Dr. Julien Goulet

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

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: Managing joint pain, stiffness, and loss of function caused by wear-and-tear arthritis affecting joints like the hip, knee, shoulder, hand, or spine.

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): Repairing torn tendons to restore strength and function.

Bone Joint Disorders General

• Tendonitis and Bursitis (Persistent/Severe): Surgical management for chronic or severe cases of tendon inflammation (tendonitis) or bursa inflammation (bursitis) unresponsive to conservative care.
• Nonunions and Malunions of Fractures: Reconstructive procedures to promote bone healing and restore proper alignment.
• 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.
• Complex Musculoskeletal Trauma: Specialized care for severe injuries involving multiple fractures, open fractures, pelvic fractures, or significant soft tissue damage.
• Dislocations: Managing joint dislocations where bones are forced out of their normal position, often requiring reduction and immobilization.
• Sprains and Strains: Diagnosing and treating ligament sprains (stretching or tearing of ligaments) and muscle/tendon strains (injuries to muscles or tendons).

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

• General Orthopedic Surgical Procedures: Surgical treatment for common bone, joint, and soft tissue disorders as per established orthopedic principles.
• 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.
• Therapeutic Joint and Soft Tissue Injections: Minimally invasive procedures to deliver medication directly to the affected area for conditions like arthritis, tendinitis, or bursitis.
• Fracture Management (Surgical & Non-Surgical): Managing all types of fractures, from simple to complex, ensuring proper alignment and stability.
• Non-Operative Orthopedic Care: Comprehensive non-surgical management strategies to alleviate pain, improve function, and promote healing.

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

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

• Dr. Goulet often consults with patients whose a recent ankle sprain that isn't getting better significantly limits their enjoyment of carrying a backpack or handbag without shoulder or back pain or impacts their well-being. The clear goal of care is to achieve their child's musculoskeletal condition being successfully managed or corrected and thereby restore their active and healthy lifestyle.
• Overcoming or effectively managing a previous surgery that didn't heal right or is still causing problems is a common journey for patients under Dr. Goulet's care. The treatment philosophy centers on enabling significant pain relief in their affected joint or limb, so that daily routines and pleasures like being able to sit comfortably for extended periods (e.g., for work or travel) become more manageable again.
• Through Dr. Goulet's skilled guidance and modern surgical techniques, patients suffering from having a 'frozen shoulder' that's very stiff and painful often find they can readily achieve being able to sleep better without being woken by musculoskeletal pain and once again enthusiastically pursue enjoyable pastimes like getting in and out of a car or chair without difficulty.

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

Dr. Goulet's practice, Hôpital Fleurimont - CHUS, is situated in the Fleurimont West (Hospital Area) neighborhood of Sherbrooke. The clinic is conveniently located near Mont Bellevue Access and is accessible via Société de transport de Sherbrooke (STS). Please inquire about parking options if you have mobility concerns.

What can I expect at my first orthopedic consultation with Dr. Goulet at Hôpital Fleurimont - CHUS?

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

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

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

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

What does an Orthopedic Surgeon like Dr. Goulet do?

An Orthopedic Surgeon like Dr. Goulet 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.

Are services provided by an Orthopedic Surgeon like Dr. Goulet 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. Goulet 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 Hôpital Fleurimont - CHUS about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

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

Hôpital Fleurimont - CHUS
3001 12e Avenue N
Sherbrooke, QC, J1H 5H3

Phone: (819) 346-1110

Dr. Julien Goulet 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: 19867

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=19867

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