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All Posts Tagged: Intrathecal pump therapy

2018-05-10 (1)

Treating cancer pain

An Intrathecal drug administration or Intrathecal pain therapy has been the backbone for the management of excruciating uncontrollable pain to systematic pain treatments. Since the therapy is well accepted in there are still some complications observed in clinical practices to its implementation with patients with cancer.

With advanced clinical practices, there are potential chances that access to therapy for the management of cancer pain will increase

Cancer pain continues untreated and a potential number of patients with cancer perish while enduring severe untreated pain every year. Moreover, on an average at least 1.7 million new cases of cancer are diagnosed, which are expected to rise

A wide range of chronic cancer pain can be managed by drug therapies, still many patients fail to achieve adequate relief  despite of the availability of many conventional methods. Treatment of cancer pain has taken a new turn to chronic pain management strategies, particularly among cancer pain survivors.

An Intrathecal drug therapy is one of the game changing treatment and provide a substitute for the administration of  pain killers and relieve pain while minimizing side effects

Candidates for ITT

Since a range of cancers is accompanied with greater onset of pain, appropriate patient screening for Intrathecal drug therapy is crucial to evaluate who may benefit from Intrathecal pain pump

The patient selection procedure involves

  • Patient diagnoses and survival chances
  • History of Opoids taken
  • Location and type of pain
  • Catheter location
  • Tolerance of an Intrathecal pain pump’s treatment
  • Psychological and cognitive status

Prior to implantation, it is important to get a clear diagnosis, a complete physical exam and psychological evaluation. Once it is conclusively proved that an Intrathecal Pain Pump therapy beneficial for the patient, the patient must address psychiatric issues that can negatively impact treatment outcome

In addition, all patients should have realistic expectations of  Intrathecal Pain pump therapy for pain relief and understand how it may impact their daily life

Generally an Intrathecal pain pump is recommended after several attempts of conventional pain relieving treatments. Intrathecal drug delivery involves the implantation of highly concentrated solutions in the intrathecal space. The medication restricts pain signals to the brain. When administered Intrathecaly the Opioids may offer greater pain relief at the potentially lower doses with minimal side effect

Complications

In spite of its comparatively small doses of Opiods, increased doses of Intrathecal Opioids may lead to complications including, nausea, vomiting, constipation, respiration problems , sexual dysfunction, urinary retention, and sedation.

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Chronic-Pain

How an Intrathecal Pain Pump can help with Chronic Pain

The FDA has recently approved an Intrathecal pain pump delivery method of medications that may eliminate or reduce the need for structured Opoids

The basics about the Intrathecal Drug Delivery System

The Intrathecal pain pump is an implantable pump that provides targeted delivery for chronic pain and severe spasm. The Intrathecal pain pump delivers medications straight to the fluid surrounding the spinal cord, which Dr. Zaki Anwer, MD, says, provides relief at minimal dosage as compared to the oral medications in sufferers with chronic pain and severe spasm

The pain pump is designed to ease therapy management by providing physicians with perceptible aid and intuitive workflows

The most suitable candidates for the Intrathecal pain pump are the chronic pain sufferers, unmanageable pain and severe muscle contraction, other treatments have failed to provide relief and have endured unbearable side effects with medications

Reducing or Eliminating Systemic Opioid Use

Dr. Zaki Anwer, MD, at The Pain Management Institute, Chicago, Frankfort saysWith continuous Opoid crises the ability to minimize the use of structured Opoid and efficiently manage my patients with pain is more important than ever.”

He adds “The pain pump aids in simplifying the therapy management, enabling me to focus on providing my patients with pain relief through the Intrathecal delivery of medications so that structured Opioids are reduced or eliminated entirely”

How it’s performed

An Intrathecal pump is surgically implanted under the skin by an expert physician. The pump is implanted in the abdominal area, is linked with the catheter, which digs under the skin to a specific area where the medication is required

The therapy has been proven to be safe and effective when used as directed

  • Does not involve permanent changes to the spinal cord or nerves
  • Can be adjusted to dispense medication according to your activity level and pain patterns
  • Lets you try the therapy for a short period of time before committing to long-term therapy
  • Is reversible the therapy can be turned off, or if desired, it can be surgically removed

Conclusion

In addition to the usual risk of surgery and anesthesia at the time of introducing the pain pump and catheter tubes a variety of side effect may occur directly associated to the pump, the catheter mechanism, the drugs and the refilling process at the time of surgery or following the surgery when the pain pump remains in the position, patients are notified of the infection, failure to control pain development of spinal headache, spinal cord or nerve injury, drug overdose, or adverse reaction to the drugs and equipment malfunction can all occur at, or around, the time of insertion.

