Microvascular Decompression in India

Discover what this treats so that you can choose confidently

When a sharp, electric-shock–like pain strikes the face or when involuntary spasms distort one side, daily life can feel hijacked by fear and surprise. These are hallmark signs of trigeminal neuralgia or hemifacial spasm, both caused by a tiny blood vessel pressing on a nerve inside the brain.

Microvascular decompression (MVD) is a delicate surgical procedure that gently separates the vessel from the nerve using a small pad, relieving the pressure and restoring peace to the signals that control movement and sensation. It aims not to numb or damage the nerve, but to treat the underlying cause—the compression itself.

How the procedure works in simple steps

• Diagnosis and preparation – MRI/MRA confirms nerve compression by a blood vessel.
• Anesthesia and incision – Under general anesthesia, a small opening is made behind the ear.
• Decompression – With the operating microscope, the vessel is gently moved away and a soft Teflon pad is placed between vessel and nerve.
• Closure and recovery – The opening is sealed; 1–2 days of intensive observation precede gradual mobilization.

Imagine the nerve as a busy train line and the blood vessel as a passenger leaning too close. The surgeon simply gives each some breathing space—so signals travel smoothly again.

Who should consider this and when to wait

You may be a candidate for MVD if:

• Trigeminal neuralgia or hemifacial spasm is confirmed by imaging
• Pain or spasms are not controlled by medications (e.g., carbamazepine)
• No major medical conditions markedly increasing surgical risk

Doctors often advise waiting or alternatives if there is multiple sclerosis, severe cardiovascular disease, or bleeding disorders, as these can alter outcomes and recovery.

Benefits and risks that you should understand

Cost overview without surprises

Final estimates depend on diagnostic complexity, implant use, surgeon experience, room class, and rehabilitation needs.

Recovery timeline so that planning feels easier

• Days 1–2: Rest, pain control, early mobilization
• Days 3–5: Drain removal (if used), imaging review
• Weeks 2–4: Light activity at home
• Weeks 4–6: Return to work (desk) as cleared

Avoid heavy lifting or sudden jerks in the first weeks and follow wound-care instructions closely.

Your journey step by step from first call to follow up

• Share MRI/MRA and clinical history for pre-review
• Receive a written surgical plan with expected stay and costs
• Admission, anesthesia clearance, and pre-op counseling
• Surgery, ICU observation, and daily physiotherapy/ENT checks
• Discharge education on medicines, wound care, and tele-follow-up schedule

Questions people often ask before this treatment

Is microvascular decompression a permanent cure?
Many patients have long-term relief, though rare recurrences can happen.

Is the procedure painful?
No; it’s done under general anesthesia. Mild soreness near the incision is temporary.

Will it affect hearing or balance?
Temporary dizziness can occur but usually resolves within days in experienced hands.

How long should I plan to stay in India?
Around 2–3 weeks including workup and post-operative clearance.

What if I’m older or have mild heart disease?
Risk is assessed individually; many older adults safely undergo MVD after proper evaluation.

Video testimonials from real patients

Several MVD patient stories are available as short video interviews, sharing how life changed once pain and spasms stopped controlling their days.

Medically reviewed by

References