{"meta":{"humanUrl":"https://it.bookimed.com/clinics/country=thailand/city=phuket/procedure=shoulder-replacement/","canonicalUrl":"https://it.bookimed.com/clinics/country=thailand/city=phuket/procedure=shoulder-replacement/","jsonUrl":"https://it.bookimed.com/clinics/country=thailand/city=phuket/procedure=shoulder-replacement/data.json","title":"Protesi di spalla a Phuket nel 2026: clinica verificata e costi","description":"Protesi di spalla a Phuket: costi a partire da $17,800. Cliniche verificate e recensioni dei pazienti. 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La Dott.ssa Tatiana Zhelninova-Bosch, MD, PhD, apporta oltre 25 anni di esperienza in cardiologia, medicina di famiglia e cure rigenerative, inclusa la leadership presso l'Hadassah Medical Center. È una leader riconosciuta nella terapia con cellule staminali e si è formata presso istituzioni d'élite in tutto il mondo.</p><doctor id=\"9127\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":6254,"alias":"the-demarest-clinic","name":"The Demarest Clinic","short_description":"<p style=\"margin-left:0px;\">La Clinica Demarest offre medicina rigenerativa e terapie cellulari, inclusi trattamenti con fluido amniotico, cellule staminali mesenchimali derivate dal tessuto del cordone ombelicale, PRP (plasma ricco di piastrine), ossigenoterapia e terapia Weber Laser IV. La clinica è dotata di un laboratorio medico satellite e di una sala IV (intravenosa). 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Ho subito un rilascio bilaterale aperto eseguito dal Dr. Big, il chirurgo ortopedico presente presso la clinica Menness. Ero nervoso prima dell'intervento perché la mia STC era grave e ho la paralisi cerebrale. Sono stato soddisfatto di sapere che il Dr. Big aveva già operato persone con paralisi cerebrale in precedenza e sapeva esattamente cosa aspettarsi e come operare su di me per ottenere il miglior risultato possibile. Sto guarendo più rapidamente di quanto mi aspettassi e sono tornato a lavorare al computer e al pianoforte 10 giorni dopo.","en":"Menness clinic is very professional, and I highly recommend them for carpal tunnel release.  I had a bilateral open release done by Dr. Big, the orthopedic surgeon on staff at Menness clinic. I was nervous going in because my CTS was severe and I have cerebral palsy. I was pleased to learn that Dr. Big had performed surgery on people with CP previously, and knew exactly what to expect, and how to operate on me to get the best outcome possible. I am healing faster than I expected, and I am back to my computer, and piano based work 10 days later."},"order":{"operation":{"id":882,"name":{"it":"Intervento chirurgico per la sindrome del tunnel carpale","en":"Carpal Tunnel Syndrome Surgery"}},"illness":{"id":516,"name":{"it":"Chirurgia della mano","en":"Hand surgery"}},"diagnostic":{"id":354,"name":{"it":"Consulto con un ortopedico","en":"Consultation with an orthopaedist"}}},"clinic_info":{"id":5658,"name":"Menness Wellness Clinic","alias":"menness-wellness-clinic","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2025-06-25T14:30:34.928+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"it":"Sto guarendo più velocemente di quanto previsto e sono tornato al lavoro con il computer e al pianoforte 10 giorni dopo.","en":"I am healing faster than I expected, and I am back to my computer, and piano based work 10 days later."}}},{"id":21109,"user":{"id":531800,"name":"Iain ","country_code":"AU"},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"manager","value":0}],"text":{"it":"Sono completamente entusiasta del trattamento e del servizio. Non mi aspettavo di provare alcun risultato per almeno alcuni mesi. Dopo due giorni mi sono quasi liberato del dolore e mi è stato detto che non avrei percepito i benefici per almeno 2 mesi. Rimanete in contatto. Chiunque stia pensando alle cellule staminali, contattatemi se desiderate un feedback onesto. Non posso elogiare questa procedura abbastanza. Se vivrò 5 anni senza dolore, tornerò sicuramente per un altro trattamento. Personale e trattamento a cinque stelle ❤️","en":"I am absolutely thrilled with the treatment and service. I didn’t expect to feel any results for at least several months. After two days, I almost got rid of the pain, and I was told that I wouldn't feel the benefits for at least 2 months. Stay in touch. Anyone considering stem cells, contact me if you want an honest review. I can't praise this procedure enough. If I live 5 years without pain, I will definitely return for a follow-up procedure. Five-star staff and treatment ❤️"},"order":{"operation":{"id":667,"name":{"it":"Terapia con cellule staminali per le ginocchia","en":"Stem cell therapy for knees"}},"illness":{"id":3554,"name":{"it":"Osteoartrite del ginocchio","en":"Knee Osteoarthritis"}}},"clinic_info":{"id":6820,"name":"EDNA Wellness","alias":"edna-wellness","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2025-08-09T04:32:33.373+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"it":"Non posso non elogiare questa procedura.","en":"I can't help but praise this procedure."