Pain pump, I have one, how about one for you?

Posted by Stephen @wsh66, Nov 9, 2018

I have had an implanted pain pump in my abdomen for about 18 months. It is a miracle. I get a total of 4.764 mgs. of Dilaudid, If I administer all of the 10 extra micro does I can have in 24 hours. If I don't use those extra doses I get 2.74 mgs. over 24 hours. The effect is 300 times more effective than if I took the same dose orally. I go to my doctors office every 3 months to have the pump refilled. I'm there for about 15 minutes. The actual process of refilling the pump takes no more than 5 minutes and is painless. No prescriptions to worry about, no one wondering if I'm misusing or selling my pain meds, no one making me feel like a drug addict or a criminal. In our current climate this is even more important than it was two years ago. Many Doctors want nothing to do with pain patients or writing scripts for pain meds. I know many of you have been there. This method is especially good for back issues as the drug is delivered via a catheter which runs up my spin. Yes, I still have pain but it's pain I can live with. If your Doctor doesn't know about this or doesn't want to do it contact a pain clinic. The Doctor who put mine in is a Neurosurgeon. If you have any questions please respond.

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@wsh66

I've had my pump for 5 years. First please understand that your current dose is tiny. 3 x 5 mg. If any more is too much you are on the wrong dose. You can have Gene testing done to determine which meds you can matabolize or digest without problems. You get tested via a spinal inection to see if a given drug works. If one doesn't work they should try another. Morphine failed for me. Hydromorphone is much stronger and worked well.

I keep thinking about your current dose. When I got my pump after several surgeries was taking 220 mgs. of oxycontin, 32 mgs. of dilaudid plus 20 mg. of Valium each day and it wasn't working. I had to be declared a palliative patient and meet with a psychiatrist and a physiatrist to make sure I wasn't an addict and was not mentally ill. The surgery requires a good neurosurgeon as they threaded a catheter up you spine.

Life is livable and enjoyable but I am disabled by pain. Can walk short distances with a cane or behind a grocery cart. If I just stand or walk I will be in too much pain to continue. I have adjusted my environment and home to allow me to do out things sitting down or leaning on a stool.

The best part of the pump is no side affects from the drug. You don't digest it before
it helps you. Nothing is perfect. Oral narcotics only work for so long. Mine were failing miserably. Now I get 5 to 6 mgs. of hydromrphone every 24 hours. 1 mg. is controlled by me with a remote. 10 doses via a remote control, limited to 10 per 24 hours. Those 10 are .09 mgs. each.

I never had headaches.

I don't think you are ready for the pump if you are only taken. 3 doses of oxygen per day. That is a tiny dose. You are probably allergic to it if that is all you can tolerate. Finding pain management is harder than ever. I suggest seeing a pain specialist who understands narcotics. Then find a neurosurgeon who has done a lot of pumps. You need to also line up who will mange your pump
Every 10 to 12 weeks they put a templet on your tummy, insert a needle into the pump nipple and remove the old meds and then put in fresh meds. Then they download info from your pump.

The best we can do is make pain bearable. To that end we need to continue to do stretching and exercising hopefully with input from a good physical therapist. Even more important is maintaining mental health and doing everything we can to avoid or treat depression which includes a good diet and regular exercise. Nothing aggravates pain like depression.

I wish you the best of luck with this. If you have more questions don't hesitate to ask. Go online to Genesight.com and learn about Gene testing.

Love and Blessings Stephen

Jump to this post

I take Xtampza 9 mg in the morning and at bedtime along with my 15 mg of oxycodone. I was on OxyContin until our government forced Purdue Pharma into bankruptcy. The Xtampza does not work, the OxyContin did. I have had a gazillion rounds of PT, and injections which lasted 2 months, then I had to wait 6 months before my next shot. I’m borderline diabetic so steroids weren’t helping that. If I take 10 mg of oxycodone at one time, I am very dizzy and off balance like a drunk, can’t drive (I live alone). I hear you loud and clear about pain. Can’t stand more than 5 minutes without pain, can’t walk more than two houses down because of pain,, can’t bend to pick things up (use a grabber). This has been going on 8 years and basically I am a shut-in. Moved to a 55+ community and haven’t met anyone or gone to activities because of my back, knee and hip issues. Then at night, the spasms set in and I have to take Baclofen. I am tired of living like this (I’m sure you can relate) and believe me a pain pump was my last ditch choice (REFUSE spinal cord stimulator though my docs tried to talk me into it). I have rods, struts, bars and am fused from L2 to S1.

REPLY
@johnbishop

Welcome @en517dz, I'm sure Stephen @wsh66 had the same concern as you about whether or not the pain pump will at least lower the pain where you can function. I think that is what the trial is used to determine and adjust as needed. Hopefully you will get some relief soon. How soon is your pain pump trial scheduled?

