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Spinal Cord Stimulation Treatment in New Delhi for Iraq

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Spinal Cord Stimulation in New Delhi for Iraq Patients

Patients from Iraq often face significant challenges managing chronic pain conditions that haven't responded to conventional treatments. The search for lasting relief, especially when considering advanced procedures like Spinal Cord Stimulation, can bring uncertainty and many questions about quality and accessibility.

Many international patients, particularly from Iraq, turn to New Delhi for specialized medical care. This city is recognized for its comprehensive healthcare infrastructure, offering advanced treatment facilities and a supportive environment for complex neurological procedures, ensuring coordinated patient journeys from arrival to recovery.

New Delhi's medical community has built a strong reputation for expertise in spinal health. Patients can trust in the highly skilled neurosurgeons and pain management specialists within the city's hospitals, benefiting from world-class technology and well-organized aftercare, making follow-ups straightforward and effective.

Is New Delhi the right choice for your Spinal Cord Stimulation treatment?

What is Spinal Cord Stimulation?

Spinal Cord Stimulation (SCS) is an advanced medical procedure designed to manage chronic pain, especially when other treatments have not been effective. It involves implanting a small device under the skin, usually in the abdomen or buttock, which delivers mild electrical pulses to the spinal cord. These pulses interfere with the pain signals traveling from the nerves to the brain, effectively replacing the sensation of pain with a more pleasant tingling or, in some modern systems, no sensation at all. SCS is primarily used to treat neuropathic pain, which originates from nerve damage or dysfunction rather than tissue injury.

What Are the Types of Spinal Cord Stimulation?

Different types of Spinal Cord Stimulation systems are available, tailored to various pain conditions and patient needs:

  • Conventional SCS: Delivers continuous low-frequency electrical pulses, often creating a tingling sensation known as paresthesia, which masks the pain.
  • High-Frequency SCS (HF10™ Therapy): Operates at a higher frequency, typically without producing any paresthesia, offering pain relief that feels more natural to some patients.
  • Burst SCS: Delivers pulses in intermittent bursts, mimicking natural nerve firing patterns, which can be effective for a broader range of pain types and reduce paresthesia.
  • Dorsal Root Ganglion (DRG) Stimulation: Specifically targets the dorsal root ganglion, a cluster of nerves responsible for transmitting pain signals from specific areas of the body, ideal for localized or focal pain.
  • Closed-Loop SCS: Uses sensors to detect changes in spinal cord activity and automatically adjusts stimulation levels to maintain consistent therapy, potentially optimizing pain relief and reducing side effects.

When is Spinal Cord Stimulation Recommended?

  • Chronic back pain after spine surgery (Failed Back Surgery Syndrome or FBSS)
  • Complex Regional Pain Syndrome (CRPS)
  • Neuropathic pain in the limbs (arms or legs)
  • Peripheral neuropathy, especially painful diabetic neuropathy
  • Chronic intractable angina that does not respond to other treatments
  • Pain resulting from nerve damage after injury or surgery
  • Arachnoiditis or other spinal nerve inflammatory conditions

What Evaluations Are Needed Before Spinal Cord Stimulation?

  • Detailed physical examination and neurological assessment
  • Review of complete medical history and prior pain treatments
  • Imaging studies such as MRI, CT scans, or X-rays of the spine
  • Psychological evaluation to assess mental health and coping mechanisms
  • Diagnostic nerve blocks or other interventional pain procedures to confirm pain source
  • A trial stimulation phase to determine the effectiveness of SCS for individual pain relief
  • Blood tests and other routine laboratory screenings

How is Spinal Cord Stimulation Performed?

The Spinal Cord Stimulation procedure typically involves two stages, a trial phase and a permanent implantation, tailored to your specific pain condition and response.

Trial Phase

Before permanent implantation, patients undergo a trial phase to ensure SCS is effective for their pain. Temporary thin wires (leads) are inserted into the epidural space near the spinal cord, usually through a needle. These leads are connected to an external stimulator worn on a belt. This trial period, lasting typically 3 to 7 days, allows the patient to experience the pain relief and determine if SCS is suitable. If a significant reduction in pain (usually 50% or more) is achieved, and the patient is satisfied, permanent implantation can be considered.

Permanent Implantation

If the trial is successful, a neurosurgeon will perform the permanent implantation. This procedure involves surgically placing the leads into the epidural space. The leads are then connected to a small battery-powered generator (IPG) which is implanted under the skin, often in the abdomen or upper buttock. The surgery is usually performed under local anesthesia with sedation, or sometimes general anesthesia. The goal is to position the leads precisely to target the area of pain effectively.

Post-Procedure Programming

After implantation, a specialist will program the device. This involves fine-tuning the electrical pulse settings to optimize pain relief and minimize any discomfort. Patients usually receive a remote control to adjust settings within prescribed limits, allowing them to manage their pain effectively in daily life.

