together) or external fixation (using a frame outside the body connected to pins in the bone). Dr. Cojocaru will determine the most appropriate treatment to ensure the bone heals correctly and function is restored.

Do I typically need a referral to see an Orthopedic Surgeon like Dr. Cojocaru?

Yes, in QC, a referral from a family doctor (GP) or another specialist (e.g., sports medicine physician, rheumatologist) is generally required to see an Orthopedic Surgeon like Dr. Cojocaru for consultations and potential surgical treatments covered by provincial health plans like Régie de l'assurance maladie du Québec (RAMQ). This referral helps ensure the consultation is appropriate and that Dr. Cojocaru has the necessary background medical information. Patients should speak with their primary care physician or referring doctor if they believe they need an orthopedic surgical assessment.

AssessMed
2771-5199 rue Sherbrooke Est
Montréal, QC, H1T 3X2

Phone: (514) 397-9230

Dr. André-Nicolas Cojocaru is a licensed Chirurgien orthopédiste in QC, regulated by The Collège des médecins du Québec (CMQ) under the Code des professions & Loi médicale (Québec).

License Number: 97214

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=97214

A referral from a family physician or another specialist is generally required to see Dr. Cojocaru. Dr. Cojocaru and the team are dedicated to providing expert orthopedic care. If you have a medical emergency, please proceed to the nearest hospital emergency department or call 911.