Best Doctors in India for Foraminotomy procedure
- Neurosurgeon, Gurugram, India
- Over 22 years’ experience
- Fortis Memorial Research Institute
Profile Highlights:
- Dr. Sandeep Vaishya is a renowned Neurosurgeon in India, with over 22 years of proficient experience in the field of advanced neurosurgery.
- He has closely worked with some of the top-notch institutes and hospitals in India.
- Dr. Vaishya is regarded as one of the top surgeons of Gamma Knife Surgery in South Africa and is also considered a renowned surgeon for brachial plexus injuries.
- Additionally, Dr. Vaishya specializes in minimally invasive and image-guided neurosurgery, intracranial tumor surgery (including skull base tumors), functional neurosurgery, spinal surgery, and brachial plexus & peripheral nerve surgery.
- Neurosurgeon and Spine Surgeon, Gurugram, India
- Over 15 years’ experience
- Artemis Hospital, Gurgaon
Profile Highlights:
- Dr. S K Rajan is a renowned Neurosurgeon in Gurugram who specializes in open as well as minimally invasive spinal surgeries and has performed over 3000 complex spinal surgeries for diseases and disorders.
- Dr. S K Rajan’s expertise lies in Craniovertebral Junction and Lumbosacral Junction surgeries and is also an expert in spinal fracture surgeries, slipped discs, canal stenosis, and surgery for spinal tumors and spinal tuberculosis.
- Top Neurosurgeon | Fortis Memorial Research Institute | Gurugram, India
- 32+ years’ experience
- Fortis Memorial Research Institute
Profile Highlights:
- Dr. Rana Patir is one of the most experienced and highly qualified Neurosurgeons in India.
- He holds an extensive experience of 32+ years as a neurosurgeon and has performed more than 10,000 neurosurgical procedures till date.
- Dr. Patir is an expert in all kinds of neuro and spine surgeries with a specialization in minimally invasive brain and spine surgery, Epilepsy surgery, pediatric neurosurgery, and neurovascular surgery.
- Orthopedic Surgeon and Spine Surgeon, Gurugram, India
- Over 15 years’ experience
- Artemis Hospital, Gurgaon
Profile Highlights:
- Dr. Hitesh Garg is a leading orthopedic and spine surgeon, currently serving as the Head of Ortho-Spine Surgery at Artemis Hospitals in Gurugram, India.
- With over 15 years of extensive experience, Dr. Garg has garnered a reputation for excellence in the field of spine surgery, having performed more than 5,000 spine surgeries, including over 2,500 spinal fusions, 1,000 deformity correction procedures, 300 artificial disc replacements, and 500 complex surgeries addressing spinal tumors, congenital defects, and spino-pelvic fixations.
- Dr. Garg’s medical journey began at the prestigious All India Institute of Medical Sciences (AIIMS), New Delhi, where he earned his MBBS. He further honed his expertise with an MS in Orthopedics from KEM Hospital and Seth G.S. Medical College, Mumbai.
- Orthopedic Surgeon & Spine Surgeon, Gurugram, India
- Over 15 years’ experience
- Fortis Hospital Noida
Profile Highlights:
- Dr. Himanshu Tyagi is a well-known Spine surgeon with a specialization in Minimally Invasive Spine Surgeries (MISS), Knee Replacement, and Orthopedics.
- In order to ensure accurate and successful results, he uses cutting edge methods in knee and spine replacement operations, including minimally invasive treatments and navigation-assisted surgery.
- He holds a super specialization in spine surgery from Sir Ganga Ram Hospital, New Delhi, and is an expert in performing endoscopic spinal procedures and complex spinal surgeries.
- He has over 15 years of experience in the field and is trained to perform all kinds of reconstructive and corrective spinal surgeries.
- Top Neurosurgeon | Max Hospital, Saket, New Delhi, India
- 20+ Years Experience
- Max Super Specialty Hospital, Saket, New Delhi
Profile Highlights:
- Dr. Bipin Walia is one of the most famous neurosurgeons who has performed over 7000 successful neurosurgeries so far.
- Dr. Bipin Walia specializes in image-guided surgery, disc replacement, and endoscopic disc surgery, including endoscopic cranial surgery. His expertise also includes brain tumor surgery and a special focus on minimally invasive surgery for spinal tumors.
- He earned his MBBS and MS (General Surgery) degree from Armed Forces Medical College, Pune, followed by which his, M.Ch(Neurosurgery) from All India Institute of Medical Sciences, New Delhi.
- Dr. Bipin Walia has over 20 years of experience with his outstanding performance earning him quite some rewards and recognition.
