Dr. Richard Peter Nadeau

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

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: Surgical correction of fractures that have failed to heal (nonunion) or have healed in an incorrect position (malunion).
• Bone Infections (Osteomyelitis - Surgical Debridement): Operative treatment to remove infected bone and tissue.

Traumatic Injuries

• Complex Musculoskeletal Trauma: Specialized care for severe injuries involving multiple fractures, open fractures, pelvic fractures, or significant soft tissue damage.
• Dislocations: Treatment for acute joint instability caused by traumatic displacement of articular surfaces.
• Fractures (Broken Bones): Comprehensive care for broken bones, ensuring proper alignment, healing, and restoration of function.
• Sprains and Strains: Care for common soft tissue injuries resulting from trauma or overuse.

Degenerative Joint Diseases

• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.
• Osteoarthritis: Comprehensive treatment including non-surgical options (medication, injections, therapy) and surgical joint replacement when indicated.
• Rheumatoid Arthritis (Orthopedic Management): Surgical and non-surgical management of joint damage and deformities caused by rheumatoid arthritis and other inflammatory arthropathies.

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. Nadeau, 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): Specialized surgical procedures to replace damaged joints with artificial implants.
• 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.
• Shoulder Replacement Surgery: Performing total shoulder arthroplasty and reverse total shoulder arthroplasty for conditions like osteoarthritis, rotator cuff tear arthropathy, and complex fractures.

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

• Dr. Nadeau often consults with patients whose numbness and tingling in their hand, especially at night (like carpal tunnel) significantly limits their enjoyment of hiking, running, or cycling again or impacts their well-being. The clear goal of care is to achieve learning strategies to prevent re-injury or manage their chronic condition and thereby restore their active and healthy lifestyle.
• The path to improved musculoskeletal wellness, especially when facing their hip hurting all the time, making it hard to sleep or get around, involves working systematically towards being able to perform daily self-care tasks independently again. Dr. Nadeau expertly guides patients through this process so they can once again enjoy life's moments, including dressing themselves, including putting on socks and shoes.
• With Dr. Nadeau's compassionate and skilled orthopedic care, managing their fingers getting stuck in a bent position (trigger finger) is focused on achieving alleviation of back or neck pain after appropriate intervention. This empowers patients to get back to what they love, such as being able to gardening, doing housework, or performing yard work without severe physical limitations.

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

Dr. Nadeau's practice, an orthopedic clinic in North Vancouver, is situated in a central location within the North Vancouver neighborhood of North Vancouver. The clinic is conveniently located near local healthcare facilities and community services and is accessible via major local public transit routes. Patient parking, including accessible spots, is typically available.

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

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

Are services provided by an Orthopedic Surgeon like Dr. Nadeau 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. Nadeau 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 is joint replacement surgery, and when might Dr. Nadeau 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. Nadeau 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. Nadeau do?

An Orthopedic Surgeon like Dr. Nadeau 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. Nadeau 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. Nadeau 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. Nadeau 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 does Dr. Nadeau treat broken bones (fractures)?

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

213-145 15TH St W, Pacific Orthopedics and Sport Medicine
North Vancouver, BC, V7M 1R9

Phone: (604) 210-8743 | Website: https://www.pacificortho.ca/

Dr. Richard Peter Nadeau 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: 68352

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/302556/Nadeau%2CRichard

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