Man in Pain Holding Back Black and White Photo

Quick Facts:

Time off From Work: 1-2 weeks, varies by patient

Incision: Abdomen, 6 inches; Back, 2-3 inches

Insurance providers: Aetna  , BlueCross BlueShield, Medicare, Medicaid, Cigna, Tricare, United Health Care, Blue Advantage, Qual Choice, Health Advantage, UMR United Healthcare

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What Is an Intrathecal Pain Pump?

If you have chronic pain or cancer pain that has failed to respond to other methods of treatment, we encourage you to look into an intrathecal pain pump. An intrathecal pain pump can help abate pain when other types of pain care have not worked or have caused severe side effects. Intrathecal pain pumps may be used to treat your pain if surgery is not an option.

The pump sends small amounts of medicine through a tube that is inserted into the space around the spinal cord. A small electronic device that stays outside your body controls the pain pump. The tube is connected to the small, round pump that has been implanted.

Both the pump and tube are implanted under your skin in a minor surgery. Medicine from the pump is sent through the tube where it reaches nerves along the spine, helping to prevent them from sending pain signals to the brain.

Conditions Commonly Treated by Intrathecal Pain Pump:

  1. Failed Back Surgery Syndrome(continued pain despite surgery to the spine)
  2. Radiculopathy (pain that progresses down your arms/hands or legs/feet)
  3. Chronic Pain Syndrome (any type of chronic pain that has failed to respond to more conservative measures)
  4. Arachnoiditis (painful inflammation and scarring of the meninges or wrapping that protects nerves)

Read A Related Article by PTCOA: Understanding Back Pain and Knowing Your Options

How Is an Intrathecal Pain Pump Implanted?

This type of procedure requires a trial before having the pump permanently implanted to make sure it will work for you. You will be given an IV and sedation to help make you comfortable. After a shot of numbing medicine, an epidural needle is placed in the intrathecal space. Once the needle is properly positioned, a specialized tube will be inserted through the needle.

Once the tube is in place, your physician will remove the needle and inject a concentrated pain medication through the tube. You will be moved to the recovery room after the medication is injected. During this time, you can walk around, have food and water, and basically “hang out” while we wait to see if the intrathecal system will relieve your pain. You may receive a second injection in the recovery room and be asked to rate your improvement.

Once your physician determines that you achieved substantial improvement in pain, without side effects, the tube will be removed, and you will be sent home following observation. After a successful trial, you will be referred to a neurosurgeon to have the pump permanently implanted. For this procedure, you will have to be admitted to the hospital for a few days, depending on your doctor’s preference and hospital procedures.

Once the pain pump is permanently placed, your physicians at PTCOA will manage all maintenance, refills, and adjustments for your pump and medication.

Risks of an intrathecal pain pump implant:

  • Side effects of the opioid or other medication
  • Damage to the nerves of the spine
  • Infection
  • Small growth of tissue near the catheter (granuloma)
  • Mistakes in programming the device that may make the medicine dose too high or too low
  • Tear in the catheter that stops the medicine from reaching nerves
  • Leaking of cerebrospinal fluid (CSF) that causes headaches and other symptoms
  • A pocket of CSF under the skin (hygroma)
  • A pocket of other fluid under the skin (seroma)
  • Changes in endocrine function
  • Need for higher doses of medicine over time

Visit a physician at Pain Treatment Centers of America to talk about Intrathecal Pain Pumps. Find a location and schedule an appointment today.

