formation concerning rehabilitation for those who hold certificates issued by the Territorial Health Insurance Funds

Attention to patients, their full-scale examination and treatment are the cornerstone of the sanatorium activity.
There are four physical therapy and rehabilitation departments in the sanatorium providing treatment for patients suffering from circulatory, nervous system, respiratory, digestive and musculoskeletal system diseases.

UAB “Draugystės sanatorija” has concluded agreements withVilnius,Kaunas,Klaipėda, Šiauliai and Panevėžys Territorial Health Insurance Funds. Therefore we can render the medical rehabilitation services to patients from all overLithuania.

UAB “Draugystės sanatorija” provides the following adult inpatient and outpatient Rehabilitation II services:

• medical rehabilitation II : nervous system diseases, impairments of musculoskeletal system, circulatory system diseases, respiratory system diseases, digestion system diseases;
• supportive rehabilitation: nervous system diseases,  impairments of musculoskeletal system;
• outpatient rehabilitation I: impairments of musculoskeletal system, circulatory system diseases, respiratory system diseases, digestion system diseases, ionizing radiation diseases;
• outpatient rehabilitation II: nervous system diseases,  impairments of musculoskeletal system, circulatory system diseases, respiratory system diseases, digestion system diseases.

Patients arriving with certificates for rehabilitation or supportive rehabilitation issued by the Territorial Health Insurance Funds shall be subject to accommodation, 3 meals daily and treatment procedures.

Patients arriving with certificates for outpatient rehabilitation issued by the Territorial Health Insurance Funds shall be subject to treatment procedures only. The accommodation and meals shall be subject to additional charges of LTL 60 for 3 meals daily and accommodation in a double room.

 

If the doctor has advised you that you are to be issued a pass compensated by the Territorial Health Insurance Fund (TPF), you will have to book accommodation in the sanatorium in advance.

You can book accommodation or inquire on:

- the telephone: 8 313 53132

- e-mail: info@draugyste.lt

 

Upon receipt of the TPF certificate a patient shall arrive at the sanatorium not later than within 3 calendar days. The date of arrival shall be agreed in advance. The exact duration of treatment is specified in the certificate issued by the Territorial Health Insurance Fund.

The arriving patients shall have the following documents and items:

 

• - The certificate issued by the Territorial Health Insurance Fund giving the right to compensation for the medical rehabilitation services.
• - An extract from medical documents (form 027/a), to be filled in by the personal physician.
• - The Passport of the Compensated Medicine;
• - Personal identity document.
• - A sick leave certificate, pensioner’s certificate or a disabled person’s certificate;
• - A certificate from the Labour Exchange;
• - Personal belongings (slippers, bathing and personal hygiene items);

 

 

The sanatorium employs 17 doctors of the highest and first category, 11 physical therapists and ergotherapists, 35 medical nurses and massage therapists.

 

DISEASES WHICH WE TREAT

The following diseases are treated in the sanatorium:

• cardiovascular;
• nervous system;
• musculoskeletal system;
• respiratory system;
• digestive system;
• ionizing radiation diseases;
• 7-day Weight loss and organism cleaning and Stress reduction programs.

 

The patients who have not been granted financing of the inpatient rehabilitation from the Territorial Health Insurance Fund can buy the following packages:

Standard package of treatment which includes 1 basic and 3 additional treatment procedures, a doctor’s advice, breakfast, lunch, dinner and accommodation.

Package of treatment “Treatment – All Inclusive” which includes 3 meals daily, accommodation, a doctor’s advice and all treatment procedures without limitation and with no additional charges.

Seven-day weight loss and organism cleaning program

Aim of the program:

• To reduce obesity applying individually balanced diets.
• To activate the metabolism.
• To restore the normal functioning of the organs of digestive track.

Includes:

• Double room;
• Three meals daily in accordance with a diet (hypocaloric, vegetarian) balanced individually using special software;
• Consultations of a dietician, physical therapist and rehabilitation specialist examination of the functional status and preparation of program;
• Assessment of the state of the cardiovascular system – computer electrocardiogram, assessment of the cardiac muscle and vascular reserves during bicycle ergometry.

