The most advanced treatment of shoulders in Vancouver and Edmonton

Quick Contact Form

Shoulders are among the most complex joints in the human body and require a thorough understanding in order to be successfully treated.

For almost a decade as an Orthopaedic surgeon in Canada, I have dedicated my practice to advancing the understanding and treatment of shoulder disorders. This advancement has come through continued participation in clinical research, education, and program development. My primary focus has been shoulder disorders, with the arthroscopic treatment of shoulder disorders comprising most of my clinical practice.

The patient experience is an important priority for me. From consultation through to shoulder surgery and recovery, I will work with you to tailor my approach to your specific shoulder condition and provide the most advanced, minimally invasive treatment possible.

TREATMENT
Specializations

  • Acromioclavicular Joint Arthritis
  • Biceps Tendinitis
  • Biceps Tendon Rupture
  • Calcific Tendinitis
  • Fracture of the Collarbone (Clavicle)
  • Frozen Shoulder (Adhesive Capsulitis)
  • Glenoid Labrum Tears
  • Loose Shoulder (Instability)
  • Rotator Cuff Injuries/Tears
  • Shoulder Dislocations
  • Shoulder Impingement Syndrome
  • Shoulder Separation (Acromioclavicular Joint Separation)
  • SLAP Tear (Superior Labrum from Anterior to Posterior Tear)
  • Subacromial Bursitis

About Dr. Sheps

Biography

Dr. Sheps received his medical degree at the University of Manitoba in 1997 and completed his residency in Orthopaedic surgery at the University of Saskatchewan in 2002. Following his residency, he pursued subspecialty training in shoulder surgery, elbow and wrist surgery, completing a shoulder surgery fellowship at the University of Alberta in 2003 and an elbow and wrist surgery fellowship at the University of Calgary in 2006. Concurrent with his fellowship in elbow and wrist surgery, Dr. Sheps fulfilled the requirements of a Master of Science in Epidemiology at the University of Calgary. In 2011, Dr. Sheps attended the Sauder School of Business at The University of British Columbia in Vancouver where he completed a Master of Business in Health Care Administration the following year.

Dr. Sheps currently practices Orthopaedic surgery in Edmonton, Alberta and Vancouver, British Columbia. He is an attending Orthopaedic surgeon at the Sturgeon Community Hospital in St. Albert and the Glen Sather Sports Medicine Clinic in Edmonton, and the False Creek Surgical Centre and Lifemark Sports Medicine at the Richmond Olympic Oval in Vancouver. His clinical practice includes the treatment of shoulder, elbow and wrist disorders, with a particular focus on the arthroscopic treatment of shoulder disorders. As part of the upper extremity group at the Sturgeon Community Hospital, Dr. Sheps also treats traumatic injuries of the shoulder, elbow and wrist.

In addition to his clinical practice, Dr. Sheps serves as an Assistant Clinical Professor of Orthopaedics at The University of Alberta. His research interests include the treatment and outcomes of shoulder, elbow and wrist disorders, as well as the epidemiology of shoulder and elbow injuries. He is a member of both JOINTS Canada (Joint Orthopaedic Initiative for National Trials of the Shoulder) and SURGE (Shoulder and Upper extremity Research Group of Edmonton). He has published papers in publications such as the Bone & Joint Journal, The Journal of Shoulder & Elbow Surgery, Shoulder & Elbow and Current Orthopaedic Practice.

PUBLICATIONs

Click on a publication title to view, download, or print the publication PDF of your choice. USE The SCROLL BAR TO SEE MORE.

Suprascapular Nerve Injury During Arthroscopic Superior Labral Repair: A Prospective Evaluation

Evaluation of the Instability Severity Index Score and the Western Ontario Shoulder Instability Index as Predictors of Failure Following Arthroscopic Bankart Repair (addition)

Investigation of the Geometries of the Coronoid Process and the Fibular Allograft as a Potential Surgical Replacement (addition)

A Retrospective Cohort Study of Displaced Segmental Radial Head Fractures: Is 2 Millimeters of Articular Displacement an Indication for Surgery?

