Frozen shoulder

Justin, Northern Ireland
Justin, Northern Ireland
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My mother was experiencing problems with some level of pain and a lack of mobility in one hip. Locally she was advised that she could not have the appropriate treatment for 22 months . At eighty years of age that was a poor option. We were advised to contact Nordorthapaedics. The clinic was comparable to any private facility in the UK. Everything about the experience at Nordorthapaedics was positive. Everything from our first contact to our journey home was professionally managed by a team of courteous individuals. I would thoroughly recommend this service.
Annette, Wales
Annette, Wales
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The whole experience was excellent from making travel arrangements, all the pre-operation checks, making the payment. The clinic was so well run beautifully clean and the staff were marvellous. I would highly recommend taking a few days at the rehabilitation center as the post-op treatment received was outstanding and a great aide to recovery. I received every day physio, massage, hot and cold treatment, things that you wouldn’t get on the NHS. I can highly recommend having the operation in Lithuania it truly was a memorable experience.
Ronnie, Northern Ireland
Ronnie, Northern Ireland
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Hi, I'm Ronnie Kelly from Randalstown, Northern Ireland. From my initial inquiry Jurate at Nordorthopaedics was fantastic answering all my question almost immediately. I booked the flights, gave her the dates and the rest was plain sailing. Everything was organised with professional precision. From being met at the airport, to surgery, to recovery at rehabilitation center and back to the airport every detail was covered with constant emails and messages. I couldn't recommend this Clinic and Rehabilitation Centre any higher for its total professionalism and after care.
Karen, Alberta, Canada
Karen, Alberta, Canada
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Th clinic looked almost too good to be true but everything they claim is accurate. The care I received from the physician and nursing staff was very caring and excellent. Also there is the option for aftercare at a rehab facility that I highly recommend. It gives you time to recover from the surgery before the long flight home. The customer service representative Jurate is very efficient and will promptly answer any questions you have. Canada may seem like a long way from Lithuania but I feel it was totally worth the trip and I am planning to go back and have the other hip replaced.
John, Ireland
John, Ireland
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This is very simple because I recommend everything about nordorthopaedics. Firstly the administration staff are very professional and helpful with any problems you may have,and I would especially mention Aurelija along with her colleague Jurate for their attention to detail. Travelling to a different country can be daunting but the trip is carefully planned with collection from airport, transport to hotel and clinics. The clinics and rehabilitation center are of the highest quality and all the staff, nurses and doctors are really caring and helpful.
Julie, Northern Ireland
Julie, Northern Ireland
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Everything from airport to being picked up , hotel , hospital , loved it all it was the best decision I ever made , I tell everyone here in Ireland about it , I had the whole thing organised with Agnes help in four weeks , staff at hospital fabulous , care fabulous , doctor and anethnetist fabulous , honestly have nothing but good to say . If I need another hip I’ll be there in a heartbeat I’d never wait years here at home never . Thank you all
Ray, Spain, UK expat
Ray, Spain, UK expat
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My experience from beginning to end was one of the utmost pleasure. Not just my own surgery, rotator cuff repair but that of a fellow patient who was up and walking within hours after knee surgery. All made possible by the administration staff, nursing staff and the highly qualified surgeons. Nordorthapaedic deserve a gold medal for their obvious high standards. I award them one as such. After searching the web for a suitable clinic it was an obvious choice to select this clinic. And how happy am I that I did. The high standards of cleanliness and professional care shine out.
David, England
David, England
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Having been rejected by the NHS I chose to look abroad for my options. My friends all thought I was mad to consider Lithuania, nothing could be further from the truth. From my initial contact phone call I have experienced the highest standards of professionalism and service throughout . I must declare that I am quite a tough person to satisfy as I have had a career as a Quality Management Consultant and auditing suppliers. The clinic is first class. It is equal to any private hospital in the uk. I would wholeheartedly recommend the clinic to anyone in a similar position.
Michael, West Midlands, UK
Michael, West Midlands, UK
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I recently had a total hip replacement at Nordorthopedics. The whole experience from the initial contact through to the rehabilitation treatment was flawless, Dr Saraunas Tarasevicius and all at the hospital were unbelievably open and efficient, putting any doubts at rest. I was up and walking with crutches the day after surgery. At the rehabilitation centre the aftercare resulted in being able to walk 2 miles with 1 crutch by the time I left for home 9 days after surgery. Jurate deserves a special mention for organising almost every aspect, nothing seemed to be much trouble. I cannot recommend Nordorthopaedics enough.
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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 working experience
  • Fluent in English
  • ATLS Certificate
  • President of Kaunas Regional Scientific Society of Orthopaedics and Traumatology (KKOTMD)
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Rehabilitation package

The rehabilitation centre is located at a SPA resort town called Druskininkai. It is equipped with modern facilities. The professionals there have years of experience working with people after various surgeries and injuries. 

Rehabilitation in Lithuania – from € 130 / £ 116 per day

  • personalized rehabilitation course
  • room with TV and private bathroom
  • three meals a day
  • all medication needed
  • transportation to/from the rehabilitation centre

An individual rehabilitation program is prepared for each patient depending on the type of surgery, general patient‘s well-being, health status and other factors.

Our rehabilitation centre
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.

The clinic is equipped with modern diagnostic and surgical facilities, all analogous to those in Western European clinics. You will be looked after by professional English speaking staff. The wards are fully furnished and equipped with TV, WC and air conditioning. Free Wi-Fi is available while staying in the clinic. 
Our clinic is one of the biggest surgical centres in the Baltic region. We work with patients from various countries, among which the United Kingdom, Ireland, Norway, Sweden, Spain, Denmark, Germany, Switzerland, Canada etc. 
Despite the size of the clinic we provide our patients with personal care and assistance. The majority of big public hospitals due to high volume of patients do not have enough resources and medical personnel to pay personal attention to each patient. Whereas we are fully focused on providing exceptional care and undivided attention for our patients.
Without any additional fees patients are tended in the clinic as long as they need. It may take up to 3 days. We only discharge our patients from the clinic when they are in a good health state and ready to leave.
All inclusive price, which is twice lower than in Western European clinics.
Our clinic works with medical professionals of highest education and experience level and uses the same materials as the clinics in Western Europe.  More often than not, the quality of our clinic‘s facilities exceed the ones in Western European clinics. The price difference is only due to considerably lower average salaries and taxes – which is the main reason for medical travel everywhere around the world.

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.

You can find lots of testimonials from our previous patients online. Reading all the positive feedback on Google or Facebook can help you make a final decision. 

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.

COVID-19 situation: We're open!

Our clinic is open and operates in accordance with all safety requirements. All the procedures are implemented as usual. You can read about the latest COVID-19 updates here.

Direct flights to Lithuania
from UK
from UKin 2 h 30 min
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London (London City, Stansted, Luton), Bristol, Edinburgh, Liverpool, Doncaster, Belfast
from Spain
from Spainin 3 h 30 min
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Madrid, Barcelona, Palma de Mallorca, Alicante
from Germany
from Germanyin 2 h
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Berlin, Nurnberg, Cologne, Bremen, Dortmund, Munchen, Frankfurt

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.

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.