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 552 – USD 3,309 0-1 days (for initial diagnostic workup or therapy infusions) ~ Ongoing/Lifelong management Know More
Turkey USD 4,098 – USD 24,586 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.

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432+ Rating

Manipal Hospital Gurgaon

  • IconGurgaon, India
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2478+ Rating

Manipal Hospital Jayanagar

  • IconBangalore, India
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1610+ Rating

Manipal Hospital Varthur Road

  • IconBangalore, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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6016+ Rating

Manipal Hospital Mysore

  • IconMysore, India
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1837+ Rating

Manipal Hospital Salem

  • IconSalem, India
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847+ Rating

Manipal Hospital Sarjapur Road

  • IconBangalore, India
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180+ Rating

Manipal Hospital Vijayawada

  • Iconvijayawada, India
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2882+ Rating

Manipal Hospital Whitefield

  • IconBangalore, India
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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5990+ Rating

Manipal Hospital Rangapani

  • IconSiliguri, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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279+ Rating

Manipal Hospital Jaipur

  • IconJaipur, India
  • Icon55 Doctors
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98+ Rating

Manipal Hospital Doddaballapur

  • IconBangalore, India
  • Icon30 Doctors
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65+ Rating

Manipal Hospital Salt Lake

  • IconKolkata, India
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135+ Rating

Manipal Hospital Goa

  • IconPanaji, India
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12320+ Rating

Manipal Hospital Kanakapura Road

  • IconBangalore, India
  • Icon78 Doctors
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185+ Rating

Manipal Hospital Ranchi

  • IconRanchi, India
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872+ Rating

Manipal Hospital Millers Road

  • IconBangalore, India
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1161+ Rating

Artemis Hospital Gurgaon

  • IconGurgaon, India
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694+ Rating

Manipal Hospital Kharadi

  • IconPune, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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181+ Rating

KMC Hospital Mangalore

  • IconMangalore, India
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PATIENT REVIEW

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.

Dr. Abhinav Raina
  • 13 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Nandini Mitta
  • 8 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. Avik Mukherjee
  • 22 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated
Dr. Sumitava Samanta
  • 17 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated
Dr. Brij Lal Choudhary
  • 6 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur, Jaipur

OPD-desk synced • Updated
Dr. Sudheer Chakravarthy D
  • 17 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. Nilotpal Dutta
  • 6 Years Experience
  • Neurologist
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake, Kolkata

OPD-desk synced • Updated
Dr. Shruti Vadke
  • 20 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner, Pune

OPD-desk synced • Updated
Dr. Vivek Barun
  • 10 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated
Dr. Shivananda Pai
  • 17 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus KMC Hospital Mangalore, Mangalore

OPD-desk synced • Updated
Dr. Mahesh M
  • 30 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Puneet Dwevedi
  • 16 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated
Dr. Amrut S D
  • 13 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Goa , Panaji

OPD-desk synced • Updated
Dr. Shobha N
  • 19 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 650
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Chandrima Misra Mukherjee
  • 15 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon, Gurgaon

OPD-desk synced • Updated
Dr. Subhajit Pal
  • 15 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake, Kolkata

OPD-desk synced • Updated
Dr. Chinmay Kumbhar
  • 5 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner, Pune

OPD-desk synced • Updated
Dr. Akash J
  • 8 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. SS Nandi
  • 35 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

OPD-desk synced • Updated
Dr. Dipti Baskar
  • 8 Years Experience
  • Neurologist
Speaks: English, Hindi
Consult Charge ₹ 650
Available Tomorrow
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar, Bangalore

OPD-desk synced • Updated