5/30/2023 0 Comments Just spine![]() Failed back surgery syndrome: failure of one or more surgeries to control persistent leg pain (sciatica), but not technical failure of the original procedure.You have had positive response with a trial dose of medicationĪ pump can help lessen chronic pain caused by:.You are not allergic to any of the drugs used in the pump.You have no medical conditions that would keep you from undergoing implantation.You would not benefit from additional surgery.You may be a candidate for intrathecal drug delivery if you meet the following criteria: ![]() This therapy is completely reversible if you should ever decide to have the pump removed. When the reservoir is empty, the doctor or nurse refills the pump by inserting a needle through your skin and into the fill port on top of the reservoir. The pump stores the information about your prescription in its memory, and your doctor can easily review this information with the programmer. It can also be programmed to release different amounts of medication at different times of the day, depending on your changing needs. The pump is programmed to slowly release medication over a period of time. The intrathecal pump system consists of a pump/reservoir implanted between the muscle and skin of your abdomen and a catheter that carries pain medication (blue area) from the pump to the spinal cord and nerves. A space inside the pump called the reservoir holds the medication.įigure 1. A small plastic tube, called a catheter, is surgically placed in the intrathecal space of the spine and is connected to the pump (Fig. The pump is a round metal device about the size of a hockey puck that is surgically implanted beneath the skin of your abdomen. In fact, you generally need about 1/300 the amount of medication (morphine or baclofen) with a pump than when taken orally. An intrathecal drug pump works more efficiently than oral medication because it delivers medicine directly into the CSF, bypassing the path that oral medication takes through your body. Cerebrospinal fluid (CSF) flows through this area, bathing and protecting your brain and spinal cord. ![]() The fluid filled space around your spinal cord is called the subarachnoid or intrathecal space. Thus reducing the side effects of medication. Because the drug is delivered directly to the pain area, your symptoms can be controlled with a much smaller dose than is needed with oral medication. The pump delivers medication through a catheter to the area around your spinal cord. The system uses a small pump that is surgically placed under the skin of your abdomen. Pain Pump (intrathecal drug pump) OverviewĪ “pain pump” is a method of giving medication directly to your spinal cord. ![]()
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