The Intra- and Inter-Rater Reliability of Plain Radiographs for Hill–Sachs and Bony Glenoid Lesions: Evaluation of the Radiographic Portion of the Instability Severity Index Score (addition)

Population-Based Incidence of Proximal Radial and Ulnar Fractures Among Adults in a Canadian Metropolitan Area

An Evaluation of the Responsiveness and Discriminant Validity of Shoulder Questionnaires among Patients Receiving Surgical Correction of Shoulder Instability

Closed Reduction and Early Mobilization in Fractures of the Humeral Capitellum

Systematic Review of Rotator Cuff Tears in Workers’ Compensation Patients

Population-Based Incidence of Distal Humeral Fractures Among Adults in a Canadian Urban Center

Elbow Dislocations in a Canadian Metropolitan Health Region: A 3-Year Population-Based Incidence Study

Systematic Review: Nonoperative and Operative Treatments for Rotator Cuff Tears

The Inter-Observer Reliability of Classification
Systems for Radial Fractures: The Hotchkiss Modification of the Mason Classification and the AO Classification Systems

Supracondylar Femur Fracture After Endoscopic Anterior Cruciate Reconstruction Using an EndoButton

The Anatomic Characteristics of the Tibial Insertion of the Posterior Cruciate Ligament

Simple Dislocations of the Elbow: Evaluation and Treatment

Dr. Sheps is currently a consulting Orthopaedic surgeon for
the Workers’ Compensation Board of Alberta, and WorkSafeBC.

wcblogo
worksafelogo

the patient
experience

icon1

Compassionate Care

Throughout your care, my team and I will take the time to listen to your concerns, help you understand your condition, and assist you in making an educated choice about your chosen treatment. It is my hope that each patient feels at ease throughout their care and satisfied with the results of the care they receive.

Knowledgeable Care

In addition to my clinical practice, I am a researcher and an educator and am personally invested in advancing the understanding of shoulder disorders and their treatment. I continue to be actively involved in clinical research and program development, which allows me remain closely connected to advancements in the treatment of shoulder conditions.

Surgical Expertise

Patients can expect me to approach all procedures with care and precision. I have performed over a thousand shoulder procedures and have developed a skill-set that only a sub-specialty shoulder surgeon can provide.

Teamwork

I work closely with the members of the team that provide care to my patients. Each individual is trained and available to answer your questions and concerns at each step of your care. In addition, we closely communicate about our patients so that we can adjust the treatment plan that has been developed for you depending on your response to the treatment chosen.

Services

I specialize in the surgical and non-surgical care for patients with shoulder conditions. I will personally direct your treatment throughout your time under my care. 

This includes the diagnosis of your shoulder condition, patient education about the shoulder and its disorders, non-operative care and rehabilitation, and surgical care and post-operative rehabilitation.

My practice cares for both private and publicly funded patients. Patients from both Alberta and British Columbia, as well as patients from outside of both provinces, may access private care. If you wish to pursue care for your shoulder privately, please contact the False Creek Surgical Centre for more details on how to access private services.

Quick Contact Form

Patient Education

For more information on conditions or procedures click the button below to get a menu of topics. From the menu click a topic for more information.

