Scalenotomy Treatment in India – Best Hospitals & Doctors

Learn about Scalenotomy 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 Scalenotomy and request assistance for cost estimates or appointments.

Partner Hospitals

11 partner in India for this surgery

Specialist Doctors

10 Surgeons linked to this surgery

Treatment Cost

USD 841 – USD 2,629

About Scalenotomy

Scalenotomy is a specialized surgical procedure performed by a general surgeon to relieve compression of the neurovascular structures in the thoracic outlet. It involves the precise division or partial resection of the scalene muscles, anterior, middle, or both, in the neck. This decompression is primarily indicated for Thoracic Outlet Syndrome (TOS), where these muscles impinge on the brachial plexus nerves or the subclavian artery and vein, causing pain, numbness, weakness, and circulatory issues in the arm and hand. The procedure aims to restore normal function and alleviate chronic symptoms, often performed when conservative treatments like physical therapy have failed. It is a targeted approach to improve quality of life by addressing a key anatomical cause of nerve and vascular entrapment.

Key Highlights

Targeted relief from Thoracic Outlet Syndrome (TOS) symptoms like arm pain and numbness.Decompresses nerves (brachial plexus) and blood vessels (subclavian artery/vein).Can be performed as a standalone procedure or combined with other decompressive surgeries (e.g., first rib resection).Minimally invasive approaches (e.g., transaxillary, supraclavicular) may reduce scarring and recovery time.Aims to restore normal upper limb function and improve quality of life when conservative treatments fail.

Who is this surgery for?

Confirmed Neurogenic Thoracic Outlet Syndrome (NTOS) with compression by the scalene muscles.
Vascular Thoracic Outlet Syndrome (venous or arterial) where muscle compression is a contributing factor.
Persistent pain, paresthesia (tingling/numbness), or weakness in the shoulder, arm, or hand unresponsive to physical therapy.
Positive clinical findings (e.g., positive Adson's test, Roos test) and corroborative imaging (MRI, ultrasound) or electrodiagnostic studies.
Atrophy of hand muscles (e.g., in Gilliatt-Summer hand) in severe, long-standing cases of nerve compression.

How to prepare

Comprehensive diagnostic workup including physical exam, nerve conduction studies, and imaging (MRI, CT angiography, or ultrasound).
Complete medical history review and physical examination to assess surgical risk.
Pre-operative blood tests, ECG, and chest X-ray as required.
Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the surgeon, typically 5-7 days prior.
Fasting for 6-8 hours before the surgery (nil by mouth).
Discussion of anesthesia options (general anesthesia is standard) and signing of informed consent.

Risks & possible complications

General surgical risks: Reaction to anesthesia, bleeding, infection, or hematoma at the incision site.
Nerve injury: Potential damage to the brachial plexus, phrenic nerve (causing diaphragm paralysis), or long thoracic nerve (causing winging of the scapula).
Vascular injury: Rare risk of damage to the subclavian artery or vein, which could lead to significant bleeding or thrombosis.
Pneumothorax (collapsed lung) if the pleural cavity is inadvertently entered.
Persistent or recurrent symptoms if decompression is incomplete.
Scarring and potential for chronic pain at the surgical site.
Lymphatic injury (e.g., chyle leak) in left-sided procedures near the thoracic duct.

Recovery & hospital stay

Hospital stay is typically short, often 1-2 days for observation and initial pain management.
Arm may be placed in a sling for comfort initially, but early gentle movement is encouraged to prevent stiffness.
Pain medication and antibiotics may be prescribed to manage discomfort and prevent infection.
Incision care: Keep the surgical site clean and dry; follow instructions for dressing changes and showering.
Gradual return to activities: Avoid heavy lifting, pushing, or pulling for several weeks as directed.
Formal physical therapy is usually started within 1-2 weeks post-surgery to restore strength, flexibility, and function.
Follow-up appointments are crucial to monitor healing and assess the resolution of symptoms.

Typical hospital stay: 1-2 days
Expected recovery time: 2-4 weeks for initial recovery; 3-6 months for full functional recovery

Frequently Asked Questions

If you are considering scalenotomy in India, these questions and answers can help you make a confident, informed decision.

＋ − Which hospitals are best for scalenotomy in India?

Popular choices for scalenotomy in India include SPARSH Hospital, Infantry Road, SPARSH Hospital, Yeswanthpur, Kamineni Hospital, Tadigadapa, SS SPARSH Hospital, RR Nagar, SPARSH Hospital, Yelahanka, known for experienced specialists and advanced surgical infrastructure.

＋ − How do I choose the right doctor for scalenotomy?

Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform scalenotomy. MediFyr helps you compare general surgeons and book consultations online.

＋ − What factors affect the cost of scalenotomy?

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.

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Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for scalenotomy compare across other countries where we have data.

Country	Estimated cost range	Typical stay	Recovery time	View details
India	USD 841 – USD 2,629	1-2 days	~ 2-4 weeks for initial recovery; 3-6 months for full functional recovery	Know More
Turkey	USD 6,094 – USD 19,045	1-2 days	~ 2-4 weeks for initial recovery; 3-6 months for full functional recovery	Know More