Dr. Nicholas Stefan Pasic

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

Degenerative Joint Diseases

• Rheumatoid Arthritis (Orthopedic Management): Surgical and non-surgical management of joint damage and deformities caused by rheumatoid arthritis and other inflammatory arthropathies.
• Osteoarthritis: Helping patients cope with the effects of degenerative joint disease on mobility and quality of life.
• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.

Sports Injuries

• Shoulder Instability and Dislocations: Addressing problems that cause the shoulder joint to slip out of place.
• Meniscus Tears: Treating a common knee injury that can cause pain, swelling, and mechanical symptoms.

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): Operative treatment to remove infected bone and tissue.

Traumatic Injuries

• Sprains and Strains: Care for common soft tissue injuries resulting from trauma or overuse.
• 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.
• Fractures (Broken Bones): Comprehensive care for broken bones, ensuring proper alignment, healing, and restoration of function.

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

• 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.
• Total Joint Replacement (Arthroplasty): Comprehensive care for patients undergoing total joint arthroplasty, from pre-operative planning to post-operative rehabilitation.
• Diagnostic Imaging Interpretation (Musculoskeletal): Expert review and interpretation of X-rays, MRIs, CT scans, and ultrasounds related to orthopedic conditions.
• Fracture Management (Surgical & Non-Surgical): Expert treatment of broken bones in adults and children, aiming for optimal healing and functional recovery.
• Hip Replacement Surgery (Total & Partial): Surgical reconstruction of the hip joint, including total hip arthroplasty and hemiarthroplasty, for conditions like osteoarthritis, rheumatoid arthritis, or hip fractures.

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

• With Dr. Pasic's compassionate and skilled orthopedic care, managing their child limping or having trouble with their walking is focused on achieving improved hand or foot function for daily activities. This empowers patients to get back to what they love, such as being able to feeling stable and balanced on their feet, reducing fear of falls without severe physical limitations.
• Are you struggling with a growth or lump on one of their bones or in their muscles? Dr. Pasic partners with patients to target being able to sleep better without being woken by musculoskeletal pain, making a comfortable and confident return to important activities such as opening jars or turning doorknobs without difficulty (for hand issues) a much more achievable reality.
• Many people seek Dr. Pasic's professional help and expertise when dealing with a sports injury that needs surgery to repair a torn ligament or tendon. The mutually agreed upon, collaborative goal is consistently being able to perform daily self-care tasks independently again, allowing a confident and satisfying return to valued life activities like being able to 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. Pasic, will be carefully designed to help you achieve your specific musculoskeletal goals. Dr. Pasic is committed to providing expert orthopedic care to help you regain mobility and improve your quality of life.

Dr. Pasic's practice, an orthopedic clinic in Nanaimo, is situated in the Central Nanaimo, Departure Bay neighborhood of Nanaimo. The clinic is conveniently located near Brooks Landing Shopping Centre and is accessible via Regional District of Nanaimo Transit System (BC Transit). Details on parking can be provided when you book your consultation.

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

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

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

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

Are services provided by an Orthopedic Surgeon like Dr. Pasic 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. Pasic 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. Pasic do?

An Orthopedic Surgeon like Dr. Pasic 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. Pasic 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. Pasic 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. Pasic 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.

301-1515 Dufferin Cres, Nanaimo Orthopaedics
Nanaimo, BC, V9S 5H6

Phone: (250) 824-2890

Dr. Nicholas Stefan Pasic 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: J2242

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/380318/Pasic%2CNicholas

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