Dr. Lucas Raymond Pugh – Orthopedic Surgeon | Victoria, BC

Dr. Lucas Raymond Pugh is a Orthopedic Surgeon. Practicing at an orthopedic clinic in Victoria, BC, Dr. Pugh is dedicated to providing high-quality, patient-focused care in Orthopedic Surgery. Dr. Pugh is licensed by The College of Physicians and Surgeons of British Columbia (CPSBC) and adheres to the highest professional and ethical standards of surgical practice in BC.

Dr. Pugh 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. Lucas Raymond Pugh earned a Medical Degree (MD or equivalent) from University Of British Columbia, graduating in 2007. Subsequently, Dr. Pugh completed extensive specialty training and achieved Fellowship with the Royal College of Physicians and Surgeons of Canada (FRCSC) in Orthopedic Surgery. Dr. Pugh brings extensive clinical and surgical experience to the practice. Dr. Pugh's expertise encompasses Specialty Practice in Orthopedic Surgery. Dr. Pugh 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. Pugh'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. Pugh provides consultations in English.

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

Bone Joint Disorders General

• Bone Infections (Osteomyelitis - Surgical Debridement): Operative treatment to remove infected bone and tissue.
• Tendonitis and Bursitis (Persistent/Severe): Surgical management for chronic or severe cases of tendon inflammation (tendonitis) or bursa inflammation (bursitis) unresponsive to conservative care.

Degenerative Joint Diseases

• 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.

Traumatic Injuries

• Dislocations: Managing joint dislocations where bones are forced out of their normal position, often requiring reduction and immobilization.
• Complex Musculoskeletal Trauma: Specialized care for severe injuries involving multiple fractures, open fractures, pelvic fractures, or significant soft tissue damage.
• 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. Pugh, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• General Orthopedic Surgical Procedures: Offering operative solutions for orthopedic problems when conservative measures are insufficient.
• Shoulder Replacement Surgery: Performing total shoulder arthroplasty and reverse total shoulder arthroplasty for conditions like osteoarthritis, rotator cuff tear arthropathy, and complex fractures.
• 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: Utilizing image guidance (e.g., ultrasound) for precise injection placement when necessary.
• 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.

Note: This list highlights some of the key services offered by Dr. Pugh. 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. Lucas Raymond Pugh 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. Lucas Raymond Pugh's practice, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Pugh frequently works with patients towards outcomes such as:

• When patients discuss pain and weakness after a bad fall or accident, Dr. Pugh outlines a path to their fracture healing in the correct alignment, aiming to restore not just musculoskeletal health but also the ability to comfortably feeling stable and balanced on their feet, reducing fear of falls.
• When difficulty lifting their arm due to a rotator cuff tear begins to noticeably impact daily life and well-being, Dr. Pugh helps patients strive for a well-functioning joint replacement that allows for better movement and less pain. This makes participating in activities such as dressing themselves, including putting on socks and shoes a pleasant and possible experience again.
• Are you struggling with having a 'frozen shoulder' that's very stiff and painful? Dr. Pugh partners with patients to target improved mobility and ability to walk, climb stairs, or move more freely, making a comfortable and confident return to important activities such as their child running and playing with friends without limitations a much more achievable reality.

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

Dr. Pugh's practice, a well-regarded orthopedic clinic in Victoria, is situated in a convenient Victoria neighborhood. The clinic is conveniently located near Inner Harbour Causeway and is accessible via 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. Pugh 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. Pugh 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.

What does an Orthopedic Surgeon like Dr. Pugh do?

An Orthopedic Surgeon like Dr. Pugh 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. Pugh 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. Pugh 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. Pugh 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. Pugh?

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

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

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

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

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

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

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

Phone: (250) 940-4444

Dr. Lucas Raymond Pugh 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: 66273

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/330838/Pugh%2CLucas

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