Neurostimulation Therapy in India: Choose GetWellGo for Medical services in India

Neurostimulation therapy in India

Neurostimulation therapy is a therapeutic approach used in the medical field where electrical impulses are deployed to regulate nerve activity in the body or brain. People use it commonly when medicines and conventional interventions do not keep them well enough.

What is Neurostimulation Therapy?

It entails the insertion of a tiny apparatus (like that used in pacemakers) capable of transmitting weak impulses to specific brain/spinal cord nerves or regions. These signals aid in the regulation of abnormal nerve activity and curb symptoms related to pain, seizures, tremors, or movement problems.

Types of Neurostimulation Therapy

Spinal Cord Stimulation (SCS)

• Sends neuronal signals to the spinal cord to prevent the transmission of pain to the brain.
• Indicated as a treatment back pain, failed back surgery syndrome, and neuropathic pain.

Deep Brain Stimulation (DBS)

• Electrodes are placed into certain parts of the brain.
• Helps treat Parkinson disease, essential tremor, dystonia, epilepsy and some psychiatric illnesses.

Vagus Nerve Stimulation (VNS)

• Activates the neck vagus nerve.
• Usually in epilepsy and treatment-resistant depression.

Sacral Nerve Stimulation (SNS)

• Affects nerves of bowel and bladder.
• Urinary incontinence, fecal incontinence, and urinary retention.

Peripheral Nerve Stimulation (PNS)

• Activates certain peripheral nerves.
• Indisposed to localized chronic pain disorders (e.g. migraine, limb pain).

Advantages of Neurostimulation

• Non-destructive, reversible (can be changed or eliminated).
• Improves symptoms of chronic pain, seizures, tremor or bladder problems.
• Enhances living standards in case of failure of normal treatments.

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Best neurostimulation therapy hospitals in India

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Factors Affecting Neurostimulation therapy cost in India

Type of Neurostimulation Procedure

• One of the most researched is Deep Brain Stimulation (DBS). Depending on hospital and city, expenses are usually lower.
• Spinal Cord Stimulation (SCS) — This is generally more expensive to implant.

Device Type and Features

In DBS:

• Rechargeable equipment is relatively expensive in the short run but economical in the long run as it does not require frequent replacement. Non-rechargeable versions need to be changed every 3-5 years.
• More sophisticated systems (e.g. directional leads, or adaptive programming) increase the cost.
• In RNS: the device may be more expensive and further costs are required on follow-up.

Surgical and Hospital Facilities

• Prices are all over the board based on it being a government hospital, mid-range hospital, or high-price hospital, as well as the type of room (general vs. single suite).
• Metropolitan hospitals such as the ones in Delhi, Mumbai, Bangalore, Chennai, Hyderabad, and Pune tend to be more expensive based on infrastructure, real estate, and staffing.

Pre diagnostic and evaluation expenses

DBS pre-admission expenses: imaging and testing:

• MRI & CT scans
• Blood tests, psychopathological and neurological examination.
• Hospital admission/pre-op medications.

Procedural and Surgical Fees

Surgeon, anaesthesia, OT and ICU fees differ widely:

• DBS surgery alone cost more
• Operating room & ICU use
• Admission
• Consults

Follow-ups and care after the operation

Includes:

• Device programming 
• Medications 
• Physio and rehabilitation.

Patient-Related Factors

• Clinical complexity: Patients with co-morbidities or with advanced disease may require an increased amount of resources, leading to higher costs.
• Age and overall health that may influence the length of stay and care requirements.

Geographical Location

• The metro cities, such as Delhi or Mumbai, are on the higher end of the price range.
• Smaller cities or up-and-coming centers (e.g. Pune, Hyderabad) tend to have lower price ranges.

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Top doctors for neurostimulation therapy in India

• Dr. Aditya Gupta
• Dr. Sudhir Dubey
• Dr. Rana Patir
• Dr. Arun Saroha

Factors Affecting Affordable neurostimulation therapy in India

Key factors influencing the affordability of neurostimulation therapies in India:

• Type of Therapy & Device Complexity
• Hospital Type & Location
• Pre- and Post-Operative Evaluations & Care
• Surgical & Staffing Charges
• Patient Condition & Potential Complications
• Long-term Maintenance & Revisions

Advanced neurostimulation therapy techniques India

Below is an annotated list of more sophisticated forms of neurostimulation therapy, not limited to the traditional methods of spinal cord or vagus nerve stimulation:

Deep Brain Stimulation (DBS) Advanced Programming

• Electrodes placed in the specific areas of the brain (subthalamic nucleus, globus pallidus, thalamus).

Latest advances:

• Directional leadsDirections are more accurate and lead to fewer side effects.
• Closed-loop DBS → modifications to neural stimulation that are done in real-time.
• The IPGs (implanted pulse generators) are rechargeable → increased battery life (1025 years).
• It is used in Parkinson: disease, essential tremor, dystonia, OCD, epilepsy, and even in investigations in depression.

Responsive Neurostimulation (RNS)

• A brain implant installed in or around brain seizure foci.
• Keeps track of the brain activity and only provides the stimulus when abnormal activity is detected.
• Considerably minimizes drug-resistant epilepsy seizures.

High-Frequency Spinal Cord Stimulation (HF-SCS)

• Conventional SCS operates with low frequency impulses (50-60 Hz).
• High-frequency SCS (10 kHz treatment) produces pain relief with no paresthesia (tingling sensation).
• Applicable to chronic back pain and leg (neuropathic pain, failed back surgery syndrome).

Dorsal root ganglion (DRG) Stimulation

• Attacks the dorsal root ganglion, which is an important relay station in the pain pathways.
• Offers focal pain management of disorders such as Complex Regional Pain Syndrome (CRPS), pelvic pain and post-operative neuropathy pain.
• Seldom used as traditional SCS.

Burst Stimulation

• Imitates the firing of natural neurons (not a steady stream of pulses).
• Offers analgesia with reduced awareness of stimulation than normal SCS.
• Applicable in patients that do not respond to traditional SCS.

Motor Cortex Stimulation (MCS)

• Electrodes attached on the surface of motor cortex in the brain.
• Applied to neuropathic pain, post-stroke pain, phantom limb pain and central pain syndromes.

Cranial Nerve Stimulation

• Vagus Nerve Stimulation (VNS) - now comes in sophisticated, closed-loop models that adjust according to heart rate or detecting a seizure.
• Trigeminal Nerve Stimulation (TNS) - used in epilepsy resistant to drugs, depression and migraine.

Peripheral Nerve Stimulation (PNS)- Miniature Implants

• Activates certain peripheral nerves (e.g. occipital nerve in case of migraine).
• More modern systems are minimally invasive and occasionally injectable, powered by wireless external controllers.

Non-Invasive Neurostimulation

• Transcranial Magnetic Stimulation (TMS) - magnetic pulses are used to stimulate the brain; depression, OCD, migraine.
• Transcranial Direct Current Stimulation (tDCS) - low intensity electric currents delivered through scalp electrodes.
• Non-invasive VNS (nVNS) - handheld external migraine and cluster headache devices.

AI-Integrated Systems & Closed-loop

• Adaptive Neurostimulation - the devices monitor when something is wrong and automatically corrects the parameters.
• Personalized programming AI-based algorithms are being created to achieve maximum benefit and minimum side effects.

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Neurostimulation therapy in India with GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for Neurostimulation therapy.
• Expert neurosurgeon with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange
• Arranging Patient’s local food