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Oregon Shoulder Institute
🇨🇦 Canadian patients welcome 541-608-2595Mon to Fri, Pacific time
For patients in British Columbia and Alberta

Your shoulder MRI, reviewed by a top surgeon in about 48 hours, not after a year on a wait list.

Dr. Patrick Denard reviews your MRI himself and sends you a narrated video of what he sees and what he would do. If surgery is the right call, it is usually scheduled within weeks in Medford, Oregon.

Typically within 48 hours Order from home, no travel No referral needed in most cases
★★★★★ 4.81,546 verified patient ratings
10,000+shoulder surgeries
Top 20shoulder surgeons in North America
Dr. Patrick Denard reviewing shoulder imaging in clinic

Typical public wait, 2025

British Columbia53.7 weeks
Alberta58.8 weeks
Dr. Denard's MRI review~48 hours
Median weeks from GP referral to orthopaedic treatment. Fraser Institute, Waiting Your Turn 2025. Half of patients wait longer.
4.9 on Google223 reviews (Sep 2026)
300+ paperspeer-reviewed publications
95%+ same dayof surgery patients go home the same day
Fixed cash pricesin US dollars, listed below
✓ No other program we found sends a surgeon's narrated video
What your $250 gets you

Your own MRI, explained by the surgeon who would operate

  • Dr. Denard looks at the actual images, not just the radiologist's written report.
  • A narrated video walking through your MRI, so you can watch it again and share it with your family.
  • His honest opinion on your options, surgical or not. Many tears do well with rehab, and he will tell you if yours is one of them.
  • Typically within 48 hours, from anywhere in Canada.
  • If surgery makes sense, your first visit with Dr. Denard is on Zoom. It is $250, waived if you go ahead with surgery.
How it compares

A surgeon's opinion, faster, and on video

We looked at the remote second-opinion programs patients find online. Here is how they compare on the things that matter when you are in pain and waiting.

Price (USD)TurnaroundWhat you get
Dr. Denard's MRI review$250Typically 48 hoursNarrated video of your own MRI by the surgeon
Other named shoulder and sports surgeons$250 to $500Often not stated, up to about 10 business daysWritten findings or a phone call, sometimes from staff
Large hospital second-opinion programs$790 to $1,990
(up to $4,500 internationally)
About 4 to 6 business days or moreWritten report from a matched specialist
Prices and turnaround from each program's public web page, checked 7 October 2026. Programs change their prices; ranges shown, no single program named.
You were told you need shoulder surgery and want a second opinion
Your MRI shows a rotator cuff tear and nobody has explained it
You are on a surgical wait list and worried it is getting worse
You want to know your options before you decide anything
Patients in their own words

"Thankfully I found Dr. Denard"

STARTED WITH A REMOTE MRI REVIEW

"I re tore my shoulder and sought out 4 different opinions. Thankfully I found Dr. Denard and had a remote conference after sending him my images... I had that surgery and am doing great... 4 months later pain free, 100 ROM, and good strength. This is the first time in 5 years I am able to help in our garden."

Barry A. PerlmutterOregon Shoulder Institute patient
4.8★★★★★ 1,546 verified ratings
4.9★★★★★ 223 Google reviews

"Went 4 months before getting my shoulder fixed... Lots of injuries to my rotator cuff but I am now back to a normal life style."

Charles Longmire

"Dr. Denard repaired my rotator cuff and detached bicep tendon. I have complete use of my arm and shoulder now, after 17 years of limited use and pain."

Jim Geiger

"I had a torn rotator cuff in my right shoulder. I had constant pain and could hardly sleep... after four months... I am pain free and on my way to a full recovery."

Richard Tarkon

"Thank you very much for the video, report and after care instructions... Your practice has exceeded all of my expectations."

Kathy Shen
How it works

From MRI to answer to surgery, without the wait

Today

Order your MRI review

$250 USD, online. You will get instructions to send your MRI images and report, from any Canadian clinic.

About 48 hours

Watch your video

Dr. Denard explains your MRI and your options, surgical and non-surgical, in a narrated video.

If surgery fits

One trip to Medford

Your first visit and your follow-up visits are on Zoom. You travel once, for surgery. The $250 first visit is waived when you go ahead with surgery.

Home in Canada

Recover at home

Most patients go home the same day. Physical therapy where you live, with a phone check-in at two weeks and video visits at three and six months.

Why waiting matters

A rotator cuff tear does not always wait for you

Not every tear needs surgery. When one does, the research leans one way: sooner tends to be better.

47%

of 174 symptomatic tears got bigger when followed with repeat MRI for an average of 19 months.

Yamamoto N et al. Am J Sports Med. 2017;45(11):2524-2531.
4 months

Patients with traumatic tears repaired within four months of injury scored about 10 points higher on a standard shoulder score than those repaired later.

