Dr. Matthew Dennis Di Silvestro – Orthopedic Surgeon | Nepean, ON

Dr. Matthew Dennis Di Silvestro is a Orthopedic Surgeon. Practicing at an orthopedic clinic in Nepean, ON, Dr. Silvestro is dedicated to providing high-quality, patient-focused care in Orthopedic Surgery. Dr. Silvestro is licensed by The College of Physicians and Surgeons of Ontario (CPSO) and adheres to the highest professional and ethical standards of surgical practice in ON.

Dr. Silvestro 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. Matthew Dennis Di Silvestro earned a Medical Degree from University Of Calgary, graduating in 2002. Subsequently, Dr. Silvestro completed extensive specialty training and achieved Fellowship with the Royal College of Physicians and Surgeons of Canada (FRCSC) in Orthopedic Surgery. Dr. Silvestro brings extensive clinical and surgical experience to the practice. Dr. Silvestro's expertise encompasses Specialty Practice in Orthopedic Surgery. Dr. Silvestro 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. Silvestro's surgical practice philosophy include: providing clear explanations of conditions and treatment options to empower patients in their healthcare journey; a commitment to utilizing evidence-based practices and the latest advancements in orthopedic surgery and musculoskeletal care; exploring non-operative treatments thoroughly before considering surgery, when appropriate. Dr. Silvestro provides consultations in English.

As an Orthopedic Surgeon, Dr. Matthew Dennis Di Silvestro 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): Treating bone death caused by a loss of blood supply, commonly affecting the hip, knee, or shoulder, which can lead to joint collapse.
• 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

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

Sports Injuries

• Meniscus Tears: Treating a common knee injury that can cause pain, swelling, and mechanical symptoms.
• Shoulder Instability and Dislocations: Treating recurrent shoulder dislocations and instability, often involving arthroscopic repair of the labrum (Bankart repair) or other stabilizing procedures.
• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Arthroscopic and open surgical techniques for ligament repair and reconstruction.

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

• 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.
• Total Joint Replacement (Arthroplasty): Performing primary and revision hip, knee, and shoulder replacement surgeries to relieve pain and restore function in patients with advanced arthritis or joint damage.
• Knee Replacement Surgery (Total & Partial): Advanced techniques to restore knee function and alleviate pain through arthroplasty.
• Hip Replacement Surgery (Total & Partial): Expertise in various surgical approaches and implant choices for hip replacement.
• Non-Operative Orthopedic Care: Providing conservative treatment options for musculoskeletal conditions, including medication management, therapeutic injections, bracing, casting, and referrals for physiotherapy.

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

• If their child being born with a clubfoot or hip problems has unfortunately put kneeling down or squatting without severe pain (for knee/hip issues) on hold or made it less enjoyable, Dr. Silvestro works closely with patients towards attaining being able to return to sports or recreational activities they enjoy, effectively helping them regain their previous level of physical function and confidence.
• Dr. Silvestro understands that dealing with their spine being curved (like scoliosis) can be challenging. That's why his treatment plans are geared towards achieving a safe return to work after an injury, helping patients comfortably get back to performing personal hygiene tasks independently and feeling their best.
• Overcoming or effectively managing arthritis in their hands making it hard to grip things is a common journey for patients under Dr. Silvestro's care. The treatment philosophy centers on enabling a clear diagnosis and understanding of their musculoskeletal condition, so that daily routines and pleasures like confidently navigating uneven surfaces or terrain become more manageable again.

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

Dr. Silvestro's orthopedic clinic in Nepean is situated in a central location within the Nepean neighborhood of Nepean. The clinic is conveniently located near local healthcare facilities and community services and is accessible via major local public transit routes. Please inquire about parking options if you have mobility concerns.

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

Orthopedic Surgeons like Dr. Silvestro 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. Silvestro 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. Silvestro 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. Silvestro 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 does an Orthopedic Surgeon like Dr. Silvestro do?

An Orthopedic Surgeon like Dr. Silvestro 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.

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

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

Are services provided by an Orthopedic Surgeon like Dr. Silvestro 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. Silvestro 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.

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

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. Silvestro 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. Silvestro 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 can I expect at my first orthopedic consultation with Dr. Silvestro 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. Silvestro 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. Silvestro 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.

Unit Suite 206, D-1371 Woodroffe Ave, Suite 206
Nepean, ON, K2G 1V7

Phone: (613) 725-9495

Dr. Matthew Dennis Di Silvestro 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: 83851

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Di-Silvestro-Matthew-Dennis/0228894-83851

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