Healthcare has gone global today. The rising cost of healthcare in the US has led many Americans to seek health-related services in other countries. There are sellers all around the globe selling health care packaged in attractive and appealing packages on the Internet. And people are shopping for health on the Internet just like they shop for products. In such a market, it becomes all the more important that you go through the medical tourism consumer guide before setting out for your medical travel trip.

Here is a quick consumer guide for your reference when buying medical tourism services.

Can medical tourism solve your problem?
Firstly, find out the problems that you want medical tourism to solve. For most people it’s either the high price that their local hospital is asking for because of lack of insurance or the long wait for surgery. You might have another problem but will medical tourism help you solve that? Find out if medical tourism is right for you by reading facts and frequently asked questions about it.

What are your expectations with the medical procedure you are seeking?
Is the procedure that you are seeking elective or medically indicated? Find out all you can about the medical procedure in question. This will help you answer a few questions: is the treatment right for your condition; are you the right candidate for this treatment; should you obtain this treatment abroad; what physical therapy and follow-up care you will need; do you need the procedure urgently or can it wait, or in other words, when is the right time to obtain care; how much time will you need to take off from work (which will include not only the time that you are overseas for surgery but also recovery time upon your return); and so on.

What all countries are out there where you can obtain treatment?
Check out the various international destinations that offer the treatment that you require. Some countries are known for offering good orthopedic treatments, some for their cardiac surgery, some for cosmetic treatments and others for their dental works. Travel and lodging costs add to your final bill so consider those costs not only when calculating the expected savings but also when choosing the international destination for your treatment.

How do you sniff the good provider from the bad?
The Internet has given anybody and everybody the liberty to sell their service making it all too easy for the consumer to land into a wrong place. When studying about a particular hospital or clinic don’t fall for slick websites offering services on sale. That, of course, doesn’t mean that slick websites offering healthcare services on sale are not genuine. The point is that you should do your proper research about the hospital or the clinic you are considering. Ask people around who have used their services in the past. Read their customer testimonials. Inquire about their doctors’ certifications, qualifications, training and experience. Call them up and find out what equipment and technology they use. All these will give you a fair idea of the quality of the healthcare provider. Ask for quotes from different providers and compare them. As you will notice, costs vary from country to country and from provider to provider. You shouldn’t automatically select the one that offers the lowest price but should base your decision on the quality of care offered.

Are your medical records in place?
Get all your medical records in order. At the time of pre-consultation, your foreign doctor may ask for your digitized medical records so he may evaluate your condition and prescribe a treatment course.

Do you have your passport and visa yet?
Next, acquire your passport if you don’t have it yet. Any companions traveling with you will also need to acquire theirs. Depending upon the destination you are heading to, you may require entry visa and therefore need to apply for that as well for both you and any companions.

Booking your transportation and accommodation
Book your tickets and hotel rooms in advance. After your surgery you can choose to recuperate in a hotel or a resort setting or go traveling in the foreign country if allowed by your doctor. But travel or tourism should always take a back seat on your medical trip abroad.

Taking proper follow-up care
Finally, remember that your treatment doesn’t finish with your surgery. How you follow the aftercare rituals as important as your surgery. If needed, prepare your home for recovery prior to leaving for surgery, like rearranging furniture. Also, in case you have even limited insurance coverage, find out if your insurer will reimburse you and how much they will reimburse. Even a small amount may help.

The above medical tourism consumer guide will help you make good decisions when purchasing overseas medical care. To ease your job you may want to use a medical tourism service provider to help you research, plan, arrange, schedule and book your medical travel trip. Medical tourism providers like Healthbase connect you with the hospital of your choice and provide you with many other related services while saving you valuable time, resources and money.

You can learn more about medical tourism, international healthcare providers, and the details of the medical tourism process by logging on to http://www.healthbase.com. Healthbase is a medical tourism facilitator committed to providing low cost high quality medical travel services to the global medical consumer.

