About Primary Progressive Multiple Sclerosis
Key Highlights
-
Focuses on slowing disease progression and preserving neurological function.Involves a personalized, multi-disciplinary treatment plan tailored to the individual's symptoms.Utilizes the only FDA-approved disease-modifying therapy (ocrelizumab) specifically for PPMS.Aims to manage debilitating symptoms like fatigue, spasticity, and pain to improve daily living.Emphasizes rehabilitation and supportive care to maintain independence and quality of life.
Who is this surgery for?
- Confirmed diagnosis of Primary Progressive Multiple Sclerosis (PPMS) based on clinical evaluation and diagnostic criteria (e.g., McDonald Criteria).
- Evidence of steady neurological decline (in mobility, coordination, or cognitive function) from symptom onset.
- Presence of significant disability impacting daily activities, work, or quality of life.
- Active disease progression as shown by new or enlarging lesions on MRI scans.
- Need for initiation or adjustment of disease-modifying therapy or symptom management strategies.
How to prepare
- Comprehensive neurological examination and review of full medical history.
- Completion of diagnostic tests: Brain and/or spinal cord MRI with contrast.
- Possible lumbar puncture (spinal tap) for cerebrospinal fluid analysis.
- Blood tests to assess overall health and rule out other conditions.
- Discussion of treatment goals, potential therapies (like infusion drugs), and a detailed management plan with the neurologist.
Risks & possible complications
- Side effects from disease-modifying therapies, including infusion reactions, increased risk of infections, or potential liver issues.
- Limited efficacy; treatments aim to slow progression but do not stop or reverse existing damage.
- Progression of disability despite treatment.
- Complications from symptoms, such as falls due to mobility issues, urinary tract infections, or pressure sores.
- Psychological impacts, including depression and anxiety related to chronic illness.
Recovery & hospital stay
- PPMS management is continuous, not a procedure with a finite recovery period.
- After initiating a new therapy (e.g., an infusion), monitoring for side effects for 24-48 hours is typical.
- Regular follow-up appointments with the neurologist (every 3-6 months) to assess progression and adjust treatment.
- Ongoing engagement with physical therapy, occupational therapy, and speech therapy as needed.
- Lifestyle modifications, including energy conservation techniques, a balanced diet, and stress management, are integral to long-term care.
-
Typical hospital stay: 0-1 days (for initial diagnostic workup or therapy infusions)
-
Expected recovery time: Ongoing/Lifelong management
Frequently Asked Questions
If you are considering primary progressive multiple sclerosis in India, these questions and answers can help you make a confident, informed decision.
Popular choices for primary progressive multiple sclerosis in India include KMC Hospital Mangalore, Manipal Hospital Gurgaon, Manipal Hospital Jayanagar, Manipal Hospital Kharadi, Manipal Hospital Malleshwaram, 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 primary progressive multiple sclerosis. MediFyr helps you compare neurologists 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 primary progressive multiple sclerosis compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 50 Thousand – 300 Thousand | 0-1 days (for initial diagnostic workup or therapy infusions) | ~ Ongoing/Lifelong management | Know More |
| Turkey | TRY 175 Thousand – 1.05 Million | 0-1 days (for initial diagnostic workup or therapy infusions) | ~ Ongoing/Lifelong management | Know More |
Top hospitals for Primary Progressive Multiple Sclerosis in India
These partner hospitals in India have dedicated neurology teams and experience managing patients undergoing primary progressive multiple sclerosis.
Diya Ali, a 42-year-old high school...
Diya Ali, a 42-year-old high school biology teacher and mother of two, first noticed a persistent 'heavy' feeling in her right leg two years ago. Over the next 18 months, this progressed to a noticeable limp, foot drop, and occasional loss of balance. As a teacher who was constantly on her feet, this was devastating. She saw her primary care doctor and then a neurologist, who, after ruling out other conditions with MRIs and a lumbar puncture, diagnosed her with Primary Progressive Multiple Sclerosis (PPMS). The neurologist recommended starting Ocrelizumab, an approved disease-modifying therapy for PPMS, explaining it could help slow the progression of disability. Diya underwent her first two infusions, two weeks apart, at an infusion center. She experienced mild fatigue and a slight headache afterward but no serious reactions. In the six months since starting treatment, her walking speed and endurance have stabilized; she hasn't gotten significantly worse, which her doctor considers a positive outcome. Emotionally, the diagnosis plunged Diya into grief and fear for her future career and ability to be active with her children. After starting treatment and seeing stabilization, she feels a fragile but growing sense of hope. She has joined a support group and is learning to adapt, focusing on what she can still do rather than what she has lost.
Neurologists for Primary Progressive Multiple Sclerosis
Explore experienced neurologists who regularly perform primary progressive multiple sclerosis and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurologist
Miot Hospital Chennai, Chennai
- 46 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 19 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 26 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 8 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 9 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 5 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 3 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 32 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 11 Years Experience
- Neurologist
Manipal Hospital Gurgaon, Gurgaon
- 7 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Neurologist
Manipal Hospital Ghaziabad, Ghaziabad
- 32 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 14 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
Metro Hospital, Sector 11, Noida