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Patient-Facing Digital Presence for Nairobi’s Leading Orthopedic Surgeon
Dr. Paul Murethi Miano is a highly experienced Orthopedic Surgeon based in Nairobi, Kenya, with over 10 years of specialist practice in sports medicine, trauma and joint replacement surgery, including knee, hip, shoulder and elbow procedures. He is a member of the European Society of Sports Traumatology, Knee Surgery & Arthroscopy (ESSKA) and a Trainer in Arthroscopy for the East African Arthroscopy Association (EAAA), placing him among the most credentialled orthopedic specialists in the region.
Despite his clinical standing, Dr. Miano had no website at all when he engaged Afrecce in 2025. Afrecce – a medical web design agency in Nairobi was brought in to build his entire digital presence from scratch, including a professional, patient-facing website and a foundational SEO strategy to establish his visibility in organic search.
Industry
Healthcare – Orthopedic Surgery
Location
Nairobi, Kenya
Engagement
2025
The Challenge
For a specialist surgeon of Dr. Miano’s standing, the absence of a website represents a significant missed opportunity. Patients researching orthopedic surgeons in Nairobi, especially those dealing with sports injuries, joint pain or considering joint replacement surgery overwhelmingly turn to Google first. Without a web presence, Dr. Miano was invisible to this audience entirely, regardless of his reputation and credentials.
The challenge was not simply to build a website, but to build the right kind of website for a medical specialist: one that communicates clinical authority and genuine expertise, earns patient trust before the first consultation, and is structured in a way that search engines can understand and rank for the specific procedures and specialties Dr. Miano offers. Starting from zero, both the website and its SEO foundation needed to be built simultaneously and correctly from day one.
What we did;
01
Medical Web Design - Built for Patient Trust
Afrecce designed and built a clean, professional website that positions Dr. Miano as Nairobi’s leading orthopedic surgeon with authority and approachability in equal measure. Medical web design in Kenya requires a careful balance: the site must feel clinically credible – communicating the seriousness and precision of a specialist surgeon, while remaining warm and accessible enough for patients who are often anxious and seeking reassurance as much as information.
The design is focused and distraction-free, leading patients intuitively through Dr. Miano’s background, qualifications, international memberships and specialties before guiding them toward a consultation. His ESSKA membership and EAAA Trainer status; both significant differentiators in the East African orthopedic landscape are surfaced prominently to build immediate credibility with informed patients.
02
Specialty & Procedure Architecture
The site is structured around Dr. Miano’s core specialty areas, each with its own dedicated page, ensuring that patients searching for specific treatments can land directly on relevant content and immediately confirm they are in the right place.
Specialty Pages Built:
- Knee: knee injuries, meniscus tears, ligament reconstruction, and knee replacement surgery in Kenya.
- Shoulder: shoulder dislocations, rotator cuff repairs, and shoulder replacement.
- Hip: hip joint conditions and hip replacement surgery in Nairobi.
- Sports Medicine: sports injury diagnosis, treatment, and surgical intervention for active patients.
03
SEO - Foundational Visibility from Day One
With no prior domain history to build on, establishing search visibility for Dr. Miano required a deliberate foundational SEO strategy from the outset. As an SEO agency in Kenya with deep experience in the medical sector, Afrecce built the site’s on-page SEO architecture around the specific search terms patients in Nairobi use when looking for orthopedic care. Targeting keywords including orthopedic surgeon Nairobi, knee surgeon Kenya, sports medicine Nairobi, hip replacement Kenya and shoulder surgeon Nairobi.
Meta titles, descriptions, heading structures, and page content were all crafted with dual intent: written for patients first, optimized for search second. Local SEO signals: location, clinic address and geographic relevance were embedded throughout the site to help Dr. Miano surface in location-based searches where patient intent is highest.

Results
- Professional medical website built from zero - Dr. Miano launched with a credible, authoritative digital presence on day one.
- Dedicated specialty pages for Knee, Shoulder, Hip, and Sports Medicine: each optimised to capture patients searching for specific procedures.
- International credentials (ESSKA membership, EAAA Trainer status) prominently positioned to differentiate Dr. Miano from other orthopedic surgeons in Nairobi.
- Foundational SEO strategy targeting high-intent patient search terms including orthopedic surgeon Nairobi, knee surgeon Kenya and sports medicine Nairobi.
- Local SEO signals embedded throughout to drive visibility in location-based searches across Nairobi.
- 5.0 Google rating across patient reviews - a trust signal the website now surfaces and amplifies.
- Delivered by Afrecce as a specialist medical web design agency in Nairobi with proven experience designing for doctors and healthcare professionals.


