Baclofen Pump
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Frequently Asked Questions :
1. Who is a good candidate for baclofen pump surgery?
Patients with severe spasticity that doesn’t respond to oral medications may be ideal candidates. Dr. Vaishya performs an intrathecal baclofen trial to determine suitability.
The pump typically lasts 5-7 years before needing a replacement.
Aneurysm clipping surgery usually takes 3-6 hours, depending on the complexity and location of the aneurysm.
3. What are the risks of baclofen pump surgery?
As with any surgery, there are risks, such as infection, catheter malfunction, or pump-related complications. Dr. Vaishya’s expertise minimizes these risks.
About Baclofen Pump Surgery
Baclofen pump surgery is a highly specialized procedure designed to alleviate severe spasticity, often caused by neurological disorders such as multiple sclerosis, cerebral palsy, spinal cord injuries, or brain injuries. By delivering precise doses of baclofen (a muscle relaxant) directly into the spinal fluid, this treatment helps manage spasticity more effectively than oral medications.
Dr. Sandeep Vaishya is a world-renowned neurosurgeon with years of experience in baclofen pump surgeries. He has successfully treated patients from around the globe, making him one of the most trusted experts in this field.
Causes of Spasticity
Spasticity, the condition treated by a baclofen pump, is caused by damage to the brain or spinal cord, which leads to an imbalance of signals to the muscles. Common causes include:
- Multiple sclerosis (MS)
- Cerebral palsy
- Spinal cord injuries
- Traumatic brain injuries
- Stroke
- Neurological disorders
These conditions cause stiffness, involuntary muscle spasms, and pain, severely impacting mobility and quality of life.
Types of Baclofen Pump Systems
Baclofen pumps are typically categorized into two types:
- Intrathecal Baclofen Pump: A small device implanted under the skin, which delivers baclofen directly into the spinal fluid, bypassing the blood-brain barrier for faster and more effective relief.
- Programmable Pumps: These allow your doctor to adjust the dosage without surgery, ensuring your treatment evolves with your needs over time.
Both types are designed to minimize side effects associated with oral medications.
Symptoms Addressed by Baclofen Pump Surgery
Baclofen pumps are ideal for patients experiencing the following symptoms due to spasticity:
- Muscle tightness and stiffness
- Uncontrolled muscle spasms
- Pain and discomfort
- Difficulty walking or moving
- Impaired balance and coordination
Patients who do not respond well to oral medications often find relief with a baclofen pump.
Diagnosis and Candidacy for Baclofen Pump Surgery
Before recommending a baclofen pump, Dr. Sandeep Vaishya conducts a thorough evaluation, which may include:
- Clinical Evaluation: Assessing the severity of spasticity and its impact on daily activities.
- Intrathecal Baclofen Trial: A trial injection of baclofen into the spinal fluid to gauge the effectiveness of the treatment.
- Imaging Tests: MRI or CT scans to check for underlying neurological conditions.
If the trial is successful, the patient may be a good candidate for the permanent implantation of the pump.
Treatment: Baclofen Pump Surgery Procedure
Baclofen pump implantation is a minimally invasive surgical procedure that typically takes a few hours. Here’s a step-by-step breakdown:
- Anesthesia: The patient is placed under general anesthesia to ensure comfort during surgery.
- Pump Placement: A small incision is made in the abdomen to place the pump. The pump is about the size of a hockey puck and is implanted under the skin.
- Catheter Insertion: A thin catheter is then inserted and connected to the pump. The catheter is carefully threaded into the spinal canal to deliver the medication directly to the spinal fluid.
- Pump Programming: The pump is programmed to release specific doses of baclofen according to the patient’s needs.
Post-Surgery Care and Recovery
After surgery, patients will need to follow a specific post-operative care plan:
- Hospital Stay: Most patients stay in the hospital for 1-2 days to monitor for any complications.
- Wound Care: The incision sites should be kept clean and dry, and any signs of infection should be reported immediately.
- Follow-Up Appointments: Regular follow-up visits are necessary to adjust the pump settings and ensure the treatment is working as expected.
- Rehabilitation: Physical therapy may be recommended to enhance mobility and strength.
Cost and Stay for Baclofen Pump Surgery in India
India is a popular destination for medical tourism due to its world-class healthcare facilities and affordable treatment options. The cost of baclofen pump surgery in India typically ranges from USD 15,000 to USD 20,000, depending on the complexity of the case and the type of pump used.
Patients traveling from abroad can expect a hospital stay of 1-2 days, followed by a recommended stay in India of 7-10 days to ensure proper recovery and follow-up appointments.
Dr. Sandeep Vaishya’s team offers comprehensive care packages, including assistance with travel, accommodation, and post-operative support.