Procedures:

• underwater massage, 20 min. every day;
• deep intestinal wash – hydrocolonotherapy, every second day;
• A 1.5-hour complex No 3 of Turkish bath in the health and beauty centre “Afroditė”, which includes: body wash, honey peeling, steam bath with herbal extracts and dry air bath, hot tub, mineralized water swimming pool with underwater jets and cascades and full body relaxation massage using massage nut oil, every second day.
• bile flow promoting herbal tea with honey  and cocktails improving digestion in the tea bar “Fitobaras” of the sanatorium, every day;
• restoration of the normal intestinal microflora composition using Bifidum products.

Price of the 7-day package for one person in a double room – from LTL 1,075.

Seven-day stress reduction program

Aim of the program:

• To reduce nervous tension and adjust the physical and spiritual balance as well as the work and rest schedule.
• Restore a good mood and self-confidence.
• Develop the healthy lifestyle skills.

Includes:

• Double room.
• Three meals daily in accordance with individual preferences.
• Consultations of a physical therapist, rehabilitation specialist, psychotherapist and dietician, examination of the functional status and preparation of program.
• Assessment of psychoemotional state, sleep rhythm correction.
• Assessment of the functional status of heart: computer electrocardiogram with conclusions, echocardiography, bicycle ergometry, if necessary.

Procedures:

• Bubble and herbal bath, every day;
• Autogenic training, every day, weekdays;
• A 1.5-hour complex No 3 of Turkish bath in the health and beauty centre “Afroditė”, which includes: body wash, honey peeling, steam bath with herbal extracts and dry air bath, hot tub, mineralized water swimming pool with underwater jets and cascades and full body relaxation massage using massage nut oil, every second day.
• Anti-stress hypertonic type massage of head, face, neck, collar zone, 20 min., every day;
• Audio-video music sessions, every day;
• Calming herbal tea with honey, cocktails soothing the nervous system, every day in the tea bar “Fitobaras” of the sanatorium;
• Talks with the psychotherapist: “Stress reduction and control methods”.

Price of the 7-day stay for one person in a double room – from LTL 964.00.

Spa treatment procedures performed in the treatment centre of the sanatorium, Health resort Druskininkai, beauty and health centre “Afroditė” and hotel “Violeta”

Bubble hot tubs with sea salt; herbal baths; turpentine baths; underwater massage; inhalations (mineral, oil, ultrasound); herbal cocktails, hydrocolonotherapy; small enemas; procedures in the swimming pool and saunas; vertical bath, water gymnastics; hot tub.

VERTICAL BATH is an exercise in the mineralized water swimming pool intended for treatment of the spinal inflammation, degenerative dystrophic diseases and their complications. In these baths the therapeutic effects on the impaired functions of muscles, ligaments, bones and joints of the mineralised water and kinesitherapy (treatment by movements) are combined. Thanks to relaxation of muscles and partial weightlessness you will perform the active therapeutic movements more easily and almost without any pain. After a course of vertical bath the muscles and ligaments become stronger, the mobility of spine increases, the movements become easier and much less painful and the pains often disappear at all. These exercises slow the progression of spinal pathological processes and development of muscular atrophy and spinal deformities.

THERAPEUTIC WATER GYMNASTICS. It is a very effective procedure for the treatment of arthritis, degenerative diseases and complications after traumas. These procedures combine the therapeutic effect of the mineralised water and kinesitherapy (treatment by movements). They help to calm the pain, increase the range of motion at the joints, strengthen muscles and make walking easier.

PHYSICAL THERAPY
Amplipulse therapy; ultrasound therapy; phonophoresis; ultrasound with “PHYSIOSON” equipment; Ultra high frequency therapy; diadinamotherapy; magnet therapy; functional muscle stimulation with “JĖGA” and “ELPHA” devices; pulsed currents with the “PHYSIOSON” device; transcutaneous electrical nerve stimulation (TENS) using the “JĖGA” and “ELPHA” devices; electrical stimulation using the Neuro Trac REHAB device; quartz tubing; electric mud; compression therapy (feet, hand, waist); magnetic laser.

