Frozen shoulder
Price in GBP
Price in EUR
- Frozen shoulder surgery – from 2.700 £
- Shoulder stabilisation – from 2.910 £
- All necessary tests (MRT performed in 1 day) – 155 £
- consultation with the surgeon
- necessary health tests
- surgery
- implant
- anaesthesia
- hospitalisation
- 24/7 personal assistance during your stay
- transfers to / from the airport, hotel and clinic
- all documents translated to English
The clinic uses Zimmer Biomet, Smith & Nephew and other highest quality implants. The implant option is discussed in detail once the surgeon reviews your individual case.
Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
Testimonials
Reviews & Facebook group
Our patients and clinic in the media
Our patients in the media
Refund for EU patients
Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
Our surgeon Arnoldas Sipavicius
- More than 10 years of experience
- Specialises in arthroscopies, osteotomy surgeries and knee deformities
- ATLS Certificate
- Read more
Rehabilitation package
One of the most important factors for a quick and full recovery after surgery is proper rehabilitation. Rehabilitation helps recover after surgery as well as prevents formation of blood clots and helps avoid most of the postoperative complications and side effects. Outpatient rehabilitation in Kaunas with a physiotherapist.
The rehabilitation clinic is equipped with modern facilities. Individual rehabilitation programs are prepared by a kinesiologist with over 20 years of experience, Prof. Laimonas Siupsinskas. This type of rehabilitation is best suited for people who are physically active, athletes and those wishing to return to sports as soon as possible.
Rehabilitation in Kaunas – € 100 / £ 86 for one 1 h physiotherapy session per day.
- personalized rehabilitation course;
- specialist who is also a physiotherapist for Lithuanian Men’s National Basketball Team;
- all required medication;
- transportation to/from the rehabilitation clinic;
- read more about outpatient rehabilitation in Kaunas.
Our clinic
What sets us apart from other clinics?
Our clinic works with highly professional and educated surgeons. They have 10-20 years of experience in the field of orthopaedic surgery. They each perform 500 surgeries per year. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Our joint replacement surgeon S. Tarasevicius is an author of 150 scientific publications in different medical journals. Find more information about our surgeons here.
Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical service.
During your entire stay in Lithuania you will receive personal care as well as transport to and from the clinic, hotel, and airport. You will not have to worry about a thing. You will be assisted from the moment of plane landing in Vilnius or Kaunas airport till your departure.
We have no waiting line so we can schedule your surgery as soon as you are ready to do so.
Everyone in our clinic speaks English, including nurses, assistants and the surgeon.
2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new flights and new destinations, therefore feel free to contact us if you need help choosing the flight that suits you best.
Lithuania has been a part of the EU and NATO since 2004. Lithuania has one of the fastest growing economies in the whole region and the second fastest internet speed in the world. Lithuanian medical schools have trained many medical professionals who are highly appreciated and employed by many foreign hospitals, among which hospitals in the UK. Our clinic works according to the highest standards set to the medical institutions by the European Union.
Our clinic uses implants based on their performance in international registries.
Being a true member of the International Society of Arthroplasty Registries, Lithuania is one of the leaders in low joint replacement revision rates, as only 9% of surgeries in Lithuania require revision in 10 years after surgery. Moreover, with the implants used at our clinic, only 2-3% of surgeries require revision in 10 years after surgery, while revision rates in some other Western countries, for example, USA, is as high as 17% in 10 years after surgery. The implants used at our clinic have been evaluated by other countries’ registries as those ensuring longest implant life, as compared to products of other manufacturers. Read more here.
Direct flights to Lithuania
What is frozen shoulder and what are its symptoms?
Frozen shoulder, also known as adhesive capsulitis, is a condition that presents with shoulder pain and stiffness. The main cause of progressive stiffness is constant inflammation of the joint capsule. Normally, the shoulder joint is one of the most mobile joints in the body, however, when the joint capsule is inflamed, it thickens and the joint becomes stuck. As the condition progresses, the pain gets worse and loss of mobility becomes more prominent. Pain is usually described as achy or diffuse and intensifies with movement. Patients often complain of having difficulty raising the arm or reaching behind the back. Adhesive capsulitis can be primary (without any underlying cause), secondary (as a result of systemic diseases, like diabetes), or tertiary (develop after trauma).
Who is at risk for a frozen shoulder?
