Program Intrathecal Pump Implantation

What is Intrathecal Pump Implantation?

Intrathecal pump implantation is a treatment for chronic pain where a small device is surgically implanted under the skin to deliver pain-relieving medication directly into the intrathecal space around the spinal cord. This method offers targeted pain relief with much smaller doses of medication compared to oral treatments, reducing side effects like drowsiness, nausea, and constipation.

Who Can Benefit from Intrathecal Pump Implantation?

It is ideal for individuals with severe, chronic pain that hasn’t responded to other treatments. Conditions that may benefit from this therapy include:

• Cancer pain
• Failed back surgery syndrome
• Complex regional pain syndrome (CRPS)

Before implantation, a trial of intrathecal injection is typically performed to ensure that the patient would benefit from the device.

How Does Intrathecal Pump Implantation Work?

The intrathecal pump delivers medication directly to the spinal cord through a catheter, where it interacts with the pain receptors, blocking pain signals before they reach the brain. Because the medication is delivered precisely where it’s needed, much smaller doses are required, significantly reducing systemic side effects often seen with oral pain medications.

What’s the Procedure Like?

• Sedation is used to keep you comfortable.
• Pump implantation occurs under the skin, usually in the abdomen.
• Catheter is placed in the intrathecal space near the spinal cord.
• Procedure lasts about 1 hours.
• Most patients can go home the same day, with short observation.

What Are the Benefits of Intrathecal Pump Implantation?

• Targeted pain relief: Delivers medication directly to the spinal cord for more effective pain management with lower doses.
• Fewer side effects: Minimizes the systemic side effects commonly associated with oral pain medications, like drowsiness and constipation.
• Customizable treatment: The pump can be adjusted to deliver the right amount of medication based on the patient’s specific needs.
• Improved quality of life: Many patients experience significant pain relief, leading to better mobility and reduced reliance on oral medications.

What Are the Risks and Considerations?

As with any surgical procedure, there are some risks, including infection, pump malfunction, or catheter issues like displacement or blockage.

Is Intrathecal Pump Implantation Right for You?

Intrathecal pump implantation is a suitable option for patients with chronic, severe pain that hasn’t been effectively managed by oral medications or other treatments. If you’re struggling with persistent pain and are seeking a more targeted and effective solution, consult a pain management specialist to determine if this treatment could be right for you.

Compiled by;Rarinthorn Choomsai Na Ayuthaya, M.D. Interventional Pain Specialist