Spinal Cord Stimulation Procedure in India

What we have covered in this article:

  • What is Spinal Cord Stimulation?
  • When is Spinal Cord Stimulation needed?
  • How is Spinal Cord Stimulation procedure done?
  • Things to know about Spinal Cord Stimulation procedure
  • Who does Spinal Cord Stimulation procedure?
  • Investigations required for Spinal Cord Stimulation procedure
  • Tentative cost of Spinal Cord Stimulation Procedure in India
  • Top Hospitals for Spinal Cord Stimulation Procedure in India
  • Top Doctors for Spinal Cord Stimulation Procedure in India
  • How we help international patients get treatment in India.

What is Spinal Cord Stimulation (SCS)?

Spinal Cord Stimulation (SCS) is a medical procedure that involves the implantation of a device to alleviate chronic pain by delivering electrical impulses to the spinal cord. These impulses interfere with pain signals, thereby reducing the perception of pain.

When is Spinal Cord Stimulation Needed?

Spinal Cord Stimulation is considered when:

  • Chronic Pain: Patients experience persistent pain, such as back pain, leg pain (sciatica), or pain from failed back surgery syndrome.
  • Neuropathic Pain: Pain caused by nerve damage, including conditions like complex regional pain syndrome (CRPS).
  • Ineffective Conservative Treatments: When medications, physical therapy, and other non-invasive treatments fail to provide adequate pain relief.

How is Spinal Cord Stimulation Done?

  • Trial Stimulation:

    • Before permanent implantation, a trial period is conducted using a temporary electrode inserted near the spinal cord via a needle under local anesthesia.
    • The electrode is connected to an external stimulator device worn on the belt. This trial helps determine if SCS effectively reduces pain.

  • Permanent Implantation:

    • If the trial is successful, a permanent SCS system is implanted during a surgical procedure.
    • A small incision is made in the back, and electrodes are placed along the spinal cord. These electrodes are connected to a pulse generator device implanted under the skin, typically in the buttock or abdomen.
    • The pulse generator delivers adjustable electrical impulses to the spinal cord to manage pain.

Things to Know About Spinal Cord Stimulation Procedure

  • Adjustability: The SCS device settings can be adjusted to optimize pain relief and minimize side effects.
  • Trial Period: Essential to assess the efficacy of SCS before permanent implantation.
  • Multidisciplinary Approach: Involves neurosurgeons, pain management specialists, and neurologists for patient evaluation, procedural success, and long-term management.

Who Performs Spinal Cord Stimulation Procedure?

Performing a Spinal Cord Stimulation (SCS) procedure requires a multidisciplinary team approach involving specialized medical professionals with expertise in neurosurgery, pain management, and neurology. Each role is crucial in ensuring the successful assessment, implantation, and long-term management of SCS systems. The procedure is done by the following specialists:

  • Neurosurgeons: Neurosurgeons play a pivotal role in the Spinal Cord Stimulation procedure, focusing on the surgical aspects of electrode placement and device implantation. During the surgical procedure, neurosurgeons make small incisions to access the spinal cord and securely place the electrodes in targeted areas. They also implant the pulse generator device under the skin, typically in the abdomen or buttock, ensuring proper connection and functionality.
  • Neurologists: Neurologists contribute expertise in evaluating neurological conditions that may affect SCS candidacy and outcomes. They assess nerve function, neurological status, and any potential interactions with existing neurological disorders.
  • Interventional Pain Management Specialists: Interventional pain management specialists are integral to the Spinal Cord Stimulation procedure, focusing on the evaluation, trial stimulation, and ongoing management of the SCS system. Their expertise lies in understanding and treating chronic pain conditions through advanced interventional techniques.

