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Peripheral Nerve Stimulation Cost in India

The cost of Peripheral Nerve Stimulation package in India is USD 15,000 – USD 16,000.

The peripheral Nervous System (PNS) is the portion of the nervous system that is located outside the brain and spinal cord. It is essential for both relaying data from various regions of our body back to our brain and carrying out instructions from our brain to various parts of the body.

So, one of the two major components of our body’s nervous system is called the Peripheral Nervous System (PNS).

The Peripheral Nerve System Helps other Organs

When PNS sends data from the majority of your senses to the brain it carries the messages that let the muscles contract, it also transmits signals to the brain, which it utilizes to regulate important, subconscious functions like breathing and heartbeat.

Some of those signals, to the heart and gut, are automatic. Others, like the ones that control movement, are under the individual’s control.

Your autonomic nervous system, which is a part of your peripheral nervous system, helps your brain control all of the vital organs in your body. That also helps your brain care for itself. An example of this is your brain controlling your heartbeat, which ensures your heart pumps blood to your body and brain. Without that blood flow, your brain would die in minutes.

Your peripheral nervous system also relays nerve signals from those organs to your brain. Examples include feeling the warmth inside of your stomach when you drink a hot beverage or feeling full after a meal.

Patients with the following conditions who have failed all standard medical therapies may benefit:

  • Complex regional pain syndromes (‘neuropathic pain’)
  • Nerve injuries (from trauma or previous surgery)
  • Long-standing back pain, where the cuneal nerves are targeted

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The Location of the Peripheral Nervous System

Other than the spinal cord or brain the peripheral nervous system extends everywhere in the body. It includes:

  • Cranial nerves
  • Spinal nerves: These are 31 pairs of nerves.

These nerves split into smaller nerves that go throughout the body. They ultimately end up in places such as the tips of the fingers and toes or just below the surface of the skin.

The common conditions and disorders that affect the body system or organs

Some of the most common conditions and causes of any disease or damage to the peripheral nervous system include:

  • Type 2 diabetes: is not controlled or treated and gradually harms the peripheral nervous system. Consequently, patients with diabetes run the risk of losing sensation in their lower legs and feet. Peripheral neuropathy is most frequently caused by this form of diabetes.
  • Autoimmune and inflammatory conditions. These include lupus, Guillain-Barré syndrome, rheumatoid arthritis, and more.
  • Hansen’s disease (better known as leprosy): Although this disease’s consequences are most noticeable on your skin and are uncommon in developed nations, it also harms your peripheral nerves.
  • Congenital and genetic conditions: are conditions at the time of birth. Genetic conditions inherited from one or both parents.
  • Infections: Nerve damage from these can happen because of viruses such as HIV or bacteria such as Borrelia burgdorferi, which causes Lyme disease. Another typical instance is shingles, which can result in persistent nerve pain.
  • Medications and medical procedures: Peripheral nerves can be harmed by specific antibiotics and cancer treatment drugs. Following surgery, it is also possible to experience this form of nerve damage.
  • Poisons and toxins: Toxic heavy metals like mercury or lead have a damaging impact on peripheral nerves. Many industrial chemicals can also cause this kind of damage.
  • Trauma: Injury-related nerve damage has the potential to be long-lasting or even irreversible. Peripheral nerves may become too compressed by swelling following injury. Nerve compression illnesses include sciatica and carpal tunnel syndrome.
  • Tumors: The peripheral nervous system can be disrupted by malignant tumors, understood as cancer, and benign (harmless) tumors.

Conditions that affect any aspect of the central nervous system might also have an impact on the peripheral nerves. These can nonetheless cause problems with your peripheral nervous system’s operation even though they don’t directly damage it.

Common Signs or Symptoms of Peripheral Nervous System Conditions

The symptoms of peripheral nervous system problems depend on the types of nerves affected. Damage to motor nerves affects your muscles by causing:

  • Weakness.
  • Cramps, spasms, tremors or twitches.
  • Wasting (shrinking of muscles).
  • Loss of control.

Damage to sensory nerves causes the following symptoms:

  • Little or no sense of touch in the affected area.
  • Tingling or numbness (paraesthesia)
  • Neuropathic pain.

Damage to your autonomic nerves can affect the following organs and systems:

  • Circulatory system
  • Digestive system.
  • Skin and temperature control

Peripheral nerves are an integral part of the human nervous system. The nervous system consists of:

  1. Central nervous system (brain and spinal cord)
  2. Peripheral nervous system

The peripheral nervous system is divided into two main parts:

  • Autonomic nervous system (ANS): Controls involuntary bodily functions and regulates glands.
  • Somatic nervous system (SNS): Controls muscle movement and relays information from ears, eyes and skin to the central nervous system.

Three types of peripheral nerves can be found within the two main areas of the peripheral nervous system:

  • Sensory: Connects the brain and spinal cord to your skin and allows you to feel pain and other sensations.
  • Autonomic: Controls involuntary function (e.g., blood pressure, digestion, heart rate).
  • Motor: Connects the brain and spinal cord to muscles to stimulate movement.

Peripheral nerves may be impacted by conditions that affect any part of the central nervous system. Despite not directly harming the peripheral nervous system, these can nonetheless interfere with how it functions.

