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.
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
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.
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).
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.
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.
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.
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.
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.
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.