20/08/2026
Advance treatment for chronic Pain in Mumbai : Spinal Cord Stimulation
Spinal Cord Stimulator (SCS) Implantation in Mumbai
Advanced Treatment for Chronic Nerve Pain
Spinal Cord Stimulation (SCS) is an advanced treatment for selected patients suffering from chronic pain that has not improved adequately with medicines, physiotherapy, injections or appropriate spine surgery.
An SCS system uses a small electrode placed near the spinal cord to deliver carefully programmed electrical stimulation. The stimulation modifies the processing of pain signals and can reduce pain, improve mobility and enhance quality of life.
Who May Benefit From SCS?
SCS may be considered for carefully selected patients with:
* Persistent pain after spine surgery (Failed Back Surgery Syndrome or Persistent Spinal Pain Syndrome)
* Chronic neuropathic back or leg pain
* Complex Regional Pain Syndrome (CRPS)
* Selected cases of diabetic neuropathy
* Chronic radicular or nerve pain
* Other refractory neuropathic pain conditions
SCS is generally considered when appropriate conventional treatments have failed and there is no better surgically correctable cause for the pain.
How Does SCS Work?
A thin electrode, called a lead, is placed in the epidural space near the spinal cord. It is connected to a small pulse generator, usually placed beneath the skin of the buttock or abdomen.
Modern systems can provide different forms of stimulation, including:
* Conventional stimulation
* High-frequency stimulation
* Burst stimulation
* Other advanced stimulation waveforms
The system can be programmed according to the patientโs pain pattern and response.
Why Is an SCS Trial Done?
Before permanent implantation, most patients undergo a temporary SCS trial.
During the trial, a temporary lead is connected to an external stimulator. The patient assesses whether stimulation provides meaningful improvement in:
* Pain
* Walking and physical activity
* Sleep
* Daily activities
* Quality of life
* Medication requirements
Permanent implantation is considered only when the trial demonstrates satisfactory benefit and the patient remains an appropriate candidate.
Procedure
Permanent SCS implantation generally involves:
1. Local anaesthesia with sedation or another appropriate anaesthetic technique.
2. Placement of the lead into the epidural space under imaging guidance.
3. Testing and confirmation of lead position.
4. Placement of the pulse generator beneath the skin.
5. Connecting the lead to the generator.
6. Wound closure and dressing.
7. Programming of the device.
The exact technique and anaesthesia are individualized.
Benefits
The aim is meaningful pain reduction and improved function, rather than necessarily complete elimination of pain.
Potential benefits include:
* Reduced chronic pain
* Improved walking and activity
* Better sleep
* Improved quality of life
* Reduced dependence on pain medicines in some patients
* Adjustable, personalized pain management
Results vary between individuals, making appropriate patient selection essential.
Who May Not Be Suitable?
SCS may be unsuitable or require postponement in patients with:
* Active infection
* Uncorrected bleeding, coagulation problems
* Certain significant medical conditions
* Untreated psychological conditions affecting treatment participation
* Unrealistic expectations
* Inability to comply with follow-up or device management
Blood-thinning medicines should never be stopped without medical advice.
Recovery
Most patients can begin walking soon after the procedure. During the initial healing period, patients are generally advised to avoid:
* Heavy lifting
* Excessive bending
* Repetitive twisting
* Vigorous exercise
* High-impact activities
These precautions help reduce the risk of lead migration while the tissues heal.
Your surgeon will advise when you can return to work, driving, exercise and other activities.
Risks and Complications
Although SCS implantation is minimally invasive, possible complications include:
* Infection
* Bleeding or hematoma
* Pain at the implant site
* Lead migration
* Device or lead malfunction
* Inadequate pain relief
* Need for revision surgery
* Rare neurological complications
Seek urgent medical attention for new weakness, loss of bladder, bowel control, fever, severe wound problems or rapidly worsening neurological symptoms.
MRI After SCS
Many modern SCS systems are MRI conditional, but MRI compatibility depends on the exact device and leads. Always inform your radiologist and MRI technician that you have an implanted SCS.
Costs of SCS Implantation in Mumbai
The cost depends on the device, rechargeable or non-rechargeable generator, leads, hospital, anaesthesia, trial procedure and other treatment requirements.
Approximate budget in Mumbai: around โน20 lakh, depending on the SCS system and hospital selected.
A personalized quotation should be obtained after clinical evaluation.
Mumbai. For more info visit us at http://www.endospineworld.com/latest-update/advance-treatment-for-chronic-pain-in-mumbai-spinal-cord-stimulation/129?utm_source=facebookpage
