Disc Replacement in India

Disc replacement, also known as artificial disc replacement, is an orthopedic procedure in which the worn out or damaged part of the disc material between the two vertebrae is removed and replaced with an artificial or synthetic disc. Depending on the location of damage, this procedure can either be cervical or lumbar disc replacement. This surgery is usually performed by making an incision in the abdomen (for lumbar) or neck (for cervical) and it may take the surgeons up to three hours to perform this procedure.

Disc Replacement in India

The disc is an important part of the spine. It is placed between the two vertebrae and serve crucial functions such as vertebral movement, connecting vertebrae and also acts as a cushion to absorb shocks on the spine. Disc replacement is done when the natural spine gets damaged due to various reasons. The reasons include spine fracture, spine cancer or infection of the spine. The condition is more severe in the people who are overweight.  Disc replacement surgery is the option available for those patients who are not able to manage the pain and discomfort through medications, or physiotherapy and the chronic pain of the spine exists for more than 6 months.

India is becoming a global hub for medical tourism and every year lakhs of patients visit India to get treated for various medical conditions. Due to its low-cost treatment with the most modern infrastructure and extensively experienced staff, India is becoming the preferred destination for patients of countries like Afghanistan, Bangladesh, Oman, Maldives, Iraq, and Yemen.

The slip disc surgical treatment in India is performed with an exceptionally high success rate. India has highly sophisticated machines and technology required for the post-surgical rehabilitation for the patients undergoing disc replacement surgeries. The orthopedics are highly trained with advanced orthopedic degrees and have worked for and trained from the Internationally renowned orthopedic surgeons. English speaking and highly professional para-medical staff also add up to attract patients from all over the world. The visa policies of the Indian Government, for foreign patients, are simple and hassle-free and there is a very small waiting time for the patients as treatment starts almost immediately.

Disc Replacement Cost in India vs Rest of the world

The cost of Disc Replacement Surgery in India is significantly lower than that in developed countries such as the USA, UK, and Canada. This is the reason that India has been witnessing a large number of patients from these countries to undergo disc replacement surgery. This is to be noted that in spite of the low cost, the quality of the healthcare in India is at par with that of the developed countries. The low cost in India is due to the low investment as well as operating cost to build and run a world-class infrastructure and also the availability of the services of highly experienced and extensively trained medical staff at competitive prices. Disc replacement surgery cost in India depends upon the type of surgery. While total disc replacement surgery or the slip disc surgery cost in India about $8000-$8500, while $5500-$6500 is the cost for Disc nucleus replacement surgery. Like any other surgery, the cost of disc replacement surgery also depends upon a variety of factors such as success rate of the hospital, infrastructure and post-surgical rehabilitation facilities, cost of the room per day, experience of the doctor, type of disc material and the follow-up visit charges.

Treatment and Cost

12

Total Days
In Country

2 No. Travelers

5 Day in Hospital

7 Days Outside Hospital

Treatment cost starts from

USD 6500

Hospitals

About the Disc Replacement ( Cervical /Lumber)

The spinal cord is a linear arrangement of many small bones known as vertebrae. These vertebrae consist of spaces between them known as intervertebral spaces. They are filled with cartilaginous structures that provide a cushioning effect to the vertebrae and support the movement of the spine. These cartilaginous structures are called Intervertebral discs.

Any pathology of the intervertebral discs such as disc herniation (slipping of the disc from between the vertebrae), ruptured disc, or degenerative disc disease may cause severe back pain due to nerve impingement, indicating the need for either partial or total disc replacement. In partial disc replacement surgery, only a portion of the cartilaginous disc is replaced by the artificial disc, while the total disc is replaced in the total disc replacement surgery.

Cervical disc degeneration and disc rupture may cause chronic neck pain radiating towards the arm.  Thoracic disc degeneration may cause chronic upper/ mid back pain while lumbar disc degeneration may cause chronic lower back pain.

 

Conditions that indicate the need for a disc replacement surgery:

  • Discitis (Inflammation of the intervertebral disc)
  • Scoliosis (abnormal spinal curve laterally)
  • Herniated disc in back (slipping of the cartilaginous disc into surrounding tissue)
  • Disc degeneration and disc rupture (infection of the intervertebral disc causing its degeneration.

How is Disc Replacement ( Cervical /Lumber) performed?

