Intrathecal pain pump insertion is a procedure to help with pain management. A small pump will be inserted in your body. The pump will be able to deliver pain medicine to the area around your spinal cord.
Reasons for Procedure
This pain management technique is often only used if noninvasive pain management has failed or has negative side effects.
An intrathecal pain pump can be used to manage long term pain problems caused by:
(ECG, EKG)—a test that records the heart’s activity by measuring electrical currents through the heart muscle
Chest x-ray—a test that uses radiation to take a picture of structures inside the body
Before the surgery, you will undergo a trial to see if the pump will actually decrease your pain. Pain medicine will be injected into the area around your spine one or more times. In some test trials, a catheter may be placed in the area around your spine. The catheter is then connected to an external pump. The proper placement of the catheter and ideal dose of medicine for you will also be found in the trial period.
To place the catheter, a small incision will be made in your back. A small tube (called a spinal catheter) will be placed near your spinal cord. It will be secured with sutures. Your doctor will use an x-ray machine to help guide the catheter. The catheter will travel under your skin from your spine, around your torso, and into the abdomen. The doctor will make a pocket under the skin of your abdomen. The pump will be placed into this pocket.
Once the device is in place, you will be awakened. The pump will be tested. The incisions in your back and abdomen will be closed with sutures or staples. The area will be covered with bandages.
After the procedure, you will be taken to a recovery area. Your blood pressure, heart rate, and breathing will be monitored, as well as any potential side effects, like:
You will be under anesthesia for the procedure, so you should not feel pain. You will experience some pain after the surgery, but it will be managed with medicines.
After returning home, you should do the following:
Avoid bending, twisting, stretching, lifting objects over five pounds, raising your arms above your head, sleeping on your stomach, climbing a lot of stairs, or sitting for long periods of time for 6-8 weeks.
Avoid driving for 2-4 weeks after surgery.
Do not do housework or yard work or resume sexual activity until you have had your follow-up appointment with your doctor.
Gradually return to your normal activities.
Walk short distances at first, and after 2 weeks, gradually increase to 1-2 miles daily.
Be sure to follow your doctor's
You will need to carry an Implanted Device identification card, since the pump will set off metal detectors (eg, at airport security gates). The battery in your pump will need to be replaced every 5-7 years. You will need to go for regular visits to your doctor to have the pump reservoir refilled with medicine at regular intervals.
Call Your Doctor
After arriving home, contact your doctor if any of the following occurs:
Redness, swelling, pain, or discharge around an incision site
Uncontrolled pain or pain that is progressively getting worse
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a