Ultrasound therapy. Indications: degenerative – dystrophic changes in the joints and spine; diseases and injuries of peripheral nervous system; retarded bone consolidation after fractures; lung and bronchial inflammation; digestive system diseases; adhesion processes.

Interferential currents. Diadynamic currents. Indications: peripheral nervous system diseases with pain syndrome; dystrophic and degenerative joint and spine lesions with pain syndrome.

Compression therapy. Indications: lymph drainage; venous and lymphatic edema; chronic venous insufficiency; scar hypertrophy; edemas occurred due to heart or kidney diseases; cellulite.

Low-frequency pulsed current electrical stimulation with “Jėga” is prescribed for reduction of pain and improvement of function of skeletal muscles. Indications: reduction of skeletal muscle weakness (atrophy, hypotrophy); improvement of blood circulation in the muscles of arms and legs and peripheral innervations; suppression of inflammatory processes in large joints, improvement of blood circulation, pain relief; reduction of inflammation of hip and sacral spinal nerve roots; suppression of inflammatory processes of the sciatic nerve and its endings; prevention of pressure ulcers and their treatment; treatment of constipation; treatment of bladder disorders.

Low-power laser therapy. Indications: inflammatory processes; impairments of metabolism; peripheral nervous system diseases, circulatory disorders.

MAGNET THERAPY PROGRAMS:

• Localized limb osteoporosis.
• Fractures of the humeral head.
• Wrist fracture.
• Elbow fracture.
• Hand or foot fracture.
• Cervical root syndrome due to arthrosis.
• Back root syndrome due to arthrosis.
• Waist root syndrome due to arthrosis.
• Knee arthrosis.
• Elbow arthrosis.
• Hand or foot arthrosis.
• Decubitus ulcers.
• Venous ulcers.
• Hand or foot reflex sympathetic dystrophy.
• Upper limb peripheral paralysis.
• Lower limb peripheral paralysis.
• Carpal tunnel syndrome with pain.
• Carpal tunnel syndrome with sensory and motor deficits.
• Fibula tunnel syndrome with sub-acute sensory and motor deficits.
• Fibula tunnel syndrome with acute sensory and motor deficits.
• Cervicalgia and dorsalgia.
• Lumbalgia.
• Periarthritis of the shoulder.
• Epicondylitis of elbow.
• Hand and foot tendinitis.
• Periarthritis of the pelvic region.
• Knee tendinitis.
• Foot tendinitis.
• Alginic dysfunction syndrome of temporal and jaw joint.
• Trigeminal nerve neuralgia.
• Postherpetic neuralgia.
• Fibromyalgia syndrome.

MASSAGES

Classic massage; full body massage; Individual classic massage “Olympic I” (more intensive – sports); 4-hand classic massage “Olympic II”; aromatic anti-stress full body massage “Isis I” with essential oils; 4-hand aromatic anti-stress massage “Isis II”; massage “Honey” (skin cleansing and nourishing, with honey); classic lymph drainage massage, Ayurvedic massages.

KINESITHERAPY

Group or individual exercise with training equipment; training with a bicycle; ergotherapy; measured walks: “Parko takas”(Park Path)  – 1500 m, “Nemuno takas” (Nemunas Path) – 1000 m, “Violetos žiedo” (Violeta Ring) path – 780 m, “Vingio žiedo” (Bend Ring) path – 390 m.

Kinesitherapy – treatment by movements – a sort of regeneration and rehabilitation treatment. Kinesitherapy covers the therapeutic exercise performed in a gym or a swimming pool. The exercises may be performed individually or in groups. Kinesitherapy helps to recover the muscle tone, develop balance, coordination, increase muscle strength, improve joint mobility and improve the overall state of the body. During the sessions of kinesitherapy various equipment is used, for example, equipment for developing balance and coordination, hula hoops, training devices, weights, dumbbells, massage and other equipment.

