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Treatment for Disc Degenerative Disease with spinal stenosis and Disc bulges with nerve compression
Sample Opinion:
Diagnosis: According to the medical reports shared with us, Ms. VWX is diagnosed Multilevel Disc Degenerative Disease with spinal stenosis / Disc bulges with nerve compression at L4-L5 and L5-S1. She also has moderate spinal lordosis in the cervical spine.
Disc disease and spinal stenosis at are conditions where the discs deteriorate, leading to the narrowing of the spinal canal and nerve compression. Disc bulge means that the discs have come out of their original place and have now started to press against the spinal cord, compressing the nerves. This combination often causes symptoms like severe low back pain, pain radiating down the leg, numbness, and weakness, which are often worse with activity.
Investigations Needed: Patient will need to go through detailed physical and clinical investigations which will include – Imaging tests like MRI scans, Nerve study, X-ray and other related investigations.
Possible Line of Treatment / Plan: Final treatment plan will be decided after completing clinical/ Physical evaluation. In all possibilities, Ms. VWX may require Multilevel MIS TLIF surgery (at L4-L5 and L5-S1). That will be confirm after investigations only.
An MIS TLIF (Transforaminal Lumber interbody fusion surgery) is a minimally invasive surgery that fuses the vertebrae together to treat conditions like spinal stenosis, degenerative disc disease, or spondylolisthesis. This procedure uses small incisions and specialized tools, including 3D navigation, to relieve nerve pressure, improve spinal stability, and reduce pain by fusing the vertebrae and decompressing the spinal cord. The surgery involves removing the disc material, placing a cage with bone graft between the vertebrae, and securing the segment with pedicle screws.
We’d recommend the following hospitals having Top doctors as below-
1.Artemis Hospital, Gurgaon- Artemis Health Institute (AHI), at Gurgaon is a 300-bed tertiary care super-specialty flagship hospital established by Artemis Health Sciences (AHS). Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon. To know more about the Hospital, kindly click on the link https://hbgmedicalassista
Kindly have a visual tour of the hospital via link – https://pin.it/1bs51UAGE
Dr. Hitesh Garg will be the treating doctor. To know more about the doctor, kindly click on the link: https://hbgmedicalassistance.c
2. BLK Super Specialty is one of the biggest and oldest standalone hospitals in the country with a capacity of 700 beds including 125 critical care beds, 17 modular operation theatres and specialty-specific dedicated OPD blocks. The facility is equipped with the most modern medical diagnostic & therapeutic equipment’s, to name a few TriologyTx Linear Acc. All the services have been designed with the intent to create dedicated areas for all specialties with their interventional services in close vicinity. Therefore, the infrastructure speaks about BLK’s commitment for A PASSION FOR HEALING. To know more, kindly click on link- https://www.hbgmedicalassistan
Kindly have a virtual tour of the hospital via link- https://pin.it/1Ji84QapI
Dr. Puneet Girdhar will be the treating doctor. To Know more Kindly click on the link :- https://hbgmedicalassistance.c
3. Sarvodaya Hospital and Research Centre, Faridabad, Delhi & NCR-has been serving people with quality medical services and empathetic care for the last 32 years. We bring you experienced medical and non-medical professionals, advanced technology & frontier infrastructure to offer quality clinical services, ensuring good health for you and your family. To know more, click on the link – https://hbgmedicalassistance.c
Kindly have a virtual tour of the hospital via link – https://pin.it/57aR7umFf
Dr. Ashish Tomar will be the treating doctor. To know more click on the link- https://hbgmedicalassistance.c
4. Amrita Hospitals is Asia’s largest healthcare destination in Faridabad, Haryana. Spread across 133 acres, this campus has 2600 bed super specialty Hospital. It has 62 state-of-the-art modular Operation theaters (country’s largest), 540+ Smart Critical Care Beds (country’s largest) with most avant-garde and largest (Intel) Laboratory and Imaging Services. It has country’s highest positive and exclusive negative pressure isolation rooms for Infectious Diseases. Click on the link : https://hbgmedicalassistance.c
*Kindly have a virtual tour of the hospital by visiting the link – https://pin.it/6VWWsyyzq
Dr. Anandh Balasubramanium will be the treating doctor, To know more, click on the link:- https://hbgmedicalassistance.c
5. Max Healthcare, Gurugram is India’s first truly integrated healthcare system based in India. The Institute is a wholly-owned subsidiary company of Max India Limited, established in 1985. Max Healthcare offers three levels of clinical services (Primary, Secondary and Tertiary) within one system. ‘Patient-Centered Care’ ‘Patient-Centered Care’ is the core of everything that Max does. To know more, click on the link – https://hbgmedicalassistance.c
Kindly have a visual tour of the hospital via link – https://pin.it/2sWwqfts7
Dr. Arun Saroha will be the treating doctor. To know more, click o the link – https://hbgmedicalassistance.
6. Shalby Sanar International Hospital offers comprehensive advanced surgical care in over 15 Specialties. Covering Cancer, Heart, Bones and Nervous System along with other major healthcare departments with advanced state-of-the-art facilities it establishes itself as a Centre of excellence. World-class infrastructure, team of experienced surgeons, doctors and nursing staff are making a mark not only amongst domestic patients but also making it a preferable choice for the patients from other countries. Our skilled faculty is on numerous medical clinical & advisory boards and lecture nationally & internationally on a regular basis. To know more about the Hospital, kindly click on the link – https://hbgmedicalassistance.c
Kindly have a visual tour of the hospital via link – https://pin.it/7KCpv705h
Dr. Rajesh Verma will be the treating doctor. Kindly find his profile via Link – https://hbgmedicalassistance.c
Estimated cost:
The estimated cost of evaluations will be approx. USD 500-700 on OPD basis.
The Estimated cost of MIS TLIF Surgery at the various hospital will be approx.:
| Hospitals | City | Estimated cost of Surgery |
| Artemis Hospital | Gurgaon (DELHI NCR) | USD 6800 |
| BLK Super Specialty | New Delhi | USD 6800 |
| Sarvodaya Hospital and Research Centre | Faridabad (DELHI NCR) | USD 6400 |
| Amrita Hospitals | Faridabad (DELHI NCR) | USD 6500 |
| Max Healthcare | Gurgaon (DELHI NCR) | USD 7000 |
| Sanar Shalby Hospital | Gurgaon (DELHI NCR) | USD 6200 |
Kindly Note: The given cost is a tentative cost based on the shared information. If the investigations shed a new picture, the cost may vary accordingly.
Stay in India: The patient will require 4-6 days for initial evaluations on an OPD basis.
The patient will require 3-5 days of hospitalization for surgery. Post-Discharge patient may require 10-15 days for follow up and recuperation.
Total Length Stay in India will be approx. 4 weeks.
Inclusions:
1. The cost of all investigations related to the treatment.
2. The cost of the treatment.
3. The doctor’s fee and surgery charges.
4. The stay of patient and 1 attendant during hospital admission.
5. All meals for the patient and the attendant as per the available menu while in hospital.
6. Medical Consumables and Medicines while in hospital.
7. The fee for dietician and nursing while in hospital.
8. It also includes complementary Airport Transfers, Forex Services and assistance.
Exclusions:
1. Any consultation other than in discussion
2. Extended stay
3. Treatment for any other illness
4. If & when the patient is shifted to ICU (Intensive Care Unit) then attendant has to vacate the room and shift to a Guest House near the Hospital
On Arrival:
Patient and his attendants will be received at the airport by our Representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with the reasonably charged accommodation near the hospital. Patient and attendant may arrange 35-50 USD per day toward accommodation and food at Guest House.