}}},{"id":17179,"user":{"id":701148,"name":"Gregory  Britt ","country_code":"AU"},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":0},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"it":"Le cose sembrano andare bene, nessun problema. Vorrei essere conosciuto nelle recensioni come gjj987, poiché sono una persona principalmente riservata.","en":"Things seem to go smoothly, no problems, I'd like to be known in the reviews as gjj987,, because I am mostly private person"},"order":{"operation":{"id":139,"name":{"it":"Terapia con cellule staminali","en":"Stem Cell Therapy"}}},"clinic_info":{"id":5585,"name":"ID Clinic Bangkok","alias":"id-clinic-bangkok","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2024-10-16T09:06:14.076+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"it":"Tutto sembra procedere senza intoppi, nessun problema, mi piacerebbe essere conosciuto nelle recensioni come gjj987,, perché sono una persona per lo più riservata.","en":"Things seem to go smoothly, no problems, I'd like to be known in the reviews as gjj987,, because I am mostly private person"},"what_not_like_text":{"it":"Può registrarmi come gjj987 poiché sono una persona per lo più riservata, grazie.","en":"Can you put me down as gjj987 as I am a mostly private person, thank you"}},"comment_about_bookimed":{"it":"Bene, non saprò quanto sia stata efficace la procedura fino a un anno da ora, ma incrociamo le dita.","en":"Well I won't know how successful the procedure has been until 1 year from now but here's hoping"},"summary":{"positive":{"it":"Le cose sembrano procedere senza intoppi, nessun problema.","en":"Things seem to go smoothly, no problems"}}},{"id":23578,"user":{"id":814661,"name":"Myriam  ","country_code":"BE","country_name":{"it":"Belgio","en":"Belgium"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":0},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"it":"Un'auto viene a prendervi e vi riporta indietro, il che è molto conveniente vista la posizione dell'ospedale\n\nClima di fiducia","en":"A car picks you up and takes you back, which is great given the hospital's location. Trustworthy atmosphere"},"order":{"diagnostic":{"id":354,"name":{"it":"Consulto con un ortopedico","en":"Consultation with an orthopaedist"}}},"clinic_info":{"id":6794,"name":"kdms Orthopedic Hospital","alias":"kdms-specialized-orthopedic-hosipital","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2026-01-25T07:46:32.211+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"what_like_text":{"it":"Eccellente accoglienza e professionalità del personale","en":"Excellent welcome and professionalism of the staff"}},"summary":{"positive":{"it":"Atmosfera affidabile","en":"Trustworthy atmosphere"}}},{"id":4987,"user":{"id":31709,"name":"Bertolino Anastasia","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":4},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"it":"Tutto è stato di qualità, rapido e accurato. Dall'amministrazione al medico. Consiglio.","en":"Everything is of high quality, fast and neat. From administration to the doctor. I advise."},"order":{},"clinic_info":{"id":250,"name":"Bumrungrad International Hospital","alias":"bumrungrad-international-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-04T11:58:07.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"it":"Tutto è stato eseguito con qualità, rapidità e attenzione.","en":"Everything is of high quality, fast and neat."}}},{"id":28087,"user":{"id":1075401,"name":"William DeVito","country_code":"AU"},"ratings":[{"name":"main","value":4},{"name":"doctor","value":4},{"name":"personal","value":4},{"name":"comfort","value":4},{"name":"translation","value":3},{"name":"recommend","value":8}],"text":{"it":"Waking up after the knee replacement surgery, my first impression was one of being in capable hands. The staff was attentive. Throughout the process, the surgeon and clinical team demonstrated solid professionalism, and I felt properly supported during my stay. I appreciate that even now, during this early recovery phase, the clinic remains easy to reach whenever I have questions. One thing for others to note is that there were some additional expenses beyond the initial quoted price. 