If surgery may be next, get a specialist opinion and a clear plan.
For patients who have usually already been assessed at The Hub and now need a specialist orthopaedic opinion about whether surgery should be the next step.
You do not need to make the surgery decision on your own.
An orthopaedic consultation is a chance to understand what is causing the problem, whether an operation is appropriate, what alternatives exist and what recovery could involve.
Pain or loss of function is still limiting you.
You have tried appropriate treatment or rehabilitation, but walking, work, sleep, sport or daily activity remains difficult.
You want to understand the recommendation.
A GP, clinician or previous consultant has mentioned surgery and you want a clear explanation of the options before deciding.
You want another specialist view.
You are unsure about the diagnosis, timing, procedure or recovery and would value an independent orthopaedic consultation.

A decision based on your symptoms, scans and goals.
A specialist consultation should leave you better informed about the choices available and the practical next step.
- Whether surgery is indicated now, later or not at all.
- Which non-surgical options remain reasonable.
- What the proposed procedure involves and its relevant risks and benefits.
- Likely recovery, time away from work and rehabilitation needs.
- What you can do before surgery to prepare.
Take the information that helps the specialist see the whole picture.
You do not need every item before asking for a consultation. If records are available, gathering them in advance can make the discussion more useful.
Reports and imaging
Bring relevant X-ray, MRI, ultrasound or scan reports, plus access instructions for the images where available.
Your treatment history
Note what you have already tried, how long you tried it and whether it changed your symptoms or function.
Health and medicines
Bring a current medication list and details of medical conditions, allergies and previous operations.
Your questions and goals
Write down what you want to return to, what worries you and the questions you need answered before deciding.
The consultation is one step. Recovery needs a plan too.
The Hub does not replace the surgeon or hospital team. We can support the clinical and rehabilitation work around their plan when it is appropriate and safe to do so.
Assessment and prehabilitation.
Build strength, movement confidence and practical readiness before an operation, guided by the proposed procedure and specialist advice.
Progressive rehabilitation.
Once the surgical team has cleared you to begin, rehabilitation can support movement, strength and a staged return to daily activity.
Keep the plan joined up.
Bring your consultant letter and post-operative instructions so treatment follows the restrictions, milestones and precautions set by your surgical team.
Book your orthopaedic consultation with Elanic.
This dedicated consultation route is for The Hub patients who need a surgical opinion. Take any relevant scan reports, previous treatment information and questions so the specialist can review the full picture.