Dr. Charles-William Toueg – Orthopedic Surgeon | Saint-Jérôme, QC

Dr. Charles-William Toueg is a Orthopedic Surgeon. Practicing at CSSS Saint-Jérôme in Saint-Jérôme, QC, Dr. Toueg is dedicated to providing high-quality, patient-focused care in Orthopedic Surgery. Dr. Toueg is licensed by The Collège des médecins du Québec (CMQ) and adheres to the highest professional and ethical standards of surgical practice in QC.

Dr. Toueg serves patients requiring specialized orthopedic care as a certified specialist in Orthopedic Surgery, dedicated to the diagnosis, treatment, and prevention of injuries and diseases of the body's musculoskeletal system. This includes bones, joints, ligaments, tendons, muscles, and nerves. The goal is to restore function, alleviate pain, and improve quality of life through both surgical and non-surgical means.

Dr. Charles-William Toueg earned a Medical Degree in 2013. Subsequently, Dr. Toueg completed advanced specialty training in Specialty Practice in Orthopedic Surgery. With over 12 years of specialized surgical practice since 2013, Dr. Toueg's expertise encompasses Specialty Practice in Orthopedic Surgery. Dr. Toueg is committed to ongoing professional development and staying at the forefront of orthopedic advancements to offer the best possible care to patients. Key aspects of Dr. Toueg's surgical practice philosophy include: a dedication to surgical excellence and achieving optimal outcomes for every patient; exploring non-operative treatments thoroughly before considering surgery, when appropriate. Dr. Toueg offers consultations in French.

As an Chirurgien orthopédiste, Dr. Charles-William Toueg 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): Surgical and non-surgical management of joint damage and deformities caused by rheumatoid arthritis and other inflammatory arthropathies.
• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.

Sports Injuries

• Shoulder Instability and Dislocations: Treating recurrent shoulder dislocations and instability, often involving arthroscopic repair of the labrum (Bankart repair) or other stabilizing procedures.
• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Specialized care for common sports-related ligamentous injuries.
• Meniscus Tears: Managing tears of the meniscus (cartilage pads in the knee) through conservative treatment or arthroscopic surgery (repair or meniscectomy).

Traumatic Injuries

• Complex Musculoskeletal Trauma: Specialized care for severe injuries involving multiple fractures, open fractures, pelvic fractures, or significant soft tissue damage.
• Dislocations: Treatment for acute joint instability caused by traumatic displacement of articular surfaces.
• Fractures (Broken Bones): Comprehensive care for broken bones, ensuring proper alignment, healing, and restoration of function.

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. Toueg, 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: Reconstructive surgery for severe bone and joint injuries.
• Shoulder Replacement Surgery: Performing total shoulder arthroplasty and reverse total shoulder arthroplasty for conditions like osteoarthritis, rotator cuff tear arthropathy, and complex fractures.
• Therapeutic Joint and Soft Tissue Injections: Administering injections such as corticosteroids, hyaluronic acid (viscosupplementation), or local anesthetics into joints or soft tissues to reduce pain and inflammation.
• Comprehensive Orthopedic Consultation: Thorough assessment of musculoskeletal conditions, including detailed history, physical examination, review of imaging (X-rays, MRI, CT scans), and discussion of treatment options.
• General Orthopedic Surgical Procedures: Offering operative solutions for orthopedic problems when conservative measures are insufficient.

Note: This list highlights some of the key services offered by Dr. Toueg. 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. Charles-William Toueg adhere to the scope of practice for Chirurgien orthopédistes in QC and the standards of The Collège des médecins du Québec (CMQ).

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

• Are you struggling with a work-related injury to their bones or joints? Dr. Toueg partners with patients to target significant pain relief in their affected joint or limb, making a comfortable and confident return to important activities such as returning to their job, especially if it's physically demanding a much more achievable reality.
• The primary focus for patients seeking help for needing a joint replacement because of severe arthritis at Dr. Toueg's practice is consistently achieving improved mobility and ability to walk, climb stairs, or move more freely. This facilitates a confident and meaningful return to valued daily activities such as carrying a backpack or handbag without shoulder or back pain.
• A frequent and rewarding goal for patients seeing Dr. Toueg about chronic low back pain that shoots down their leg is to attain their child's musculoskeletal condition being successfully managed or corrected. This success not only improves musculoskeletal health but also paves the way for them to re-engage with activities like participating in fitness classes or going to the gym.

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

Dr. Toueg's practice, CSSS Saint-Jérôme, is situated in the Downtown Saint-Jérôme, Saint-Antoine Sector neighborhood of Saint-Jérôme. The clinic is conveniently located near Cégep de Saint-Jérôme and is accessible via exo (Secteur Laurentides - Bus). Details on parking can be provided when you book your consultation.

What should I bring to my orthopedic appointment with Dr. Toueg?

Please bring your provincial health card (e.g., Régie de l'assurance maladie du Québec (RAMQ) card), the referral letter, a list of all current medications (including dosage and frequency), copies of relevant medical records, imaging reports AND the actual images if on a CD/USB (X-ray, MRI, CT scans – images are very important for orthopedic review), and any pertinent test results. Wear comfortable clothing that allows for easy examination of the affected body part(s) (e.g., shorts for a knee problem). If you use any braces, splints, or assistive devices, please bring those as well.

What is joint replacement surgery, and when might Dr. Toueg 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. Toueg might recommend joint replacement if you have 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. Toueg treat broken bones (fractures)?

Orthopedic Surgeons like Dr. Toueg are experts in treating all types of bone fractures. Treatment depends on the type and severity of the fracture, its location, and your 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. Toueg will determine the most appropriate treatment to ensure the bone heals correctly and function is restored.

What does an Orthopedic Surgeon like Dr. Toueg do?

An Orthopedic Surgeon like Dr. Toueg 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. 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. Toueg?

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. Toueg will discuss the expected recovery timeline for a specific procedure during the pre-operative consultation.

What can I expect at my first orthopedic consultation with Dr. Toueg at CSSS Saint-Jérôme?

Your first visit will typically involve a comprehensive musculoskeletal assessment. This includes a detailed discussion of your 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. Toueg 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. Toueg will discuss their diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment options, both non-surgical and surgical, working with you to establish goals.

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

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. Toueg 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. Toueg has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need an orthopedic surgical assessment.

Are services provided by an Orthopedic Surgeon like Dr. Toueg 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. Toueg are typically covered by provincial health plans such as Régie de l'assurance maladie du Québec (RAMQ) in QC, provided you have 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. Inquire with CSSS Saint-Jérôme about any potential out-of-pocket costs and check with your private insurance, if any, regarding coverage for adjunctive therapies or devices.

CSSS Saint-Jérôme
290 rue de Montigny
Saint-Jérôme, QC, J7Z 5T3

Phone: (450) 431-8200

Dr. Charles-William Toueg 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: 13211

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=13211

A referral from a family physician or another specialist is generally required to see Dr. Toueg. Dr. Toueg 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.