Dr. Bertrand Perey, Orthopaedic Surgeon, New Westminster, BC

Dr. Bertrand Perey

Dr. Bertrand Perey

MD, FSRC
Orthopaedic Surgeon
New Westminster, BC
Bio & Education  
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Dr. Bertrand Perey Bio

Dr. Bertrand Perey , Orthopaedic Surgeon, New Westminsteris an esteemed orthopaedic surgeon with a specialization in hand, wrist, and elbow surgery. He currently practices at the Royal Columbian Hospital and Eagle Ridge Hospital in the Fraser Health Authority of British Columbia. Dr. Bertrand Perey , Orthopaedic Surgeon, New Westminster holds the positions of Chief of Surgery and Head of the Division of Orthopaedics at the Royal Columbian Hospital. He is also a consultant in hand surgery to WorkSafe BC, providing expertise in managing work-related hand injuries. Affiliated with the University of British Columbia, Dr. Bertrand Perey , Orthopaedic Surgeon, New Westminster serves as a Clinical Associate Professor. He actively engages in teaching at both the undergraduate and post-graduate levels, playing a vital role in the education and training of future orthopaedic surgeons. Dr. Perey is a member of the Residency Program Committee and actively contributes to the hand and upper extremity surgery training for residents in the program. Dr. Perey obtained his medical degree from Dalhousie University Faculty of Medicine in 1986. He completed his residency training in orthopaedic surgery at the University of British Columbia in 1995. Following his residency, he pursued specialized training in hand surgery, first completing a one-year fellowship at the University of British Columbia in 1996. He further enhanced his skills and knowledge by undertaking a second-year fellowship in hand, wrist, and elbow surgery and upper extremity reconstruction at Harvard University under the mentorship of the renowned Dr. Jesse Jupiter. As a fellow of the Royal College of Surgeons of Canada and a Diplomat of the American Board of Orthopaedic Surgery, Dr. Perey maintains high standards of professional excellence. He is an active member of the Canadian Orthopaedic Association and has held leadership positions within the organization, including section head for hand, wrist, and elbow surgery and involvement in the annual association meeting. Additionally, Dr. Perey played a pivotal role as a founding member and past president of the British Columbia Hand Society, contributing to the advancement of hand surgery in the region. Dr. Perey's expertise in hand, wrist, and elbow surgery has been recognized beyond his clinical practice. He previously served as the hand surgeon for the BC Lions, further highlighting his commitment to providing specialized care for athletes. With his extensive experience, commitment to education, and leadership roles, Dr. Bertrand Perey , Orthopaedic Surgeon, New Westminster is highly regarded in the field of orthopaedic surgery, specifically in hand, wrist, and elbow surgery. His contributions to patient care, education, and professional organizations have solidified his reputation as a leading hand surgeon in British Columbia.

Is in good standing with the College of Physicians and Surgeons of Canada,  Canadian Orthopedic Association and the Canadian Medical Association


( Dr. Bertrand Perey, Orthopaedic Surgeon, New Westminster, BC) is in good standing with the College of Physicians and Surgeons.

If you are looking for local services or  treatment  in the office from a local  Orthopaedic Surgeon  or hospital from a Orthopaedic Surgeon, contact a provider such as ( Dr. Bertrand Perey ) to inquire if they are accepting patients or you need a referral.   Phone number to book an appointment 604-525-2640 ( Dr. Bertrand Perey ) Is in good standing with the College of Physicians and Surgeons of Canda and the ( Dr. Bertrand Perey ) Is in good standing with the Orthopedic Association and the ( Dr. Bertrand Perey ) Is in good standing with the   Canadian Medical Association  

 

The speaker in the video may have no association with ( Dr. Bertrand Perey, Orthopaedic Surgeon New Westminster, BC ). 
( Dr. Bertrand Perey, Orthopaedic Surgeon New Westminster, BC ), may talk about some of the conditions and some of the treatment options shown on the videos. Always talk with your Orthopaedic Surgeon  about the information you learnt from the videos in regards to treatments and procedures the Orthopaedic Surgeon could  perform and if they would be appropriate for you. Remember good information from your local Orthopaedic Surgeon is the corner stone to understanding your condition or disease.

