Spinal Surgery in India

Spinal surgery is any surgical procedure performed to correct possible structural abnormalities. Surgeons can move, fix, decompress, and, if necessary, replace vertebral structures through spinal surgery. This is only considered when conservative, non-surgical treatments have not worked and the pain remains persistent, preventing patients from living a normal life and reducing their quality of life. Some common conditions that may require spinal surgery are spinal deformation, compression of the spinal cord, herniated discs, and tumors of the spinal cord, cauda equine syndrome, vertebral fractures, and degenerative disc disease.

There are numerous types of spinal surgery. The type of surgery you will receive depends on your disease or injury, the location, the level of damage, as well as your own characteristics. Some of the most common types of spinal surgery are as follows:

• Spinal fusion – during spinal fusion, your surgeon will join spinal bones (vertebrae) together to prevent pain caused by their movement against each other.
• Discectomy – your surgeon removes part of or the entire disc that slips out of place presses on a spinal nerve, and cause back pain.
• Laminectomy – most commonly used for lumbar spinal stenosis, this surgery involves the removal of parts of the bone, ligaments, or bone spurs in the back to relieve pressure on spinal nerves and ease the pain.
• Disc replacement – your surgeon removes the damaged spinal disc and replaces it with an artificial one.
• Foraminotomy – bones at the sides of your vertebrae is cut away to widen the space where nerves exit the spine. Like laminectomy, this is done to relieve pressure on a compressed nerve and ease pain.
• Interlaminar implant –a U-shaped device is implanted between two vertebrae in your lower back to ease pressure on your spinal nerves by keeping the space between the vertebrae open. This is a minimally invasive alternative to laminectomy.

How Long Should I Stay in India?

You may need to stay in India for at least 10 to 14 days following your surgery to allow for your body to recover and attend follow-up checkups, if necessary. During the follow-up checkup, your overall condition will be monitored and the surgical stitches will be removed. 

What's the Expected Recovery Time?

Recovery depends on the specific disease/injury you have, the type of spinal surgery you underwent, and your overall health. If you are healthy and your job is not physically demanding, you may be allowed to go back to work within 4 to 6 weeks following surgery. However, it takes at least 3 to 4 months for the bones to heal, and healing can continue for at least a year. During this period, there might be some restrictions on your activity. Remember, the recovery period is just as important as the surgery.

What Aftercare is Required?

Following all the instructions and recommendations provided by your surgical team is important to avoid complications and speed up your recovery process. You may need physical therapy following your surgery, which is aimed to restore the strength of your spine and help you return to everyday activities gradually. In certain cases, you may also need regular checkups. You can choose to undergo physical therapy and/or regular checkup at home in your local hospital if you prefer.

What's the Success Rate?

The success rate of spinal surgery, in terms of pain relief, is around 70% to 90%, depending on the type of surgery and the condition treated. The success and safety rate of spinal surgery is higher than it used to be and will continue to increase, thanks to the continuous advancement of spinal surgery. For example, today, many types of spinal surgery can be done minimally invasively. This means that no long incisions are needed, leading to shorter operative and recovery times. Still, there are risks you need to be aware of, such as bleeding, infection, blood clots, and persistent pain.

Are there Alternatives?

Spinal surgery is only considered when other treatments have not worked. If you do not want surgery, make sure to discuss this with your doctor for the best possible alternative. When surgery is not needed, you may take a pain reliever or even try acupuncture to help relieve the pain. 

Spinal Surgery in and around India

About India

As the largest country in South Asia and the seventh-largest in the world, India is home to over one billion inhabitants. This extremely diverse country boasts one of the world’s fastest-growing economies and with its 38 JCI accredited facilities, it’s considered a prime destination for Medical Tourism. India welcomes an ever-increasing number of medical tourists each year, many of which travel for Spinal Surgery procedures. Its low-cost medical procedures draw tourists from all over the world, particularly Western and Middle Eastern countries. Highly specialized doctors speak English and the vast majority are trained in the UK or the US, with heart surgery procedures being especially common in India. Local accreditation bodies include the Indian Healthcare Federation, the Indian Medical Tourism Council, the Ministry of Health and Family Welfare, and the National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Popular Parts of India

Home to around 1.3 billion people, India is the second-most populous country in the world, with its multi-ethnic society, spiritual beliefs, architecture, and diverse wildlife.

