Dr. David Jason John Saliken

As an Orthopedic Surgeon, Dr. David Jason John Saliken diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Sports Injuries

• Shoulder Instability and Dislocations: Addressing problems that cause the shoulder joint to slip out of place.
• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Repairing torn tendons to restore strength and function.
• Meniscus Tears: Treating a common knee injury that can cause pain, swelling, and mechanical symptoms.

Bone Joint Disorders General

• Nonunions and Malunions of Fractures: Surgical correction of fractures that have failed to heal (nonunion) or have healed in an incorrect position (malunion).
• Tendonitis and Bursitis (Persistent/Severe): Procedures such as debridement or bursectomy when indicated.
• Bone Infections (Osteomyelitis - Surgical Debridement): Surgical debridement and management of bone infections, often in conjunction with long-term antibiotic therapy.

Traumatic Injuries

• Fractures (Broken Bones): Treating all types of bone fractures in adults and children, from simple breaks requiring casting to complex injuries needing surgical fixation.
• Dislocations: Managing joint dislocations where bones are forced out of their normal position, often requiring reduction and immobilization.
• Complex Musculoskeletal Trauma: Advanced surgical management for high-energy trauma affecting the musculoskeletal system.
• Sprains and Strains: Care for common soft tissue injuries resulting from trauma or overuse.

Degenerative Joint Diseases

• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.
• Osteoarthritis: Managing joint pain, stiffness, and loss of function caused by wear-and-tear arthritis affecting joints like the hip, knee, shoulder, hand, or spine.
• Rheumatoid Arthritis (Orthopedic Management): Addressing the musculoskeletal consequences of autoimmune joint diseases in collaboration with rheumatologists.

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. Saliken, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• Comprehensive Orthopedic Consultation: Expert evaluation to diagnose injuries and disorders of the bones, joints, ligaments, tendons, muscles, and nerves.
• Diagnostic Imaging Interpretation (Musculoskeletal): Utilizing advanced imaging to accurately diagnose fractures, soft tissue injuries, arthritis, and other musculoskeletal pathologies.
• Non-Operative Orthopedic Care: Providing conservative treatment options for musculoskeletal conditions, including medication management, therapeutic injections, bracing, casting, and referrals for physiotherapy.
• Shoulder Replacement Surgery: Surgical solutions to improve shoulder mobility and reduce pain from severe joint damage.
• 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.

Note: This list highlights some of the key services offered by Dr. Saliken. 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. David Jason John Saliken adhere to the scope of practice for Orthopedic Surgeons in BC and the standards of The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. David Jason John Saliken's practice, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Saliken frequently works with patients towards outcomes such as:

• Are you struggling with breaking their arm/leg/hip and needing it fixed? Dr. Saliken partners with patients to target feeling empowered to take an active role in their recovery and rehabilitation, 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.
• When arthritis in their hands making it hard to grip things starts to interfere with daily life, such as affecting their ability to standing for longer periods without discomfort, Dr. Saliken and the team work collaboratively with patients. Success is marked by improved mobility and ability to walk, climb stairs, or move more freely and a return to comfort and confidence in their movement.
• Dr. Saliken understands that dealing with their child being born with a clubfoot or hip problems can be challenging. That's why his treatment plans are geared towards achieving regaining strength and function after an injury or surgery, helping patients comfortably get back to kneeling down or squatting without severe pain (for knee/hip issues) and feeling their best.

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

Dr. Saliken's practice, a well-regarded orthopedic clinic in Victoria, is situated in a convenient Victoria neighborhood. The clinic is conveniently located near access to Saanich/Highway and is accessible via the Victoria Regional Transit System (BC Transit). Details on parking can be provided when you book your consultation.

Are services provided by an Orthopedic Surgeon like Dr. Saliken covered by provincial health insurance (e.g., Medical Services Plan (MSP) of BC)?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Saliken are typically covered by provincial health plans such as Medical Services Plan (MSP) of BC in BC, 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 the clinic about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

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

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

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

Yes, in BC, 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. Saliken for consultations and potential surgical treatments covered by provincial health plans like Medical Services Plan (MSP) of BC. This referral helps ensure the consultation is appropriate and that Dr. Saliken has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need an orthopedic surgical assessment.

What does an Orthopedic Surgeon like Dr. Saliken do?

An Orthopedic Surgeon like Dr. Saliken 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.

What can I expect at my first orthopedic consultation with Dr. Saliken at the clinic?

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. Saliken 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. Saliken 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.

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

Orthopedic Surgeons like Dr. Saliken 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. Saliken will determine the most appropriate treatment to ensure the bone heals correctly and function is restored.

What is joint replacement surgery, and when might Dr. Saliken 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. Saliken 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.

104-3551 Blanshard St
Victoria, BC, V8Z 0B9

Phone: (250) 940-4444

Dr. David Jason John Saliken is a licensed Orthopedic Surgeon in BC, regulated by The College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act (British Columbia).

License Number: 68241

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/335271/Saliken%2CDavid

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