Please contact ( Dr. Bertrand Perey, Orthopaedic Surgeon New Westminster, BC ) to enquire if this health care provider is accepting new patients. Orthopedic surgeons also perform hip replacement and knee replacement surgeries due to arthritis. During hip or knee replacement surgery, the surgeon removes the painful joint and replaces it with an artificial joint made from plastic, ceramic and/or metal. 

Treatment for shoulder arthritis may include non-surgical approaches such as pain management, physical therapy, and lifestyle modifications. In more severe cases, surgery, such as joint replacement or joint fusion, may be considered to alleviate pain and improve shoulder function. It's important for individuals with shoulder arthritis to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Education

Recent Health Talks Authored by Dr. Bertrand Perey

  • Carpal Tunnel Syndrome " Sheila a 52-year-old woman visits her family doctor "

    Sheila, a 52-year-old woman visits her family doctor with a three-month history of numbness affecting her hands. She notices the numbness primarily at nighttime or in the morning when she awakes. She has to shake her hands for approximately five minutes to get rid of the numbness. She has recently noticed some numbness during daytime activities such as blow-drying her hair or driving the car. Again, the symptoms are reversible and do improve when she maintains her wrist in a straightened position or uses splints for her wrist at nighttime. The nighttime numbness is occasionally associated with pain primarily along the palmar aspect of her wrist and forearm.

    Examination by her physician does not reveal any neurological dysfunction, however her symptoms can be recreated by maintaining her wrist in a flexed position for five minutes.

    Sheila could potentially benefit from seeing a physiotherapist for mobilization of the joints, an orthopedic surgeon to assess her condition and her local pharmacist. Also, seeing a rheumatologist may be prudent. A bracing specialist may also be able to help with joint stabilization which may help her in her daily activities.

  • Trigger Finger Injury  " Steve is a 55-year-old man with pain after using a pressure washer "

    Steve is a 55-year-old man who presents to his family doctor with symptoms of pain and catching to his left long finger that started two weeks ago. The symptoms started after a weekend of using a pressure washer. He initially developed some pain at the palmar base (knuckles) of his long finger. Currently, Steve describes locking of his finger in a flexed position in the morning when he wakes up. He has to manually unlock the finger to straighten it. Within fifteen minutes of awakening the locking does appear to subside.

    Physical examination reveals full range of motion to his digits. He does have some localized tenderness about the palmar base of his long finger along with a small nodule along the flexor tendon (the tendon that allows the finger to curl).

    Steve could potentially benefit from seeing a physiotherapist for mobilization of the joint, an orthopedic surgeon to assess if surgery is necessary, and his local pharmacist for pain control medications. A bracing specialist may also be able to help with joint stabilization which may help him in his daily activities. Lastly, seeing a nutritionist may help Steve choose foods that help reduce inflammation caused by arthritis.

  • Symptoms of Tennis Elbow " Dan a 38-year-old man with six-months of pain to the lateral aspect (outer side) of his dominant elbow "

    Dan is a 38-year-old man who presents to his physician with a six-month history of pain to the lateral aspect (outer side) of his dominant elbow. His problem started gradually after beginning a new exercise program at the gym. His symptoms have become worse, to the point that he has great difficulty lifting a dumbbell or at times even using a salt shaker. He has had to give up his exercise program as this has not improved his symptoms.

    On examination there are no visible changes to his elbow. He has tenderness over the right lateral epicondyle (tennis elbow). Any stress applied on the radial wrist extensors exacerbates his symptoms.

    Dan could potentially benefit from seeing a physiotherapist for mobilization of the joint, an orthopedic surgeon to assess if surgery is necessary and his local pharmacist for pain control medications. A bracing specialist may also be able to help with joint stabilization which may help him in his daily activities. Lastly, seeing a nutritionist may help him choose foods that help reduce inflammation caused by arthritis.