Jump to this post

My trial is scheduled for July 18. My first trial was supposed to be June 7th but after waiting 45 minutes, they called me to the desk and said my procedure had been canceled, that they didn’t schedule me for an intrathecal injection. I had not taken my morning pain pill and could hardly make it into the office. This has been going on 8 years. I live alone (I am a widow) and moved into a 55+ community, then Covid hit. When the restrictions were lifted, I couldn’t go to any functions because of my back, hip and knee. I can’t stand more than 5 minutes, can’t bend (use a grabber), can’t walk more than two houses down, if I take 2 5 mg oxycodone, I am dizzy and off balance like a drunk. The pain pump was my last resort because I am tired of dealing with the pain, being told my Xtampza is out of stock (I take 9 mg in the morning and 9 mg at bedtime and 3 oxycodone) and getting “the look” when I pick up my oxycodone. My neurosurgeon has basically said there is nothing more they can do. I have rods, bars and struts in my back, am fused from L2 to S1. My last surgery in 2020, the neurosurgeon severed my L3 nerve hoping to give me relief from the groin, hip and knee pain. It just made things WAY worse, the pain is worse and now I have spasms in my left leg when I go to bed at night (have not slept through the night for 8 years). I am 77 years old but was very active before all this. Whatever time I have left, I would love to be pain-free or at least at a level of pain that is better than this.
I don’t tolerate morphine so I will be going on Dilaudid. I did have an external Dilaudid pump in 2013 when I had my first spinal fusion when my L3 vertebra was all but destroyed (I do not have osteoporosis) and I did okay with the Dilaudid.

REPLY
@en517dz

I take Xtampza 9 mg in the morning and at bedtime along with my 15 mg of oxycodone. I was on OxyContin until our government forced Purdue Pharma into bankruptcy. The Xtampza does not work, the OxyContin did. I have had a gazillion rounds of PT, and injections which lasted 2 months, then I had to wait 6 months before my next shot. I’m borderline diabetic so steroids weren’t helping that. If I take 10 mg of oxycodone at one time, I am very dizzy and off balance like a drunk, can’t drive (I live alone). I hear you loud and clear about pain. Can’t stand more than 5 minutes without pain, can’t walk more than two houses down because of pain,, can’t bend to pick things up (use a grabber). This has been going on 8 years and basically I am a shut-in. Moved to a 55+ community and haven’t met anyone or gone to activities because of my back, knee and hip issues. Then at night, the spasms set in and I have to take Baclofen. I am tired of living like this (I’m sure you can relate) and believe me a pain pump was my last ditch choice (REFUSE spinal cord stimulator though my docs tried to talk me into it). I have rods, struts, bars and am fused from L2 to S1.

Jump to this post

Your very correct about the pain stimulator it DOES NOT work. I was talked into by a memory doctor who thinks my pain pump is causing the memory list so he pushed for the stimulator and reduced the available pain pump meds, 6 months later I am in more pain and have surgery this coming Monday to remove the pain stimulator! Listen to for pain doc and not others who chase symptoms without really know what is truly wrong with my body. I am fused from S-1 to the first T level.

REPLY
@gcranor

Your very correct about the pain stimulator it DOES NOT work. I was talked into by a memory doctor who thinks my pain pump is causing the memory list so he pushed for the stimulator and reduced the available pain pump meds, 6 months later I am in more pain and have surgery this coming Monday to remove the pain stimulator! Listen to for pain doc and not others who chase symptoms without really know what is truly wrong with my body. I am fused from S-1 to the first T level.

Jump to this post

I have a medical background (45 years as a medical transcriptionist) and also did my homework and read about them (still have the print-outs to give to the pain management doc who is putting my pain pump in) and it was like the nightmare on Elm Street. People were getting burned by the battery packs, two people (of those reported to the FDA) are paralyzed in a wheelchair for the rest of their lives, people were in more pain than before they had the stimulator (your case), the device is know to misfire, shocking and jolting people, the leads and even new paddles break and migrate and this was an article by NBC news. The FDA had said more testing needs to be done on it. And I want this in my body? ABSOLUTELY NOT- I know doctors art trying to get people off opioids, it’s their mission, and that’s where we people fall into the cracks. We have legitimate agonizing, debilitating pain and we are treated like street drug addicts looking for a high. One pain clinic doc here in FL takes EVERYONE off opioids on their first visit. He belongs to an organization to stop the opioid epidemic.
You are doing the right thing tossing the stimulator!
Good luck to you, it’s an uphill battle, but God willing, we will win.

REPLY
@en517dz

I have a medical background (45 years as a medical transcriptionist) and also did my homework and read about them (still have the print-outs to give to the pain management doc who is putting my pain pump in) and it was like the nightmare on Elm Street. People were getting burned by the battery packs, two people (of those reported to the FDA) are paralyzed in a wheelchair for the rest of their lives, people were in more pain than before they had the stimulator (your case), the device is know to misfire, shocking and jolting people, the leads and even new paddles break and migrate and this was an article by NBC news. The FDA had said more testing needs to be done on it. And I want this in my body? ABSOLUTELY NOT- I know doctors art trying to get people off opioids, it’s their mission, and that’s where we people fall into the cracks. We have legitimate agonizing, debilitating pain and we are treated like street drug addicts looking for a high. One pain clinic doc here in FL takes EVERYONE off opioids on their first visit. He belongs to an organization to stop the opioid epidemic.
You are doing the right thing tossing the stimulator!
Good luck to you, it’s an uphill battle, but God willing, we will win.

