Mitigate Pain Clinic – Dr Jeshnu Tople – Pain Management Specialist In Nagpur

Intrathecal Pump

Intrathecal Drug Delivery System (IDDS) Advanced Pain Management at Mitigate Pain Clinic

At Mitigate Pain Clinic in Nagpur, we specialize in interventional pain management solutions tailored to individuals suffering from chronic, treatment-resistant pain. Among our advanced therapies, the Intrathecal Drug Delivery System (IDDS) stands out as a highly effective option for patients who have not found relief through conventional treatments.

What Is an Intrathecal Drug Delivery System?

An Intrathecal Drug Delivery System, often referred to as an intrathecal pump, is an implantable device designed to deliver medication directly into the intrathecal space i.e. surrounding the spinal cord. This targeted approach allows for effective pain control with significantly lower doses of medication; hence better pain relief with no or negligible side effects.

The IDDS (Intrathecal Pump) comprises two main components:

  • Pump and Reservoir: A small, programmable pump with a medication reservoir is implanted under the skin, typically in the abdominal area.​
  • Catheter: A thin, flexible tube connects the pump to the intrathecal space, allowing medication to be delivered directly to the central nervous system.

The pump is programmed to release precise amounts of medication at the spinal cord, ensuring consistent pain relief tailored to the patient’s needs.​

Conditions Treated with IDDS (Intrathecal Pump)

Intrathecal Pump is particularly beneficial for patients experiencing:

  • Chronic Non-Cancer Pain: Such as failed back surgery syndrome, complex regional pain syndrome or severe neuropathic pain.​

  • Cancer-Related Pain: Providing relief when other pain management strategies are insufficient .​

  • Spasticity: Often associated with conditions like multiple sclerosis or spinal cord injuries, where muscle stiffness and spasms are prevalent.​

Benefits of Intrathecal Drug Delivery

  • Targeted Pain Relief: Direct delivery to the spinal cord enhances efficacy.​
  • Reduced Medication Dosage: Lower doses are needed compared to other routes such as oral or IV, minimizing potential side effects.​
  • Improved Quality of Life: Patients often experience better pain control, leading to enhanced daily functioning and well-being.​
  • Customizable Therapy: The pump’s programming can be adjusted to meet changing pain management needs.​

The Procedure at Mitigate Pain Clinic

Our approach includes:​

  1. Comprehensive Evaluation: Assessing the patient’s medical history and pain profile to determine suitability for IDDS.​

  2. Trial Phase: An injection is given in the intrathecal space of the spine to assess the relief that can be achieved.​ The patient is observed for pain relief after the injection.

  3. Pump Implantation: Upon successful trial, the pump and catheter are implanted under sterile conditions.​

  4. Follow-Up Care: Regular monitoring and pump refills to ensure optimal pain management.​

Potential Risks and Side Effects of IDDS

While the Intrathecal Drug Delivery System (Intrathecal Pump) is considered a safe and effective therapy for cancer pain, chronic non-cancer pain and spasticity, as with any surgical or medical intervention, there are potential risks and side effects that patients should be aware of:

1.    Procedural Risks – infection, bleeding or hematoma formation, poor wound healing or scarring, allergic reactions to anesthesia or materials used.

2.    Device-Related Complications – catheter dislodgement or blockage, pump malfunction or battery issues.

3.    Medication Side Effects – nausea, dizziness, sedation, tolerance development, headache.

4.    Withdrawal Symptoms- Abrupt discontinuation or pump failure may cause withdrawal symptoms, including increased pain, agitation, and in rare cases, life-threatening conditions if not managed immediately.

Most of these risks are rare and can be effectively managed when the IDDS (Intrathecal Pump) is handled by experienced professionals. At Mitigate Pain Clinic, we follow advanced safety protocols and provide continuous monitoring and education to ensure each patient’s safety and comfort throughout their treatment journey.

Why Choose Mitigate Pain Clinic?

Located in Nagpur, Mitigate Pain Clinic is dedicated to providing cutting-edge interventional pain management solutions. Our team of specialists is committed to delivering personalized care, ensuring that each patient receives the most effective treatment plan tailored to their specific needs.

Conclusion

A Smarter Way to Manage Chronic Pain

At Mitigate Pain Clinic, we understand how debilitating chronic pain can be – not just physically, but emotionally and mentally. The Intrathecal Drug Delivery System (Intrathecal Pump) offers a life-changing solution for patients who’ve not got relief with traditional and other interventional pain management options. By delivering medication directly to the source of pain, it offers faster, more effective relief with fewer side effects and greater quality of life.

FAQs about Intrathecal Drug Delivery System

No, the Intrathecal Pump is not necessarily permanent. It can be removed if needed, especially if the patient experiences complications or no longer requires it. However, it is designed for long-term use and offers lasting pain relief when maintained properly.
Common medications delivered through an IDDS include morphine, baclofen and ziconotide for pain or spasticity. The exact medication depends on the patient's condition and response to the trial phase.
As with any medical procedure, there are potential risks, such as infection, catheter dislodgement or medication overdose. However, with skilled implantation and ongoing monitoring at Mitigate Pain Clinic, complications are minimized.
Candidates include patients suffering from severe pain (cancer or non-cancer) or spasticity who have not found relief through oral medications, physical therapy or minimally invasive treatments. A successful trial phase is a key determinant.
Recovery is typically easy and comfortable, with most patients resuming light activity within a few days. Full recovery and adjustment to the device may take a few weeks. Patients are monitored closely to ensure safe healing and optimal pain control.
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