Recent Health Talk Comments by Dr. Bertrand Perey

  • 15 July 2023
    The unhappy triad is a significant knee injury that often occurs in contact sports or motor vehicle accidents. It involves a force applied to the knee, resulting in simultaneous damage to three key structures: the medial collateral ligament (MCL), the medial and lateral meniscus, and the anterior cruciate ligament (ACL). To illustrate the injury, imagine this knee model. The front of the kneecap is here, the outside of the knee is on this side, and the inside of the knee is here. Symptoms of the unhappy triad may include hearing a popping sound at the time of the injury, intense pain, and swelling. There might be difficulty straightening or bending the leg, and the knee may feel unstable. A torn meniscus can cause sensations of catching or locking in the knee while walking, and putting weight on the knee can be challenging, especially when standing up from a seated position. Treatment for the unhappy triad often involves surgical intervention, particularly for the ACL and the meniscus. The MCL may be managed with non-operative treatment in some cases. Regardless of the treatment approach, a comprehensive rehabilitation process with physical therapy is crucial. Physical therapy focuses on controlling pain and swelling immediately after the injury, as well as regaining range of motion and facilitating proper tissue healing. Knee braces may be prescribed to aid in daily activities and support the rehabilitation process, helping to increase strength, range of motion, and overall function for a quicker return to normal activities. If you suspect that you have a knee injury resembling the unhappy triad, it is essential to consult with your physician or physiotherapist for a proper diagnosis and appropriate treatment plan. Early intervention and proper rehabilitation are vital to optimize recovery and get you back to work or sports activities as soon as possible.
  • 15 July 2023
    Carpal Tunnel Syndrome (CTS) is a condition that may worsen over time if left untreated. As people age, the flexor tendons in the wrist can naturally increase in size, putting more pressure on the median nerve in the carpal tunnel. Non-surgical treatments can help slow down the progression of symptoms, but they may not completely stop it. Using a brace or splint at night to keep the wrist in a neutral position can reduce pressure on the nerve. Wearing a splint during the daytime can also be beneficial to avoid extreme wrist positions. Modifying job or recreational activities that may contribute to CTS can also help slow down the condition. Anti-inflammatory medications and cortisone injections may offer temporary relief from pain and inflammation associated with CTS, but they rarely lead to a permanent resolution of symptoms. If symptoms of CTS occur on a daily basis and non-surgical treatments have failed, surgery may be recommended. Ideally, surgery should be performed before constant numbness occurs in the hands, as this may indicate permanent nerve damage. The surgical procedure for CTS is called a Carpal Tunnel Release. It involves cutting the transverse retinacular ligament to release the pressure within the carpal tunnel. The procedure is typically performed under local anesthesia and takes less than 15 minutes. Most patients do not require narcotic pain medication after surgery, and the wound is usually closed with sutures. Recovery from surgery involves avoiding soaking the wound and engaging in light washing for the first 10 to 14 days. Patients are encouraged to move their fingers actively to reduce swelling and prevent stiffness. Most patients can resume light activities within 3 weeks and heavier activities within 6 weeks. The surgical site may remain tender for several months, and deep massage is recommended after 2 weeks to accelerate scar softening. Grip and pinch strength usually return within 3 to 6 months after surgery, and intermittent symptoms of numbness typically resolve rapidly. However, if constant numbness was present before surgery, it may not completely resolve over time. Infection at the surgical site is a possible complication, but it can be treated with oral antibiotics if detected early. Any concerns should be discussed with the surgeon or a healthcare provider promptly.
  • 13 July 2023
    Dupuytren's Disease is a condition characterized by the progressive thickening and tightening of the connective tissue in the palm of the hand, resulting in the formation of nodules and cords that can cause flexion deformities of the fingers. While many people with Dupuytren's Disease may not require treatment, in cases where the contracture becomes significant and interferes with hand function, intervention may be necessary. There are three main categories of intervention for Dupuytren's Disease: Palmar Fasciectomy: This is a traditional surgical procedure that involves the excision of the abnormal tissue in the palm. It is usually successful in achieving greater extension of the affected digits. The skin is closed with sutures, which are typically removed within two weeks. Splinting may be required post-surgery for more significant contractures, particularly involving the proximal interphalangeal (PIP) joints. Percutaneous Aponeurotomy: This is a less invasive surgical technique where multiple small incisions are made along the course of the abnormal fascia. The tissue is sequentially released to restore finger extension. While this procedure allows for a faster recovery, it has a higher recurrence rate compared to palmar fasciectomy. Collagenase Injections: This treatment involves injecting a solution called collagenase into the abnormal tissue. The collagenase dissolves the cords within the hand, and then a manipulation of the digits is performed 24 to 72 hours later to tear the pre-dissolved cords. It is important to note that collagenase is currently not available in Canada, although it was previously available before July 2020. Each form of treatment has its advantages and disadvantages, and it is recommended that patients discuss these options with their surgeon to determine the most appropriate course of action for their specific situation.
  • 13 July 2023
    Carpal Tunnel Syndrome is a condition that can worsen over time if left untreated, although non-surgical treatments can help slow its progression. Wearing a brace or splint at night and during the day can keep the wrist in a neutral position and reduce pressure on the median nerve. Modifying job or recreational activities that contribute to symptoms can also be beneficial. Anti-inflammatories and cortisone injections can provide temporary relief from pain and inflammation. However, these non-surgical treatments rarely lead to permanent resolution of symptoms. In cases where symptoms occur on a daily basis and non-surgical options have been unsuccessful, surgery may be recommended. Ideally, surgery should be performed before constant numbness occurs in the hands, as permanent damage to the median nerve may limit the effectiveness of surgical decompression. The surgical procedure for Carpal Tunnel Syndrome is called Carpal Tunnel Release. It involves cutting the transverse retinacular ligament to release pressure within the carpal tunnel. The surgery is usually performed in an ambulatory care setting under local anesthesia. The procedure typically takes less than 15 minutes, and the wound can be closed with dissolving or non-dissolving sutures. Most patients do not require narcotic pain medication after surgery. Over-the-counter pain relievers such as Tylenol and anti-inflammatories are usually sufficient. Light washing of the wound is allowed after 48 to 72 hours, but soaking the wound or exposing it to a dirty environment should be avoided for the first 10 to 14 days. Finger movement is encouraged to reduce swelling and prevent stiffness, although heavy activities may be painful initially. The surgical site may remain tender for several months, and there may be a localized area of hardness around the incision site that gradually subsides over six to twelve months. Deep massage of the area is recommended after two weeks to accelerate scar softening and decrease tenderness. Grip and pinch strength typically return within 3 to 6 months, although it may take longer for some patients. Intermittent symptoms of numbness usually resolve rapidly, but if there is pre-existing constant numbness, it may not completely resolve over time. Infection around the surgical site can occur, but it is usually treated with oral antibiotics. Increased pain, redness, and drainage should be reported to the surgeon or primary care physician for evaluation and appropriate management.
  • 02 June 2015
    Seeing an Acupuncturists is a great way to alleviate tight muscles in the quadriceps and the hamstrings which could be contributing to knee pain.

