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Nikshay Portal Guide

Treatment of TB Outside the Lungs: Bone, Spine, Brain and More

Written from official TB programme sources Updated 16 Oct 2026 2 min read

TB outside the lungs (extrapulmonary TB) is treated with the same family of medicines as lung TB. For some sites, such as the brain and spine, treatment lasts longer.

हिंदी में सार

फेफड़ों के बाहर की टीबी (जैसे हड्डी, रीढ़, दिमाग, गाँठ, पेट) का इलाज भी इन्हीं दवाइयों से होता है। रीढ़ की टीबी में लगभग 12 महीने और दिमाग की टीबी में कम से कम 12 महीने का इलाज हो सकता है। अवधि डॉक्टर तय करते हैं।

Never stop or change TB medicines on your own

Do not stop, skip or change your TB medicines without talking to your doctor or DOTS provider, even if you feel better. Stopping early can bring TB back and can make it drug-resistant.

Contact your health facility at once if you have:

  • yellow eyes or yellow skin, or dark urine with pale stools
  • any change in your eyesight, such as blurring or trouble seeing colours
  • severe or repeated vomiting, or you cannot keep food down
  • a skin rash, itching with swelling, or blisters

Typical durations by site (overview)

SiteTypical courseSource
Lymph node (neck, gland) TBAs per NTEP guidelinesICMR workflow
Abdominal TB6 months, extended if the response is slowICMR workflow
Genitourinary TB6 months, longer in specified situationsICMR workflow
Spine TBAbout 12 monthsICMR workflow
Brain TB (meningitis)At least 12 months, with steroids for some weeksICMR workflow
Skin TBSimilar to lung TB under NTEPICMR workflow
Bone and joint TB (not spine)As per NTEP guidelines, often longerICMR workflow

Your doctor sets your course based on how you respond. This page gives no doses.

Extra care for some sites

Symptoms by site are on TB symptoms.

TB symptoms body mapTap a part of the body to see how TB can show up there.

Open the body map

More treatment guides

Frequently asked questions

How long is bone TB treatment?

Often longer than lung TB; spine TB is typically about 12 months. Your doctor decides.

Is gland TB treatment the same as lung TB?

It uses the same medicines as per NTEP guidelines. Your doctor decides the length.

Can extrapulmonary TB come back?

It can, so keep follow-up visits and finish the full course.

Medical review note. Written from official TB programme guidelines; last checked 16 October 2026. This is general information, not medical advice. For diagnosis and treatment, see a doctor at your nearest government health facility.