Intrathecal Pump - ALGOS Multispecialty Pain Clinic

Intrathecal Pump

What is an Intrathecal Pump?

An intrathecal pump is a device implanted under the skin that delivers medication directly into the spinal fluid through a catheter. It is used to manage chronic pain by providing targeted pain relief with smaller doses of medication compared to oral medications.

Common Conditions Treated

Chronic Pain

Persistent pain conditions that have not responded well to other treatments.

Spasticity

Muscle stiffness and spasms caused by conditions like multiple sclerosis or spinal cord injury.

Cancer Pain

Pain management for cancer patients when oral medications are insufficient.

Procedure Overview

Trial Period

Before permanent implantation, a trial is conducted using a temporary catheter and pump to assess the patient’s response to the medication.

Implantation

If the trial is successful, a small pump is surgically implanted under the skin, usually in the abdomen. A catheter is placed into the intrathecal space near the spinal cord.

Medication Delivery

The pump delivers medication directly to the spinal cord, bypassing the bloodstream and reducing systemic side effects.

Programming

The pump is programmed to deliver a precise amount of medication based on the patient’s needs. Adjustments can be made externally using a handheld device.

Benefits

Effective Pain Relief: Provides targeted pain relief with smaller doses of medication.

Improved Quality of Life: Enhances pain control, allowing for increased mobility and function.

Reduced Side Effects: Minimizes systemic side effects associated with oral medications.

Long-Lasting: The pump reservoir typically needs to be refilled every few months, depending on the medication and dosage.

Risks and Side Effects

Infection at the surgical site

Bleeding or fluid leakage

Catheter or pump malfunction

Allergic reaction to medication (rare)

Nerve damage or spinal cord injury (very rare)

Recovery and Aftercare

Immediate

Patients may experience soreness at the incision site. Rest and avoid strenuous activities for the first week.

Short-Term

Follow post-operative care instructions provided by your physician. Pain relief may be noticeable within days to weeks.

Long-Term

Regular follow-up appointments to monitor the pump function and medication efficacy. Refill appointments scheduled as needed.

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