About Intrathecal Injection
Key Highlights
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Direct delivery of medication to the central nervous system, bypassing the blood-brain barrier.Higher therapeutic drug concentration at the target site with lower systemic doses.Minimizes overall body exposure to potent medications, reducing side effects.Can provide rapid relief for severe pain or treat infections/conditions localized to the CSF.Often performed as a minimally invasive procedure with local anesthesia.Valuable for both diagnostic (e.g., myelography) and therapeutic purposes./ul
Who is this surgery for?
- Administration of intrathecal chemotherapy for cancers like leukemia or lymphoma affecting the CNS.
- Treatment of severe central nervous system infections (e.g., meningitis, encephalitis) with antibiotics/antifungals.
- Management of chronic, intractable pain (e.g., from cancer, failed back surgery) via pain pump implantation.
- Diagnostic procedures such as myelography to visualize spinal cord and nerve roots.
- Administration of spinal anesthesia for certain surgical procedures.
- Treatment of spasticity with medications like baclofen.
- Management of certain neurodegenerative or autoimmune disorders.
How to prepare
- Comprehensive medical evaluation, including neurological examination and review of medical history.
- Discussion of allergies, especially to contrast dye, local anesthetics, or planned medications.
- Review and adjustment of current medications, particularly blood thinners (may need to be stopped temporarily).
- Pre-procedure imaging (MRI or CT) may be required to guide the injection.
- Fasting for a few hours before the procedure if sedation is planned.
- Informed consent process detailing the procedure's benefits, risks, and alternatives.
- Arranging for transportation home post-procedure, as driving is not permitted immediately after.
Risks & possible complications
- Headache (post-dural puncture headache) due to CSF leakage.
- Infection at the injection site or within the CSF (meningitis).
- Bleeding or hematoma formation near the spinal cord.
- Nerve injury, leading to temporary or permanent numbness, weakness, or pain.
- Allergic reaction to the injected medication or contrast agent.
- Seizures or adverse drug reactions from the medication.
- Spinal cord injury, though very rare with proper technique.
- Failure of the procedure to achieve the desired therapeutic effect.
Recovery & hospital stay
- Immediate post-procedure monitoring in a recovery area for 1-2 hours to check for complications.
- Instructions to lie flat for several hours to reduce the risk of a spinal headache.
- Increased fluid intake is often recommended to help replenish CSF.
- The injection site should be kept clean and dry; monitor for signs of infection (redness, swelling, fever).
- Avoid strenuous activity, heavy lifting, and bending for 24-48 hours.
- Report any severe headache, neck stiffness, fever, new numbness/weakness, or difficulty urinating immediately.
- Follow-up appointment with the neurosurgeon to assess treatment response and plan next steps.
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Typical hospital stay: 0-1 days (typically outpatient)
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Expected recovery time: 1-3 days for routine recovery; therapeutic effect timeline varies by condition
Frequently Asked Questions
If you are considering intrathecal injection in India, these questions and answers can help you make a confident, informed decision.
Popular choices for intrathecal injection in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform intrathecal injection. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for intrathecal injection compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 8 Thousand – 35 Thousand | 0-1 days (typically outpatient) | ~ 1-3 days for routine recovery; therapeutic effect timeline varies by condition | Know More |
| Turkey | TRY 28 Thousand – 123 Thousand | 0-1 days (typically outpatient) | ~ 1-3 days for routine recovery; therapeutic effect timeline varies by condition | Know More |
Top hospitals for Intrathecal Injection in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing intrathecal injection.
Sophia Khan, a 42-year-old architect and...
Sophia Khan, a 42-year-old architect and mother of two, had been battling severe, debilitating lower back pain radiating down her left leg for over a year. An MRI revealed a large lumbar disc herniation compressing a nerve root. Despite months of physical therapy, oral medications, and two epidural steroid injections, her pain remained at an 8/10, severely limiting her ability to work and care for her young children. Her neurosurgeon, Dr. Chen, recommended an intrathecal injection of a steroid and anesthetic directly into the cerebrospinal fluid space, explaining it as a more targeted 'rescue' option to deliver potent anti-inflammatory medication closer to the irritated nerve. During the procedure, Sophia felt anxious but was reassured by the nursing staff. She experienced a brief, sharp pinch from the local anesthetic, followed by pressure and a strange warm sensation down her leg as the medication was administered. In the days following, the fiery, electric pain that had been her constant companion began to recede. Within a week, her pain was a manageable 2/10. Emotionally, she had felt trapped and despairing, grieving the loss of her active life and fearing she'd never be fully present for her family. The successful outcome brought profound relief and hope; she felt like she had been given her life back and could finally see a path forward to recovery.
Neurosurgeons for Intrathecal Injection
Explore experienced neurosurgeons who regularly perform intrathecal injection and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada