Would a second opinion help you?
A second opinion is a fresh, independent assessment of your hip or knee problem by another specialist. It can confirm the advice you already have, offer another option, or simply give you the confidence to decide.
Mr Ashwin Unnithan is a Consultant Orthopaedic Surgeon specialising in hip and knee surgery, including revision of hip and knee replacements. He listens to your concerns, examines you and reviews your existing scans and letters with you. You will leave with a clear explanation of what he has found and what he would advise.
Asking for a second opinion is a normal part of making a decision about your health. It does not mean you have lost faith in your current surgeon.
You might be considering a second opinion if
- You have been advised to have hip or knee surgery and want to be sure
- You have been told surgery is not an option, but your symptoms are limiting you
- You have been offered different treatments and are unsure which to choose
- You want to know whether a partial, total or robotic-assisted replacement suits you
- Your hip or knee replacement is still painful, stiff or unstable
- A previous knee arthroscopy has not helped as expected
Whatever brings you, the aim is a clear, unhurried discussion so you can make the decision that is right for you.
What is a second opinion consultation?
It is a full specialist consultation focused on your question. Mr Unnithan takes a history, examines your hip or knee and reviews your existing imaging, reports and letters. Where something is missing or out of date, he may suggest further X-rays or scans.
He will then explain your diagnosis, your options and their likely benefits, risks and limitations. This can include non-surgical treatment, in line with NICE guidance on osteoarthritis (NG226). You are free to continue with your current team, ask Mr Unnithan to take over your care, or take more time to think.
Why choose Mr Ashwin Unnithan for a second opinion?
- Independent view
Advice based on your examination and imaging, with no expectation that you change surgeon.
- Hip and knee focus
The full range of care, from non-surgical treatment to partial, total, robotic-assisted and revision replacement.
- Complex case training
Fellowships at the Bristol Hip Unit, the Royal National Orthopaedic Hospital and St Albans City Hospital.
- Imaging reviewed with you
Your scans are explained on screen, in plain English.
- Joined-up care
With your consent, his findings can be shared with your GP or current surgeon.
- Accessible
Appointments usually available within days, and no GP referral needed for an initial consultation.
- Professional standing
Fellow of the Royal College of Surgeons and member of the British Orthopaedic Association.
At a glance
How a second opinion works
Before your appointment
Gather your scans (or details of the hospital where they were taken), clinic letters, operation notes and a list of medicines. The booking team can advise on getting copies of images.
Your consultation
A discussion of your symptoms, goals and the advice you have had so far, followed by an examination and a review of your imaging.
Your options explained
Mr Unnithan explains what he has found and the options he would consider, including what happens if you choose not to have surgery.
Your decision
Take time to decide. You can stay with your current team, arrange further tests, or plan treatment with Mr Unnithan.
- COMMON QUESTIONS
Frequently asked questions about second opinions
What is a second opinion?
It is an independent assessment by another specialist of a diagnosis or treatment plan you have already been given. For hip and knee problems, it includes a consultation, examination and review of your scans, followed by a clear explanation of your options.
Will my current surgeon mind?
Seeking a second opinion is a common and accepted part of making decisions about surgery. You do not need your current surgeon’s permission. With your consent, Mr Unnithan can share his findings with your GP or surgeon so that your care stays joined up.
What should I bring?
Bring any X-rays, MRI or CT scans (or details of where they were taken), reports, clinic letters, operation notes and a list of current medicines. If you have had a joint replacement, implant details are helpful. The booking team can help if you are missing anything.
Can you give a second opinion on a joint replacement that is still painful?
Yes. Mr Unnithan assesses painful, stiff or unstable hip and knee replacements, including those performed elsewhere. Investigations may include X-rays and blood tests to look for causes such as loosening or infection. Some problems are managed without further surgery.
Will you need new scans?
Not always. Recent, good-quality imaging can often be reviewed as it is. If scans are missing, out of date or do not answer the question, Mr Unnithan may suggest new X-rays or an MRI or CT scan and will explain why.
Do I have to have surgery with you after a second opinion?
No. The consultation is there to help you decide. You may continue with your current team, take time to think, or choose to have treatment with Mr Unnithan. There is no obligation either way.
Is a second opinion covered by insurance?
Many policies cover a specialist consultation, but this depends on your insurer and policy. Check with your insurer before booking. If you are paying for yourself, the consultation fee will be confirmed when you book.
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