Ratings for Dr. Bertrand Perey

  • 5
    Information
    5
    Education
    5
    Local Services
    5
    Action Plan
    I was referred to Dr. Perey by another surgeon after failed attempts of physiotherapy, cortizone injections, and MRI results that were inconclusive. Dr. Perey diagnosed me as having intersection syndrome and I was scheduled for a tendon release surgery. After viewing the videos on this site, I opted for a regional block and was able to observe the surgery. Dr. Perey did an amazing job! It has been two months since the surgery and I am slowly progressing in my strength conditioning with my hand therapist. I will be seeing Dr. Perey again in a few weeks for a follow up and look forward to his opinion on my progression.
    Submitted: May 24, 2018
  • 5
    Information
    5
    Education
    5
    Local Services
    5
    Action Plan
    Very happy to give Dr. Bertrand Perey an Orthopaedic Surgeon who specializes in hands and wrists in Port Moody and New Westminster, BC
    Submitted: March 27, 2016
  • 5
    Information
    5
    Education
    5
    Local Services
    5
    Action Plan
    Dr. Bertrand Perey is a very good hand and wrist Orthopaedic Surgeon in port moody and New Westminster, BC
    Submitted: March 27, 2016
  • 4
    Information
    4
    Education
    5
    Local Services
    5
    Action Plan
    Dr. Perey really helped me fix my tennis elbow. I was given a number of different things that I could do at home to help the healing process. Dr. Perey really knows what he is doing.
    Submitted: February 25, 2016
  • 5
    Information
    5
    Education
    5
    Local Services
    5
    Action Plan
    Was refered to DR Bert Perey for Carpal Tunnel Syndrome and was very impressed with his diagnosis and treatment. I had surgery two weeks later with a unexpected cancelation and have been doing physiotherapy now for one week. John Burnanby
    Submitted: February 02, 2016
  • 5
    Information
    5
    Education
    5
    Local Services
    5
    Action Plan
    I saw Dr. Perey for a serious carpel tunnel problem that I had. Amazingly good at what he does. I had surgery with Dr. Perey and had an excellent experience. I really like the video library he is offering on this website. Very informative and helpful. Graham in New Westminster, BC
    Submitted: January 18, 2016

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