Frozen shoulder occurs in 2 to 5 percent of the general population. It is known that people with thyroid conditions and diabetes are more prone to suffer from adhesive capsulitis. Chances of developing frozen shoulder also increase for patients over the age of 40 – women more often than men. Other conditions that raise the risk of a frozen shoulder are enforced immobility resulting from a stroke, heart condition, or surgery. The risk also increases for those patients who don’t receive exercise therapy after tendinitis or other arm injuries.
How is frozen shoulder treated?
First-line treatment is usually conservative and most patients (up to 94 %) improve without invasive measures. Non-surgical treatment options include anti-inflammatory medications and intraarticular injections of corticosteroids, sodium hyaluronate, or saline. Physical therapy includes home exercises, mobilization techniques, and stretching. Combining physical therapy with joint injections provides greater improvement than physical therapy alone. It can take 12-18 months for the symptoms to subside. Patients are referred for surgical treatment after 3 to 6 months of ineffective nonoperative care. The most popular surgery to treat frozen shoulder is arthroscopic capsular release. Other surgical techniques also include closed manipulation or open capsulotomy.
Who is a good frozen shoulder surgery candidate?
A good frozen shoulder surgery candidate is someone who has had constant pain and
stiffness for over 2 years with almost no relief. Candidates for a capsular release should have
tried non-surgical treatment methods and failed to find them helpful.
How is frozen shoulder surgery performed?
Surgical treatment is reserved for patients with persistent symptoms for over 6 months
despite non-surgical management. Frozen shoulder surgery’s goal is to allow the joint more freedom of mobility by releasing the tight and thickened shoulder capsule. There are a few surgical options available for frozen shoulder patients, with an arthroscopic capsular release being the most popular choice. It is performed with an arthroscope through the tiny incisions in the shoulder which makes it a minimally invasive procedure.
An arthroscopic release is performed under general anesthesia and takes about 1 to 2
hours to complete. The patients can also be given local anaethesia, called a nerve block,
which numbs the arm. Firstly, a surgeon makes a few 1 cm size incisions, inserts a tiny
camera (an arthroscope) and other pencil-sized instruments. He then inspects the shoulder capsule and releases the ball of the shoulder joint from the socket. About 75 percent of the range of motion is regained immediately after the surgery with the remaining range of motion returning during rehabilitation.
During a closed manipulation procedure, the doctor breaks up adhesions and
loosens the scar tissue by moving the arm upward and outward at the shoulder joint. It is not the first choice procedure, since the success rate is lower compared to an arthroscopic release.
An open capsulotomy, also known as an open capsular release, is another less often
performed procedure. It requires the surgeon to make a long incision to gain full access to the shoulder joint. Since the procedure is more invasive and more painful compared with an arthroscopic approach, it is rarely a first-choice option.
Recovery and rehabilitation after frozen shoulder surgery. Returning to sports and other activities.
After surgery, the operated arm feels numb but the sensory functions are regained within 24 hours. A patient has to wear a sling at all times while the arm is numb.
Later, the sling can be worn on and off or only at night. Post-operative pain is managed with intravenous medications, and later, with prescription anti-inflammatory drugs, like naproxen or ibuprofen. Usually, patients stay in the hospital overnight for close monitoring. Before discharge, patients are given post-surgical care instructions and drug prescriptions. We recommend patients use ice packs for short periods of 20-30 minutes, sleep in a reclined position, and place a pillow behind the elbow to reduce swelling. Most patients with desk-based jobs can return to work within 3 weeks post-op and those in the positions requiring manual work may need at least 6 weeks off work. Driving is possible as soon as one feels confident to control a vehicle. Patients can travel by plane after 2-3 weeks on short flights.
Physical therapy begins on the day of the surgery with exercises, like gripping, bending, and extending the elbow. Physical therapist creates an individualized exercise routine to help regain control and motion in the arm. The exercise program should be done 3 times each day to facilitate rehabilitation and prevent blood clots.
In the second stage, a physical therapist introduces more intensive exercises to encourage more flexibility and greater strength. The routine includes bicep curls, wall walking, and pendulum exercises. Patients also receive manual therapy which helps muscles and tissues to loosen up. It may take 3 months to return to daily life activities and up to 6 months to return to sports.
Possible complications
Possible complications from non-operative management are rare but may include
adverse effects associated with non-inflammatory drugs, like gastrointestinal bleeds, gastritis, toxic hepatitis, or renal failure. Frozen shoulder surgery is usually performed arthroscopically which makes it a safe minimally invasive procedure. The staff takes all the necessary precautions to minimize complication risk to a minimum. Possible risks may include infection, thrombosis, humeral fracture, neurovascular injury, and others.
Send us your enquiry
