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About Dr. Nicholas Aresti

  • Dr Nick Aresti is an experienced fellowship-trained Consultant Orthopaedic Surgeon, specialising in upper limb surgery and complex trauma.
  • Dr Aresti is Clinical Lead of Orthopaedics at The London Clinic and holds an NHS consultant post at Barts Health NHS Trust, home to one of the busiest trauma units in the country at the Royal London Hospital.
  • He also serves as Orthopaedic Clinical Network Director for the Trust.
  • Trained in London, Dr Aresti was awarded multiple academic prizes during his training.
  • Dr Aresti completed a fellowship at Addenbrooke’s Hospital and undertook a travelling fellowship in North America, where he gained invaluable experience learning from some of the world’s most pioneering upper limb surgeons.
  • Beyond clinical practice, he has made significant contributions to healthcare policy and regulation during his tenure as Clinical Fellow to the National Medical Director.
  • Dr Aresti has also served on numerous national and regional committees, including his role as Vice Chair of the British Orthopaedic Association’s Orthopaedic Committee.
  • Dr. Aresti is widely recognised for his academic contributions, having authored three surgical textbooks, numerous book chapters, and research articles in international peer-reviewed journals.
  • He is a Principal Investigator (PI) for national research projects and was awarded Fellowship of the Higher Education Academy for his teaching excellence.
  • Dedicated to delivering holistic and patient-centred care, he works in collaboration with leading physiotherapists and anaesthetists, ensuring surgery is only performed when necessary.
  • His expertise and insights have also led to interviews with The Telegraph and the BBC’s Inside Health podcast.

Conditions treated by Dr Nicholas Aresti

  • Fractures and sports-related injuries of the shoulder, elbow and wrist
  • Surgical and non-surgical treatment of arthritis of the shoulder and elbow (including joint replacement and comprehensive keyhole surgery)
  • Keyhole (arthroscopic) treatment of the shoulder and elbow, including treatment of tendon injuries and arthritis
  • Rotator cuff repairs
  • Soft tissue injuries
  • Treatment of the dislocating shoulder and elbow (instability)
  • Carpal and Cubital Tunnel Syndrome Treatment
  • Ganglion treatment
  • Tendon repairs (including biceps tendon)

Area of Interest

  • Trauma and Orthopaedics
  • Upper Limb -Shoulders, Elbows, Hands

Qualification

  • Bachelor of Science (BSc), University College London, (2002 - 2005)
  • Bachelor of Medicine, Bachelor of Surgery (MBBS), University College London (2005 - 2008)
  • Fellowship of the Royal College of Surgeons(FRCS) Percivall Pott Rotation, (2012 - 2018)
  • Faculty of Medical Leadership and Management (FMLM)
  • Fellow of the Higher Education Academy (FHEA)

Work Experiences

  • Dr. Nick Aresti has been the Clinical Lead of Orthopaedics at The London Clinic since 2024, where he also serves as a Consultant Orthopaedic Surgeon.
  • He holds a substantive NHS consultant post at Barts Health NHS Trust, home to one of the busiest trauma units in the UK at the Royal London Hospital.
  • Dr Aresti was appointed as Orthopaedic Clinical Network Director in 2024, having previously served as Deputy Orthopaedic Network Director from 2022 to 2024.
  • Dr Aresti has been a Consultant Trauma & Orthopaedic Surgeon specialising in upper limb surgery at Barts Health NHS Trust since 2020.
  • Dr Aresti also plays an active role in professional leadership, serving as Vice Chair of the Orthopaedic Committee at the British Orthopaedic Association.
  • Dr Aresti worked as a National Medical Director’s Clinical Fellow at the Care Quality Commission, collaborating with Professor Sir Mike Richards on healthcare policy and regulation.
  • Global Team of Board Certified Surgeons and Medical Specialists
  • Written Second Opinion report delivered within 5 days
  • Option to avail the Video Consultation with the Lead Doctor of the board

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CERTIFICATIONS (4)

  • Fellowship of the Royal College of Surgeons (FRCS)(Trauma & Orthopaedics)
  • Fellowship in Shoulder & Elbow Surgery
  • Travelling Fellowship to North America – Awarded to gain advanced experience with internationally renowned and pioneering upper limb surgeons.
  • Fellow of the Higher Education Academy

MEMBERSHIPS (2)

  • British Orthopaedic Association (Member)
  • British Elbow and Shoulder Society (Member)

RESEARCH PAPERS AND PUBLICATIONS (2)

  • Aresti NA, Ramachandran M, Paterson M, Barry M, editors. Paediatric orthopaedics in clinical practice. Springer London; 2016 Feb 23.
  • Aresti NA, Barry M, Ramachandran M, editors. Paediatric orthopaedic trauma in clinical practice. Springer London; 2015 Dec 15.