Gutman MJ et al. J Shoulder Elbow Surg. 2021;30(11):2475-2483.
Muscle

Fatty change in the shoulder muscle, a key predictor of how well a repair holds, increases the longer a tear goes untreated.

Melis B et al. J Shoulder Elbow Surg. 2010;19(5):757-763.
Dr. Denard's rule of thumb: if your rotator cuff is going to be repaired, have it done within six months.
Transparent cash pricing

Know the cost before you book a flight

Canadian patients pay as self-pay patients in US dollars. Each surgery has one fixed bundle price, so there are no surprise bills afterwards.

Step 1
$250USD, one time
  • Dr. Denard reviews your MRI images himself
  • Narrated video, typically within 48 hours
  • Surgical and non-surgical options explained
  • First visit on Zoom, $250, waived if you go ahead with surgery
See if I need surgery
Surgery (fixed cash bundle)USD
Arthroscopic rotator cuff repair (with or without biceps tenodesis)$13,900
Revision rotator cuff repair$14,900
Rotator cuff reconstruction with allograft$16,900
Biceps tenodesis (isolated)$9,900
Bankart repair (shoulder instability)$12,800
Primary shoulder replacement$19,999
Included in every bundle:
Surgery centre facility feeImplants and materialsSurgeon, assistant and anesthesia2-week follow-up3 and 6 month video visitsDirect access to nurses

Not included: a shoulder brace and prescriptions after surgery. Financing is available with approved credit. See all procedures and prices. Prices as listed on 7 October 2026.

Dr. Patrick J. Denard, MD
Your surgeon

Dr. Patrick J. Denard, MD

"I strive to provide the highest level of shoulder care possible with an individualized and holistic shoulder treatment plan."

Top 20Named one of the top 20 shoulder surgeons in North America
10,000+shoulder surgeries performed
300+peer-reviewed papers, plus two textbooks on arthroscopic shoulder surgery
TeachingClinical Associate Professor, Washington State University

Holistic care, not just an operation

Minimally invasiveMost procedures done arthroscopically, through small incisions.
Fewer opioidsA nerve block and non-opioid medicines, so most go home the same day.
Nutrition and rehabA recovery nutrition plan and gentle, evidence-based physical therapy.
Getting to Medford

One trip, usually two or three days

Flying

Medford (MFR) has direct flights from Seattle, Portland, San Francisco and more. From Vancouver, Calgary and Edmonton, Seattle is usually the simplest connection.

Driving

From Vancouver it is about 950 km down Interstate 5, a long day plus the border.

What to bring

A valid passport, your MRI images and report. The team can suggest hotels near the office and the surgery centre.

Questions

Questions Canadian patients ask

What if the review says I don't need surgery?

Then you have a clear answer and a plan from a shoulder surgeon, without leaving home. Dr. Denard explains the non-surgical options in your video, and many people do well with rehab.

Will my provincial health plan pay for this?

Usually not. In British Columbia and Alberta, planned care outside Canada needs approval in advance and is generally only funded when suitable care is not available in Canada. The MRI review and surgery here are self-pay in US dollars. Please check with Health Insurance BC or Alberta Health before you book. We cannot advise on your coverage.

Will my surgeon in Canada mind if I get a second opinion?

Second opinions are a normal part of surgical care, and you can share Dr. Denard's video with your own doctor.

Can I use an MRI done in Canada?

Yes. Any shoulder MRI from any clinic works. After you order, you receive instructions to send the images and the written report.

How soon could I have surgery?

If surgery is right for you, it can typically be arranged within a few weeks of your evaluation.

How many trips will I need?

One. Your first visit and your follow-up visits happen on Zoom, so you travel to Medford only for surgery. Most people go home the same day.

Who looks after me once I am home?

Dr. Denard's team does. You get a phone check-in at two weeks, video visits at three and six months, and direct access to the nurses. Your physical therapy happens near home, with a customized rehab plan from Dr. Denard.

Can I do physical therapy back home?

Yes. You get a customized rehab plan and a prescription for a physical therapist where you live, plus video demonstrations of each exercise.

Do I need a referral?

In most cases, no referral is needed for the MRI review.

Stop wondering

Find out where you stand in about 48 hours

Upload your MRI today and get a narrated video review from Dr. Denard. If surgery makes sense, the team will help you plan one trip to Medford.

Typically within 48 hoursSelf-pay in USDCanadian patients welcome

Oregon Shoulder Institute at Southern Oregon Orthopedics, 2780 E. Barnett Rd, Suite 200, Medford, OR 97504. 541-608-2595.

This page is general information, not medical, legal or insurance advice. The MRI review is a remote review of your images and does not replace an in-person examination. Results vary from person to person. Wait-time figures are published medians; individual waits vary. Testimonials are from Oregon Shoulder Institute patients as published on oregonshoulder.com.