The Unique Power of Intrathecal Pain Pump Therapy

Happy couple after intrathecal pain pump treatment.

Those with challenging and severe pain associated with everything from active cancers to the complications of back surgery (post-laminectomy syndrome) can finally stop hurting and start living again with intrathecal pain pump treatment.

What is an intrathecal pain pump?

This form of treatment at the offices of The Hemlock Pain Center in Macon, Milledgeville, Warner Robins, and Dublin, Georgia, involves the implantation of a small device. This “pain pump” allows for the direct delivery of powerful medication to affected areas (the spinal cord and nerves). It gets its name from the exact site where it is placed – the intrathecal space. By infusing medication into this area between the spinal cord and the surrounding protective membranes, it reaches the spinal cord and nerves to control pain and abnormal muscle contractions effectively.

What are the benefits of intrathecal pain pump therapy?

In part, by infusing the medicine directly into the affected areas, effective relief can be obtained with a significantly lower dose than conventional therapies. In fact, the dose used is less than 1% of that used to manage pain with pills or IV therapy/injections. This approach is so powerful because the systems involved with the absorption and “processing” of the medication are bypassed. By applying the medicine where it is needed the most, it is not diluted (as is the case when medication in pills or delivered intravenously travels through the GI tract and bloodstream first). Additionally, the use of such an implant may reduce the side effects commonly associated with the long-term use of prescription pills.

How does the pump work?

Pain pumps are programmed in such a way to deliver small amounts of medication directly into the CNS (central nervous system). They do so by drawing medication from a special reservoir and pumping it through a catheter into the sac around the spinal cord. The pump and reservoir are introduced to the abdomen, while the catheter is placed in the intrathecal space.

How are these parts placed?

The Hemlock Pain Center partners with some of the state’s top surgeons. During your surgery, you will be asleep, as anesthesia is administered prior to implantation. To access the spinal area, a small opening is made in the skin in the lower back. Your surgeon then inserts the catheter into the intrathecal space. The catheter will be connected to the pump by way of an “extension” catheter. The pump itself is applied to a pocket made by your surgeon located under the skin of your abdomen or back. Lastly, the pump is secured by attaching it to the layer of connective tissue that covers the abdominal muscles (fascia), and the two incisions (in the spinal area and abdomen) are closed and bandaged.

Couple feeling relief after receiving intrathecal pain pump.
Doctor consultation about intrathecal pain pump.

What medication do you use?

Medications vary depending on your needs. They may include numbing agents (anesthetics), pain meds (opioids), and drugs like baclofen to treat painful muscle contractions. Your surgeon will program the pump to deliver the medication you need at a measured dose, which is programmed to release into the intrathecal space at specific times. The medicine doesn’t last forever; when the reservoir is empty, it can be refilled using a needle.

Our board-certified anesthesiologists and pain medicine specialists, Drs. Stephen N. Tafor and Sandeep Datta will empower you with information on living with your new pump – and living without all that pain! No challenge is too great for us, and it is particularly rewarding to help our patients regain their rich and meaningful lives.

To speak with a patient care coordinator today, contact us at Macon (478) 475-2385, Warner Robins (478) 997-6444, Dublin (478) 800-3745, or Milledgeville, GA (478) 280-4670.