
Orthopedic Surgeon
The London Clinic , London, United Kingdom17 Years of experience
Speaks: English, Potuguese
USD 680 USD 645 for video consultation

You can book a video consultation with Dr. Nicholas Aresti on our platform
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Dr. Nicholas Aresti is available to teleconsult on the MediGence platform.
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.
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.
No, the follow-up consultation fee is not included in the consultation price. The patient will be required to re-book the consultation.
The option to share your medical records is available between the steps of the form provided to you on the website.
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.
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.
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.
Surgery is considered when conservative treatments like physiotherapy, medications, or injections fail to relieve pain or restore function.
Complex trauma management may include fracture fixation, joint reconstruction, nerve repair, tendon repair, or corrective osteotomies, depending on the injury.
Options include partial or total shoulder or elbow replacement, sometimes with custom implants or robotic-assisted technology to improve precision.
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.
Yes, many conditions can initially be managed with rest, medications, physiotherapy, splints, or injections before surgery is considered.
Risks may include infection, bleeding, nerve or blood vessel injury, stiffness, delayed healing, or the need for further surgery.
Yes, surgical intervention can repair rotator cuff tears, ligament injuries, dislocations, or fractures to restore function and allow a return to sport.

BPT, MS in Healthcare Mgmt
4 Years of Experience
Dr. Vihan Gautam is a distinguished Rehabilitation Specialist and Healthcare Management Professional, holding a Bachelor of Physiotherapy (BPT) from Rajiv Gandhi University of Health Sciences and a Master of Science in Healthcare Management (MSc) from the prestigious University of London, United Kingdom.With specialized clinical experience and his advanced medical knowledge in neuro-rehabilitation, musculoskeletal disorders, and evidence-based physiotherapy practices, enables him to develop patient-centered rehabilitation protocols and AI-driven care models that deliver measurable functional recovery outcomes. His diverse contributions across international rehabilitation programs, multidisciplinary care, and AI-driven healthcare initiatives uniquely position him as an emerging leader in neuro-rehabilitative care globally. View More
Last Reviewed - January 2026