• Delhi is brimming with colorful modern life and is steeped in history. It is known to have the best food in the world such as Mughalai curries and chaat (vegetarian street food). Visit the Red Fort and witness the fascinating structure influenced by Islamic, Hindu, Persian, and Timurid traditions.
• Mumbai is the most cosmopolitan city in India. Home to Bollywood, India’s film industry, the city has a lot to offer. Stroll around the Gateway of India, shop in Colaba Causeway, watch the sunset in Marine drive, or visit Siddhivinayak Temple and learn about its cultural history.
• Kolkata (Calcutta) was once the capital city of India. It is a perfect blend of the past and the present. The city has charming colonial-era architecture, dynamic suburbs, and the amazing Bengali cuisine. Tourists can discover the creativity of Kurmatuli Idol-makers and visit the incredible Victoria Memorial.
• Jaipur is known as “The Pink City,” it is chaotic, vibrant, and historical.  The city, along with Delhi and Agra, is a part of the Golden Triangle that contains the biggest attractions in India. There are many beautiful buildings inside this city, but the most visited one is the Amer/Amber Fort that dates back to Raja Man Singh. It is a World Heritage Site and it offers amazing views of the city.
• Agra is where the magical Taj Mahal stands. The UNESCO World Heritage Site is as astounding as people describe it to be. Mehtab Bagh is another must-visit attraction; it offers the most scenic spot in the city and located just across the river from the Taj Mahal. Agra Fort, located northwest of the Taj, is one of India’s most historic structures.

Weather and Climate in India

There are four climatological seasons in India.

• Summer or pre-monsoon season starts in March and ends in May. April or May is the hottest month. The average temperature is around 23 to 42 °C.  
• Monsoon or rainy season lasts for three months from June to September. The season is usually humid and rainy. South India usually receives more rainfall.
• The post-monsoon or autumn season starts from October to November. The sky is usually cloudless.
• Winter occurs from December to February. December and January are the coldest months in the country with an average temperature of 10 to 15 °C and climb steadily from February. This is the peak season for tourism.

The best time to visit India is in the month of March or October when the weather is warm and sunny.

Getting Around in India

Indira Gandhi International Airport is the busiest airport in the country and is located in Delhi. The airport serves domestic and international flights. It connects the city with almost every country around the world and serves budget airlines such as Air Asia India, Go Air, and IndiGo. There are three other main international airports in Mumbai, Chennai, and Bengaluru.

The most affordable way to travel around the city is by bus although it can be very crowded. Buses are very reliable and fast. Airport taxis are available as a quick, easy, and hassle-free transportation mode especially for tourists who carry big baggage.

The best way to get around India is by train. Trains are everywhere and quite affordable with many different classes. The most popular class for travel is the Sleeper Class. It is best to purchase train tickets online.

Buses are a nice option for short-distance travel. Some of the buses can be very uncomfortable but there are luxury buses with air conditioning. Tourists can purchase tickets online, in the station, or even on the buses.

Taxis are relatively affordable, but tourists have to bargain. Tourists can ask the taxi driver to use the meter but the drivers will usually say it’s broken. It is advised to ask your hotel or hostel how much a taxi should cost before getting in one to avoid getting ripped off by taxi drivers. Rickshaws (Tuck-Tuks) are cheaper than taxis, but you also have to bargain. Hiring a car is not recommended due to the lack of respect for traffic laws and the chaos on the roads. Uber is available.

Tourist Visas in India

All visitors need to obtain and apply for a visa to enter India, except the citizens of Nepal and Bhutan. Visa on Arrival is available for citizens of Japan and South Korea. The country provides an online visa application. e-Visa is available for 150 nationalities and valid for  60 days. It is a double-entry visa. There is also a six-month tourist visa for longer trips.

Passport must be valid for at least 180 days after your entry to India and should have at least two blank pages.

Additional Information

1. Local Currency: the official currency is the Indian rupee (INR). 1 USD is equivalent to 70 INR.
2. Money & Payments: ATMs are widely available. Currencies such as US dollars, euros, and pounds sterling are easy to change throughout the country. Credit and debit cards are accepted in some shops, restaurants, and hotels. Always carry cash because many places still accept cash only. Service fees are sometimes added to the bills automatically in restaurants if it’ 10% tip is reasonable. Taxis and rickshaws do not expect a tip but it is good to tip drivers who are honest.
3. Local Language: There are many languages spoken in India including Hindi, Bengali, Telugu, Marathi, Tamil, Urdu, Gujarati, and Punjabi. English is understood by many people especially those in the tourism area and major cities.
4. Local Culture and Religion: India is very diverse and multicultural. Hinduism is the largest religion with 79.8% of the population practicing the religion. Islam, Christianity, Sikhism, and other religions are also practiced.
5. Public Holidays: India celebrates several major religious holidays. The country has numerous annual festivals such as Holi, Ganesh Festival, Diwali, and Onam.