Depending on the site of injury, any one of the following three types of incisions are made:

  • For cervical vertebrae: Incision in front of the neck, at the level of the vertebrae
  • For thoracic vertebrae: Trans thoracic incision, at the level of the vertebrae
  • For Lumbar and sacral vertebrae: Abdominal incision, at the level of the vertebrae

Once the incision is made, the following steps are performed:

Step 1: The organs are retracted once an incision is made to enable visibility

Step 2: The damaged or protruding disc is removed

Step 3: An artificial disc in place of excised disc is placed

Step 4 The artificial disc is secured to the adjacent vertebrae

Step 5: A sealing material between the frictional surfaces of the artificial disc is placed, if required

Step 6: The incision is surgically closed

Recovery from Disc Replacement ( Cervical /Lumber)

You may be discharged after two to four days, after a thorough evaluation by the physical therapists. You are taught the proper techniques of getting in and out of bed before discharge from the hospital. You should avoid bending or twisting for the first two to four weeks to avoid straining the surgical site. You may be advised to use braces if your condition requires support in the lower back.

You may recover and get back to normal activities within three weeks after disc replacement surgery. Studies reveal that patients who successfully undergo total disc replacement surgery remain asymptomatic and free from chronic back pain for an average of 8.7 years.

The recovery time after total disc replacement is significantly less than that of spinal fusion surgery. The mobility is not compromised, and the prognosis is good. The success rate of the disc replacement surgery is around 98 percent.

 

Patient Stories

Frequently Asked Questions

Why should you go for Disc Replacement Surgery in India?

According to a survey, India has been recommended as the third most favorite medical tourism destinations of the world. This is due to highly competitive prices as compared to the other developed countries, world-class infrastructure, modern machines and equipment and highly skilled orthopedic surgeons who have taken advanced training from abroad in performing the disc replacement surgery. Disc replacement surgery also requires rehabilitation which requires experienced paramedical staff and sophisticated physiotherapy machines, that are available in most of the Indian hospitals. Further, the post-surgical care done through a holistic approach including medications, physiotherapy, and yoga, which is unique to India and is not found in the rehabilitation strategy of any other country. Further, the visa rules are much lenient in case of foreign patients and also there is a very little waiting time and the treatment starts almost immediately, reducing the cost of staying in the country. India is the home of world-class spine surgeons which performs complex spinal surgeries with ease. For instance, in 2008, the US FDA approved multi-level cervical disc replacement. With only a few surgeons are able to conduct this surgery, Indian doctors, Dr. Ashish Shrivastav and Dr. Sunit Mediratta successfully performed this surgery in 2017.

What is the average cost of Disc Replacement Surgery in India?

The cost of disc replacement is decided by asking in account various parameters. The factors that significantly affect the cost of disc replacement surgery in India include the type of hospital and available facilities and infrastructure, success rate of the hospital in performing such surgeries, experience of the doctor, post-surgical and recovery phase facilities, medications, testing, and the follow-up visit charges. The average cost of total disc replacement surgery is $8000 while Disc nucleus replacement surgery costs $5500.

Which are the top orthopedic surgeons for Disc Replacement Surgery in India?

Following are the top orthopedic surgeons for disc replacement surgery in India:

1) Dr. B. Mohapatra, Indian Spinal Injuries Center, New Delhi

2) Dr. Hitesh Garg, Artemis Hospital, Gurgaon

3) Dr. Navaladi Shankar, Apollo Hospitals, Chennai

4) Dr. Vineesh Mathur, Medanta - The Medicity, Gurgaon

5) Dr. Arun Saroha, Max Hospital, Gurugram

6) Dr. Ketan Badani, Bombay Spine Centre, Mumbai

7) Dr. Satish Rudrappa, Sakra World Hospital, Bangalore

How successful in Disc Replacement Surgery in India?

Disc replacement surgery is performed to make the patient relieved from pain, preventing further degeneration and to provide ease of movement. In the disc replacement surgery, the damaged disc is removed, and a new artificial disc is inserted. The disc replacement surgery in India has a high success rate with almost 70%-75% of the patients gets relieved from their symptoms. The success rate depends upon various factors such as underlying disease such as osteoporosis, increased weight, type of the material used in the disc and the experience of the doctor.

What is the recovery process post Disc Replacement Surgery in India?

If the patient is healthy, with a normal weight and without any other medical condition, the recovery process of the disc replacement surgery is quite fast. The patient may be able to walk within a few weeks. The stay in the hospital after surgery is normally 2-3 days but may be extended if the patient has pain and discomfort. Physiotherapy is started in the hospital and it is advised to continue the same at home for the period prescribed by the professional. The follow-up visit is usually after 20-30 days and till the time you should refrain yourself from lifting heavy weights. The surgeon will see the progress of your recovery by evaluating X-ray and may resume your daily routine, definitely with caution.