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chronic-back-pain

Are you enduring chronic back pain and lost hope?, here is what you need to know

After years of enduring tormenting chronic back pain and being told there was no probability of improvement CiaraCollins of New York finally got her happy days back, thanks to unique treatment she received at The Pain Management Institute. The excruciating pain was due to chronic nerve damage the 28 year old mother of two, encountered after several lower spine surgeries she has undergone five years earlier. Doctors informed her that there is no treatment that can help with the pain and she has to endure it for the rest of her life. The candle of hope lightened when Ciara met Dr. Zaki Anwer, MD, the Pain Management Institute, where she was implanted with Intrathecal Pain Pump to manage her debilitating chronic pain

Ciara had travelled to visit Dr. Zaki Anwer, MD, a pain management specialist, after loosing hopes by several other doctors. Dr. Zaki Anwer, MD, tried a few treatment options including injections and medications. However, after no results he suggested an Intrathecal pain pump trial, a procedure in which a small amount of Opoid pain medication is injected into the epidural space, the trial was exceptionally successful for reducing Ciara’s pain and Dr. Zaki Anwer, MD, referred her a permanent placement of Intrathecal Drug Pump at Pain Management Clinic

The Pain Management Institute is a collaborative, multidisciplinary effort to alleviate pain and restore function by application of technology and medicine,” says Dr. Zaki Anwer,MD, “For the suitable candidate the spinal cord stimulation or Intrathecal Pain Pump therapy can potentially reduce pain and improve the quality of life”

The Intrathecal pain pump therapy is a treatment option for patients enduring chronic pain that does not respond to other treatment options. The is a hockey puck sized that is surgically implanted into the abdomen and works by pumping medications straight the area where the spinal cord is found, also known as the Intrathecal Space. The medication then affects the pain receptors in the spinal cord and the brain to reduce the pain.

Since the medication is released continuously, it is much more effective than oral. Consequently, less medication is taken to manage the pain and the patients are likely to experience fewer side effects, such as nausea, drowsiness, constipation and mental fogginess

Following a successful surgery of having implants Intrathecal Pain Pump and weeks later refilled with medications, Ciara was finally able to manage her pain. She praises the dedicated yet sympathetic staff of the Pain Management Institute helping her get back her happiest days. “Dr. Zaki Anwer, MD, gave me something that I lost hope of, the light of hopes after a very dark period” said Ciara, “My words are limited to express how thankful I am to have an amazing Pain Management Specialist’s care for me”

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What you need to know about the benefits and risks of Intrathecal pump therapy?

Overview

The Intrathecal pump therapy is the process of providing medications directly into the spinal cord. The therapy is followed by the use of a small device attached to a thin tube called catheter. The device is surgically implanted under the skin the basic purpose of the pump is to relive pain and  reduce side effects from oral medications

Advantages

There are several advantages of Intrathecal pump therapy that may include

Immediate and long term pain relief, Increased mobility of the spinal cord, participation in routinely activities and physical workouts,  Less intake of oral medications, resulting in lower side effects and reducing dependency on oral medications. The Intrathecal pump therapy is potentially safe and highly effective. The Intrathecal pump therapy does not include any permanent changes in the spinal cord or the nerve network.  The therapy is reversible and easily testable and can be adjusted according to your needs

Risks of the Intrathecal pump therapy

Since the Intrathecal pump therapy is surgically implanted under the skin, there might be complications  that may include; infection, cerebro spinal fluid leakage and headaches. In case of any active infections or allergic reactions it is strictly advised to avoid the Intrathecal pump therapy

The implantation of the drug pump can create several complications that sometimes require surgery to settle, the complications can also be caused by inadequate dosage of the drug an can bring life threatening consequences

The most observed complications include;

The displacement of the drug pump, the leakage from the catheter, tearing or loosen contact of the catheter with the device. The device stops working or in some cases growth of inflamed tissues at the end of the catheter that may result in paralysis

Intrathecal Pump therapy and other chronic pain treatments

Intrathecal pump therapy enjoys priority over other treatments offered for chronic pain due to its uncommon benefits

Prior to implanting the drug pump for permanent bases, a temporary testing period is considered to check if the pain is relieved. The therapy is not permanent such as back pain surgery and can be easily adjustable and reversed, if not needed by the patient, Intrathecal pump therapy dissimilar to oral medication release potentially small amounts of dosage  straight into the spinal cord, reducing pain abruptly. The Intrathecal pump therapy works wonders when all the other medications have failed

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