Microdiscectomy Surgery Cost in India

What Is The Cost Of Microdiscectomy Procedure In India?

The general cost of the microdiscectomy procedure in India ranges from Rs. 1,20,000 to Rs. 4,00,000. In major medical centres and for more advanced techniques, the price of the surgery may rise to Rs. 5,50,000.

Types of Treatment For Herniated Discs:

Before choosing Microdiscectomy, many patients get successful treatment for herniated discs through non-surgical and minimally invasive methods. Upto 75% of patients of patients without undergoing microdiscectomy show great improvement in disc herniation size and pain resolution over a long period of time, more than 1-2 years.

• Non-surgical treatment options are typically first-line defense techniques, and are usually tried for 6 to 12 weeks before surgery is considered.
• Physical therapy is mostly the cornerstone for recovery, and focuses on strengthening the core, stretching, and improving posture to decrease pressure on the spinal nerves.
• Pain management medicines include over-the-counter drugs to decrease the inflammation and provide relief from pain. Muscle relaxants should be used for spasm, oral steroids for short-term swelling, and nerve-specific medicines.
• Injection-based therapies include epidural steroid injections, where anti-inflammatories are directly delivered to the irritated nerve root.
• A selective nerve root block is a more accurate injection utilized for both identification and targeted pain-relief.
• Spinal decompression treatment utilizes a motorized or manual traction table to gently stretch the spine and provide relief from disc pressure.
• Alternative therapies of microdiscectomy also include acupuncture, which can trigger the release of endorphins and improve the circulation to provide relief from discomfort.
• By using chiropractic care, licensed adjustments can restore alignment and mobility. Prolotherapy is used, in which injections of dextrose are used to stimulate the body’s natural repair of supporting ligaments.
• Minimally invasive surgical alternatives are used if conservative care fails, where highly modern options like endoscopic discectomy, percutaneous disc compression, and artificial disc replacement are options other than traditional microdiscectomy.
• Lifestyle and home management include managing weight by reducing body weight by even 5-10%, which greatly decreases the spine strain. Modifying workspaces and sleeping positions greatly supports spinal health. Patients can use cold packs for the first 48 hours to numb pain, then heat to relax the stiff muscles.

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Types Of Microdiscectomy

Surgeons categorize microdiscectomy based on the technology utilized or the spinal location being treated.   

• Traditional microdiscectomy is where the surgeon utilizes a high-powered surgical microscope to magnify and illuminate the area through a small incision. This is often considered a gold standard technique for lumbar disc herniations.
• Endoscopic discectomy is an even less invasive approach, where a tiny camera is inserted through a keyhole incision. It causes minimal tissue damage and allows for a faster recovery.
• Tubular microdiscectomy is where surgeons utilise a series of progressively larger dilators to create a tunnel through the muscles rather than cutting them. A tubular retractor is then placed to provide access for the instruments.
• Laser microdiscectomy is a highly specialized technique where a needle is used to reach the disc, and laser technology dissolves the damaged portion, thereby eliminating the need for traditional scalpel incision.

Microdiscectomy procedures are also named after the region of the spine they address. Lumbar microdiscectomy is the most common type performed on the lower back to treat conditions like sciatica.

• Cervical microdiscectomy treats compressed nerves in the neck. It may be performed via a posterior approach or an anterior cervical discectomy from the front.
• Thoracic Microdiscectomy is used for the middle and upper back, which is relatively rare due to the complexity of the thoracic spine.

For microdiscectomy, surgeons also select the path based on where the hernia is located.

• Transforaminal: Accessed from the side of the spine through the neuroforamen.
• Interlaminar: Accessed from the back, between the laminae of the vertebrae.
• Far lateral: used when disc material has herniated beyond the exit of the nerve canal.

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Factors Influencing the Cost of Microdiscectomy

• Surgeon expertise
• Hospital facility or type
• Geographic location
• Case complexity
• Type of procedure
• Hospitalization and Room Choice
• Pre-operative care
• Post-operative care
• Insurance coverage

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Post-Operative Procedure For Microdiscectomy

Post-operative care for microdiscectomy focuses on protecting the surgical site to prevent re-herniation while gradually restoring mobility. Most patients are discharged on the same day or within 24 hours.

• To protect the healing disc, most surgeons suggest a no-bending, lifting, or twisting rule for the first 6 weeks.
• No-bending – The patient should avoid bending at the waist.
• No lifting: The patient should not lift anything heavier than 5 to 10 pounds.
• No twisting: The shoulders and hips should be aligned. The log-roll technique should be used to get into and out of bed.
• Sitting: Sitting should be limited to 20-30 minutes at a time, as long term sitting increases pressure on spinal discs.
• Mobility and Exercise: This is the primary form of therapy. The patient should start with short 5-10 minute walks several times a day and gradually increase distance as tolerated.
• Physical therapy for the patient starts 4 to 6 weeks after surgery to strengthen the core and back muscles.
• Driving should be avoided by the patient for the first 1 or 2 weeks. Incision care involves keeping the site of surgery clean and dry, and showering once permitted. The patient should pat the area dry rather than rubbing it.
• Surgical strips should be left in place until they fall off on their own, which usually happens within 7-10 days.
• Pain relief includes the prescription of narcotics for the first few days, followed by over-the-counter NSAIDs like ibuprofen.
• Narcotics can cause constipation, so the patient is advised to use stool softeners and increase their fiber intake.
• Ice-packs should be applied for 15-20 minutes several times a day to reduce the swelling.

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Making An Informed Decision On Microdiscectomy

For a patient, making an informed decision on microdiscectomy signifies a clear understanding of why the surgery is being suggested and whether non-surgical treatments have already been tried. The patients should talk about their magnetic resonance imaging test results, how serious the symptoms of microdiscectomy are, and how much pain is affecting the patient’s daily life with a spine specialist. The patient should consult with the specialist about expected benefits, possible risks, and the success rate of microdiscectomy in providing relief from the pain. The patient should also have an understanding of the recovery time, what activities are to be restricted, and when the patient can return to work or their normal routine. The patient should also get a clarification from the specialist if they are a suitable candidate for minimally invasive techniques like microdiscectomy. Most importantly, the patient should pick a qualified and experienced spine surgeon to make sure of being safe, as well as get the best possible result.

Yashoda Hospitals should be the first choice for patients who need to undergo microdiscectomy surgery, due to their committed and specialized unit for microscopic and endoscopic surgeries, offering modernized and minimally invasive procedures for quick recovery. Yashoda Hospitals has the attributes of having highly skilled and experienced neurosurgeons, state-of-the art technology, and offers complete care for complicated disc problems.

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