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physical or overhead work about 3-6 months."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 90 days to 2 years; serious ones such as deep infection about 1-2%."},"contraindications":["Active joint or systemic infection","Irreparably damaged deltoid (and rotator cuff, anatomic type)","Severe neurological shoulder dysfunction (e.g., axillary nerve palsy)","Medical conditions making general anesthesia unsafe","Insufficient bone stock that cannot be reconstructed"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typically 1-2 nights after primary shoulder replacement; longer if pain control or mobility lags."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":26,"unit":"weeks","qualifier":"Gentle strengthening from about 3 months; swimming or golf with surgeon clearance; long-term limits on heavy lifting and impact."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Full strength and pain relief typically continue improving up to about a year."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and surgeon clearance; depends on flight length, thrombosis risk and wound healing."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture/staple removal if not absorbable."}},{"purpose":"assessment","requirement":"routine","after":{"min":38,"max":52,"unit":"days","qualifier":"About 6 weeks with X-ray and progression of rehabilitation."}},{"purpose":"result_review","requirement":"routine","after":{"min":80,"max":100,"unit":"days","qualifier":"About 3 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":170,"max":380,"unit":"days","qualifier":"6-12 months review with imaging."}}],"indications":["Advanced glenohumeral osteoarthritis with pain unresponsive to conservative treatment","Rheumatoid or other inflammatory arthritis of the shoulder","Complex proximal humerus fracture or fracture sequelae","Rotator cuff tear arthropathy","Avascular necrosis of the humeral head with joint collapse"],"main_risks":["Infection","Implant loosening or wear over time","Dislocation or instability","Stiffness","Rotator cuff failure (anatomic replacement)","Nerve injury","Periprosthetic fracture","Blood clots","Anesthesia-related risks","Scapular or acromial stress fracture (reverse replacement)"],"pain":"Moderate to severe pain in the first days to weeks, controlled with multimodal analgesia and often a nerve block; gradually improves over several weeks, with long-term pain relief typically better than before surgery.","preparation":["Pre-operative medical assessment and fitness for anesthesia","Blood tests, imaging (X-ray, CT/MRI) and surgical planning","Review of medications with the surgical and anesthesia team","Fasting before general anesthesia as instructed","Smoking cessation and optimization of chronic conditions","Plan home help and sling/one-handed activity arrangements","Screening for infection (e.g., dental, skin)"],"recovery_timeline":[{"phase":"Hospital stay (days 0-2)","description":"Pain control, sling, early gentle movement guided by therapist.","restrictions":["Sling use","No active lifting of the arm"]},{"phase":"Early recovery (weeks 1-6)","description":"Passive and assisted motion, wound healing, sling use as directed.","restrictions":["No lifting or pushing with the operated arm","No driving while in sling or on opioids"]},{"phase":"Active motion (weeks 6-12)","description":"Sling weaned; active range of motion and daily activities resume.","restrictions":["Avoid heavy lifting","Avoid forceful overhead movements"]},{"phase":"Strengthening (months 3-6)","description":"Progressive strengthening and return to light recreational activity.","restrictions":["Avoid heavy repetitive or impact loading"]},{"phase":"Final recovery (6-12 months)","description":"Continued gains in strength and function.","restrictions":["Long-term avoidance of heavy overhead lifting as advised"]}],"rehabilitation_days":{"min":90,"max":180,"unit":"days","qualifier":"Ordinary functional recovery with supervised physiotherapy and home exercises until daily activities are comfortable; strength continues improving later."},"result_longevity":"Many implants function well for 10-20 years or more, but longevity depends on implant type, patient activity, bone quality and indication.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Revision surgery within about 10 years of primary replacement; lower in first 2 years."},"scars":"A single scar about 10-15 cm, usually along the front of the shoulder (deltopectoral approach); fades over many months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary one-sided shoulder replacement."