Best Spinal Cord Stimulator Implant Doctors in India

Profile Highlights:

  • Dr. Rajendra Prasad is one of the most experienced Neurosurgeons and Spine surgeons in India.
  • Dr. Rajendra Prasad is an expert in all neuro and spine surgeries that including micro neurosurgery, minimally invasive spine surgery, surgery for degenerative spine diseases, surgery for brain and spine trauma, and neuro tumor surgeries.

Profile Highlights:

  • Dr. Sandeep Vaishya is a renowned Neurosurgeon in India, with over 21 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.

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.

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.

Profile Highlights:

  • Completing over 9000 successful neurological procedures, and still counting, Dr. Sudhir Tyagi is one of the top-notch names in India, diligently catering to neurological assistance with his vast knowledge and adept expertise.
  • In fact, Dr. Sudhir Tyagi is the first neurosurgeon to use the Image Fusion Technique to localize targets in the deep part of the brain to perform functional stereotactic surgeries. He has great experience in all types of brain and spine surgeries.

Profile Highlights:

  • Dr. Bipin Walia is one of the most famous neurosurgeons who has performed over 7000 successful neurosurgeries so far.
  • 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.

Profile Highlights:

  • Dr. Sajan K Hegde is an Orthopedic & Spine Surgeon with 33+ years of experience and is known for performing spine and joint surgeries using the latest technological advancements like minimally invasive sacroiliac joint fusion and cervical artificial disc.
  • He has initiated many modern instrumentation systems in India including Cotrel, BAK cages, Harms Mesh Systems, and more.
  • Dr. Hedge holds expertise in surgical and non-surgical spine treatments, tackling trauma, et al.

Profile Highlights:

  • Dr. Anil Kumar Kansal is a well-known neuro and spine surgeon in Delhi with over 2 decades of experience.
  • He has performed over 10,000 neurosurgical procedures including 4500 brain surgeries, 500 endoscopic brain surgeries, 2000 spine surgeries, 400 aneurysms, and 500 anterior cervical microdiscectomies with 60 disc replacement procedures.
  • Dr. Kansal holds great skills in aneurysm clippings, neuro-modulation, epilepsy, and neurovascular surgery and has handled several such types of cases in his career.

Profile Highlights:

  • Dr. Himanshu Tyagi is a well-known Spine surgeon specializing in Minimally Invasive Spine Surgeries (MISS).
  • He has over a decade of experience in the field and is trained to perform all kinds of reconstructive and corrective spinal surgeries.
  • He is trained to perform intradural as well as extradural spinal procedures and does surgeries by both anterior and posterior approaches.

Profile Highlights:

  • Dr. Rajagopalan Krishnan is a well-known orthopedic and spine surgeon in India.
  • He is one of the most highly accomplished and successful spine surgeons in Delhi performing more than 350 spine surgeries every year.
  • He provides management and treatment of spinal disorders that includes disc and degenerative disorder, spinal tumor, spinal fractures, spinal trauma, and spinal infections.

Best Spinal Cord Stimulator Implant Hospitals in India

Indraprastha Apollo Hospital, New Delhi

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 hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • 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 Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

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.

Max Super Specialty Hospital, New Delhi

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.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Spinal Cord Stimulator

Spinal cord stimulator is an implanted device that can deliver low levels of electric signals directly into the spinal cord, which helps to relieve pain. Spinal cord stimulation is often used after nonsurgical pain treatment options fail to provide sufficient relief. Spinal cord stimulators require two procedures for testing as well as implanting the device, the trial and the implantation. It can help one to improve their overall quality of life and it also reduces the need to use any kind of pain medicines. It is typically used with other pain management treatments.

Purpose

Spinal cord stimulation is used if nonsurgical pain treatment options fail to provide enough relief. Spinal cord stimulators are used for treating or managing various types of chronic pain, which includes:

  • Back pain, that continues even after surgery (failed back surgery syndrome)
  • Post-surgical pain
  • Heart pain (angina) untreatable by other means
  • Arachnoiditis (painful inflammation of the arachnoid)
  • Injuries to the spinal cord
  • Peripheral vascular disease
  • Nerve-related pain (which can include severe diabetic neuropathy and cancer-related neuropathy from radiation, surgery or chemotherapy)
  • Complex regional pain syndrome
  • Pain after an amputation
  • Visceral abdominal pain and perineal pain

 

Spinal cord stimulation can help you improve your overall quality of life and sleep as well as reduce the need for pain medicines. It can be used along with other kinds of pain management treatments, which include medications, physical therapy, exercise and relaxation methods.

