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pain pump users

trayttray Posts: 1
edited 08/31/2014 - 5:47 AM in Pain Management
I got my Medtronic pump in February this year, trial went great my pain scale was down to a 3 or 4, well got the pump, doc started me off at 10mcg of fentanyl, 6mg of bupivacaine and clonidine....went back for a visit it needed increased since it was no where near enough relief....anyways it's now September and I'm up to 85mcg of fentanyl, 11mg of bupivacaine 114mcg of clonidine....I got back every 2 weeks or so for a increase, plus increase when I get a pump refill, which is now about 40 days,

My doctor is great, just finding it hard to believe I had so a good trial and have to take so long to get back to where there's some relief, I know the trial n pump were placed differently one epidural and interthical. do get bolous 6 times a day, every 4 hours but they only last for 30 minutes or less now......

How long did it take you to get relief or are still trying to get there...


  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • sandisandi Posts: 6,343
    edited 08/31/2014 - 5:53 AM
    and this should have been explained to you prior to implanting the device. Because the pump delivers the medications intrathecally, the doctors need to go very, very slowly up in dosage, tiny amounts at a time, until you reach an effective dose. The medications in the pump are dosed in micrograms due to the concentrated delivery system. Using the bolus doses too much may be contributing to the problem, in that doing that too often can drive the amount of opiates in your system up, so when you aren't getting the same amount, your body can experience some withdrawal.
    It can take some months to find the proper doses of the medications in your pump , but there is a reason that they go slowly. Once the medications are delivered into your spinal cord fluid, going too fast can result in overdose so increasing in small amounts, slowly is the key to success with the pump.
  • I am in the process of getting a pain pump implanted and have done a lot of research, but have one question I cannot find the answer for. I am trying to find out how long anyone was off following the surgery to implant a pain pump. And if anyone had a spinal cord stimulator with a paddle removed, which my doctor wants to remove prior to implanting the pain pump, how long were you off for that? I work from home on the computer, which may or may not make a difference. Thank you!
  • Hi everyone! my name is mike and I am doing research on the pain pumps. I cannot benefit from Spinal cord stimulator due to scar tissue but I was informed that if I saw a Neurosurgeon would have the expertise to implant the catheter in spite of the thickness of the scar tissue.. I would appreciate anyone who has similar experience and benefiting from a pain pump..
    Michael soto
  • I know I'm a bit late on this but I have had a spinal cord stimulator with paddle leads removed and it wasn't too bad. I work a physical job and was back to work in just over 2 weeks. The recovery period from it was pretty minor compared to any other back surgery I've had and it also seemed to come out much easier than the initial implantation.
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