The author works for Healthbase which is a medical tourism facilitator connecting patients to leading hospitals around the world for low cost high quality surgical care in various categories including bariatric, orthopedic, cardiac, spinal, dental, cosmetic, laparoscopic, etc. To learn more, call 1-888-691-4584, email info.hb@healthbase.com, or visit http://www.healthbase.com.hbase.com.

Surgery abroad or medical tourism as the concept is more commonly known has become quite popular recently. It is not limited to cheap dental surgery in Mexico or inexpensive cosmetic surgery in Costa Rica or Panama any more. People are traveling halfway around the world for all sorts of procedures and those include orthopedic surgeries, fertility treatments, and even critical operations like organ transplantation, cancer treatment and cardiac surgeries.

But, is surgery abroad for everyone?

Obviously, overseas surgery is not an option if you are being rushed to the hospital in an ambulance at the time you need the surgery. This is common sense. However, there are many other occasions when you can benefit from obtaining treatment overseas for non-emergency conditions. But, to be able to seek treatment abroad, you should at least be fit enough to travel to your destination by plane or train or whichever mode of transportation you are using.

You can benefit from medical tourism if:

1. You do not have insurance. Unsurprisingly, a large number of medical travelers fall into this category. Not having health insurance can mean prohibitive prices charged by the hospital. It’s no secret that in the US, uninsured or self-pay patients are charged two to three times more for hospital care than those covered by health insurance. As reprehensible a practice as it may be, the patient is the one who has to take the blow. According to one Harvard study, half of personal bankruptcies in the United States are related to medical expenses. Filing for bankruptcy is not a solution, flying for medical tourism is. Medical tourism can save you 50% to 90% of the typical price your US hospital charges.

2. You have limited insurance. Limited insurance could mean high deductibles, high co-payments or high out-of-pocket expenses. Or it may mean that the medical care you need is not covered under your catastrophic insurance plan. In many ways, being underinsured is no better than being uninsured except that you are still paying your monthly insurance premium for either very little or nothing in return.

3. The treatment you are seeking is elective. Most health insurance plans out there do not cover elective surgeries. So even if you have insurance coverage and you know the procedure you need is not elective, it is very easy for your insurer to prove otherwise so they do not have to reimburse you if you went ahead and sought the treatment anyway. This is especially true in the case of many cosmetic and dental procedures.

4. The treatment you are seeking is not available in your country. For example, until some time ago, Birmingham Hip Resurfacing surgery (BHR) was not available in the United States. It was approved by the FDA only recently. So many patients from the US would go to India for the procedure. Patients still prefer to have this surgery in India as the surgeons there are much more experienced in performing BHR than the surgeons in the US and the cost is a lot cheaper there compared to the US.

5. There is a long wait for the treatment you are seeking. This can lead to deterioration in your condition and your quality of life. According to Jill Misangyi, a Canadian who went to India for her spinal decompression surgery to cure her 16-year old back pain, “Under the medicare system in Canada, waiting lists just to see specialists are 6 months to a couple of years, and another couple of years before or if they will do the surgery on you.” Medical tourism is the answer to the problems of many such patients who have spent a lifetime waiting for their turn and are still in the queue.

Once you have established your candidacy for medical tourism you should do a thorough research and planning before setting out on your medical trip abroad.

You can learn more about the growing trend of medical tourism, international healthcare facilities and surgeons and the details of the medical tourism process by logging on to the Healthbase website. Healthbase is a medical tourism facilitator committed to providing low-cost high quality medical travel services to the global medical consumer.

About the Author: The author works for Healthbase which is a medical tourism facilitator connecting patients to leading hospitals around the world for low cost high quality surgical care in various categories including bariatric, orthopedic, cardiac, spinal, dental, cosmetic, laparoscopic, etc. To learn more, call 1-888-691-4584, email info.hb@healthbase.com, or visit http://www.healthbase.com

Injuries are an inevitable part of playing any sport, be it tennis, squash, football, baseball, hockey, cycling, golf or any other. Just like defeats don't stop an athlete from moving on, physical injuries should not prevent you from playing sports because there almost always is a way to treat the injury and even major injuries can now be treated affordably through medical tourism.

