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Spinal Cord Stimulation in New Delhi for Bangladesh Patients

For many patients from Bangladesh struggling with persistent chronic pain, the prospect of finding effective, advanced treatment like Spinal Cord Stimulation can feel overwhelming. Doubts about treatment quality, cost, and logistics in a new city often weigh heavily.

New Delhi has become a preferred destination for such specialized neurosurgical interventions, partly due to its geographical proximity and established medical infrastructure. The city provides a structured and supportive environment for international patients seeking complex pain management solutions.

Leading hospitals in New Delhi host highly skilled neurosurgeons and pain specialists who are adept at performing Spinal Cord Stimulation procedures. These facilities are equipped to manage comprehensive evaluations and ensure smooth post-treatment follow-ups, making the entire medical journey simpler for patients.

New Delhi offers a reliable pathway for Spinal Cord Stimulation treatment with dedicated care.

What is Spinal Cord Stimulation?

Spinal Cord Stimulation (SCS) is a treatment for chronic pain that involves implanting a small device under the skin, usually in the abdomen or buttock. This device delivers mild electrical pulses to the spinal cord, which interfere with pain signals traveling to the brain. The goal of SCS is not to eliminate pain completely but to reduce it significantly and improve quality of life for individuals who have not found relief through other methods. It helps change how the brain perceives pain, often replacing severe pain with a tingling sensation or, with newer technologies, no sensation at all.

Types of Spinal Cord Stimulation

Several types of Spinal Cord Stimulation systems are available, each designed to address different pain profiles and patient needs:

  • Conventional Tonic Stimulation: Delivers continuous, low-frequency electrical pulses, often creating a mild tingling sensation (paresthesia) that masks the pain.
  • Burst Stimulation: Delivers bursts of electrical pulses instead of continuous ones, aiming to mimic natural neural firing patterns. This often provides pain relief without the paresthesia.
  • High-Frequency Stimulation (HF10™): Utilizes high-frequency electrical pulses that are typically imperceptible to the patient, offering paresthesia-free pain relief.
  • Dorsal Root Ganglion (DRG) Stimulation: Targets specific nerve clusters called dorsal root ganglia, which can be highly effective for localized and challenging neuropathic pain conditions.
  • Closed-Loop Stimulation: These systems monitor the spinal cord's response to stimulation and automatically adjust the therapy, aiming for more consistent and optimized pain relief.

When is Spinal Cord Stimulation Required?

  • Failed Back Surgery Syndrome (FBSS) where pain persists after spinal surgery.
  • Complex Regional Pain Syndrome (CRPS), a chronic pain condition affecting a limb.
  • Neuropathic pain, including pain from nerve damage or diabetic neuropathy.
  • Chronic leg or arm pain (radiculopathy) not responding to conservative treatments.
  • Refractory angina, where chest pain persists despite medical therapy.
  • Peripheral vascular disease causing severe pain in the legs.
  • Intractable pain due to nerve injury or post-herpetic neuralgia.

Pre-Treatment Evaluation for SCS

  • Comprehensive neurological examination to assess pain origin and nerve function.
  • Detailed medical history review, including prior treatments and current medications.
  • Psychological evaluation to determine suitability and set realistic expectations.
  • Imaging studies such as MRI or CT scans of the spine to identify anatomical issues.
  • Diagnostic nerve blocks or injections to confirm the source of pain.
  • Trial stimulation with temporary leads to predict the effectiveness of permanent SCS.

How the Spinal Cord Stimulation is Performed

The procedure for Spinal Cord Stimulation involves a precise approach tailored to each patient's pain profile and overall health. It typically occurs in two stages.

Trial Phase

The first stage is a temporary trial. Thin, flexible wires (leads) are inserted through a needle into the epidural space near the spinal cord, guided by fluoroscopy (X-ray imaging). The leads are connected to an external generator worn on a belt. Patients undergo this trial for several days to a week, monitoring their pain relief. This helps both the patient and the medical team determine if SCS is effective before a permanent system is implanted.

Permanent Implantation

If the trial is successful, the patient proceeds to permanent implantation. During this minor surgical procedure, the leads are implanted in the epidural space and then connected to a small battery-powered generator (IPG) or receiver. The IPG is typically placed under the skin in the buttock or abdominal area. The neurosurgeon ensures the leads are positioned optimally to target the specific areas of pain. The patient then uses a remote control to adjust the stimulation settings within parameters set by their doctor.

Recovery Process After Spinal Cord Stimulation

After the permanent implantation of a Spinal Cord Stimulator, patients typically have a short hospital stay, often 1-2 days. Initial recovery involves managing incision site pain and limiting physical activity to allow the leads to settle. Patients receive instructions on caring for the surgical sites, avoiding heavy lifting, twisting, or bending for several weeks. Follow-up appointments are crucial for checking wound healing and for the pain management team to program the device settings. Physical therapy might be recommended to improve mobility and strengthen core muscles. Full recovery and optimal pain management often involve several months of fine-tuning the device and adhering to activity guidelines.

