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When a Pain Pump Implant May Be Necessary

The implantation of a pain pump is typically considered for patients with chronic pain conditions that are resistant to other forms of treatment. Indications for a pain pump implant include:

  • Severe chronic pain due to conditions like cancer, failed back surgery syndrome, or complex regional pain syndrome
  • Inadequate pain control with oral medications or intolerable side effects from these medications
  • Positive response to a trial dose of medication delivered directly into the spinal fluid

The Procedure

The process of implanting a pain pump involves two main steps:

Trial Phase

Before implantation, a trial is conducted to determine if the patient responds positively to intrathecal medication delivery. This involves a temporary injection of medication into the spinal fluid.


If the trial is successful, the patient undergoes a surgical procedure under general anesthesia. A small incision is made in the back, and a catheter is placed in the intrathecal space around the spinal cord. Another incision is made in the abdomen to place the pump, which is then connected to the catheter. The pump is programmed to deliver a specified amount of medication continuously.

Post-surgical Post-implantation Care and Recovery and Recovery:

After the implantation, patients typically have a recovery period where they are monitored for pain control and any signs of complications. The pump requires regular refilling with medication, which is done through an outpatient procedure. Patients also have follow-up appointments to adjust the pump settings as needed and to ensure optimal pain management.

At Excel Health, our dedicated team of pain management specialists is committed to providing comprehensive care and support throughout the treatment process. Our goal is to enhance the quality of life for our patients through effective and personalized pain management solutions.

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