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PROCEDURES

  • Meniscus Repair

FREQUENTLY ASKED QUESTIONS

Is Dr. Nicholas Aresti doing teleconsultation on the MediGence platform?

Dr. Nicholas Aresti is available to teleconsult on the MediGence platform.

How long is the consultation?

The consultation can last from 15 to 30 minutes. It may exceed the estimated time, depending on the patient’s queries and the doctor's medical suggestions.

How soon can the consultation be organised?

We have Medical specialists and board-certified doctors on our panel of doctors. The consultation will be organised within 24 to 48 hours or based on the availability of the doctor and the patient.

Is a follow-up consultation included in the consultation price?

No, the follow-up consultation fee is not included in the consultation price. The patient will be required to re-book the consultation.

How do I share my medical record with the doctor for review?

The option to share your medical records is available between the steps of the form provided to you on the website.

Can I book my procedure with the doctor post-consultation?

Yes. If you are satisfied with the consultation, you can go ahead with treatment packages for your diagnosis with the help of our case managers.

Can you get an estimate for the procedure?

Yes. The cost estimate will be provided to you by our case manager, including the doctor’s opinion, the cost estimate, and crucial information about travelling to your medical destination.

FAQ's Related to Orthopedic Surgeon

What conditions can be treated with upper limb surgery?

Upper limb surgery can address a range of conditions, including fractures, arthritis, tendon injuries, ligament tears, nerve compressions, and chronic pain in the shoulder, elbow, wrist, or hand.

When is surgery necessary for shoulder or elbow problems?

Surgery is considered when conservative treatments like physiotherapy, medications, or injections fail to relieve pain or restore function.

What is involved in complex trauma treatment for the upper limb?

Complex trauma management may include fracture fixation, joint reconstruction, nerve repair, tendon repair, or corrective osteotomies, depending on the injury.

What types of joint replacement are available for the shoulder or elbow?

Options include partial or total shoulder or elbow replacement, sometimes with custom implants or robotic-assisted technology to improve precision.

How long is the recovery period after upper limb surgery?

Recovery depends on the procedure but typically involves physiotherapy and a gradual return to movement, which can range from weeks to several months for full function.

Are there non-surgical alternatives for treating upper limb injuries?

Yes, many conditions can initially be managed with rest, medications, physiotherapy, splints, or injections before surgery is considered.

What risks are associated with upper limb surgery?

Risks may include infection, bleeding, nerve or blood vessel injury, stiffness, delayed healing, or the need for further surgery.

Can sports injuries of the upper limb be treated surgically?

Yes, surgical intervention can repair rotator cuff tears, ligament injuries, dislocations, or fractures to restore function and allow a return to sport.

Reviewer

Dr. Vishwas Kaushik

MBBS, MD

5 Years of Experience

Dr. Vishwas Kaushik, an accomplished Belgorod State University graduate with an MBBS, known for his impactful contributions to healthcare. Driven by a passion for global well-being, he seamlessly led domestic operations at VMV Group of Companies and orchestrated success at Clear Medi Cancer Centre. His adept team management and operational skills have positioned him as a luminary in healthcare tourism, shaping a future where compassionate, world-class medical care knows no boundaries. View More

Author

Nimra Haseeb

MSc Biochemistry

4 Years of Experience

Miss Nimra Haseeb is a medical researcher and a scientific content writer. She holds a Bachelor’s degree in Biotechnology and a Master’s in Biochemistry from Integral University, Lucknow.With strong experience in healthcare research, she specializes in secondary research, clinical data analysis, and evidence-based medical writing. Her work focuses on transforming complex scientific and medical information into clear, accurate, and reliable healthcare content for patients and healthcare audiences. She is also experienced in interpreting medical studies and healthcare trends to deliver well-researched and informative content that supports better health awareness and decision-making.. View More