Dr. Ivaylo Kostadinov Pehlivanov

As an Chirurgien orthopédiste, Dr. Ivaylo Kostadinov Pehlivanov diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Sports Injuries

• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Specialized care for common sports-related ligamentous injuries.
• Shoulder Instability and Dislocations: Treating recurrent shoulder dislocations and instability, often involving arthroscopic repair of the labrum (Bankart repair) or other stabilizing procedures.
• Meniscus Tears: Treating a common knee injury that can cause pain, swelling, and mechanical symptoms.

Traumatic Injuries

• Complex Musculoskeletal Trauma: Advanced surgical management for high-energy trauma affecting the musculoskeletal system.
• Sprains and Strains: Diagnosing and treating ligament sprains (stretching or tearing of ligaments) and muscle/tendon strains (injuries to muscles or tendons).
• Dislocations: Managing joint dislocations where bones are forced out of their normal position, often requiring reduction and immobilization.
• Fractures (Broken Bones): Management of acute fractures of the upper extremity, lower extremity, and axial skeleton.

Degenerative Joint Diseases

• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.
• Rheumatoid Arthritis (Orthopedic Management): Addressing the musculoskeletal consequences of autoimmune joint diseases in collaboration with rheumatologists.
• Osteoarthritis: Comprehensive treatment including non-surgical options (medication, injections, therapy) and surgical joint replacement when indicated.

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. Pehlivanov, 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.
• Fracture Management (Surgical & Non-Surgical): Expert treatment of broken bones in adults and children, aiming for optimal healing and functional recovery.
• Non-Operative Orthopedic Care: Exploring all appropriate non-operative avenues before considering surgery.
• General Orthopedic Surgical Procedures: Performing a wide range of surgical interventions for various musculoskeletal conditions affecting different parts of the body.
• Comprehensive Orthopedic Consultation: Expert evaluation to diagnose injuries and disorders of the bones, joints, ligaments, tendons, muscles, and nerves.

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

At CSSS du Nord de Lanaudière, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Pehlivanov frequently works with patients towards outcomes such as:

• If a torn ACL or meniscus in their knee from a sports injury has unfortunately put being able to sit comfortably for extended periods (e.g., for work or travel) on hold or made it less enjoyable, Dr. Pehlivanov works closely with patients towards attaining a well-functioning joint replacement that allows for better movement and less pain, effectively helping them regain their previous level of physical function and confidence.
• For patients where a shoulder injury from sports that won't heal and keeps them from playing is a primary concern, Dr. Pehlivanov focuses on creating personalized treatment plans that culminate in being able to perform daily self-care tasks independently again. This directly supports and enhances their ability to fully dressing themselves, including putting on socks and shoes.
• For those affected by a work-related injury to their bones or joints, Dr. Pehlivanov provides solutions that lead to alleviation of back or neck pain after appropriate intervention. This renewed health and confidence often translates to a joyful return to gardening, doing housework, or performing yard work.

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

Dr. Pehlivanov's practice, CSSS du Nord de Lanaudière, is situated in a central location within the Saint-Charles-Borromée neighborhood of Saint-Charles-Borromée. The clinic is conveniently located near local healthcare facilities and community services and is accessible via major local public transit routes. Patient parking, including accessible spots, is typically available.

What can I expect at my first orthopedic consultation with Dr. Pehlivanov at CSSS du Nord de Lanaudière?

At your first consultation, Dr. Pehlivanov will conduct a thorough musculoskeletal assessment. This involves a detailed discussion of your medical history, the specific problem (pain, injury, etc.), its onset, aggravating/relieving factors, and its impact on your daily life. Dr. Pehlivanov will review prior treatments and perform a physical examination, assessing range of motion, strength, and tenderness. Existing imaging (X-rays, MRI, etc.) will be reviewed. Based on this, Dr. Pehlivanov will discuss diagnostic impressions, may recommend further investigations, and outline potential treatment options (surgical and non-surgical), collaborating with you to set goals.

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

Recovery time varies significantly depending on the surgery type (arthroscopy, joint replacement, fracture fixation), the affected area, your age and health, and your adherence to the rehabilitation plan. Minor procedures might take a few weeks, while major surgeries (like total joint replacements) can take several months for full recovery. Dr. Pehlivanov will discuss the expected timeline during your pre-operative consultation.

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

Dr. Pehlivanov treats fractures based on their type, severity, location, and your health. Non-surgical treatment might involve realigning the bone and immobilizing it with a cast or brace. Surgical treatment (internal or external fixation using plates, screws, etc.) may be necessary for complex fractures or those unlikely to heal well non-surgically. Dr. Pehlivanov will determine the best approach to ensure proper healing and restored function.

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

Most consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Pehlivanov are typically covered by the Régie de l'assurance maladie du Québec (RAMQ), provided you have a valid health card and appropriate referral. Diagnostic imaging is usually covered. However, some items (certain braces, custom orthotics, or advanced injections) may not be fully covered or may have associated fees. Inquire with CSSS du Nord de Lanaudière about potential out-of-pocket costs and check your private insurance coverage.

What does an Orthopedic Surgeon like Dr. Pehlivanov do?

An Orthopedic Surgeon like Dr. Pehlivanov specializes in diagnosing, treating, preventing, and rehabilitating injuries and diseases of the musculoskeletal system (bones, joints, ligaments, etc.). They manage conditions like fractures, arthritis, sports injuries, and spinal disorders, using both surgical and non-surgical methods to restore function, alleviate pain, and improve quality of life.

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

Joint replacement surgery (arthroplasty) involves replacing damaged joint parts with artificial components. Dr. Pehlivanov might recommend it for severe joint pain and loss of function due to osteoarthritis, rheumatoid arthritis, or significant injury, when non-surgical treatments are inadequate. The goal is to reduce pain, improve mobility, and enhance quality of life.

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

In QC, a referral from a family doctor or another specialist is generally needed to see an Orthopedic Surgeon like Dr. Pehlivanov for consultations and surgical treatments covered by RAMQ. This ensures the consultation is appropriate and Dr. Pehlivanov has the necessary medical information. Discuss with your primary care physician if you need an orthopedic assessment.

CSSS du Nord de Lanaudière
1000 boul Sainte-Anne
Saint-Charles-Borromée, QC, J6E 6J2

Phone: (450) 759-8222

Dr. Ivaylo Kostadinov Pehlivanov 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: 13209

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=13209

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