Dr. Earl Raphael Bogoch

As an Orthopedic Surgeon, Dr. Earl Raphael Bogoch diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Traumatic Injuries

• Dislocations: Treatment for acute joint instability caused by traumatic displacement of articular surfaces.
• Fractures (Broken Bones): Treating all types of bone fractures in adults and children, from simple breaks requiring casting to complex injuries needing surgical fixation.

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.
• Osteoarthritis: Helping patients cope with the effects of degenerative joint disease on mobility and quality of life.

Bone Joint Disorders General

• Bone Infections (Osteomyelitis - Surgical Debridement): Surgical debridement and management of bone infections, often in conjunction with long-term antibiotic therapy.
• Nonunions and Malunions of Fractures: Reconstructive procedures to promote bone healing and restore proper alignment.

Sports Injuries

• Meniscus Tears: Treating a common knee injury that can cause pain, swelling, and mechanical symptoms.
• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Surgical and non-surgical management of acute tendon ruptures and chronic tendinopathies.

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

• Total Joint Replacement (Arthroplasty): Specialized surgical procedures to replace damaged joints with artificial implants.
• Fracture Management (Surgical & Non-Surgical): Managing all types of fractures, from simple to complex, ensuring proper alignment and stability.
• Therapeutic Joint and Soft Tissue Injections: Minimally invasive procedures to deliver medication directly to the affected area for conditions like arthritis, tendinitis, or bursitis.
• General Orthopedic Surgical Procedures: Offering operative solutions for orthopedic problems when conservative measures are insufficient.
• Comprehensive Orthopedic Consultation: In-depth consultation to determine the cause of musculoskeletal pain, instability, or dysfunction and to develop a personalized care plan.

Note: This list highlights some of the key services offered by Dr. Bogoch. 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. Earl Raphael Bogoch adhere to the scope of practice for Orthopedic Surgeons in ON and the standards of The College of Physicians and Surgeons of Ontario (CPSO).

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

• The path to improved musculoskeletal wellness, especially when facing trouble with their Achilles tendon making it painful to walk or run, involves working systematically towards increased stability in an unstable joint. Dr. Bogoch expertly guides patients through this process so they can once again enjoy life's moments, including typing, writing, or using tools without hand or wrist pain.
• For those affected by a torn ACL or meniscus in their knee from a sports injury, Dr. Bogoch provides solutions that lead to reduced or eliminated numbness and tingling from nerve compression (e.g., carpal tunnel). This renewed health and confidence often translates to a joyful return to their child running and playing with friends without limitations.
• If their hip hurting all the time, making it hard to sleep or get around has unfortunately put walking without a limp or significant pain on hold or made it less enjoyable, Dr. Bogoch works closely with patients towards attaining their fracture healing in the correct alignment, effectively helping them regain their previous level of physical function and confidence.

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

Dr. Bogoch's orthopedic clinic in Toronto is situated in the The Annex, North Midtown, Yorkville neighborhood of Toronto. The clinic is conveniently located near Bay Adelaide Centre and is accessible via TTC (Subway, Streetcar, Bus). Details on parking can be provided when you book your consultation.

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

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

What does an Orthopedic Surgeon like Dr. Bogoch do?

An Orthopedic Surgeon like Dr. Bogoch 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.

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

Yes, in ON, 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. Bogoch for consultations and potential surgical treatments covered by provincial health plans like Ontario Health Insurance Plan (OHIP). This referral helps ensure the consultation is appropriate and that Dr. Bogoch 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 is the policy regarding missed appointments or late cancellations at our clinic for Dr. Bogoch?

We understand that unforeseen circumstances can arise. However, we kindly request at least 72 business hours' notice if you need to cancel or reschedule your appointment with Dr. Bogoch. This allows us to offer the appointment time to another patient. Appointments cancelled or rescheduled with less than the requested notice, or missed without any notification, may be subject to a cancellation fee of $100. We appreciate your cooperation.

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

Orthopedic Surgeons like Dr. Bogoch 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. Bogoch 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. Bogoch 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. Bogoch 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.

What can I expect at my first orthopedic consultation with Dr. Bogoch 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. Bogoch 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. Bogoch 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.

Are services provided by an Orthopedic Surgeon like Dr. Bogoch covered by provincial health insurance (e.g., Ontario Health Insurance Plan (OHIP))?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Bogoch are typically covered by provincial health plans such as Ontario Health Insurance Plan (OHIP) in ON, 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.

23 Austin Crescent
Toronto, ON, M5R 3E4

Phone: (416) 919-4628

Dr. Earl Raphael Bogoch is a licensed Orthopedic Surgeon in ON, regulated by The College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario).

License Number: 27797

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Bogoch-Earl-Raphael/0023006-27797

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