Best Spinal Cord Stimulator Implant Doctors in India
Best Spinal Cord Stimulator Implant Hospitals in India
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
- 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.
- 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.
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
- 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.
- 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.
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
- City: Ahmedabad
Hospital Highlights:
- As a member of the Apollo Hospitals Group, Apollo Hospitals International Limited, Ahmedabad is one of the most popular and sought-after medical facilities in Gujarat.
- Through its 6 Centres of Excellence and various affiliated branches, which cover all specialties and subspecialties, the hospital provides the most advanced clinical services.
- Since its inception in 2003, the hospital has been providing each patient with the most up-to-date medical equipment and state-of-the-art technology.
- With more than 150 successful organ transplants, including liver and renal transplants, the facility has been able to build a strong and extensive organ transplant program.
- In addition to performing 600 surgeries and caring for over 1800 patients on an IP basis, the hospital sees more than 18,000 patients on average in the outpatient department.
- With one of the biggest cardiology teams in the area, the hospital provides state-of-the-art regional care treatment in Cardiac Sciences.
- Additionally, the hospital offers a broad range of Neuro Interventional techniques to help stroke patients recover more quickly.
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
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.