Learn about Primary Progressive Multiple Sclerosis Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Primary Progressive Multiple Sclerosis and request assistance for cost estimates or appointments.

About Primary Progressive Multiple Sclerosis

Primary Progressive Multiple Sclerosis (PPMS) is not a single procedure but a specific form of multiple sclerosis characterized by a steady worsening of neurological function from the onset of symptoms, without distinct relapses or remissions. A neurologist manages this chronic condition through a comprehensive, lifelong treatment strategy. This involves a detailed diagnostic process including MRI scans and lumbar puncture to confirm PPMS, followed by the implementation of a personalized management plan. The core of the procedure is the ongoing administration of disease-modifying therapies (DMTs), such as ocrelizumab, which is the only FDA-approved DMT specifically for PPMS. Management also includes aggressive symptom control for issues like spasticity, fatigue, and pain, along with physical rehabilitation, occupational therapy, and lifestyle counseling to optimize quality of life and maintain function for as long as possible.

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.
  • checked Typical hospital stay: 0-1 days (for initial diagnostic workup or therapy infusions)
  • checked 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.

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 USD 544 – USD 3,263 0-1 days (for initial diagnostic workup or therapy infusions) ~ Ongoing/Lifelong management Know More
Turkey USD 4,026 – USD 24,158 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.

Manipal Hospital Gurgaon

  • IconGurgaon, India
  • Icon60 Doctors

Artemis Hospital Gurgaon

  • IconGurgaon, India
  • Icon141 Doctors

Manipal Hospital Rangapani

  • IconSiliguri, India
  • Icon13 Doctors

Manipal Hospital Goa

  • IconPanaji, India
  • Icon79 Doctors

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors

Manipal Hospital Vijayawada

  • Iconvijayawada, India
  • Icon21 Doctors

KMC Hospital Mangalore

  • IconMangalore, India
  • Icon38 Doctors

Manipal Hospital Jayanagar

  • IconBangalore, India
  • Icon57 Doctors

Manipal Hospital Ranchi

  • IconRanchi, India
  • Icon41 Doctors

Manipal Hospital Jaipur

  • IconJaipur, India
  • Icon55 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors
PATIENT REVIEW

Had my gallbladder out last week....

Had my gallbladder out last week. The surgery itself was fine, but the first two days after were rough. Dr. Madhumitha was really on top of my pain meds, adjusting them a few times until it was manageable. She checked on me every morning and evening at MGM, which helped a lot. I'm home now and the recovery is going okay, just taking it slow.

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.

Dr. Bindu Thankappan
  • 19 Years Experience
  • Neurologist
Speaks: English, Tamil, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai

OPD-desk synced • Updated
Dr. Ak Roy
  • 47 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Uday Murgod
  • 26 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Vivek Iyer
  • 14 Years Experience
  • Neurologist
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

OPD-desk synced • Updated
Dr. Rithesh R Nair
  • 14 Years Experience
  • Neurologist
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

OPD-desk synced • Updated
Dr. Laxmidhar Parhi
  • 27 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

OPD-desk synced • Updated
Dr. Pradyut Ranjan Bhuyan
  • 20 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

OPD-desk synced • Updated
Dr. Lakshmi Priya Inapakolla
  • 9 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital Vijayawada

OPD-desk synced • Updated
Dr. Aakash Agrawal
  • 10 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Bhubaneswar

OPD-desk synced • Updated
Dr. Krishnaveni Vanapala
  • 6 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital Vijayawada

OPD-desk synced • Updated
Dr. Nareddy Sandeep Reddy
  • 4 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar

OPD-desk synced • Updated
Dr. Kamlesh M Chawda
  • 33 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar

OPD-desk synced • Updated
Dr. Apurva Nagesh Sharma
  • 12 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Gurgaon

OPD-desk synced • Updated
Dr. Dr M. Lakshmi Lavanya
  • 8 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Kamineni Hospital LB Nagar

OPD-desk synced • Updated
Dr. Shishir Pandey
  • 9 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad

OPD-desk synced • Updated
Dr. Sushil Razdan
  • 42 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

OPD-desk synced • Updated
Dr. Arun Garg
  • 37 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

OPD-desk synced • Updated
Dr. Jay Dip Ray Chaudhuri
  • 33 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road

OPD-desk synced • Updated
Dr. Jyoti Sehgal
  • 24 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

OPD-desk synced • Updated
Dr. Saurabh Mehrotra
  • 22 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Medanta Hospital Gurgaon

OPD-desk synced • Updated
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