A Pain Pump is a system that uses a small pump that is surgically placed under the skin to deliver medications through a catheter to the spinal cord.
If you are interested in a pain pump, bring it up to your provider. They will make sure we have the information needed to move forward with the pain pump trial. You might need updated imaging before we can move forward.
A psychological evaluation is required by all insurance companies prior to the pain pump trial. Your provider will place an order for you and you will be contacted by the providers office to get started. Or you can follow the link below to get started.
All pump trials will have to be approved by your insurance company. After you have completed your psychological evaluation your records will be sent to your insurance approval. It takes around 2-4 weeks to get this approval.
During the pain pump trial we use fluoroscopy, a type of x-ray, will be used to guide the needle into the epidural space. When the needle is in place, morphine will be injected. Expect to be in our office for a while after the procedure for observation.
You will be contacted by our office a few days after your trial to evaluate the outcome of the trial. Some of the benefits can include at least 50 percent reduction in pain, decrease in oral pain medication, and improved ability to function in your daily life. If you had noticeable improvement, a referral will be sent to a surgeon for the implant.
Since the referral is sent from our office, you can expect the surgeons office to contact you directly. You will schedule a preop appointment with them where they will address your situation and how to move forward from there. Your surgery date will be scheduled for a separate date than your preop appointment.
The pump is inserted under the covering of the abdominal muscles while the patient is under a general anesthetic. A small catheter is then inserted through needle into the spinal fluid space ad is threaded upward the catheter is then tunneled under the skin to the abdomen and is connected to the pump. The pump is filled with morphine and is programmed by a computer to continuously release a specific dos determined by physician.
Following your surgery, you will most likely feel discomfort at both of your incision sites for a few days. It is recommended that you restrict your activities for a while after surgery. This will allow for the scar tissue to form and anchor the catheter in place.
Your therapy will begin as soon as medication is added to your pain pump. When the pump is being placed during surgery it will be filled with saline. You will have an appointment scheduled with our office about three weeks after the implant to put your medication in the pump. You will continue to have appointments scheduled for refills every 30-45 days with our office.
This handheld dvice allows you to give yourself an extra dose of pain medication, also called a bolus, when needed within the physician set limits. With myPTM, you can track your expected refill date, review boluses, and see how much time is left before your next bolus is available. You can talk to your doctor about this device and if it firts with your therapy goals.
Your pump will not provide relief from other sources of pains, such as headaches, stomachaches or fractures.
A pain pump is designed to reduce your chronic pain by delivering pain medication to the intrathecal space, where fluid flows around the spinal cord.
The Medtronic pain pump allows full-body MRI scans under specific conditions. Your pump does not need to emptied prior to MRI exposure. It is important to know that the magnetic field of the MRI scanner will temporarily stop your pump motor and stop drug infusion until the MRI exposure is complete. Your pump should then resume its normal operation. You can have your doctor double check that your infusion rates are correct after your MRI scan.