Joseph Perez is a UK qualified Hand and Orthopaedic Surgeon who provides comprehensive treatment for most medical conditions that can affect the musculoskeletal structures of the upper limb ...
Use our interactive arm for information on typical upper limb conditions and surgical procedures.
Joseph Perez practices at various locations in Central and West London.
Mr Perez has written over 3000 medico legal reports over the past 11 years. He has undergone formal training in this discipline with ...
Joseph Perez is a UK qualified Hand and Orthopaedic Surgeon who provides comprehensive treatment for most medical conditions that can affect the musculoskeletal structures of the upper limb.
This service is closely integrated with Hand Therapists, Physiotherapists, Sports Physicians, Rheumatologists, Neurophysiologists, Anaesthetists and Musculoskeletal Radiologists.
Mr Perez qualified from Guys Hospital Medical School in 1987. He underwent basic surgical training in Brighton and Plymouth obtaining Fellowship of the Royal College of Surgeons of Edinburgh in 1993.
He completed formal orthopaedic training in Bristol and the South East Thames regions being awarded the Inter-collegiate Specialist Exam in Orthopaedic and Trauma Surgery in 1999.
He undertook fellowships in Hand, Wrist, Elbow and Shoulder Surgery in 2000 and 2001 in Sydney, Australia. He returned to London to be appointed Consultant at Northwest London Hospitals Trust in 2002 where he is currently the lead clinician for Hand and Elbow Surgery.
Clinical practice since that time has been exclusively as an Upper Limb Surgeon. Over 21 years he has undertaken over 8500 operative interventions. He regularly receives referrals to assess and treat Professional and Olympic athletes.
He has a particular interest in thumb osteoarthritis, wrist pain, elbow instability/fractures and degenerative conditions of the shoulder.
A full range of operative interventions are available including keyhole surgery (arthroscopy), joint replacement (arthroplasty), fixation of acute fractures and reconstruction of non-unions.
It is now possible to treat several common upper limb conditions without the inconvenience or risks of surgery.
For very early Dupuytren’s disease before contracture has developed a short course of radiotherapy can prevent disease progression in 60% of cases. This is particularly useful for young individuals with aggressive disease. In more advanced cases once a contracture has developed an injection of enzyme (Xiapex) directly into the palm can dissolve the local fibrous tissue and correct deformity rather than having to undergo surgery.
For certain common tendon problems (tennis elbow and shoulder calcific tendinitis) shock wave therapy has been shown to be an effective treatment. It is increasingly been used with professional sportsmen and athletes. A course of three 5 - 10 min non-invasive treatments can be undertaken instead of painful injection or surgery.
These novel treatment options can be discussed at your consultation.
Appointments: 0208 8723838
Central London Consulting Rooms
9 Harley Street
Appointments: 020 7079 2100
Appointments: 01923 835814
Northwick Park Hospital
Appointments: Please call private medical secretary
Mr Perez has written over 3000 medico legal reports over the past 11 years. He has undergone formal training in this discipline with Professional Solutions and Services Ltd:
2002: Medico-Legal Report Writing
2002: Giving Expert Evidence in Court
Instructions are accepted on behalf of Claimants, Defendants and Joint Parties for personal injury claims (Hand Wrist Elbow and Shoulder Injury)
Medical negligence work is also undertaken
Private Clinical Secretary
Telephone: 01895 631155 Fax: 01895 549645
Telephone: 0208 5821635
Mr Perez's fees are independently set and largely based on WPA operation codes.
These will be provided prior to surgery with a reasonable estimate of likely costs (anaesthetic, hospital, outpatient followup etc).
You should note that whilst insurance companies will often settle bills directly, they do not actually pay or employ the consultant; they reimburse the patient for consultant fees.
Levels of reimbursement vary widely between insurance companies and especially with the actual policy held. Shortfalls are not uncommon and therefore if a gap in funding arises this will need to be settled by the patient.
BUPA subscribers should be aware of recent changes in level of coverage for many common treatments and procedures. Please see the FIPO information sheet below:
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