Intrathecal pump therapy includes injections of analgesic and antispasmodic medications straight into the spinal fluid for control of pain and infection. Using Intrathecal therapy in the management of pain, physicians usually imply lower doses of analgesics to regulate pain symptoms and lower chances of side effects which are more with the higher doses of analgesic. Other benefits of the intrathecal pain pump is that it is quite easy to administer medications straight into the spinal cord which is not easy to achieve by other oral medication and pain injections.
What medications are used?
Considering the slight invasiveness of the Intrathecal pump procedure and the complication of handling patients with Intrathecal pump physicians often recommend Intrathecal pump therapy to the patients who have failed to get relief from other conventional treatments. Prior to implanting an Intrathecal Pain Pump, it is vital to perform a trial. For past few decades morphine and Baclofen were the only medications used for Intrathecal pain pump and infection control with the advancement of technology, Medical community learned to involve other Opioid and Non Opioid painkillers into the medical practice There are a variety of medications such as the local anesthesia and steroids that are proven to provide potential relief when blended with the intrathecal pain pump administration as compared to the oral medications and NSAIDs
Risks and complications
Unluckily the implication and administration of the intrathecal pumps are followed by some risks. There might be complexities linked with inserting the intrathecal catheter, the pump after being implanted, and the handling of the device involving the refills of the drugs and side effects arising from the use of local anesthesia. Hence it is equally important to be aware of the risk and side effects associated with the drugs utilized in the pain pump and the device itself in order to evaluate the risk and benefits of the therapy
Complications associated with the administration intrathecal Pump
Along with the regular risk of surgery and anesthesia at the time of administration of the pain pump and the catheter, a variety of complications may occur related to the intrathecal pump and the refill procedure, either at the time of surgery or any time after the surgery while the pump stays in place. Patients are cautioned of infections, failure to control pain, development of spinal headache, spinal cord and nerve injury, drug abuse, and equipment failure may occur at the time of implantation of an intrathecal pain pump