Investigations Required for Spinal Cord Stimulation Procedure

Before undergoing Spinal Cord Stimulation procedure, investigations typically include:

  • Computerized tomography (CT) scan
  • Magnetic resonance imaging (MRI)

Tentative Cost of Spinal Cord Stimulation in India

The cost of Spinal Cord Stimulation in India varies depending on factors such as the hospital, surgeon’s expertise, type of SCS system used, and additional required investigations. Generally, costs range from approximately USD 8,000 to USD 15,000, covering procedure fees, hospital stay, device implantation, and follow-up care.

*Please note: This is a very general range of costs only. Spinal Cord Stimulation procedure depends on various factors, and every patient is treated with unique treatment protocol. Hence, it is impossible to give an exact cost estimate for Spinal Cord Stimulation procedure. However, you can share your latest reports (for list of investigations required for Spinal Cord Stimulation procedure, please check above), and we can discuss with the best doctors here to give you the best possible cost estimate for treatment.

Top Hospitals for Spinal Cord Stimulation Procedure in India

Top Doctors for Spinal Cord Stimulation Procedure in India

1. Top Neurosurgeons for Spinal Cord Stimulation Procedure in India

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.

Profile Highlights:

  • Dr. Aditya Gupta is one of the top Neurosurgeons in India functioning as the Chairperson of the Department of Neurosurgery & CNS Radiosurgery and Co-Chief of Cyberknife Centre at the Artemis Hospitals in Gurugram, India.
  • He is renowned for pioneering advanced surgical techniques in treating various brain tumors, specializing in microsurgery and radiosurgery. His expertise extends to managing Movement Disorders with Deep Brain Stimulation (DBS), epilepsy surgery, nerve and brachial plexus surgeries, as well as treating brain aneurysms and AVMs. He is also highly skilled in spine surgery, having performed a wide range of procedures.
  • Dr. Gupta graduated as a topper from All India Institute of Medical Sciences, New Delhi. He later served as Faculty and Associate Professor of Neurosurgery until 2009.

Profile Highlights:

  • Dr. Sudhir Dubey is a leading Neurosurgeon whose primary area of specialization is Endoscopic Neurosurgery and has been perfecting the procedure since 1998. He has also developed various new Endoneurosurgery techniques for surgeries on the brain, spine, and skull.
  • He holds an experience of more than 2 decades in neurosurgery and finds interest in skull base surgery, Pituitary tumor surgery, Brain Aneurysm surgery, CyberKnife Radiosurgery, and brain and spine tumor surgeries.

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. 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.

Profile Highlights:

  • Dr. V P Singh is a renowned Neurosurgeon with over 30 years of veteran experience. His competence in cranial, spinal, and peripheral nerves has helped him successfully perform 400+ Intracranial Aneurysm surgical procedures.
  • Dr. Singh has also been credited for initiating the Gamma Knife Unit and epilepsy surgery program at All India Institute of Medical Sciences, New Delhi.
  • He is proactively involved in the treatment of arteriovenous malformations by radiosurgery techniques and is currently the chairman of the Institute of Neurosciences, Medanta.

Profile Highlights:

  • Dr. (Prof.) V S Mehta is a leading Neurosurgeon in India and is considered among the best neurosurgeons in the world.
  • He holds an experience of over 38 years in the field and is an expert in Brachial Plexus surgery, brain stam surgery, spinal tumor surgery, brain aneurysms, and brain tumor surgery.
  • He has been honored with the Padma Shri for his dedication and contributions to neurosurgery and spine surgery in India.
  • In Paras Dr. V S Mehta has been part of the team to first use the Image-Guided Brain Tumor Navigation Technology for Brain tumor surgery in India.

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. 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 tumorsdisc replacements, pediatric neurosurgery surgery for stroke, brain and spine tumor surgery, brain aneurysmsspinal fusion, and decompression surgery.