Frequently asked questions

Depending on where you are seen, you may be asked to provide information about your condition. This may include reports from doctors you have seen and reports and CDs of tests you may have had (X-rays, CT scans, Ultrasounds, and MRIs). If these are not readily available, you may be asked to forward these reports and CDs in advance of your visit. You should also bring a list of any medical problems you may have, surgeries you have had performed in the past, and a list of your medications and medication allergies. Most importantly, you should bring a list of questions that you would like to ask during your first visit.
Please wear comfortable clothes that allow your shoulder to be exposed so that it can be clearly seen and examined. For women, this may include a tank top, a sports bra, or a sleeveless shirt.
Depending on where you are seen, you may be assessed first by a member of the team that works with Dr. Sheps. Dr. Sheps will review your history, physical examination, any previous tests you have had performed and previous treatment you have undergone. Dr. Sheps will see you personally during your first visit, either initially or following an assessment by a member of his team. A treatment plan will be developed for you following your assessment, which may include further tests to aid in the diagnosis of your condition. You will have an opportunity to ask the questions that you have brought with you as well as any further questions you may have following your assessment.
Many shoulder conditions have both surgical and non-surgical treatment options that may be effective in managing the symptoms you are experiencing. Should you and Dr. Sheps decide that surgery is the best choice for managing your symptoms, the risks and benefits of surgery will be discussed with you.
What happens after your first visit depends on what you and Dr. Sheps decide is the most appropriate treatment choice to manage your symptoms. If you decide to have surgery, arrangements will be made to complete the paperwork required to book your surgery and the waiting time to surgery will be discussed. If you decide to treat your symptoms non-operatively, physiotherapy options will be discussed and Dr. Sheps will help you choose a physiotherapist. Should further tests be required, arrangements for these tests will be made.
Every patient experiences pain differently. The amount of pain that you may experience depends on the type of surgery performed and how you react to surgery. After surgery you will receive a prescription for pain medication that will be tailored to you based on the type of surgery performed, your medical history and any allergies you may have. You may also receive a regional block, which is administered by the anaesthetist prior to your surgery. A regional block involves temporarily freezing the nerves that sense pain and may provide up to 12 to 24 hours of pain control following surgery. If a regional block is available, this will be discussed with you prior to surgery. Cooling the surgical site may also provide pain relief following surgery. Both ice packs and a cold therapy system may be used. If ice is being used it should never be applied directly to the skin and should be used on an intermittent basis (15 to 30 minutes of each hour). Cold therapy may be available for purchase and can be discussed with Dr. Sheps when the decision to proceed with surgery has been made. Should you feel that you are having an extraordinarily amount of pain following surgery despite the use of medication and cooling, please contact Dr. Sheps’s office.
Excessive bleeding is uncommon after arthroscopy and rarely occurs following open surgery. Drainage is very common after arthroscopy as the joint is distended with fluid in order to visualize the joint during surgery. The fluid is commonly blood tinged and the colour of the fluid is generally not concerning. The fluid may saturate the dressing and if this occurs the dressing may be reinforced with gauze. As indicated above, if the dressing becomes heavily soiled or peals away it may be replaced with a similar dressing. Dressing materials may be purchased at a drug or medical supply store or you may contact Dr. Sheps’s office about being seen for a dressing change (the location may depend on the location of your home).
Swelling and bruising are very common following surgery and may extend from the shoulder down to the forearm and hand and across the armpit and chest. Following arthroscopy, the fluid that is used to distend the joint during surgery commonly causes the majority of the swelling and this will usually settle within the first 24 to 48 hours. Swelling and bruising may be treated with cooling and, in the case of surgery performed on the elbow or wrist, with elevation (carefully placing the arm on pillows). Should you feel you are having an extraordinary amount of swelling and bruising following surgery despite the use of cooling, please contact Dr. Sheps’s office.
Signs of infection include severe redness, severe warmth, or foul-smelling drainage. If this occurs it should be brought to your doctor’s attention.
Dressings will be changed before discharge from the hospital or surgery centre and usually consist of a light dressing called a Mepore underneath a water resistant dressing called an Op-Site. You may shower with this dressing in place 24 to 48 hours after discharge from hospital. This dressing should be gently patted dry after the shower and should be left in place until the first post-operative clinic visit. If the dressing becomes heavily soiled or peals away it may be replaced with a similar dressing. Dressing materials may be purchased at a drug or medical supply store or you may contact Dr. Sheps’s office about being seen for a dressing change (the location may depend on the location of your home). The wound should remain covered until you are seen at your first post-operative clinic visit.
If you were provided with a sling following surgery this is to be worn according to the instructions outlined on the rehabilitation protocol provided to you following surgery. Generally, in the first two to three weeks after surgery, the sling is worn 100% of the time, including when you are sleeping. It may be removed when showering however the arm should be kept supported by your side. It may be moved gently away from the body by leaning towards the operative side and, while supporting the operative arm gently away from the body, clean under the armpit. It may also be removed so that you may perform your exercises or when you are sitting comfortably in a controlled environment (such as watching television). The exercises you should perform in the first two to three weeks after surgery will either have been taught to you by the physiotherapist or by Dr. Sheps. Further instructions will be given regarding sling usage at the first post-operative visit.