Risks and Success Rates of Spinal Cord Stimulation

  • Potential for infection at the surgical site.
  • Lead migration, where the implanted wires move from their original position.
  • Device malfunction or battery issues requiring replacement.
  • Pain or discomfort at the implant site of the battery.
  • Spinal fluid leakage, which can cause headaches.
  • Minimal risk of nerve damage or paralysis, though extremely rare.

Success rates for Spinal Cord Stimulation vary, typically ranging from 50% to 70% for significant pain reduction and improved quality of life. Outcomes depend on the specific pain condition, careful patient selection, and adherence to post-procedure guidelines. Many patients experience a meaningful decrease in pain levels, reduced reliance on oral pain medication, and an enhanced ability to perform daily activities. Long-term results are often seen with careful device management and ongoing clinical support, though some individuals may require future adjustments or revisions.

Considering Spinal Cord Stimulation for your chronic pain? Speak to our specialists.

Cost of Spinal Cord Stimulation in New Delhi

The cost of Spinal Cord Stimulation in New Delhi is influenced by several factors. These include the hospital's infrastructure and technology, the specific type of SCS device chosen, the neurosurgeon's experience, the length of hospital stay, and any additional medical services or consultations required. The comprehensive package generally covers the device, surgical fees, anesthesia, and initial post-operative care.

In New Delhi, the estimated cost for Spinal Cord Stimulation typically ranges from approximately INR 8,00,000 to INR 15,00,000.

Cost Comparison: New Delhi vs. Global Averages

New Delhi offers competitive pricing for Spinal Cord Stimulation, providing an advanced medical solution at a fraction of costs found in many Western countries, without compromising on quality of care.

Location Estimated Cost (USD)
New Delhi, India $9,500 - $18,000
United States $40,000 - $60,000
United Kingdom $35,000 - $55,000
Singapore $25,000 - $40,000
Thailand $18,000 - $28,000

Essential Support for Your Treatment Journey in New Delhi

  • Assistance with medical visa application and related documentation.
  • Arrangement for airport transfers and local transportation.
  • Guidance on booking suitable accommodation near the hospital.
  • Access to language interpretation services for clear communication.
  • A dedicated patient coordinator to assist with appointments and logistics.
  • Support for post-treatment recovery care and follow-up planning.

Required Documents for Your Medical Visit

  • Valid passport copies for the patient and accompanying attendant.
  • Approved medical visa for entry into India.
  • All relevant medical reports, scans, and diagnostic results.
  • Referral letter from a local doctor, if applicable.
  • A detailed treatment plan provided by the New Delhi hospital.
  • Consent forms signed by the patient for the procedure.

Preparing for Your Spinal Cord Stimulation

  • Complete a thorough medical review with your consulting neurosurgeon.
  • Follow specific instructions regarding medication adjustments before surgery.
  • Adhere to fasting guidelines provided by the medical team.
  • Finalize your travel arrangements and local accommodation in New Delhi.
  • Undergo any final health checks or tests as advised before the procedure.

Aftercare and Recovery Guidance

  • Receive detailed instructions on caring for the SCS device and incision sites.
  • Adhere to activity restrictions, including limitations on lifting and twisting.
  • Follow the prescribed medication schedule for pain management.
  • Attend all scheduled follow-up appointments for device programming and wound checks.
  • Maintain contact with the medical team for any concerns or discomfort.
  • Consider gentle physical therapy as recommended to aid recovery.
Get a personalized treatment plan and cost estimate for Spinal Cord Stimulation.

Ready to Explore Your Treatment Options?

Reach out to our team to understand how Spinal Cord Stimulation in New Delhi can help manage your chronic pain effectively.

Hospitals Offering this treatment

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Meet Our Doctors

Meet our team of highly qualified and experienced medical professionals dedicated to providing the best healthcare services.

Dr. Amit Kalsotra

Dr. Amit Kalsotra

Sr. Consultant - Anaesthesia, Critical Care & Pain Management

Anaesthesia, Critical Care, Pain Management

New Delhi

15+ Years

Experience

Artemis Hospital

Hospital

1500

Fees

View Details
Dr. Anjali Vaish

Dr. Anjali Vaish

Consultant - Physiotherapy and Rehabilitation Centre

Physiotherapy and Rehabilitation Centre

New Delhi

10+ Years

Experience

Artemis Hospital

Hospital

1500

Fees

View Details
Dr. Ajay Lall

Dr. Ajay Lall

Principal Director - Pulmonology

Pulmonology

New Delhi

40+ Years

Experience

Max Hospital,Gurgaon

Hospital

1500

Fees

View Details
Dr. Alok Joshi

Dr. Alok Joshi

Director

Neurosciences

New Delhi

14+ Years

Experience

Apolo Delhi

Hospital

1500

Fees

View Details
Dr. Praveen Kumar Pandey

Dr. Praveen Kumar Pandey

Director

Neuroscience

New Delhi

17+ Years

Experience

Apolo Delhi

Hospital

1500

Fees

View Details

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