July 31, 2026
Many people spend hours each day sitting at a desk, looking down at a phone, or driving between appointments without realizing how these habits affect their bodies. Over time, poor posture places excessive stress on muscles, joints, and the spine, leading to chronic pain that interferes with daily life. At Pain Treatment Centers of America, we help patients identify the causes of persistent pain and develop bespoke treatment plans that improve function, mobility, and well-being. How Poor Posture Leads to Chronic Pain Proper posture keeps your body aligned, allowing muscles, ligaments, and joints to work efficiently. When posture is compromised—whether from slouching, hunching over a computer, or standing unevenly—certain muscles become overworked while others weaken. Such imbalance places unnecessary strain on the spine and surrounding tissues. Over time, poor posture leads to chronic pain in several areas of the body, including: Neck and shoulders Upper and lower back Hips and pelvis Knees Head, leading to tension headaches Many people don’t notice the effects immediately, but repeated poor posture can gradually cause inflammation, muscle fatigue, nerve irritation, and reduced flexibility. Common Signs Your Posture May Be Causing Pain Poor posture often develops slowly, making it hard to recognize until discomfort becomes persistent. Typical symptoms include: Frequent neck or shoulder stiffness Ongoing lower back pain Muscle tightness after sitting for long periods Headaches which start at the base of the skull Rounded shoulders or a forward head position Fatigue from standing or sitting throughout the day If these symptoms continue despite rest or over-the-counter treatments, it may be time for a medical assessment. Simple Ways to Improve Your Posture Improving posture doesn’t happen overnight, but small daily changes can greatly reduce pain and prevent future problems. Consider these healthy habits: Sit with both feet flat on the floor and your back supported. Keep computer monitors at eye level to reduce neck strain. Take regular breaks to move your body throughout the day. Strengthen muscles in your core to better support your spine. Practice posture awareness while standing, walking, and lifting objects. Try not to look down at your phone for longer periods of time by raising the screen closer to eye level. These simple adjustments can reduce stress on your body and improve comfort during daily activities. When Professional Treatment Is Needed While posture correction helps many people, chronic pain may require additional medical care, especially if poor posture has caused joint dysfunction, nerve irritation, or long-term muscle imbalances. A complete evaluation can determine whether posture is causing your symptoms and identify other underlying conditions that may be involved. Depending on your diagnosis, treatment may include: Physical therapy and guided rehabilitation Interventional pain management procedures Trigger point or joint injections Medication management when appropriate Personalized exercise recommendations Education on body mechanics and ergonomics Combining posture correction with targeted treatment often provides the greatest long-term relief. Personalized Chronic Pain Care at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand chronic pain is rarely caused by a single factor. Our experienced providers evaluate the whole person to identify the root cause of discomfort and create individualized treatment plans that support lasting relief. Whether your pain stems from poor posture, repetitive strain, or another underlying condition, we’re committed to helping you improve mobility, restore function, and return to the activities you enjoy.  If chronic neck, back, or shoulder pain is impacting your quality of life, schedule a consultation with Pain Treatment Centers of America today. Together, let’s customize a treatment plan that helps you stand taller, move more comfortably, and live with less pain.
June 26, 2026
Pain is often associated with injury, arthritis, or another structural problem in the body. However, not all pain comes from damaged bones, joints, muscles, or tissues. Sometimes, the nervous system itself causes discomfort. This pain is called neuropathic pain and can greatly affect quality of life. At Pain Treatment Centers of America, we help patients determine the source of their symptoms and develop personalized plans to manage chronic nerve pain effectively. What Is Neuropathic Pain? Neuropathic pain happens when nerves are damaged, irritated, or dysfunctional. Unlike pain from injury or inflammation, it results from abnormal signaling within the nervous system. These disrupted signals cause the brain to sense pain even without ongoing tissue damage. Patients commonly describe neuropathic pain as burning, tingling, shooting, electric-like, or stabbing. Some may experience numbness, elevated sensitivity to touch, or pain that seems disproportionate to any physical findings. Common Causes of Neuropathic Pain Neuropathic pain can develop from a variety of conditions that affect the nerves or nervous system. Some common causes include: Diabetes-related nerve damage (diabetic neuropathy) Herniated discs are causing nerve compression Shingles and postherpetic neuralgia Complex regional pain syndrome (CRPS) Multiple sclerosis Spinal cord injuries Stroke-related nerve damage Chemotherapy-induced neuropathy Symptoms can vary widely, so proper evaluation is key for accurate diagnosis and efficient treatment. Neuropathic pain is often challenging to identify because imaging exams like X-rays, CT scans, or MRIs may not always reveal the source of the problem. Patients may experience significant pain despite having slight structural abnormalities. A complete evaluation includes medical history, physical exam, neurological assessment, and diagnostic tests when needed. Identifying nerve involvement is critical because neuropathic pain often responds differently to treatment than musculoskeletal pain. Treatment Options for Neuropathic Pain Successful treatment focuses on addressing the underlying cause when possible while reducing symptoms and improving function. Depending on the patient’s condition, treatment options may include: Medication management designed specifically for nerve pain Nerve block injections Physical therapy and rehabilitation Spinal cord stimulation Lifestyle alterations Interventional pain management procedures Many benefit from an approach that combines several therapies for the best outcomes. When to Seek Professional Care Persistent burning, tingling, numbness, or shooting pain should not be ignored. Early diagnosis and treatment prevent worsening symptoms and improve long-term outcomes. If you have ongoing pain not connected to a structural injury, it may be time to explore if neuropathic pain is the cause. An extensive evaluation can determine the source of your symptoms and identify the most effective treatments. Personalized Neuropathic Pain Treatment at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand that chronic pain is complex and every patient’s experience is unique. Our team uses sophisticated diagnostic tools and evidence-based treatments to identify nerve-related pain and create individualized care plans to improve comfort, mobility, and quality of life. If you are experiencing persistent nerve pain symptoms, schedule a consultation with Pain Treatment Centers of America today. Together, we can develop a treatment plan designed to help you regain control of your daily activities and move toward lasting relief.
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