مقاله تخصصی
What is a spinal pain pump and what is its use?
3 months ago
634 بازدید
Dr. Mohammad Hossein Delshad
تهرانpain companions
An intraspinal pump, also known as a spinal pain pump, is a device that is inserted into the patient's body during surgery. When the pump is placed inside the body, the medicine reaches the spinal cord directly.
Actually, the medicine of this pump interrupts the irregular signals that reach the brain through the nerves and the spine. In fact, the spinal pain pump is a way to deliver the medicine directly to the spinal cord.
This small pump is placed under the skin during surgery....the pump delivers medication through the catheter to the area around the spinal cord....because the medication is delivered directly to the area where you feel pain, symptoms are easily controlled with a lower dose than oral medication.
As a result, you will have much less side effects than taking medicine.... We will give you more additional explanations about this treatment method.
What is meant by spinal pain pump?.. Pain pump is a small device that is placed under the skin during surgery and it is possible to send medicine directly to the spinal cord and nerves.
This pump has different parts, including a tank and a pump that is placed inside the abdomen, and the catheter is also placed in the intraspinal space.
The interspinal space is the space between the spinal cord and the thin membrane that surrounds and protects it.... Now by directly injecting medicine into this area, the medicine reaches the spinal cord and nerves and can control pain or abnormal muscle contractions that lead to spasms.
Only at a very low dose compared to pills or other injections, it is diluted in the digestive system or bloodstream as it circulates throughout the body, providing immediate pain relief.
By using a spinal pain pump, the side effects of long-term drug use are reduced.... During a study conducted on this treatment method, they found that the pain of people with cancer was relieved by this treatment method.
How does the pain pump work?
The intrathecal pump is gradually placed in your body.... This pump has several parts:
- A thin and flexible tube called a catheter is placed in the intraspinal space, around the spinal cord.
- The extension catheter is connected to the catheter in the intraspinal space and is placed around the body.
- The extension catheter is connected to the pump, the pain pump is 2.5 cm thick and 7.5 cm wide.. The pump is placed under the skin of the abdomen... - There is a hollow reservoir inside the pump that can be refilled, the medicine is stored in the reservoir..... When the reservoir is empty, it can be refilled with a container.. - Personal therapy device (PTM) allows you to dose as needed Deliver more of the medicine to the desired location... This device is adjusted by the doctor with the appropriate dose so that you can use it alone if needed.
Is the spinal pain pump removable?
Yes, if you no longer need the pump or there is a problem with it, the pain specialist will remove the pump for you at their discretion.
Problems treated with an intrathecal pump
A pain pump may be recommended for such cases:
- Back and neck pain, stress fracture, spinal stenosis, spondylosis or disc pain
- Pain after surgery
- abdominal and pelvic pain
- pain in the body
- complex regional pain syndrome
- Diseases including neuralgia after herpes (chronic pain that continues after shingles infection)
- Pain caused by cancer treatment or chemotherapy
- Pain caused by peripheral nerve damage
- nerve pain
- Spasticity (muscle stiffness) following stroke, cerebral palsy, brain or spinal cord injury and multiple sclerosis
- Chronic pain experience and resistant to other treatment solutions
Who are good candidates for an intratracheal pump?.
People who experience severe and long-term pain and spasm and are not relieved by other methods such as taking pills, physical therapy and other treatment techniques, are a suitable treatment option.
When you see a pain specialist, what factors lead to better or worse conditions and what you have tried in the past and how the pain affects you will ultimately decide if a spinal pain pump is right for you.
In general, this treatment method is likely to be recommended for such people:
- Other treatment methods for pain control, including multiple use of painkillers, physical therapy, etc.. Have you tried.
- You must take painkillers around the clock.
- You do not have a specific psychiatric illness that complicates pain treatment.
Experimental use of intrathecal pump
Since the result of this test is not the same for all people, this treatment method may be used on a trial basis for some time so that the doctor can check the results.
Experimental procedures are usually performed on people with spasticity problems and are not useful for treating chronic pain. In most cases, pain pumps are used to treat cancer pain without experimental procedures.
Related content: Spinal Cord Stimulator (SCS)
### There are different methods for this test step:
- A dose of medicine is placed in the space inside the spinal cord through the lumbar puncture.
- Several doses are placed in the intraspinal space by lumbar puncture with or without a catheter.
- Next, during an ongoing test, a catheter is inserted into the spinal cord and connected to a pump that is not inside the body.
This trial period may allow the doctor to choose the best place to place the catheter and choose the best medication to relieve symptoms.