},"stages":[{"code":"surgery","label":"Shoulder replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage primary replacement of one shoulder."},"success":{"metric":"Patients with significant pain relief and improved function","value":90,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with end-stage glenohumeral arthritis undergoing primary shoulder replacement","evidence_status":"limited"},"techniques":[{"name":"Anatomic total shoulder arthroplasty","suits_whom":"Arthritis with intact rotator cuff and adequate glenoid bone","recovery":"Sling about 4-6 weeks, progressive rehab over 3-6 months"},{"name":"Reverse total shoulder arthroplasty","suits_whom":"Cuff tear arthropathy, deficient rotator cuff, complex fractures, older patients","recovery":"Similar timeline; sling about 4-6 weeks, with specific motion precautions"},{"name":"Hemiarthroplasty","suits_whom":"Selected fractures or avascular necrosis with intact glenoid","recovery":"Similar to total replacement; rehab may be slower if tuberosities need healing"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for a primary shoulder replacement, excluding anesthesia and recovery."},"initial_assessment_documents":["Shoulder X-rays","Shoulder MRI or CT scan report","Orthopedic clinic notes on shoulder","List of blood thinners","Previous shoulder surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; 1-2 nights in hospital, then about 10-14 days in country until wound check. Later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening pain in arm, hand or wrist","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"New or worsening pain in your arm, hand or wrist","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Leaking, swelling or odor at surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Signs of infection at your surgery site including leaking, swelling, discoloration, odor or a feeling of warmth","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/reverse-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Shortness of breath (dyspnea)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Fever higher than 101 degrees Fahrenheit (39 degrees Celsius)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your shoulder pain responds to activity changes, rest, therapy, or medication","name":"Physical therapy","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/shoulder-pain-and-common-shoulder-problems/?hootPostID=6d3ea18e5a3d4b4a698a08c670961d31","host":"orthoinfo.aaos.org","quote":"However, most patients with shoulder pain will respond to simple treatment methods such as altering activities, rest, physical therapy, and medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to reduce inflammation and pain without surgery","name":"Cortisone shot","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"Corticosteroid injections in the shoulder can dramatically reduce the inflammation and pain.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"anatomic-total-shoulder","name":"Anatomic total shoulder arthroplasty","how_it_works":{"text":"Surgeons replace the damaged ball and socket with artificial parts","source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Your surgeon will replace the ball at the end of your humerus and the socket in your scapula it fits into.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Most people can resume light daily activities with their shoulders (like getting dressed and doing simple chores) after two or three weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"reverse-total-shoulder","name":"Reverse total shoulder arthroplasty","how_it_works":{"text":"The ball and socket switch positions to reverse the joint","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder/","host":"orthoinfo.aaos.org","quote":"The metal ball is fixed to the glenoid, and the plastic cup is fixed to the upper end of the humerus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"hemiarthroplasty","name":"Hemiarthroplasty","how_it_works":{"text":"Only the upper-arm bone head is replaced with an artificial component","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"Just the head of the humerus is replaced with an artificial component.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=thailand/city=phuket/procedure=zamena-plechevogo-sustava/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":104,"alias":"injuries-to-bones-and-joints","name":"Lesioni di ossa e articolazioni"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}