Dr. Stéfanie Grenier

As an Chirurgien orthopédiste, Dr. Stéfanie Grenier diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Traumatic Injuries

• Sprains and Strains: Care for common soft tissue injuries resulting from trauma or overuse.
• Dislocations: Treatment for acute joint instability caused by traumatic displacement of articular surfaces.
• 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.

Bone Joint Disorders General

• Nonunions and Malunions of Fractures: Surgical correction of fractures that have failed to heal (nonunion) or have healed in an incorrect position (malunion).
• Tendonitis and Bursitis (Persistent/Severe): Procedures such as debridement or bursectomy when indicated.
• Bone Infections (Osteomyelitis - Surgical Debridement): Operative treatment to remove infected bone and tissue.

Degenerative Joint Diseases

• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.
• 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.

Sports Injuries

• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Surgical and non-surgical management of acute tendon ruptures and chronic tendinopathies.
• Meniscus Tears: Treating a common knee injury that can cause pain, swelling, and mechanical symptoms.
• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Arthroscopic and open surgical techniques for ligament repair and 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. Grenier, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• 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.
• Total Joint Replacement (Arthroplasty): Comprehensive care for patients undergoing total joint arthroplasty, from pre-operative planning to post-operative rehabilitation.
• Non-Operative Orthopedic Care: Exploring all appropriate non-operative avenues before considering surgery.
• Therapeutic Joint and Soft Tissue Injections: Utilizing image guidance (e.g., ultrasound) for precise injection placement when necessary.
• Diagnostic Imaging Interpretation (Musculoskeletal): Expert review and interpretation of X-rays, MRIs, CT scans, and ultrasounds related to orthopedic conditions.

Note: This list highlights some of the key services offered by Dr. Grenier. 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. Stéfanie Grenier adhere to the scope of practice for Chirurgien orthopédistes in QC and the standards of The Collège des médecins du Québec (CMQ).

At Clinique Echovena, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Grenier frequently works with patients towards outcomes such as:

• Managing pain and weakness after a bad fall or accident effectively and proactively is a top priority for Dr. Grenier and the medical team. The clear aim is always feeling more confident in their physical abilities, which directly helps patients get back to enjoying hiking, running, or cycling again and their daily routines without severe physical hindrance.
• When patients discuss chronic low back pain that shoots down their leg, Dr. Grenier outlines a path to the ability to participate more fully in family and social life, aiming to restore not just musculoskeletal health but also the ability to comfortably kneeling down or squatting without severe pain (for knee/hip issues).
• Are you struggling with their child limping or having trouble with their walking? Dr. Grenier partners with patients to target being able to perform daily self-care tasks independently again, making a comfortable and confident return to important activities such as playing their favorite sport (e.g., hockey, soccer, tennis, golf) a much more achievable reality.

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

Dr. Grenier practices at Clinique Echovena, located in the Terrebonne West (Near Laval border) neighborhood of Terrebonne. The clinic enjoys a convenient location near Théâtre du Vieux-Terrebonne and is easily accessible via exo (Secteur Terrebonne-Mascouche). Patient parking, including accessible spots, is typically available.

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

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

Orthopedic Surgeons like Dr. Grenier 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. Grenier 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. Grenier at Clinique Echovena?

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. Grenier 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. Grenier 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.

What does an Orthopedic Surgeon like Dr. Grenier do?

An Orthopedic Surgeon like Dr. Grenier 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.

Are services provided by an Orthopedic Surgeon like Dr. Grenier covered by provincial health insurance (e.g., Régie de l'assurance maladie du Québec (RAMQ))?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Grenier are typically covered by provincial health plans such as Régie de l'assurance maladie du Québec (RAMQ) in QC, 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 Clinique Echovena about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

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

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

Clinique Echovena
226-1000 Montée Des Pionniers
Terrebonne, QC, J6V 1S8

Phone: (450) 582-0707

Dr. Stéfanie Grenier is a licensed Chirurgien orthopédiste in QC, regulated by The Collège des médecins du Québec (CMQ) under the Code des professions & Loi médicale (Québec).

License Number: 12453

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=12453

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