TYPES OF INJURIES

Sports injuries may range from bruises and muscle strains, to fractures and head injuries. The most common sports injuries are:

Ligament sprains and muscle strains

Swollen muscles

Knee injuries (torn meniscus, runner's knee or patellofemoral pain syndrome, jumper's knee, articular surface problems, problems with the kneecap)

Knee ligament injuries (torn anterior cruciate ligament (ACL), torn posterior cruciate ligament (PCL), torn medial collateral ligament (MCL))

Shoulder injuries (rotator cuff tears, glenoid labrum tear)

Tendon injuries (Achilles tendon injuries, DeQuervain's syndrome or washerwoman's sprain or mother's wrist)

Pain along the shin bone (shin splints)

Bone fractures (scaphoid fracture, hip fracture)

Dislocations (shoulders, fingers, knees, wrists, elbows)

Spine injuries (herniated disk, sciatica, lumbar spinal stenosis)

TREATMENT OPTIONS

To accelerate the overall healing process it's important that the initial phase (inflammatory phase) of the injury be minimized with the initial treatments. Treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) regime to relieve pain, reduce swelling and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation and sometimes surgery.

SURGICAL TREATMENT OF INJURIES

Surgery is recommended when the more conservative methods of healing and physical therapy have failed to relieve pain and restore normal function. Based on the site and extent of injury and evaluation by your doctor, the surgical approach used could be traditional or laparoscopic (keyhole).

The most common surgeries to treat sports-related injuries are:

Knee replacement (total or partial)

ACL repair or reconstruction

Meniscectomy

Arthroscopic surgery (knee arthroscopy, shoulder arthroscopy, spinal arthroscopy, wrist arthroscopy, ankle arthroscopy, hip arthroscopy)

Tendon repair surgery

Laminectomy or laminotomy

Discectomy or microdiscectomy

Bone fracture repair surgery

Hip replacement

Hip hemiarthroplasty

Birmingham hip resurfacing

Spinal decompression surgery

MEDICAL TOURISM AND SURGERY

If you are insured, your insurance may cover the cost of surgery. But if you have to pay for the surgery out of pocket it may cost you a fortune to have the surgery in the US. Therefore, Americans are increasingly shopping for surgical care in other countries - medical tourism - where the cost of surgery is much less while at the same time the quality offered is superior to what is available in the US.

When William Nilsson, an uninsured American, sustained knee injuries while playing football and tore his knee ligaments while playing golf, he resorted to an Indian hospital to get a total knee replacement surgery so he could return to his sports hobbies. Assisted by Healthbase, a medical tourism facilitator based in Boston, he managed to have his surgery for $6,500. The same surgery in the US would have cost him between $30,000 and $40,000.

Similarly, Daniel Biggs broke a tendon in his hand when playing golf. He had his tendon repair surgery coordinated by Healthbase in Panama for which he paid $5,500 - a price that was a mere 20% of what he was quoted in the United States.

These are just two examples of the hundreds and thousands of people traveling overseas to seek affordable health care for sports-related injuries as well as non-sports related conditions. Countries such as Mexico, Panama, Costa Rica and India are popular medical tourism destinations for such treatments.

Price differential is the leading factor for the popularity of medical tourism. Other benefits of using medical tourism are access to high quality and immediate care. You may find more information about affordable medical tourism on the Healthbase website.

The author works for Healthbase (www.healthbase.com), a medical tourism facilitator that connects patients to high quality surgical and non-surgical healthcare and dental care abroad for a fraction of cost in the US, Canada and UK.

Back pains are as common as headaches. Most back pains disappear on their own with some rest and / or medication. Some may stay longer but can still be managed with conventional treatments of medication, therapy and back building exercises. But, there are a few types of back pain that are so chronic that they render the person disabled. Such chronic conditions necessitate surgery so as to improve the person’s condition.

There are different reasons that cause backaches. In this article we take a look into conditions caused by compression of the structures that form the spinal column, and the surgical solutions to these spine problems .