PSYCHOTHERAPY – psychophysical training; video music therapy, art therapy, video films.

The objective of psychological aid is correction of the psychoemotional state. A psychotherapist will advise the patient, evaluate his / her psycho-physical state and prescribe a variety of psychotherapeutic procedures.

Autogenic training based on the music therapy helps to relax, relieves fatigue, anxiety and negative emotions. There are classes in Lithuanian, Polish, Russian, German and English.

Art therapy – establishing of the psycho-emotional state using a set tests system, the positive effect on the patient’s evaluation of his / her health problems, the effect of meaningful employment, chat, discussion and communication.

1.  

DIAGNOSTIC PROCEDURES AND SPECIALISTS’ ADVICE
Echoscopy; spirographic test of respiratory function; computerized 12-lead electrocardiogram; determination of exercise tolerance using veloergometry; consultations of various specialists: cardiologists, neurologists, therapists, pulmonologists, surgeons, dieticians, psychotherapists, speech therapists.

LIST OF MEDICAL SERVICES

Item No	Title of medical service	Price (LTL) with doctor’s appointment	Price (LTL) without doctor’s appointment
BASIC TREATMENT PROCEDURES
1.	BALNEO-HYDROTHERAPY:
1.1.	Bubble bath with sea salt	20	25
1.2.	Whirlpool bath with sea salt	20	25
1.3.	Bathwith sea salt	19	23
1.4.	Bubble and whirlpool bath	20	25
1.5.	Herbal bath	20	25
1.6.	Bubble herbal bath	22	27
1.7.	Whirlpool herbal bath	22	27
1.8.	Whirlpool turpentine bath	22	27
1.9.	Turpentine bath	20	25
1.10.	Underwater massage	25	31
1.11.	Swimming pool (swimming), 1 hour No 1	10	13
1.12.	Vertical bath in the swimming pool, 45 min.	15	19
1.13.	Therapeutic water gymnastics, 45 min.
-	for patients suffering from nervous diseases;	15	19
-	for patients suffering from the impairments of musculoskeletal system diseases	15	19
1.13.1	Hot tub “Jacuzzi”, 20 min.:	10	13
2.	Electric mud – 4 fields	25	31
3.	KINESITHERAPY:
3.1.	Kinesitherapy individual, 30 min.	20	25
3.2.	Kinesitherapy in small groups, 40 min.	10	13
3.3.	Ergotherapy individual, 45 min.	20	25
3.4.	Ergotherapy in small groups, 30 min.	10	13
3.5.	Exercise with training devices	10	13
3.6.	Exercise with a bicycle, 3 – 15 min.	5	6
ADDITIONAL TREATMENT PROCEDURES
1.	Inhalations (mineral, oil, ultrasound)	7	9
2.	Herbal cocktails	5	6
3.	Small enemas	10	13
4.	Classic massage, 1 session 15 min.	30	37
5.	PHYSICAL THERAPY
5.1.	Ultrasound with “PHYSIOMED IONOSON expert” equipment (all currents)	15	19
5.2.	Ultrasound therapy	10	13
5.3.	Sonic phoresis	10	13
5.4.	Interference currents with “PHYSIOSON” device	10	13
5.5.	Diadynamic currents with “PHYSIOSON” device	10	13
5.6.	Magnet therapy with “MAGNETOBOX” device	10	13
5.7.	Functional muscle stimulation with “NEUROTRAC rehab” device	10	13
5.8.	Transcutaneous electrical nerve stimulation (TENS) with “NEUROTRAC rehab” device	10	13
5.9.	Functional muscle stimulation and transcutaneous electrical nerve stimulation (TENS) with “DANMETER TS6000” device	10	13
5.10.	Quartz tubing	5	6
5.11.	Microwaves (Radioterm 1006)	10	13
5.12.	Compression therapy (Pulstar S2):	20	25
5.12.1	foot, 30 min.	20	25
5.12.2	hand, 30 min.	20	25
5.12.3.	waist, 30 min.	20	25
6.	PSYCHOTHERAPEUTIC PROCEDURES:
6.1.	Psychophysical training	5	6
6.2.	Video music therapy	5	6
6.3.	Art therapy:
-	individual	20	25
-	group	10	13
7.	Classic massage, 1 session, 15 min.	30	37
8.	Hydrocolonotherapy	60	73
DIAGNOSTIC PROCEDURES AND SPECIALISTS’ ADVICE*
1.	Spirography	10	13
2.	12-lead electrocardiogram with a computerized conclusion and doctor’s conclusion	30	37
3.	Cardiac echoscopy	36	44
4.	Bicycle ergometry	80	97
5.	Consultation of the cardiologist of level III	58	58
6.	Consultation of a cardiologist during echoscopy and / or bicycle ergometry	65	65
7.	Internal medicine specialist consultation	40	40
8.	Consultation of a specialists of physical medicine and rehabilitation	36	36
9.	Consultation of a dietician	36	36
10.	Consultation of a psychotherapist	30	30
11.	Consultation of a speech therapist	30	30
12.	Consultation of an oculist	50	50
13.	Consultation of a gynaecologist	45	45
14.	Consultation of an otorhinolaryngologist	35	35
15.	Consultation of a neurologist	40	40
16.	Consultation of a proctologist	45	45
17.	Consultation of a neurosurgeon	72	72
18.	Echoscopy of internal organs	40	40
19.	Consultation of a radiologist	60	60
20.	Consultation of a traumatologist-orthopaedist	38	38
21.	Consultation of a gastroenterologist	36	36
