Intrathecal Pain Pumps

An intrathecal pain pump (also known as an IT Pump) is a small device placed under the skin that delivers pain medication directly to the fluid around your spinal cord. By sending medicine straight to the nerves that carry pain signals, the pump provides targeted relief using much smaller doses than oral medications, reducing side effects while improving comfort.

This therapy is typically recommended for people with severe, long-term pain that hasn’t improved with other treatments such as medications, injections, or surgery.

IS AN INTRATHECAL PAIN PUMP RIGHT FOR YOU?

An IT Pump is used to manage severe chronic pain that has not improved with other treatments. If you are not finding relief with your previous treatments, or if oral medications are causing unwanted side effects, an IT Pump may be a good option for you

An IT Pump is often used for conditions such as:

  • Cancer-related pain
  • Failed back surgery syndrome
  • Complex regional pain syndrome (CRPS)
  • Severe arthritis
  • Neuropathic (nerve-related) pain

You may also be a candidate if your pain limits daily activity or affects your quality of life despite ongoing care.

Capitol Pain Institute’s pain management physicians will review your medical history to determine if an IT Pump is the right treatment for your condition.

How Does an Intrathecal Pain Pump Work?

The pump delivers medication directly into the intrathecal space which is the fluid-filled area surrounding your spinal cord. Because the medicine goes straight to the pain receptors in your spine, only a small amount is needed to help control pain.

The pump releases medication continuously through a thin tube (catheter), and your provider can adjust the dosage based on your level of pain. This direct approach helps interrupt pain signals before they reach the brain, offering steady, consistent relief.

WHAT SHOULD I EXPECT DURING THE INTRATHECAL PAIN PUMP PROCEDURE?

Before a permanent pump is implanted, you’ll go through a trial phase to see if the treatment provides meaningful relief. During this trial, a temporary catheter delivers medication into the spinal fluid for several days.

If the trial works well, your doctor will schedule a short surgical procedure to place the permanent pump:

  1. The pump is implanted under the skin of the abdomen.
  2. A small catheter is threaded to the spine to deliver medication directly to the intrathecal space.
  3. The device is then programmed to release medication at a controlled rate.

The entire procedure typically takes one to two hours. It’s usually done on an outpatient basis, though you may be observed for a short period afterward before heading home.

What to Expect After the Procedure

Many people notice pain relief soon after the pump begins delivering medication. Over time, your provider will fine-tune the dosage to balance comfort and minimize side effects. 

You may feel mild soreness or tenderness around the incision site for a few days. Recovery from the surgery typically takes a few days to a week. Avoid strenuous activity until your doctor clears you, but gentle movement is encouraged to support healing. 

After recovery, you can return to your normal daily activities, with the benefit of ongoing pain relief provided by the pump.

 

Follow-Up Care

Regular follow-up visits are important to make sure the pump is working properly and that your medication settings are meeting your needs. Your doctor can refill or adjust the pump as needed during these visits.

Watch for any signs of infection or unusual symptoms after surgery, such as:

  • Redness, swelling, or drainage at the incision site
  • Fever or chills
  • New numbness, tingling, or weakness in your legs
  • Difficulty walking or changes in bladder or bowel control
  • If you notice any of these symptoms, contact your care team right away.

Common Questions About Botox for Pain

Is the procedure painful?

You’ll receive anesthesia during the procedure, so you shouldn’t feel pain. Mild soreness or pressure at the incision site is normal for a few days.

How long does the procedure take?

The implantation usually takes about one to two hours, followed by a short observation period before you go home.

When will I start to feel relief?

Many people feel relief during the trial phase. After the permanent pump is implanted, medication adjustments can fine-tune your comfort over time.

Is an intrathecal pump permanent?

The pump is designed for long-term use, but it can be removed or replaced if necessary. Your doctor can update your dosage or refill the medication as needed.

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