Profile Highlights:

  • Dr. M. Balamurugan is a well-known neurosurgeon in India with 25 years of experience.
  • Presently, he practices at Apollo Hospital, Greams Road, Apollo Specialty Cancer Hospital, and Apollo Children’s Hospital, Chennai.
  • Owing to his experience, Dr. Balamurugan assists in managing craniosynostosis, epilepsy, extradural hematoma, lumbar disc, lumbar spinal stenosis, metachromatic leukodystrophy,  multiple sclerosis,  peripheral neuropathy, scoliosis, seizures, trigeminal neuralgia, etc. He has expertise in managing brain tumors as well. Patients can consult him for Pediatric Neurosurgery.

2. Top Neurologists for Spinal Cord Stimulation Procedure in India

Profile Highlights:

  • Dr. Sumit Singh is a well known Neurologist in India currently associated with Artemis Hospital in Gurgaon as the Chief of the department of Neurology.
  • He has an experience of over 20 years and specializes in the treatment and management of headache and movement disorders.
  • He is the first Neurologist in India to introduce Botulinium toxin for the treatment of headache in 2002 and also used it for trigeminal neuralgia treatment.
  • He has years of knowledge and experience in the treatment of neuromuscular disorders and is one of the best neurologists for the management of patients who have undergone Deep Brain Stimulation surgery.
  • Dr. Singh is known to be the best for the planning and management of patients with Parkinson’s disease. He also provides treatment for patients suffering from Multiple sclerosis, Myasthenia gravis and Polymyositis.

Profile Highlights:

  • Dr. Praveen Gupta is one of India’s top Neurologists, who is currently serving as the Principal Director & Unit Head of Neurology at Fortis Memorial Research Institute, Gurugram.
  • Over the course of his 23-years career, Dr. Gupta has made a lasting impact on the field of neurological treatment.
  • Among his many firsts, Dr. Gupta founded the first-ever stroke centre in Gurugram and pioneered the use of single-arm mechanical thrombolysis, which completely changed the way strokes are treated in the area.
  • He also pioneered Deep Brain Stimulation (DBS) treatments for Epilepsy and Parkinson’s disease, raising the bar for neurological care.

Profile Highlights:

  • Dr. Puneet Agarwal is one of the renowned neurologists in India known for his outstanding performance in the field of neuroscience.
  • He is considered to be one of the first few doctors to successfully complete the Inflammatory Genes study in stroke patients.
  • Dr. Agarwal is highly experienced in the Management of Parkinson’s disease, Deep Brain Stimulation, and is currently functioning as the Director of the Neurology Department of Stroke and Dementia at Max Super Speciality Hospital, Saket in New Delhi.

Profile Highlights:

  • Dr. Mukesh Kumar is a highly accomplished neurologist currently affiliated with Max Healthcare. He specializes in a range of neurological disorders and has made significant contributions in his field.
  • His expertise spans across various areas, including Deep Brain Stimulation, Botulinum Toxin, Movement Disorders, Myasthenia Gravis, Parkinson’s Disease, etc.
  • Additionally, Dr. Mukesh Kumar holds an impressive academic record. He received his MBBS and MD (Medicine) degree from IMS, BHU, Varanasi, followed by DNB (Medicine) and DM (Neurology) from AIIMS, New Delhi.

Profile Highlights:

  • Dr. S. Yogaraj is an experienced Neurologist in India, having over 25 years of experience in the field.
  • He specializes in treating emergency neurology conditions like stroke, neuromuscular disorders, CNS infections, Peripheral Nerve issues, etc.
  • Dr. Yogaraj is also instrumental in designing, implementing, and reporting electrophysiological training. He trained physicians, neurologists, and paramedical staff.

Profile Highlights:

  • Dr. Anoop Kohli is one of the well-known Neurologists in India, having 26 years of clinical experience.
  • He is interested in the treatment of Migraine, Brain Haemorrhage, Paralysis, Parkinson’s disease, Stroke, Paraplegia, Fits, and Meningitis.
  • Dr. Kohli is currently a Senior Consultant Neurologist at Apollo Hospital, New Delhi, and a pioneer, who first devised an intravenous thrombolytic treatment and developed the first Trans-Cranial Doppler Lab of India at Apollo Hospitals, New Delhi.
  • Dr. Anoop Kohli is also proficient in research. He has contributed 40 publications to various national and international journals.

