An intrathecal pump is a specialized device that delivers concentrated amounts of medication(s) into the spinal cord area through a small catheter (tubing). At Vyvo Spine and Pain Management, we offer this treatment option to patients who are experiencing chronic and severe pain that has not adequately responded to other treatment modalities.
Who is Eligible for the Intrathecal Pump?
The intrathecal pump is offered to patients with chronic and severe pain conditions that have not responded well to other treatments. Examples include failed back syndrome, cancer pain, and reflex sympathetic dystrophy (RSD). Patients with spastic disorders such as multiple sclerosis or spinal cord injury associated with muscle spasms can also benefit from the pump. These patients receive infusions of painkillers such as morphine or dilaudid, or antispasmodic medication like baclofen.
What is the Purpose of the Intrathecal Pump?
The main purpose of the intrathecal pump is to deliver concentrated amounts of medication directly into the spinal cord area. By doing so, it allows patients to decrease or even eliminate the need for oral medications. The pump delivers medication continuously, providing consistent pain relief and minimizing breakthrough pain and other related symptoms.
How Long Does the Procedure Take?
The intrathecal pump procedure is typically done in two stages. In the first stage, a single injection is performed to assess the effectiveness of the treatment and screen for any unwanted side effects. If the trial is successful in relieving symptoms, the permanent device is then placed under the skin. Patients must meet certain screening criteria before the pump is implanted.
Will the Procedure Cause Discomfort?
During the procedure, a needle is inserted through the skin and deeper tissues, similar to a “tetanus shot.” While there may be some discomfort involved, we ensure patient comfort by numbing the skin and deeper tissues with a local anesthetic using a very thin needle. Most patients also receive intravenous sedation and analgesia, which makes the procedure easy to tolerate.
Will I be Under Anesthesia for the Procedure?
The placement of the tubing is done under local anesthesia with mild sedation for patient comfort. The amount of sedation given depends on each patient’s tolerance. For pump placement, patients may be given stronger intravenous sedation and analgesia or general anesthesia, if their health permits.
How is the Procedure Performed?
The procedure is performed with the patient lying on their side or, in some cases, sitting up. Patients are monitored using EKG, blood pressure cuff, and blood oxygen-monitoring device. The skin is cleansed with an antiseptic solution, and an x-ray (fluoroscopy) is used to guide the needle for inserting the tubing. The tubing is inserted in the midline at the lower back, while the pump is placed on the side of the abdomen.
What Should I Expect After the Procedure?
If the procedure is successful, you may experience significant pain relief or a reduction in pain intensity. The pump can be adjusted electronicallydeliver the appropriate amount of medication for optimal pain control. Our team will closely monitor your progress and work with you to ensure the best possible outcome.
Contact Us
Ready to experience lasting relief? Contact us today!