Doctor insights on:
Pain Pump Side Effects
Having a pain pump implanted for life. Now will all the side effects go away? Constipation, and feeling drugged. Also will urine retention go away to
Ask your doc!: I don't mean to be rude but your questions should have been asked prior to agreeing to undergo procedure. The answer depends upon what's being pumped in. If narcotics or opioids, then no one ever gets over constipation (sorry!). Good news is that you can develop tolerance to sedation ; feeling drugged. Urinary retention is problematic as it can also be due to enlarged prostate in add'n to opioids. ...Read more
Pain pumps are electric, battery powered or newer spring loaded devices used to administer pain medications. These can include intravenous or peri neural locations and can infuse narcotics, anti inflammatory medicines or local anesthetics. They can be set to allow for patient control or be controlled by trained personnel. They can range in size and ...Read more
Pain pump: Pain pumps are electric, battery powered or newer spring loaded devices used to administer pain medications. These can include intravenous or peri neural locations and can infuse narcotics, anti inflammatory medicines or local anesthetics. They can be set to allow for patient control or be controlled by trained personnel. They can range in size and even be implanted subcutaneously! ...Read more
LOCAL ANESTHESIA: Usually, a surgeon will inject local anesthetic to numb the skin before making an incision for surgery so you have less pain. A pain pump contains local anesthetic that is slowly, continuously pumped in by pressure thru a little tube to hopefully decrease the pain in the area of the surgery. It often is helpful to decrease the amount of oral pain medicine you need after surgery. ...Read more
Pain pump: Pain pumps are the intrathecal drug delivery systems that deliver the medicine directly to the spinal fluid. Dilaudid is about 5-7 times as strong as morphine. A drug in the spinal fluid is is about 300 times as strong as oral intake. Also Dilaudid is not one of the drugs approved by fda for intrathecal use, but is widely used for tolerant patients and need to be monitored closely. ...Read more
Intrathecal pump: Intrathecal therapy risks may be related to implantation, drug filling, drug side effects and chronic placement within the subarachnoid space. Implant risks may include bleeding, infection, nerve/spinal cord injury, etc. Drug refills may be associated with misplacement & toxicity/overdose. Chronic placement can lead to granuloma formation at the catheter tip resulting neurological deficits. ...Read more
Were there any changes to the medication filled or was there any change to the programming where the dose given per hour was changed.
Please look at your print out from the most recent refill and compare to the one before. Also you must call your doctor who manages the pump and let him know - having a pump means you cannot wait and see. ...Read more
It varies..: It depends very much on the condition that required this treatment, it's duration and to what degree patient developed tolerance to the drug. Since morphine overdose can be fatal, I doubt you would be able to receive your answer online, I would invite you to discuss it with the physician who prescribed it/ manages it. ...Read more
Depends: Depends on what you are using each of these things for. Pain pumps are specifically for patients on high dose opiates and typically are used for terminal cancer patients. Spinal cord stimulators are for typically failed back syndrome or nerve pain disorders. Again these are just generalizations but you should be evaluated by an interventional pain physician to see if you are candidate. ...Read more
Call md: Contact your pain doctorGet a more detailed answer ›
Pain Doc: If you have done all the checks that your doctor gave you and the pump is still not working, then you need to go back to the doctor who put it in. ...Read more
Maybe: Only if your specialist agrees to it! ...Read more
Yes: Intrathecal pain pumps are a 'last resort' treatment for chronic intractable low back pain that is unresponsive to the more conventional therapies. The complications include but ate not limited to infection, catheter breakage, spinal headache, respiratory depression, and tolerance to increasing doses of medication. ...Read more
Not recommended: The problem with pain pumps is that the patient's satisfaction will decrease dramatically and become very low after few years of use. I commonly put pain pumps in cancer patient because of their limited longevity (they are more likely to die before the satisfaction decreases), however, I don't recommend pain pumps for management of non cancer related pain. This is especially true in young patients. ...Read more
How could I buy an intrathecal pain pump for a critical patient in Venezuela? I beg for your help.
Insertion: Who is going to insert and manage it? It needs to be filled with sterile meds when implanted and then it needs to be refilled every few months. Also the first few months are when dosing changes the most, who would do the adjustments and do they have the external monitor to do it? Even if you got the pump how will you deal with these hurdles? ...Read more
Have had 3 back surgeries. With many problems with taking oral medice. Now I take neroutn and subzone 12/4. I'm wonder if a pain pump might help?
Pain: That is something you would need to speak with your physician and pain specialist with. ...Read more
Pain pump: Yes you can but it's not very common. ...Read more
Interventional pain: Find an interventional pain specialist in your area for a consultation. ...Read more
Have had 2parialdiscecemonty supposed to ave spinal fusion the frautured a verbre should I have the pain pump been on meds for 16 years in lower back?
Post laminectomy: You have symptoms that need complete evaluation by a spine surgeon. Pain pump is a last resort for problems that cannot otherwise be diagnosed or treated. You are too young to accept that if there are options. Minimally invasive fusion/tlif has good results for single-level problems if a diagnosis is conclusive. Don't ever accept "nothing can be done" unless another independent doc agrees. ...Read more
When will pain management doc write for a pain pump since I have tried everything else and and nothing has worked?
Maybe never: Pain pumps are for individuals who respond to opioids but are having severe side effects due to escalating doses. Not everyone will benefit from a pump, so a trial will have to be done. Ideally this would require weaning off of all oral pain meds. There are long term complications with pumps so do your homework. I would also inquire about a spinal cord stimulator is not already tried. ...Read more
I tried a stimulator trial a few weeks ago and the doctor couldn't get it placed right. Will this cause a problem for a pain pump trial?
Try....: Try accupuncture, alternate med, second opinion before pain pump. ...Read more