Profile Highlights:

  • Dr. Mukul Varma is one of the best Neurologists in India, specialized in treating brain and spine disorders. With over 27 years of experience, the doctor has expertise in Parkinson’s disease, Speech and movement disorder, headache, and multiple sclerosis treatment.
  • He is working as a senior consultant Neurologist with the prestigious Apollo Hospital, New Delhi.
  • Dr. Varma is excellent at diagnosing and providing holistic treatment for meningitis, brain stroke, epilepsy, brain cancer, and many others. The doctor also performs stereotactic procedures for Brachial Plexus injuries.
  • He has contributed 20 literary works to medical journals of national and international repute.

Profile Highlights:

  • Dr. Dhanaraj M is a recognized neurologist in India, currently practicing as a Senior Consultant Neurologist at Apollo Hospital, Greams Road, Chennai.
  • He has dedicated 35+ years to managing neuromuscular and neurological disorders and academics. He is proficient in treating conditions such as Alzheimer’s disease, Meningitis, Meniere’s Disease, Brain infections, and Light-headedness.
  • As an experienced neurologist, he conducts a range of procedures such as EEG for brain activity monitoring, Nerve Conduction Studies to evaluate nerve function, Lumbar Puncture for cerebrospinal fluid testing, MRI for detailed brain imaging, and EMG to assess muscle health.

Profile Highlights:

  • Dr. Geetha Lakshmipathy is a highly regarded neurologist with over 34 years of experience. Her experience stretches across academic, research, clinical, and administrative work.
  • She is currently working with Apollo Hospital, Chennai as a Senior Consultant Neurologist following her retirement from Madras Medical College and Government General Hospital.
  • Dr. Lakshmipathy specializes in treating a wide range of neurological conditions, including Neurological Dysfunction, Neuromuscular Disorders, Brain Aneurysm Surgery, and VP Shunt placement.

Profile Highlights:

  • Dr. Rajendran S is a highly respected neurologist at Apollo Hospitals, Greams Road in Chennai, with over three decades of experience.
  • Dr. Rajendran is known for his personalized treatment plans tailored to each patient’s needs, utilizing specialized diagnostic tools like polysomnography.
  • Specializing in Alzheimer’s disease, migraine, epilepsy, botulinum toxin treatments for movement and headache disorders, and employing advanced electrophysiology techniques, he is sought after for his expertise.
  • Dr. Rajendran holds specialized training as a neuropsychiatrist from the United Kingdom and is a distinguished member of the Royal College of Physicians of Ireland.

Profile Highlights:

  • Dr. Shirish M Hastak is one of the best Stroke Specialists in India with a specialization in Neurology.
  • Dr. Hastak underwent training in stroke management under world-renowned neuroscientist, Dr. Vladimir Hachinski at the Western University of Canada.
  • He holds more than 30 years of experience as a neurologist among which he has spent 2 decades mastering stroke management.

Profile Highlights:

  • Dr. Arulselvan V L is one of the finest Neurologists in India, with an overall experience of nearly 33 years.
  • Dr. Arulselvan was bestowed with an Excellence Award for aptitude in Anatomy in his academics.
  • He takes a holistic approach to treating conditions like Myelitis, Encephalitis, Meningitis, Cerebral or Brain Aneurysm, PSR, PBC, Brain Tumor Surgery, and Sleep Disorders and performs different therapies.
  • He has a periodical ‘JIAN’ under his name.

Profile Highlights:

  • Dr. Panneer A is one of the most renowned Neurologists in India with over 34 years of research and clinical experience in the field.
  • Dr. Panneer A is believed to have expertise in Migraine treatment and neurological disorders management.

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