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.

By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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