Best Doctors in India for Foraminotomy procedure
- Orthopedic Surgeon & Spine Surgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Gautam Zaveri is one of the best spine surgeons in India today and has performed over 3000 spinal surgeries for the treatment of spinal fractures, trauma, slipped discs, kyphosis, scoliosis, sciatica, spondylolisthesis, and spinal stenosis.
- Dr. Zaveri specializes in Minimally Invasive Spine Surgeries commonly known as MISS and performs most of his procedures using this technique to minimize cuts and speed up the recovery process.
- Neurosurgeon, Chennai, India
- Over 35 years’ experience
Profile Highlights:
- Dr. K Sridhar is a renowned Neurosurgeon who has an experience of 35+ years in brain and spine surgery and has performed over 1000 complex brain tumor surgeries.
- His primary area of interest is skull base surgery, micro neurosurgery, and spine surgery, and is currently working on lesions of the brain stem.
- Neurosurgeon, Bengaluru, India
- Over 22 years’ experience
Profile Highlights:
- Dr. Madhusudan H V is an expert Neurosurgeon in South India with 22+ years of experience in neuro and spine surgery.
- With a specialization in minimally invasive neurosurgeries, Dr. Madhusudan holds the credit for more than 7000 neurosurgeries. He also finds interest in endoscopic interventions and frameless navigations.
- Orthopedic Surgeon, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Mrinal Sharma is a highly renowned Orthopedic Surgeon and Joint Replacement Specialist with a specialization in Arthroplasty.
- Dr. Mrinal Sharma holds with him an experience of more than a decade and has achieved huge success with joint replacement procedures, especially of the knee, during his career.
- He is among the new generation of Orthopedic surgeons who use Computer Navigated techniques for performing knee and hip replacement surgeries.
- Orthopedic Surgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Murali Poduval is a well-known Orthopedic surgeon in Mumbai with a specialization in Joint Replacement surgeries.
- He holds an extensive experience of close to 2 decades in Orthopedics and Joint replacement surgery and is an expert in the management and treatment of deformity correction, arthroplasty, and complex trauma.
- He is highly skilled in performing all types of primary and revision surgeries on the hip, knee, and spine. His primary interest also includes hip arthroplasty for severe defects in children and adolescents.
- Orthopedic Surgeon & Spine Surgeon, New Delhi, India
- Over 40 years’ experience
Profile Highlights:
- Dr. Pradeep Sharma is the Director of the BLK-Max Centre for Orthopedics, Joint Reconstruction, and Spine Surgery in Delhi.
- Dr. Pradeep Sharma has an experience of 40+ years in the field and is an expert in the treatment of both adult and pediatric patients.
- Dr. Pradeep Sharma runs arthroplasty Fellowships supported by Zimmer and Stryker and has trained and mentored young surgeons in Arthroplasty.
- Neurosurgeon & Spine Surgeon, Bengaluru, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Prahraj S S is a leading Neurosurgeon who specializes in all types of neurological surgeries and has performed over 6000 neurosurgeries till date along with complex cranial and spine surgeries.
- He is one of the most renowned neurosurgeons in the country and has provided his services to some of the premier medical institutes in India such as NIMHANS where he performed a large number of spinal surgeries.
- Neurosurgeon & Spine Surgeon, Bengaluru, India
- Over 15 years’ experience
Profile Highlights:
- Dr. Praveen K S is a highly qualified neurosurgeon with over a decade of experience in handling all kinds of neurological diseases and disorders.
- He specializes in Pediatric Neurosurgery, Neuro-Oncology, Endoscopic neurosurgery, Aneurysms, and Neuro- Trauma and has performed over 4000 neurosurgeries in his career.
- Neurosurgeon & Spine Surgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Rahul Modgi is a highly established neuro and spine surgeon in Mumbai specializing in all types of brain and spine surgeries.
- Dr. Rahul Modgi’s name has been recorded in the Limca Book of Records in 2014 when he removed the heaviest iron rod from the brain of a 17-year-old patient. He has also performed various other risky surgeries for which he has greatly appreciated.
- Neurosurgeon, Bengaluru, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Rajakumar V Deshpande is a renowned Neurosurgeon in Bengaluru. He performed the first pedicle screw fixation surgery for a spine injury in Bangalore.
