Intrathecal Pump

What is an Intrathecal Pump?

An intrathecal pump, also known as a pain pump, is a small device, implanted with surgery, that allows direct delivery of medicine to the spinal cord and nerves. It consists of several parts, including a pump and reservoir placed in the abdomen (belly) and a catheter placed in the intrathecal space of the spinal cord.

Intrathecal Pump Trial 

Because individuals’ response to medication varies, the intrathecal pump may not work for everyone. To help you and your doctor decide, you may undergo a trial of medication infused into the intrathecal area to see if it provides relief.

What are the benefits of an Intrathecal Pump?

Intrathecal pumps can provide more effective pain relief with fewer side effects than oral medication. Chronic pain patients may see a reduction in pain as well as an overall improvement in quality of live and daily activities. 

What to expect after the procedure

An intrathecal pump is implanted surgically in two parts:

 Catheter
A small plastic tube is inserted into the intrathecal space around the spinal cord through a small incision in the middle of the back.

 Pump
The pump is implanted in the abdomen through a small incision below the waistline. An extension catheter is passed under the skin from the back to the abdomen, where it's attached to the pump.

What to expect after the procedure

After an intrathecal pump is implanted, you can expect to experience some pain and swelling at the incision sites, and you'll need to take some precautions to allow your body to heal.

You may experience some pain, soreness or swelling at the incision sites. You should restrict your activity for 6 to 8 weeks after surgery. This includes not lifting anything heavier than 10 pounds, bending over, twisting your body, or exposing your body to very hot or cold temperatures. 

Intrathecal Pum refills Every one to three months, you will return to your pain doctor to have the pump refilled with medication.
The provider will remove any remaining medicine from the pump’s reservoir with a needle and then inject new medicine into the reservoir.