Spinal Cord Stimulator Types

Spinal cord stimulators can be of various types:

Conventional implantable pulse generator (IPG), a spinal cord stimulator which is operated by battery. During the operation, the batter is placed in the spine. When it runs out, the battery needs to be replaced with a different surgery. This device is usually a good choice for people who are experiencing pain in just one body part due to its lower electrical output.

Rechargeable IPG functions similarly to the conventional device. Its difference is that the battery can be recharged without the need for another surgery. As the energy source is rechargeable, these stimulators are able to put out more electricity. This option is better for people experiencing pain in the lower back or in one or both legs, as the signal can reach further.

Radiofrequency stimulator uses a battery located outside the body. Due to newer designs and better technology, this stimulator is used quite rarely today. It has rechargeable batteries and is similar to the rechargeable IPGs. It is a better option for people with pain in the lower back and legs due to the device’s power.

Your surgeon will be explaining how to operate the device as well as adjust the intensity of the electrical signal, which all three types of stimulators are able to support. Different stimulator settings are required for different body positions. One setting can work better for sitting and another one for walking.

In order to help you easily access the settings which are used mostly, most devices allow doctors to save two or three preset programs. Some newer devices feature several waveforms for electricity delivery, which includes high frequency, burst as well as high-density stimulation.

Procedure

The procedure for spinal cord stimulation requires two steps to test and implant the device: the trial and the implantation. It is usually performed on an outpatient basis.

Spinal Cord Stimulator Trial

The first step is considered a trial period. In this step, your surgeon will implant a temporary device which will be testing out. You will be guided by a particular kind of X-ray called fluoroscopy. Then your surgeon will carefully insert the electrodes in the epidural space of the spine. The location of your pain affects where these electrodes will be placed along the spine. Your surgeon may ask for your feedback during the procedure to position the electrodes in the most effective way.

This trial procedure usually requires just one incision in your lower back for placing the electrodes. The generator/battery will be outside your body, typically on a belt which you will be wearing around your waist.

For around a week, you will evaluate how well the device can reduce your pain. The trial can be considered a success if you experience at least a 50 percent reduction in your pain level.

However, if it is unsuccessful, the wires can be removed quite easily in the clinic without causing any damage to the spinal cord or nerves. If successful, then surgery will be scheduled to implant the device permanently.

Spinal Cord Stimulator Implantation

Next comes the permanent implantation procedure, where the generator will be placed underneath your skin and the trial electrodes will be replaced with sterile electrodes. Unlike the trial ones, these will need to be anchored by sutures so that their movement can be minimized.

Typically around 1-2 hours can be required for the implantation.

 

First local anesthesia will be administered, after which your surgeon will make one incision for holding the generator and another one for inserting the permanent electrodes. Fluoroscopy will also be used in order to determine where the electrodes need to be placed.

Once the generator and the electrodes are connected to and running, your surgeon will be closing the incisions.

Your surgeon might provide sedation so that you remain comfortable. He/she might also ask for your feedback during the placement of the electrodes.

Recovery

Once the anesthesia has worn off, most patients are able to leave the same day as their procedure. For several days after your surgery, your incisions can cause some pain. Dressings will be placed over your incision sites and they will remain for about 3 days. The incisions should heal within 15-30 days after the surgery.

Your doctor will next discuss your recovery plan with you and might recommend you lighter activity for around 2 weeks after the surgery.

After your surgeon approves you for any kind of regular activity, you will be able to return to work and drive again.

Risks and complications

Although rare, spinal cord stimulator surgery has few risks and complications. Few patients might experience any of the following:

  • Bleeding
  • Infection, which can occur in the first 15-60 days
  • Device migration (i.e. the electrodes moving from their original location which can make the stimulator unable to block pain as effectively). This might require a follow-up surgery so that the electrodes can be put back in their proper spot.
  • Device damage (e.g., sometimes, the stimulator can break due to a fall or intense physical activity).
  • Dural puncture- The dura mater surrounds your spinal cord. Spinal cord stimulators are inserted in the epidural space, the area which is just outside your dura mater. If a needle or electrode goes too deep and pierces it, this can lead to cerebrospinal fluid leaking out. These punctures can lead to severe headaches.
  • Spinal cord trauma- Although it is rare, spinal cord stimulator insertion can sometimes lead to nerve injury and sometimes even paralysis.

 

Before going through the operation, it is best to discuss with your doctor regarding the benefits and the risks of the procedure.

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