- Dr. D V Rajakumar specializes in endoscopic neurosurgeries and has performed some of the most complex brain and spine surgeries through the endoscopic approach. His other areas of interest include minimally invasive neuro surgeries, management of cerebrovascular diseases, and brain tumor surgeries.
Best Hospitals in India for Foraminotomy procedure
Paras Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
S L Raheja Hospital, Mahim, Mumbai
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
Wockhardt Hospitals, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
Indian Spinal Injuries Center, New Delhi, India
- City: New Delhi, India
Hospital Highlights:
- The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
- Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
- The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
- The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Sir Ganga Ram Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
KIMS Hospital, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
Fortis Hospital, Shalimar Bagh
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
Foraminotomy
Foraminotomy is a surgical procedure which is performed for decompressing i.e. removing pressure on a spinal nerve root.
The term comes from the spine’s foramen, which is the hollow nerve passageways, through which your nerve roots exit the spinal column. The procedure is performed in the thoracic spine, cervical spine as well as in the lumbar spine.
Purpose
Blockages that lead to your spinal column getting narrowed or an intervertebral foramen getting blocked are termed as spinal stenosis. There are various processes which can lead to your intervertebral foramen getting blocked and the nerve getting compressed, leaving the spinal cord.
Conditions that can lead to spinal stenosis include:
- Degeneration of the intervertebral discs, which can cause them to bulge into the foramen
- Cysts or tumors
- Degenerative arthritis of the spine (spondylosis), which can lead to bony spurs
- The nearby ligament getting enlarged
- Skeletal disease
- Congenital problems like dwarfism
Degenerative arthritis of the spine, which comes from old age, is generally the most common cause of spinal stenosis.
This nerve compression might occur along any part of the spinal column. Your compressed nerve might be leading to symptoms, such as pain in the affected region as well as tingling and weakness in your affected limb. A foraminotomy might also be required if you have already tried other treatments but had no success. This can include physical therapy, pain medicines, as well as epidural injections.
Though generally this surgery can be performed as an elective procedure for helping relieve these symptoms, in some cases you might also need to have an emergency foraminotomy if your symptoms get worse quickly or if you are having problems in your bladder caused by your nerves.
Preparation
Your doctor will provide you instructions regarding getting ready for your surgery. Ask him/her if you will need to stop taking any kind of medications, such as blood thinners. You will also need to avoid food and drink after midnight on the night before the procedure.
Before your surgery, your doctor might also order additional imaging tests for getting more information about your nerves and spinal column. Generally, an MRI is the most common test which is performed.
Procedure
The procedure is minimally invasive and can be performed at any level of your spine. Before the procedure, general anesthesia is used.
During the surgery, first, you lie down on the operating table. An incision is first made in the middle of the back of your spine. The length of the incision generally depends on how much of your spinal column is going to be operated on. Skin, muscles as well as ligaments are moved to the side. A surgical microscope is required in some cases so that your surgeon can see the back.
Some bone is cut or shaved away for opening the nerve root opening, i.e. foramen. Disk fragments causing the blockage will be removed. If other bone at the back of your spine also requires removal, your surgeon might need to perform any additional procedure such as laminotomy. Then your surgeon might perform a spinal fusion to make sure that your spine is stable after the surgery. Then the muscles and tissues are put back in place, and the skin is sewn together.
Aftercare & recovery
Few hours after the procedure is done, you should be able to sit up in bed. If there is any pain, you can control it with medications. You should also be able to eat a normal diet unless your doctor recommends against it.
Patients are generally able to go home in a day or two following the procedure. Make sure that you follow your doctor’s instructions regarding wound care, physical activity as well as medications. Sometimes people might also need physical therapy after this procedure. After a few weeks, you should be able to perform light work.
Keep your follow-up appointments with your doctor and discuss with him/her about any new worsening symptoms following foraminotomy.
Around 80-90 percent of patients generally benefit from this surgery and are also able to maintain it long term.
Risks
Though foraminotomy is successful in most people and there is very minimal risk associated with the procedure, in some rare cases, there might be few complications which can include:
- Infection
- Nerve damage
- Damage to the spinal cord
- Excess blood loss
- Stroke
- Complication from anesthesia
Other than these complications, there is also a slight risk that your procedure will not relieve your pain. The risk of complications that arise out of the procedure can generally vary from person to person depending on several conditions such as age, anatomical location of the surgery in the spine, the patient’s medical condition, etc.