Which are the top hospitals for Disc Replacement Surgery in India?

Following are the top hospitals for spine surgery in India:

1) Apollo Hospitals, New Delhi

2) Max Hospital, New Delhi and Gurugram

3) Indian Spinal Injuries Centre, New Delhi

4) Artemis Hospital, Gurugram

5) Medanta - The Medicity, Gurugram

6) Bombay Spine Centre, Mumbai

7) Sakra World Hospital, Bangalore

Which are the top cities in India to get Disc Replacement Surgery

Following are some of the cities in India where Disc Replacement is done by the top neurologists in the most sought after certified Hospitals:

1) Chennai

2) Delhi

3) Gurugram

4) Mumbai

5) Bangalore

What is the health care infrastructure of India / Why should opt for India as a destination for your medical treatment?
India is a large country with a rapidly expanding system of healthcare. Like many other countries, there are public and private hospitals in India. This also includes healthcare at three levels.
  • The primary level of healthcare includes Sub Centres and Primary Health Centres.
  • At the secondary level are District Hospitals and smaller Sub-District hospitals. These are the first referral units, mostly from the primary healthcare centres.
  • Finally, the top level of health care provided is the tertiary level, which consists of Medical Colleges and Specialized Hospitals.
Since India boasts of housing a large number of people, the requirement for good healthcare and treatment in India is always there. And this also means prompt delivery of the service. Most of the treatment in India has to be offered at reasonable costs to enable people of all classes to access it. Hence, you can be assured that this country will be a great destination for your medical treatment whichever hospital in India you wish to choose.
What are the conditions of the hospitals in India? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
Here are some JCI certified hospitals in India:
  • Fortis Escorts Health Institutes, Delhi
  • Columbia Asia Referral Hospital, Bangalore
  • Fortis Hospital, Bangalore
  • Apollo Hospital, Chennai
  • Sri Ramachandra Medical Center, Chennai
  • Ahalia Foundation Eye Hospital, Kerala
  • Rajagiri Hospital, Kochi
  • Asian Heart Institute, Mumbai
  • Fortis Hospital, Mumbai
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • SevenHills Hospitals, Mumbai
  • Apex Heart Institute (A Unit Of TCVS Pvt)
  • Apollo Gleneagles Hospitals, Kolkata.
  • Fortis Hospitals Ltd, Mulund, Mumbai
  • Narayana Multispeciality Hospital Jaipur (A Unit of Narayana Hrudayalaya Ltd.)
Hospitals in India are ever-changing to accommodate more people with up to date technology. Hospitals in India also attract patients from other countries because of their diverse range of services. Apart from allopathy and conventional treatment procedures, the government of India, along with the hospitals in India also promote alternative medical treatment options like Ayurveda, homeopathy, and yoga. All in all, you will find great options for any kind of treatment in India.
Are the doctors/surgeons in India of the best quality?
Doctors and surgeons in India have to get through examinations and continue to uphold the standard of education that is provided to them. Since doctors get exposure to various patients during their course, they are able to diagnose and treat a wide range of diseases and illnesses. Therefore, one can rely on the doctors of India for their medical services.
What is the process for obtaining a medical visa in India?
The e-Medical Visa for India is an online travel authorization for foreign nationals who wish to seek medical treatment in the country. A medical Indian visa allows the holder to enter the country 3 times.

The e-Medical visa is a short term visa granted for medical treatment reasons. This type of visa is only granted to the patient and not to their family members.

Foreign nationals can acquire an India e-Medical visa by filling in an online application form. This simple process can be done from the comfort of the traveler’s home or office, avoiding a trip to an embassy or consulate.

Applicants must submit their basic personal information, including their full name, nationality, and date of birth. They must also provide a contact email address and phone number as well as their passport details. Finally, some security questions must be answered.

The form is quick and easy to fill out. The approved India medical visa is then delivered to the applicant’s email address within a few business days.
What support services does MediGence provide in India?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in India for medical treatment?
India is a beautiful country spread across the vast expanse of the Asian subcontinent. Most of the metro cities have hospitals, in India, with varying levels of infrastructure. Depending on your need and medical service, you can visit your choice of city.
The capital of India is Delhi and has many renowned hospitals like the All India Institute of Medical Sciences, Max Super speciality Hospital Fortis Hospitals, etc.
Other cities offering effective medical care include Bangalore, Chennai, Mumbai, and Hyderabad. These cities come under some of the major metro cities of India.

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