About Surgery for Spasticity
Key Highlights
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Significantly reduces painful muscle stiffness and involuntary spasms.Improves range of motion and functional mobility for daily activities.Can enhance posture, gait, and overall independence.Reduces the need for high doses of oral anti-spasticity medications and their side effects.Offers a long-term solution for managing severe, treatment-resistant spasticity.Facilitates easier personal care and physiotherapy./ul
Who is this surgery for?
- Severe spasticity not adequately controlled by oral medications (e.g., baclofen, tizanidine) or botulinum toxin injections.
- Spasticity causing significant pain, contractures, or joint deformities.
- Impaired mobility, walking (gait), or ability to perform self-care tasks.
- Spasticity that interferes with hygiene, seating, or sleep.
- Underlying conditions such as cerebral palsy, multiple sclerosis, spinal cord injury, traumatic brain injury, or stroke.
- Goal to improve function for rehabilitation or to simplify caregiving.
How to prepare
- Comprehensive neurological and physical assessment by a multidisciplinary team (neurosurgeon, neurologist, physiatrist).
- Detailed imaging studies like MRI of the brain or spine to identify the cause and plan surgery.
- Pre-operative blood tests, ECG, and chest X-ray to ensure fitness for anesthesia.
- Discussion of surgical goals, expected outcomes, and potential risks with the surgeon.
- Adjustment or tapering of current anti-spasticity medications as advised.
- Fasting for 8-12 hours before the procedure as per anesthesia guidelines.
Risks & possible complications
- General surgical risks: Infection, bleeding, or adverse reaction to anesthesia.
- Nerve-related risks: Temporary or permanent numbness, weakness, or loss of sensation.
- Potential for under-correction (residual spasticity) or over-correction (excessive weakness).
- CSF leak or meningitis (especially with intrathecal procedures).
- Hardware-related issues like pump malfunction, catheter blockage, or infection (for baclofen pumps).
- Chronic pain or changes in bladder/bowel function (rare).
Recovery & hospital stay
- Initial hospital stay for monitoring pain, neurological status, and wound healing.
- Early mobilization with assistance from physiotherapists to regain strength and movement.
- Pain management with prescribed medications.
- For pump implants: Education on pump refills and programming schedules.
- Intensive, ongoing physical and occupational therapy is crucial for maximizing functional gains.
- Follow-up appointments to monitor progress, adjust therapy, and manage any complications.
- Gradual return to daily activities as tolerated, avoiding strenuous exertion initially.
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Typical hospital stay: 3-7 days
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Expected recovery time: 6 weeks to 6 months (for full functional benefits)
Frequently Asked Questions
If you are considering surgery for spasticity in India, these questions and answers can help you make a confident, informed decision.
Popular choices for surgery for spasticity 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 surgery for spasticity. 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 surgery for spasticity compare across other countries where we have data.
Top hospitals for Surgery for Spasticity in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing surgery for spasticity.
Emma Reddy, a 28-year-old graphic designer,...
Emma Reddy, a 28-year-old graphic designer, had her life upended by a car accident three years ago. The traumatic brain injury she sustained left her with severe spasticity in her right arm and hand. Her once-dexterous fingers were now clenched into a tight, painful fist, making her profession impossible and simple tasks like dressing a daily struggle. Despite years of intensive physical therapy, oral medications, and Botox injections, the stiffness and painful muscle spasms only worsened, causing her shoulder to dislocate frequently. Her neurosurgeon, Dr. Chen, recommended Selective Dorsal Rhizotomy (SDR), a procedure to carefully cut the overactive nerve rootlets in her spine that were causing the spasticity. Terrified of another major surgery but desperate for change, Emma agreed. The surgery was long and precise. The initial days of recovery in the hospital were challenging, with significant pain and weakness in her limb. However, within weeks, the relentless tightness was gone. With dedicated post-op rehabilitation, she slowly regained voluntary movement. A year later, while her hand isn't what it was, she can hold a stylus, create digital art again, and hug her niece without pain. Emotionally, she moved from a place of grief and frustration over her lost abilities to one of cautious hope and immense gratitude for the chance to reclaim parts of her identity and independence.
Neurosurgeons for Surgery for Spasticity
Explore experienced neurosurgeons who regularly perform surgery for spasticity 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