22.	Consultation of an endocrinologist	40	40
23.	Consultation of a pulmonologist with examination of the respiratory function	63	63
TESTS*
1.	Automated venous blood test (norm.)	30	30
2.	Automated venous blood test (pathology)	40	40
3.	Determination of total protein concentration	10	10
4.	Blood test to determine ESR (venous blood)	6	6
5.	Automated urinalysis	25	25
6.	Determination of glucose concentration in serum (plasma)	8	8
7.	Determination of uric acid concentration	10	10
8.	Determination of creatinine concentration	10	10
9.	Determination of urea concentration	10	10
10.	Determination of total cholesterol concentration	10	10
11.	Determination of high-density lipoprotein cholesterol concentration	14	14
12.	Low-density lipoprotein cholesterol calculation according to Friedewald formula	5	5
13.	Determination of concentration of triacylglycerols	10	10
14.	Determination of total bilirubin concentration	10	10
15.	Determination of direct bilirubin concentration	10	10
16.	Determination of concentration of K, Ca, Cl	15	15
17.	Determination of concentration of Magnesium	15	15
18.	Determination of aspartate aminotransferase (AST / GOT) activity	12	12
19.	Determination of alanine aminotransferase (ALT / GPT) activity	12	12
20.	Determination of alpha-amylase activity	20	20
21.	Complex analysis of prothrombin using the prothrombin – proconvertin approach (SPA)	15	15
22.	Determination of activated partial thromboplastin time (APTT)	20	20
23.	C-reactive protein quantification	40	40
24.	Qualitative determination of rheumatoid factor	10	10
	SPA TREATMENT PROCEDURES PERFORMED IN THE BEAUTY AND HEALTH CENTRE “AFRODITĖ”*
1.	Swimming pool and healing sauna procedures, 1 hour No 2	20	25
2.	Turkish bath package on weekdays, 1.5 hours No 3	50	61
3.	Turkish bath package on holidays and weekends, 1.5 hours No 3	50	61
4.	Anti-stress enhancing the ability to work treatment “Feel the serenity”, 1.5 hours	70	85
5.	Treatment “Inner Harmony”, 2 hours	140	170
6.	Treatment “A Source of Well-being”,1.5 hours	70	85
7.	Anti-cellulite treatment “Body Line Thermal”, 2 hours	150	182
8.	Body treatment with seaweed for dry and affected by stress skin	150	182
9.	Thermomodulation – self-heating mask for problematic parts of the body, 90 min.	180	218
10.	Face, neck and décolletage treatment significantly regenerating the skin affected by stress, 90 min.	140	170
11.	Massage of the skin affected by cellulite of the problematic body parts, 45 min.	120	146
12.	Face and neck treatment for women: dry, sensitive, combined and oily skin, cleansing, 60 min. (these procedures are also available in the hotel “Violeta”)	100	121
13.	Face and neck treatment for men: dry, sensitive, combined and oily skin, cleansing, 60 min. (these procedures are also available in the hotel “Violeta”)	100	121
14.	Fast regeneration of mature skin. Face and neck treatment, 30 – 40 min.	80	97
15.	JAMALULUR massage “The Wold of Beauty”, 1.5 hours	180	218
16.	Point massage of biologically active points (BAP) of the face and body, 1 hour	120	146
17.	“Light Foot” foot treatment, 45 min.	70	85
18.	Hot lava stone massage with Scen – Tao oil “Feel the peace of mind – feel the aroma”, 1.5 hours	140	170
19.	MANA LOMI massage “Joy of Life”, 1 hour	145	176
20.	Unique VADHI VEDA longevity “Snakeroot” massage, 1 hour	135	164
21.	Thai massage, 1 hour 30 min.	120	146
22.	Traditional Indian Ayurvedic massage, 90 min.	120	146
	SPA TREATMENTS PERFORMED IN THE HOTEL “VIOLETA”*
1.	Body cleaning with natural aromatic herbs and body wrap, 45 min.	70	85
2.	Hand treatment “Gentleness”, 30 min.	40	49
3.	Foot treatment “Light Foot”, 45 min.	60	73
4.	Hot lava stone massage with Scen – Tao oil “Feel the peace of mind – feel the aroma”, 1.5 hours	140	170
5.	Four hand MANA Lomi massage “Joy of Life”, 1 hour	195	236
6.	JAMALULUR massage “The Wold of Beauty”, 1.5 hours	180	218
7.	Unique VADHI VEDA longevity “Snakeroot” massage, 1 hour	135	164
8.	Point massage of biologically active points (BAP) of the face and body, 1 hour	120	146
9.	Individual classic massage “Olympic I”, 1 hour	95	115
10.	Four-hand classic massage “Olympic II”, 1 hour	145	176
11.	Aromatic massage “Isis I”, 1 hour	95	115
12.	Anti-stress four-hand aromatic massage “Isis II”, 1 hour	145	176
13.	Massage “Honey”, 1 hour	95	115
14.	Classic lymph drainage full body massage, 45 min.	90	109
15.	Treatment with massage “Inner Harmony”, 1 hour 15 min.	130	157
16.	Russian sauna, 1 hour 30 min. (available in villa “Vingis”)	60	73