Conditions associated with spinal compression are: disc herniation, sciatica, spinal stenosis and spondylolisthesis. To relieve pressure on one or many pinched nerves of the spinal column caused by the compression, spinal decompression surgery in its different forms - discectomy, laminectomy and foraminotomy - is employed. Let us start with a description of each of these conditions followed by an understanding of the surgical options.

CONDITIONS

Disc herniation: Discs or disks are pads of cartilage between two adjacent vertebrae (i.e. spinal bones) that separate the vertebrae and provide cushioning to them. When the disc herniates (moves out of place), the soft gel inside pushes through the wall of the disc putting pressure on the spinal cord and nerves that are coming out of the spinal column thereby resulting in a severely painful condition. Disc herniation can occur in any disc in the spine - cervical (neck), thoracic (upper back) or lumbar (lower back) region. Disc herniations occur especially in jobs that require lifting, but can also occur from jobs that require constant sitting.

Sciatica: Sciatica refers to pain, weakness, numbness, or tingling in the leg caused by injury to or compression of the sciatic nerve located in the back of the leg. Sciatica is a symptom of another medical problem, not a medical condition on its own. The sciatic nerve controls the muscles of the back of the knee and lower leg and provides sensation to the back of the thigh, part of the lower leg and the sole of the foot. Sciatica may be caused by degenerative disc disease (DDD), pelvic injury or fracture, piriformis syndrome (a pain disorder involving the narrow piriformis muscle in the buttocks), slipped disk, spinal stenosis, tumors, etc.

Spinal stenosis: Affecting mainly middle-aged or elderly people, spinal stenosis is a narrowing of the spinal canal in the lumbar (lower back) or cervical (neck) region that results in compression of the nerve roots. It may be caused by osteoarthritis or Paget’s disease or by an injury that causes pressure on the nerve roots or the spinal cord itself.

Spondylolisthesis: Spondylolisthesis is a condition in which a vertebra in the lower back slips forward and onto a vertebra below it. The slip usually occurs between the fourth and fifth lumbar vertebrae. In adults, it is most commonly caused by a degenerative disease such as osteoarthritis. Other causes are stress fractures (caused during gymnastics), traumatic fractures, and bone diseases.

TREATMENT OPTIONS

Depending upon the underlying reason behind the above conditions, surgical decompression might be used to help relieve the pain. Surgical spinal decompression can take the form of a diskectomy, a laminectomy, or a foraminotomy.

Spinal discectomy: Diskectomy or discectomy is the removal of all or part of the affected disc. Spinal discectomy can be done in a few different ways:

Microdiscectomy or microdiskectomy: This is a minimally invasive way of carrying out the discectomy procedure so that the bones, joints, ligaments or muscles of your spine are not touched resulting in faster healing and recovery.

Lumbar diskectomy: Lumbar discectomy, as the name implies, is performed to address conditions of the lumbar spine or lower part of the back. It may also be part of a larger surgery that also includes a laminectomy, foraminotomy, or spinal fusion (fusing the vertebrae together to stop motion at the painful joint).

Cervical diskectomy: Cervical discectomy is performed to treat conditions of the cervical spine or the neck region of the spine. It is most often done with laminectomy, foraminotomy, or fusion.

Spinal laminectomy: A laminectomy is the removal of a small portion of the arch of the vertebra to increase the size of the spinal canal to alleviate the pressure on the spinal cord and the pinched nerve. Laminectomy is most commonly performed to treat spinal stenosis. It is usually done along with a diskectomy, foraminotomy, and spinal fusion. Laminectomy can be done either using the conventional open method or using the minimally invasive method.

Spinal foraminotomy: A foraminotomy is the removal of bone and other tissue to expand the openings for the nerve roots to exit the spinal cord. Foraminotomy, which be performed on any level (region) of the spine, takes pressure off of a nerve in the spinal column and allows it to move more easily. The procedure is commonly performed as a minimally invasive procedure.

Spinal decompression surgery is successful in relieving pressure and pain in 80% to 90% of patients. When your back pain is getting the better of you, a decompression surgery can greatly help improve your quality of life.