- Top Neurosurgeon & Spine Surgeon | BLK Hospital, New Delhi, India
- 29+ Years Experience
- BLK Super Specialty Hospital, New Delhi
Profile Highlights:
- Dr. Anil Kumar Kansal is a highly respected and accomplished neurosurgeon with over 29 years of extensive experience in the field of neurosurgery, spine surgery, and robotic surgery.
- He currently serves as the Principal Director and Head of the Department at Max Healthcare, where he leads the Neurosciences division with a focus on delivering cutting-edge care to patients with complex neurological conditions.
- He earned his MCh in Neuro Surgery from King George’s Medical College, Lucknow University, in 2001, following an MS in General Surgery from the same prestigious institution in 1997.
- Top Neurosurgeon | Max Hospital, Saket, New Delhi | India
- 20+ Years Experience
- Max Super Specialty Hospital, Saket, New Delhi
Profile Highlights:
- Dr. Arun Saroha is a renowned Neurosurgeon with extensive experience in the surgical treatment of all kinds of brain and spine disorders.
- He holds an experience of over 20 years in the field and has performed over 8000 neurosurgeries till date for different types of neuro and spinal diseases.
- Dr. Saroha is an expert in minimally invasive spine surgery, neuro-onco surgery, trauma surgery and is also among the few neurosurgeons with expertise in Pediatric neurosurgery.
- His interest lies in brain and spine disorders like degenerative spine disorder, brain tumors, disc replacements, pediatric neurosurgery surgery for stroke, brain and spine tumor surgery, brain aneurysms, spinal fusion, and decompression surgery.
- Orthopedic Surgeon and Spine Surgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Vishal Peshattiwar is a leading Spine Surgeon in Mumbai specializing in Minimally Invasive Spine Surgeries (MISS)
- He has an experience of more than 2 decades in spine surgery and holds the credit of performing over 4000 spinal surgeries to
- He is the first in India to use the MISS technique on a patient with liver failure and Tuberculosis.
- Dr. Vishal Peshattiwar’s most notable case till date was performing a Revision Spine Surgery through MISS on the oldest patient in India.
- Orthopedic & Spine Surgeon, Chennai, India
- Over 33 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Sajan K Hegde is a highly regarded Spine Surgeon in India who is presently serving as a Senior Consultant Spine Surgeon at both Apollo Cancer Centre and Apollo Hospital, Greams Road in Chennai.
- With over 30 years of experience, he specializes in advanced treatments for spinal deformities, spondylolisthesis, and spinal tuberculosis.
- Dr. Hegde is a pioneer in robotic-assisted spine surgery across the Asia-Pacific and is the only surgeon in India to perform non-fusion scoliosis correction techniques.
- His expertise encompasses a wide range of spinal conditions and advanced surgical procedures like spinal fusion, discectomy, laminectomy, and vertebroplasty.
Best Hospitals in India for Foraminotomy procedure
- City: Gurugram, India
Hospital Highlights:
- One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
- Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
- The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.
- City: Gurugram, India
Hospital Highlights:
- Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
- Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
- Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
- The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.
- City: Chennai, India
Hospital Highlights:
- The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
- The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
- The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
- The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
- Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
- Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
- In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
- Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.
- City: New Delhi, India
Hospital Highlights:
- Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
- The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
- Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
- Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.
- City: Gurugram, India
Hospital Highlights:
- Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
- It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
- Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
- Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.
- 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.
- City: Faridabad
Hospital Highlights:
In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.
- City: New Delhi, India
Hospital Highlights:
- Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
- There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
- The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.
- City: New Delhi, India
Hospital Highlights:
- One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
- The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
- Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.
- City: Kolkata, India
Hospital Highlights:
- Founded in 2017, the HCG EKO Cancer Centre is a committed, all-inclusive cancer care facility in Kolkata.
- The hospital was collaboratively established by India’s leading cancer care provider HCG (HealthCare Global Enterprises Ltd.), and EKO Diagnostic Pvt. Ltd., a top diagnostic and imaging chain in Eastern India.
- With 88 beds, the hospital provides a full spectrum of services including diagnosis, prevention, screening, second opinions, treatment, rehabilitation, follow-up, and palliative care.
- Additionally, the hospital contains a day-care chemotherapy ward, Neutropenic ward, medical ICU, pharmacy, blood bank, and an IPD wing.
- At HCG EKO Cancer Centre Kolkata, a large team of cancer experts with experience in medical oncology, surgical oncology, radiation oncology, hemato oncology, BMT, and nuclear medicine collaborate to offer a variety of treatment options under one roof.
- Furthermore, the hospital is also known for employing the most advanced radiation technology such as, the Radixact, a next-generation TomoTherapy equipment that provides greater radiation delivery precision.
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.