What Does Recovery from Spinal Cord Stimulation Involve?

Recovery after Spinal Cord Stimulation implantation typically involves a period of careful healing and adjustment. Immediately after the procedure, pain at the incision sites is common and managed with medication. Patients are usually advised to limit strenuous activities, heavy lifting, and excessive twisting or bending for several weeks to allow the leads to settle and prevent displacement. Regular follow-up appointments are crucial for checking the incision sites, ensuring proper device function, and making programming adjustments to optimize pain relief. Physical therapy may be recommended to help regain strength and flexibility, improving overall function and quality of life. Understanding device operation and potential battery care is also part of the recovery and long-term management.

What Are the Risks and Success Rates of Spinal Cord Stimulation?

  • Infection at the incision or implant site, requiring antibiotics or device removal.
  • Lead migration or breakage, leading to reduced effectiveness or the need for revision surgery.
  • Device malfunction, such as battery failure or component issues.
  • Cerebrospinal fluid (CSF) leak, causing headaches or other symptoms.
  • Allergic reaction to implant materials, though rare.
  • Persistent pain or lack of sufficient pain relief, indicating the therapy is not effective for the individual.
  • Temporary or permanent neurological damage, though highly uncommon.

The success rates for Spinal Cord Stimulation vary, with many patients experiencing significant pain reduction and improved quality of life. Studies often show that 50-70% of carefully selected patients achieve substantial pain relief, meaning a 50% or greater reduction in their pain scores. The long-term outcomes are influenced by factors such as the specific pain condition, patient adherence to post-operative guidelines, and careful device programming. While SCS may not eliminate pain entirely, it often leads to improved functional ability, reduced reliance on pain medication, and a better overall sense of well-being, allowing patients to engage more fully in daily activities.

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Understanding the 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 reputation and facilities of the chosen hospital, the experience and fees of the neurosurgeon and pain management specialists, the specific type of SCS device implanted (conventional, high-frequency, burst, DRG), the duration of hospital stay, and any additional diagnostic tests or post-operative care required. The advanced technology involved in SCS also contributes to the overall expense, yet New Delhi often provides a significantly more affordable option compared to many Western countries without compromising on quality.

In New Delhi, the estimated cost for Spinal Cord Stimulation can range from approximately 15,00,000 INR to 35,00,000 INR, depending on the specifics of the procedure and chosen medical facility.

Cost Comparison: New Delhi vs. Other Global Medical Hubs

New Delhi offers a cost-effective alternative for high-quality Spinal Cord Stimulation, providing significant savings compared to many Western countries, while maintaining international standards of care.

Location Estimated Cost (USD)
New Delhi, India $18,000 - $42,000
United States $60,000 - $150,000+
United Kingdom $45,000 - $90,000
Singapore $35,000 - $75,000
Turkey $25,000 - $55,000
Thailand $20,000 - $50,000

How We Support International Patients in New Delhi

  • Comprehensive visa application assistance and guidance.
  • Arrangements for comfortable and convenient accommodation options.
  • Professional language translation services to ensure clear communication.
  • Organized airport transfers and local transportation during your stay.
  • Streamlined scheduling of all medical appointments and consultations.
  • Coordination of post-treatment follow-up care and remote consultations.
  • Personalized patient concierge services to address non-medical needs.

Essential Documents for Your Treatment Journey

  • Valid passport and medical visa for entry into India.
  • All relevant medical reports, diagnostic scans, and physician notes.
  • Referral letters from your primary care doctor or specialist.
  • Any insurance documents or financial guarantee letters, if applicable.
  • Signed consent forms for procedures and treatments.
  • A detailed list of current medications and allergies.

Preparing for Your Spinal Cord Stimulation Procedure

  • Complete a thorough pre-operative medical review with your surgical team.
  • Follow specific fasting instructions provided by the hospital before surgery.
  • Adjust or discontinue certain medications as advised by your doctor.
  • Finalize all necessary travel and accommodation arrangements well in advance.
  • Understand the hospital admission process and what to expect on the day of surgery.
  • Engage in any recommended psychological preparation or counseling to manage expectations.

Aftercare and Recovery Following Your Procedure

  • Receive detailed instructions for incision site care to prevent infection.
  • Adhere to activity restrictions to allow proper healing and prevent lead displacement.
  • Follow the prescribed pain management plan to control post-operative discomfort.
  • Attend scheduled sessions for device programming adjustments to optimize pain relief.
  • Regularly attend medical check-ups to monitor your progress and device function.
  • Engage in any recommended physical therapy or rehabilitation to improve mobility.

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Hospitals Offering this treatment

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Meet Our Doctors

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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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