As for Jill Misangyi, she feels her life after surgery has taken a total turn around for the good. She is off all pain medication and is back exercising building muscle. Her 16 years of painful prolonged waiting for surgery at an NHS hospital in Canada are wasted but she considers herself lucky to have found out about Healthbase and affordable medical tourism in India. She now has a second chance at life.

The author works for Healthbase (www.healthbase.com), a medical tourism facilitator that connects patients to high quality healthcare in USA and abroad for a fraction of the typical cost of care in US, Canada and UK.

But, this convenience comes with its share of baggage. Problems of the back are all too common, sometimes resulting from your lifestyle habits, sometimes caused by illnesses and injuries, and at other times due to other reasons. Treatment options for back pain range from conventional methods to surgical means. Read more about treatment options at Healthbase.

Anatomy of the spine

Your back and neck contain the spinal column or vertebral column which is made up of 33 individual bones called vertebrae and runs down from your skull to your pelvis. Between the vertebrae are circular pads of cartilage (connective tissue) called discs that are responsible for cushioning the vertebrae when you jump or run.

The spinal column can be divided into four regions (from top to bottom):

The 7 vertebrae at the top constitute the neck region or cervical spine

The next 12 vertebrae make the upper back or the thoracic region

The next 5 vertebrae are the lower back or lumbar vertebrae

The last group of bones at the base of the spine are fused together into what is known as the sacrum and coccyx

The lumbar region (low back) is where most of the pain is felt as it supports the weight of the upper body.

Types of back pain

When you have a backache, the pain may originate from the muscles, nerves, bones, vertebral joints, discs or other structures in the spine or the spinal column.

Most back pains are temporary and can be managed with rest and / or medication. Your physician may also prescribe therapy and regular back exercises to keep the pain at bay and your back in shape. However, there are some cases of back pain that are severe or chronic and require surgical invervention.

Spinal osteoarthritis

One cause of such a chronic long-term back pain is spinal arthritis or osteoarthritis of the spine. It is the mechanical breakdown of the cartilage between the vertebral joints in the back portion of the spine leading to mechanically induced pain.

In spinal osteoarthritis, the joints become inflamed and pain may be felt when performing even the simplest of activities like standing, sitting or walking. Over time, bone spurs i.e. small irregular growths on the bone, also called osteophytes, typically form on the vertebral joints and around the spinal vertebrae which may become so large as to cause irritation or entrapment of nerves passing through spinal structures and result in spinal stenosis (diminished room for the nerves to pass).

Classification of spinal osteoarthritis

When stiffness and pain are in the lower spine (lumbar spine) and sacroiliac joint (between the spine and the pelvis), it is classified as lower back osteoarthritis or lumbosacral arthritis. When the stiffness and pain are in the upper spine, neck, shoulders, arms and head, it is classified as neck (cervical spine) osteoarthritis or cervical spondylosis.

Causes of spinal osteoarthritis

The most common causes of spinal osteoarthritis are repetitive trauma to the spine from repetitive strains caused by accidents, surgery, sports injuries and poor posture. Other risk factors include aging, gender (more common in post-menopausal women), excess body weight, genetics, and associated diseases (like infections, diabetes, rheumatoid arthritis, etc.).

Spine fusion surgery

For spinal arthritis, the only effective surgical treatment is spine fusion surgery which stops motion at the painful joint. In fusion, one or more of the vertebrae of the spine are united (fused together) using bone grafts so that motion no longer occurs between them.

Spinal fusion surgery is used to treat:

a fractured (broken) vertebra e.g. spondylolisthesis

deformity e.g. scoliosis or kyphosis (spinal curves or slippages)

pain from painful motion

instability

some cervical disc herniations (fusion together with discectomy)

weak or unstable spine caused by infections or tumors

If you need a spine fusion surgery and are uninsured, check out the medical tourism option that enables you to receive top quality surgery at a substantially discounted price.

About the author: The author works for Healthbase (www.healthbase.com), a medical tourism facilitator that connects patients to high quality healthcare in USA and abroad for a fraction of the typical cost of care in US, Canada and UK.