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Symptoms of Peripheral Nerve Disorders

Disorders of the peripheral nerves cause the brain and the rest of the body’s communication to be distorted or interrupted. This may lead to:

  • Painful cramps
  • Numbness
  • Muscle weakness (most common symptom)
  • Tingling or burning

Peripheral nerves, unlike the brain and spinal cord, can grow again after being damaged. To reconnect the peripheral nerves, however, to recover mobility and feeling, surgery is frequently necessary.

Benefits of Neuromodulation in Case of Peripheral Nerve Disorders

Technology that affects nerves directly is known as neuromodulation. It is the modification of nerve activity through the direct delivery of electrical or pharmacological substances to a specified location. It is highly efficient in case of peripheral nerve disorders.

  • Neuromodulation is a technique that involves either applying targeted pharmaceuticals in extremely small doses directly to the site of action or actively stimulating nerves to cause a biological response.
  • Electrodes are applied to the brain, spinal cord, or peripheral nerves using neurostimulation equipment. A pulse generator and power supply are connected to these carefully positioned leads through an extension cable to produce the required electrical stimulation. The generator sends a low-voltage electrical current to the nerve, which can either suppress pain signals or create neural impulses where none had previously existed.

How do Neuromodulation Devices and Treatments work?

  • Peripheral nerve stimulation (PNS), is commonly used to treat chronic pain.
  • It entails performing surgery to attach a tiny electrical device (an electrode that resembles a wire) adjacent to a peripheral nerve, powered by an internal or external battery pack.
  • These nerves are found outside the brain or spinal cord.
  • Rapid electrical pulses delivered by the electrode are perceived as light tingles (so-called paraesthesia).
  • The electrode is attached to an external device during the testing phase (trial), and if the trial is successful, a tiny generator is implanted within the patient’s body.
  • The device is configured to provide pain relief by preventing pain signals from reaching the brain.

This is done in 2 stages:

Stage 1 (Electrode Implantation)

  • The skin will be treated with an antiseptic before being brought to the surgery room. Patients will be given a local anesthetic injection and given a mild sedative; alternatively, a mild general anesthetic may be given. The nerve will be located and ready when an incision is made.
  • The necessary nerve or nerves will be implanted next to one or two electrodes (wires). These will be inserted through the skin and fixed in position. Following a brief stay in the recovery room, patients will be returned to the ward.
  • The effects of stimulation on your pain will be investigated for at least a few days using these electrodes connected to a tiny external stimulator.
  • Users will regularly be asked to rate and explain their discomfort throughout their hospitalization. This will enable the surgeons to determine if the therapy is effective or not.
  • Additionally, it allows people time to consider whether or not they are satisfied with the level of pain relief they are experiencing.

Stage 2 (Battery Insertion)

  • If the patient is satisfied with the trial’s pain reduction, we will proceed with the complete implantation a few days or a week or two later. this surgery is carried out under general anesthesia.
  • The previously implanted electrodes are attached to extension wires, which are then hooked into an implantable pulse generator. The temporary exterior wire extensions are then removed (battery). The usual location for this battery is in the chest, back, or belly, beneath the skin.
  • Over the next days and weeks, the battery will be tuned to ensure that the stimulation you experience is ideal for the patient

Some peripheral neurostimulation devices are similar in design to techniques for sacral nerve stimulation, phrenic nerve stimulation, and vagus nerve stimulation, which are all commonly used to treat epilepsy and depression, respiratory insufficiency, and depression, respectively (approved for the treatment of urinary incontinence and used for a variety of bladder conditions).

Before Peripheral Nerve Stimulation

You must tell the surgeon if you:

  • Have blood clotting or bleeding problems
  • Have you ever had blood clots in your legs (DVT or deep venous thrombosis) or lungs (pulmonary emboli)
  • Are taking aspirin, warfarin or other anticoagulant medications, or anything else (even some herbal supplements) that might thin your blood
  • Have high blood pressure
  • Have any allergies
  • Have any other health problems

Prevention

For many of the disorders that might harm the peripheral nervous system, prevention is essential. The most significant actions you can take are:

  • Eat a healthy balanced diet: The neurological system can be negatively impacted by some vitamin deficits, particularly vitamin B12 deficiency. Other vitamins, particularly vitamin B6, are poisonous and, at high doses, cause peripheral neuropathy.
  • Retain a healthy weight and keep up the physical activity: This is crucial to avoid accidents that could damage the nerves. This can help prevent or delay the formation of Type 2 diabetes, which over time harms the peripheral nerves, coupled with diet management.
  • When necessary, wear protective gear: The main cause of nerve damage is injuries. One can prevent these injuries from occurring or lessen their severity by using safety equipment while engaging in work and recreational activities.
  • Treat chronic illnesses: It’s crucial to manage a chronic condition as advised by the doctor if it has the potential to harm the peripheral nerves, particularly Type 2 diabetes. This may lessen the severity of the condition’s effects or slow down how quickly it deteriorates.

The surgery is carried out by a Precision Brain Spine and Pain Centre pain specialist or neurosurgeon. A surgical assistant is present and an experienced anesthetist will be responsible for your anesthetic or sedation.

The ultimate goal and potential benefits of surgery include pain reduction and reduced medication requirements.

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Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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