Splints are most commonly placed to provide additional support or protection following surgery. The splint or cast must remain dry and needs to be completely covered prior to showering or bathing. If the cast or splint was split prior to discharge and wrapped with a tensor, this may be unwrapped and rewrapped as required but the splint MUST remain in place. If the splint or cast becomes heavily soiled or severely softens, you may contact the Orthopaedic Outpatient Clinic at the Sturgeon Hospital in St. Albert at 780-418-8261 during clinic hours and speak to a Cast Technician, or you may contact Dr. Sheps’s office to arrange to have your cast or splint changed.
Although it may take two to three weeks for the incisions to heal, you may shower the day after surgery. If you have a clear dressing (OpSite) over a white dressing (Mepore), you may let the water run over this dressing and then gently pat it dry after your shower. If you have a cast or splint, it needs to be kept dry by covering it with some form of plastic such as a garbage bag.
In most cases you will have been provided with an instruction sheet outlining the exercises that you are to perform in the first two to three weeks after surgery. The exercises vary depending on the surgery you have undergone. If you did not receive an instruction sheet, you should perform the exercises that are included in the link provided.
In most cases it is generally recommended that you refrain from driving for six weeks following surgery. This applies to a procedure when bone or soft tissue has been repaired. Should you have undergone a procedure where bone or soft tissue was not repaired, you may consider driving after two to three weeks. In general, you should be able to control the steering wheel with both hands prior to returning to driving and should no longer require a sling. If you are unsure please ask Dr. Sheps’s prior to returning to driving.
Many patients have difficulty finding a comfortable position after surgery. You may be most comfortable in a reclined position or supported by pillows. If you are a side-sleeper, it is best to sleep with the operative side up, with pillows supporting the operative shoulder. When getting out of bed it is important to try not to put your full weight through the operative side.
Physiotherapy generally does not start until after your first post-operative visit with Dr. Sheps. You may be provided with an exercise instruction sheet, which will include instructions on the exercises you are to start after surgery but before your first post-operative visit. If you have not been provided with an instruction sheet, Dr. Sheps would like you to wait until your are seen at your first post-operative visit to start your exercises.
Returning to work is generally at your own discretion and depends on what you do for work, how much pain you are having, and the type of surgery you have undergone. Most patients take two to three weeks off of work and return to work after their first post-operative visit. If you do return to work prior to this, the work should be single-handed or limited (less than ten pounds of lifting) such as light deskwork or computer work. If you have questions about the type of work you may perform after surgery, please ask Dr. Sheps’s either before your surgery or at your first post-operative visit.
Wait times to see Dr. Sheps vary depending on where you are being seen and whether you opt to be cared for in the public system or privately. In the public system, the wait time may be up to one year, but can vary depending upon the urgency of the problem. Dr. Sheps sees public patients in Edmonton at the Glen Sather Sports Medicine Clinic at the Kaye Edmonton Clinic, in St. Albert at the Sturgeon Community Hospital, and in Vancouver at the Lifemark Sports Medicine Centre at the Richmond Olympic Oval. If you choose the private option, consultations are performed in Vancouver at the False Creek Surgery Centre, where you will usually be seen within two weeks of an appointment request.
If you are being seen in the public system in either Alberta or British Columbia, you will require a referral from your family physician or physiotherapist (Alberta patients only). If you wish to be seen privately, no referral is required and you may contact the False Creek Surgery Centre to arrange your consultation with Dr. Sheps.
If surgery is determined to be the best way to manage your symptoms, surgery may occur the same day, the following day, or at the time that is most convenient for you. For patients from the Vancouver area, surgery may be day-surgery or require an overnight stay at the False Creek Surgery Centre depending on the type of surgery performed. If you are from outside the Vancouver region, arrangements are usually made for an overnight stay at the False Creek Surgery Centre.
Depending on your health and any pre-existing medical problems that you may have, blood tests and x-rays may be required before your surgery. The Anaesthesiologist may also see you prior to your surgery.
False Creek Surgical Centre is competitive with other private surgical options that are available, with the advantage that you are being cared for in a fully accredited surgical centre in Canada. Cost does vary with the type of procedure that is being performed. Please contact the False Creek Surgery Centre regarding pricing and financing options that may be available.
Dr. Sheps will manage your care following surgery, whether you are looked after in the public system or privately. If you choose private surgery, your post-operative care will be included as part of the cost of your surgery. Arrangements for follow-up can be tailored based on the location of your home. Dr. Sheps will remain in close contact with your physiotherapist during the course of your rehabilitation following surgery.

Sturgeon Community Hospital

Orthopaedic Outpatient Department
201 Boudreau Road,
St. Alberta, Alberta, T8N 6C4

Telephone: 780-418-8261