
Orthopedic Surgeon ·
The London Clinic , London, United Kingdom
17 Years of experience ·
Languages Spoken: English, Potuguese
Book a secure video consultation for expert Orthopedics Specialist care.
Upload MRI/CT scans, laboratory reports, prescriptions, and previous medical records. Supported formats: PDF, JPEG, and DICOM.
Consult the Doctor in your preferred language. A family member or caregiver is welcome to join.
Receive a signed medical opinion with diagnosis, treatment recommendations, and next steps in a downloadable PDF.
If needed, our team can assist with a second opinion, hospital appointments, or medical travel arrangements.
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.


Have your reports reviewed by independent oncology experts to help you make a confident treatment decision, all online within 48 hours