Get a Real Answer About Your
Rotator Cuff — From
a Surgeon Who Doesn’t Rush to Operate
Dr. Nasmyth Loy reviews your MRI
and recommendation to tell you one
thing clearly: surgery now, later, or
not at all.
Dr. Nasmyth Loy, MD
Board-Certified Rotator Cuff Specialist
2 minutes • No obligation • No account required
Get a Real Answer About Your
Rotator Cuff — From
a Surgeon Who Doesn’t Rush to Operate
Dr. Nasmyth Loy reviews your MRI
and recommendation to tell you one
thing clearly: surgery now, later, or
not at all.
Dr. Nasmyth Loy, MD
Board-Certified Rotator Cuff Specialist
2 minutes • No obligation • No account required
1,000+
Shoulder cases
reviews
24-48h
report
turnaround
$399
flat fee, no
hidden costs
SOUND LIKE YOU?
If you’ve been told you need surgery, this is where you pause.
You probably have questions like:
Is surgery really my only option?
Can I wait — or do I need surgery now?
What does recovery actually look like?
Am I seeing the right surgeon?
Understanding your injury
Not every rotator cuff tear needs surgery.
Treatment depends on the type of tear, your activity level, and your goals — not just what shows up on an MRI.
Partial Tears
Often improve with physical therapy and targeted treatment before surgery is considered.
Full-Thickness Tears
May require surgery — but not always. Many patients still have non-surgical options.
Non-Surgical Options
Physical therapy, injections, and activity changes are often effective — but not always fully explained.
Your Rotator Cuff specialist
A surgeon who knows
when not to operate.
Dr. Nasmyth Loy evaluates cases like yours every day — including when surgery can be avoided.
His role here is simple: give you a clear, unbiased answer based on your specific case.
Dr. Bo Nasmyth Loy, MD, FAAOS
Orthopedic Surgeon · Sports Medicine Specialist · Regenerative Medicine & Orthobiologics
Fellowship trained in knee & shoulder arthroscopy at Taos Orthopaedic Institute
Team physician for U.S. Ski & Snowboard teams — expert in return-to-play decision-making
Trained through Apex Biologix in PRP, MFAT, and bone marrow aspirate procedures
AAOS Member of the Month — recognized for contributions to sports medicine & patient-centered care
Lifelong athlete: skier, climber, surfer — he understands performance, injury, and recovery personally
WHAT'S IN YOUR REPORT?
Know Your Options in 48 Hours
YOU WILL GET A CLEAR ANSWER
One of three outcomes. Not a maybe.
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.
SIMPLE 3-STEP PROCESS
How It Work?
1. Submit your case
Upload your MRI, X-rays, and surgical recommendation.
Takes under 10 minutes — we guide you through it.
1. Submit your case
Upload your MRI, X-rays, and surgical recommendation. Takes under 10 minutes — we guide you through it.
2. Dr. Nasmyth Loy reviews it
Dr. Nasmyth Loy is matched to your exact condition reads your full case — not a summary, not AI.
2. Dr. Nasmyth Loy reviews it
Dr. Nasmyth Loy 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.
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.
PRICING
One flat fee. No insurance games.
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. Loy is here for.
Frequently Asked Questions
Do I need a referral?
No. You don’t need permission, paperwork, or a referral to get started. If you have a concern, you can submit your case directly.
Do you take insurance?
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.
What do I need to submit?
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.
Who reviews my case?
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.
How long does it take?
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.
Will this replace my current doctor?
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.
What if my X-rays or MRI are on a CD?
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.
Is my information secure?
Yes. Your records are shared through a secure, HIPAA-compliant platform. Your information stays private and under your control.
© Copyright 2026 xprt2nd.com-All rights reserved