From a Surgeon Who Doesn’t Rush to Operate
Dr. Arvind von Keudell reviews your imaging and recommendation to tell you one thing clearly: surgery now, later, or not at all.
Board-Certified Back Specialist
2 minutes • No obligation • No account required
Board-Certified Back Specialist
2 minutes • No obligation • No account required
1,000+
Spine & orthopedic
cases reviews
24-48h
report
turnaround
$399
flat fee, no
hidden costs
You probably have questions like:
Treatment depends on your diagnosis, symptoms, and goals — not just what shows up on an MRI.

Often improve with physical therapy, injections, and time before surgery is considered.

May require surgery — but not always. Many patients still have non-surgical options.

Physical therapy, injections, medication, and activity changes are often effective — but not always fully explained.
Dr. Arvind von Keudell evaluates complex orthopedic cases every day — including when surgery can be avoided. His role here is simple: give you a clear, unbiased answer based on your specific case.


Orthopedic Surgeon · Trauma & Hip Specialist ·
Harvard Faculty
Board-certified orthopedic surgeon (ABOS)
Director of Orthopedic Trauma Innovation, Mass General Brigham
Associate Professor, Harvard Medical School
Fellowship-trained in orthopedic trauma (Harvard)
PhD in biomechanics & fracture modeling
140+ peer-reviewed publications






Surgery is right for you
Go in with confidence, knowing an independent expert agrees.

Surgery isn't necessary
You'll have a specific non-surgical plan — and you'll have avoided a permanent mistake.

Try this first
Conservative treatment hasn't had a real chance. Here's what to try and when to reassess.

1. Submit your case
Upload your MRI, X-rays, and surgical recommendation.
Takes under 10 minutes — we guide you through it.

2. Dr. Arvind von Keudell reviews it
Dr. Arvind von Keudell matched to your exact condition reads
your full case — not a summary, not AI.

3. You get a clear answer
Written report delivered in 24–48 hours. Surgery
recommended, alternatives to try, or confirmed —
whatever the evidence supports.
⏰Most patients wait weeks for a second opinion.
With XPRT2ND, you have your answer before your next surgeon consult.
Complete Case Review
$999
Everything you need. One flat price.
Video consult with your expert
Second specialist opinion
Written specialist report
Priority 24-hour turnaround
Written Report Only
$399
Best for clear-cut cases or tight budgets.
Full case review
Written specialist report
48-hour turnaround
You don’t need to decide today.
You just need to know what’s right.
That’s exactly what Dr. Arvind is here for.
No. You don’t need permission, paperwork, or a referral to get started. If you have a concern, you can submit your case directly.
No. XPRT2ND is cash-based so we can move quickly and connect you with the top orthopedic specialists from across the country, without waiting weeks for insurance approval. Most reviews are completed within 24–48 hours.
Upload whatever you have. X-rays, MRIs, prior reports, or notes from your doctor. You’ll also describe your pain and symptoms in your own words. If something important is missing, we’ll guide you.
Your case is reviewed by a board-certified orthopedic specialist who treats your exact condition every day.
These are top surgeons from around the world, carefully vetted for both expertise and judgment. No generalists. No automated reviews. And no pressure to choose surgery.
XPRT2ND specialists are here to give you honest, compassionate guidance. If surgery isn’t the right move for you, they’ll say so.
Second opinions are expected within 24–48 hours of case acceptance. You’ll receive a clear, written second opinion as soon as your review is complete.
No. XPRT2ND is designed to give you clarity before making a decision. You can use your second opinion to have a more informed conversation with your doctor or care team.
Option 1: Ask the imaging center or doctor’s office
Call the place where you had your X-rays, MRI, or CT scan and ask if they can send the images to you electronically via email. Then download them to your computer.
Option 2: Use a computer with a CD drive
If you or someone you trust has a computer with a CD/DVD slot:
1. Insert the CD into the computer
2. Open the CD and copy all files to the computer
3. Upload those files here to your case
Option 3: Ask a family member or friend for help
If you don’t have a computer with a CD drive, a family member, friend, or caregiver can often help copy the files and upload them for you.
Option 4: Take a clear photo at the doctor’s office
If you are at the doctor’s office and your X-rays or MRI are on their computer, you can take a clear photo of the screen with your phone.
Yes. Your records are shared through a secure, HIPAA-compliant platform. Your information stays private and under your control.
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