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An Intrathecal Baclofen Pump, or intrathecal drug delivery system, is a medical device designed to administer controlled amountsof the muscle relaxant Baclofen directly into the spinal fluid.
It is commonly used to treat severe spasticity or muscle stiffness caused by conditions such as multiple sclerosis, cerebral palsy, spinal cord injuries, or other neurological disorders.
The device consists of a small pump reservoir, surgically implanted under the skin of the abdomen or back, connected to a catheter that is threaded into the intrathecal space surrounding the spinal cord. The pump continuously delivers Baclofen to the spinal fluid, targeting nerve receptors to effectively reduce spasticity.
Targeted Delivery: Direct administration into the spinal fluid allows for precise and effective spasticity management compared to oral medications.
Reduced Side Effects: By bypassing the digestive system, systemic side effects like drowsiness or dizziness are minimized.
Improved Functionality: Better control over spasticity can enhance mobility and overall quality of life.
Pre-Procedure Assessment: Your healthcare provider will assess your spasticity, review your medical history, and discuss the benefits and risks of the procedure.
Surgical Implantation: The pump is implanted under the skin, and the catheter is carefully placed into the intrathecal space during a surgical procedure under anaesthesia.
Pump Programming: After implantation, the pump is programmed to deliver a Baclofen dosage tailored to your specific needs.
Follow-Up Care: Regular checkups will ensure the pump is functioning correctly, and dosage adjustments can be made as needed.
Periodic refills are necessary to maintain optimal Baclofen levels. The process includes:
Appointment Scheduling: Regular refill appointments will be scheduled based on your treatment plan.
Pre-Refill Assessment: Your spasticity levels, medical history, and pump settings will be evaluated to determine the appropriate dosage.
Refill Process: A thin needle is used to deliver Baclofen directly into the pump reservoir through a port.
Monitoring: After the refill, a brief monitoring period ensures there are no adverse reactions.
Regular refills are crucial for maintaining effective spasticity control. Delaying or missing refills can result in increasedspasticity and decreased comfort and mobility.
Follow your provider’s instructions regarding medication usage and dosage.
Monitor any changes in spasticity levels and report them during follow-ups.
Ensure proper maintenance and functionality of the pump.
While generally safe, potential risks include infection, bleeding, catheter issues, or medication side effects. Your healthcare provider will closely monitor your treatment to address any concerns promptly.
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