What is it about?

Intrathecal drug delivery is a method of giving medication directly to your spinal cord. The system uses a small pump that is surgically placed under the skin of your abdomen and delivers medication through a catheter to the area around your spinal cord � similar to an epidural that women may have during childbirth.

Because the medication is delivered directly to the spinal cord, symptoms can be controlled with a much smaller dose compared to oral medication. A pain pump may be a treatment option if all other traditional methods have failed to relieve your long-term symptoms.

Before your scheduled visit/procedure

How is it performed?

There are two parts to the procedure: placement of the catheter in the intrathecal space surrounding the spinal cord, and placement of the pump/reservoir in the abdomen. After a sterile scrub, local anesthesia is used to numb the needle entry location. Once the area is numb, a larger needle and catheter are placed into the intrathecal space using x-ray guidance. Once the catheter is in the proper location, the pump is then connected and placed under the skin on the lower part of your abdomen. The catheter and pump are tunneled under your skin and all wounds are surgically closed.

After Care

Your vitals are monitored and pain will be addressed. Most patients are discharged the same day. Do not drive for 2-4 weeks after this procedure. Do not take a tub bath or immerse yourself in water for 4 weeks. You will be provided with detailed written directions to follow when you are discharged. In case of a high fever or if the incision area shows signs of redness or swelling, call us immediately.