*Notes:

1. Standard package of treatment which includes 1 basic and 3 additional treatment procedures on weekdays (Monday to Saturday). Upon a customer’s demand the additional daily treatment procedures may be changed for one basic. On Sundays and holidays the treatment package includes swimming in the swimming pool, hot tub “JACUZZI”, dry and steam bath and herbal cocktails. Standard 3 meals daily in accordance with customers’ preferences, accommodation.

2. Package of treatment “Treatment – All Inclusive” includes unlimited number of treatment procedures, both basic and additional in accordance with customers’ wish and doctor’s prescription and taking into consideration the state of the customers’ health, 3 meals daily in accordance with customers’ preferences, accommodation and Spa treatment procedures in the beauty and health centre “Afroditė”: sauna, steam bath, swimming pool, hot tub “JACUZZI”.

3. Consultations of specialists, clinical, biochemical and radiological tests, echoscopy of internal organs and other diagnostic procedures are subject to charges except for the tests necessary to diagnose the basic diseases of the patients sent by the Territorial Health Insurance Fund.

4. For the patients whose treatment is covered from the Compulsory Health Insurance funds (rehabilitation II, outpatient and supportive rehabilitation), the treatment procedures specified in the basket of services listed in Order No V-439 of 9 May 2008 of the Ministry of Health are provided free of charge.