Dr. Nicholas Geoffrey Bayley

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

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.
• Sprains and Strains: Care for common soft tissue injuries resulting from trauma or overuse.
• Dislocations: Managing joint dislocations where bones are forced out of their normal position, often requiring reduction and immobilization.

Bone Joint Disorders General

• Nonunions and Malunions of Fractures: Reconstructive procedures to promote bone healing and restore proper alignment.
• Tendonitis and Bursitis (Persistent/Severe): Surgical management for chronic or severe cases of tendon inflammation (tendonitis) or bursa inflammation (bursitis) unresponsive to conservative care.

Sports Injuries

• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Repairing torn tendons to restore strength and function.
• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Diagnosing and treating tears of major ligaments in the knee (ACL, PCL, MCL, LCL), shoulder (rotator cuff, labrum), ankle, and elbow, often requiring surgical repair or reconstruction.
• Shoulder Instability and Dislocations: Treating recurrent shoulder dislocations and instability, often involving arthroscopic repair of the labrum (Bankart repair) or other stabilizing procedures.

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

• Comprehensive Orthopedic Consultation: In-depth consultation to determine the cause of musculoskeletal pain, instability, or dysfunction and to develop a personalized care plan.
• Complex Fracture and Trauma Surgery: Specialized surgical treatment for severe fractures, multiple injuries, pelvic and acetabular fractures, and post-traumatic complications like nonunions or malunions.
• Hip Replacement Surgery (Total & Partial): Expertise in various surgical approaches and implant choices for hip replacement.
• General Orthopedic Surgical Procedures: Performing a wide range of surgical interventions for various musculoskeletal conditions affecting different parts of the body.
• Therapeutic Joint and Soft Tissue Injections: Utilizing image guidance (e.g., ultrasound) for precise injection placement when necessary.

Note: This list highlights some of the key services offered by Dr. Bayley. 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. Nicholas Geoffrey Bayley 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 Lakeridge Health, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Bayley frequently works with patients towards outcomes such as:

• Managing a recent ankle sprain that isn't getting better effectively and proactively is a top priority for Dr. Bayley and the medical team. The clear aim is always feeling more confident in their physical abilities, which directly helps patients get back to enjoying participating in family vacations and outings that involve walking and their daily routines without severe physical hindrance.
• The primary focus for patients seeking help for having a 'frozen shoulder' that's very stiff and painful at Dr. Bayley's practice is consistently achieving being able to sleep better without being woken by musculoskeletal pain. This facilitates a confident and meaningful return to valued daily activities such as lifting groceries, a child, or other everyday objects.
• Patients presenting with a bunion on their foot that's causing a lot of pain can find lasting relief and achieve the important outcome of correction of a deformity (e.g., bunion, scoliosis, clubfoot) under Dr. Bayley's experienced care. This frequently allows them to resume carrying a backpack or handbag without shoulder or back pain without the former limitations or discomfort.

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

Dr. Bayley's practice, Lakeridge Health, is situated in the Waterloo East (Glenridge, Lincoln Heights) neighborhood of Waterloo. The clinic is conveniently located near Columbia Lake and is accessible via Grand River Transit (GRT) (Bus and ION Light Rail). Please inquire about parking options if you have mobility concerns.

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

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

What can I expect at my first orthopedic consultation with Dr. Bayley at Lakeridge Health?

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. Bayley 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. Bayley 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. Bayley 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. Bayley 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 Lakeridge Health 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. Bayley do?

An Orthopedic Surgeon like Dr. Bayley 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. Bayley?

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

Lakeridge Health
435 King St N, Department of Pathology
Waterloo, ON, N2J 2Z5

Phone: (519) 603-0623

Dr. Nicholas Geoffrey Bayley 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: 93412

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Bayley-Nicholas-Geoffrey/0265524-93412

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