I am seriously considering having my pain pump removed. In just over a year it has never provided any pain relief. It just sits there like big, old, stale bagel, jiggling around. Very uncomfortable. I have read that you can reduce the output slowly over time and have it refilled with saline if having it removed scares you. I am really disgusted that my pain doc refuses to seek any alternative routes or to reach out to his colleagues. I decided to take matters into my own hands and have seen a new pain doc who has some different approaches to consider. I will try to keep you posted on how that goes.I wish you well.