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DiscussionSevere chronic pain and Intrathecal pain pump
Chronic Pain | Last Active: Mar 24 9:25am | Replies (60)Comment receiving replies
Replies to "Reading these posts. I am so sorry so many have such awful experiences with this pump...."
@alexandercrps
Alex- May I ask what your daily dose of morphine was at the time it dislodged from the CSF in the intrathecal space. My doctor has always been honest with me and expressed her concern of a “pocket fill” when the pump port is missed and they warn that it could be fatal! So please let me know you survived.
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@alexandercrps Sounds like you've been through a lot and have gained a lot of insights. I, like many here, have been on a ten year pain journey. Pain was well managed up to 2021 when my SCS paddle shorted out. All my pain came flooding back, even with the meds I was on. So, in 2023 I had my trials of the pain pump. Both were done by injection. The first was done with morphine...no help, just a lot of vomiting about eight hours later. Two weeks later the second trial was done...hydromorphone dropped my pain from a seven down to about a two.
I have read of trials being done with externally mounted, temporary pumps which are worn for several days. I wish I could have had this type of trial. Instead this massive amount (4 mg) was shot into my spinal fluid. Unfortunately, when I received the permanent implant, they started very low(I haven't been able to find out how much). Here I am, three years later with exactly one day of relief. I just had my output raised to about 3.5 mg/24 hrs. with six boluses. I gave myself everything yesterday... no pain relief. Now, I had noticed that several days ago, the full dosage plus all boluses dropped my pain down to about a four.
Very odd and discouraging. I know that there are some here with pain pumps with a daily output of 6+ and 7+ mg/24 hours and get pain relief. I am afraid that my PM doc won't boost my output anymore. He said that higher concentrations can lead to granulomas on the catheter tip. All I know is that I am willing to go higher if I can get some pain relief and reclaim some quality of life. I will welcome any advice from my fellow pump users.