Jump to this post

I talked with 3 people who had a spinal cord stimulator implanted. It was called a DRG and manufactured by Abbott industries. Two had a foot problem and one had a leg problem. One was an RN and she got 95% relief from foot pain. The other two had foot and leg pain. They all got significant pain relief. I did the trial about 5 weeks ago for chronic pain in my toes. It didn't help me but I had a different doctor. . I also have lower back pain that can exacerbate the pain in my toes from two prior surgeries. I now have a stump neuroma and another nerve is aggravated , I think it all comes down to the skill of the doctor. I've been told that SCS spinal cord stimulators are not that effective for back pain.

REPLY
@martyk

I talked with 3 people who had a spinal cord stimulator implanted. It was called a DRG and manufactured by Abbott industries. Two had a foot problem and one had a leg problem. One was an RN and she got 95% relief from foot pain. The other two had foot and leg pain. They all got significant pain relief. I did the trial about 5 weeks ago for chronic pain in my toes. It didn't help me but I had a different doctor. . I also have lower back pain that can exacerbate the pain in my toes from two prior surgeries. I now have a stump neuroma and another nerve is aggravated , I think it all comes down to the skill of the doctor. I've been told that SCS spinal cord stimulators are not that effective for back pain.

Jump to this post

Hi dear friend in pain…
Am there with you . Praying praying and looking and reading what we are all trying to do.

This implant is very invasive and I ran from it once my Pain Dr. Showed in detail the process. I demanded to see and talk to a few whom he had implanted.
Your two colleagues with RELEIVE, am sure are being pumped with some heavy duty pain killers. Yes?
Please find meds being administered. Tell us.

I am not 100% this is the way to resolved.

To all blessings.
My opinion ok.

Bye now

CARLOS Sierra

REPLY
@wsh66

I've had my pump for 5 years. First please understand that your current dose is tiny. 3 x 5 mg. If any more is too much you are on the wrong dose. You can have Gene testing done to determine which meds you can matabolize or digest without problems. You get tested via a spinal inection to see if a given drug works. If one doesn't work they should try another. Morphine failed for me. Hydromorphone is much stronger and worked well.

I keep thinking about your current dose. When I got my pump after several surgeries was taking 220 mgs. of oxycontin, 32 mgs. of dilaudid plus 20 mg. of Valium each day and it wasn't working. I had to be declared a palliative patient and meet with a psychiatrist and a physiatrist to make sure I wasn't an addict and was not mentally ill. The surgery requires a good neurosurgeon as they threaded a catheter up you spine.

Life is livable and enjoyable but I am disabled by pain. Can walk short distances with a cane or behind a grocery cart. If I just stand or walk I will be in too much pain to continue. I have adjusted my environment and home to allow me to do out things sitting down or leaning on a stool.

The best part of the pump is no side affects from the drug. You don't digest it before
it helps you. Nothing is perfect. Oral narcotics only work for so long. Mine were failing miserably. Now I get 5 to 6 mgs. of hydromrphone every 24 hours. 1 mg. is controlled by me with a remote. 10 doses via a remote control, limited to 10 per 24 hours. Those 10 are .09 mgs. each.

I never had headaches.

I don't think you are ready for the pump if you are only taken. 3 doses of oxygen per day. That is a tiny dose. You are probably allergic to it if that is all you can tolerate. Finding pain management is harder than ever. I suggest seeing a pain specialist who understands narcotics. Then find a neurosurgeon who has done a lot of pumps. You need to also line up who will mange your pump
Every 10 to 12 weeks they put a templet on your tummy, insert a needle into the pump nipple and remove the old meds and then put in fresh meds. Then they download info from your pump.

The best we can do is make pain bearable. To that end we need to continue to do stretching and exercising hopefully with input from a good physical therapist. Even more important is maintaining mental health and doing everything we can to avoid or treat depression which includes a good diet and regular exercise. Nothing aggravates pain like depression.

I wish you the best of luck with this. If you have more questions don't hesitate to ask. Go online to Genesight.com and learn about Gene testing.

Love and Blessings Stephen

Jump to this post

Hi Stephen,
I have a couple questions about the placement for pump. Did you have any advise on we’re the pump is placed in abdomen, right verse left side ?
I’ve gone through canacer treatment and my right side is very weak. But I mainly sleep on my left side, did you have any information on which side is best?

REPLY

Metronic’s pain pump with the right Pain Doctor gives me enough pain relief (from a 8 to a 4) to enjoy almost everyday! I do not have brain fog with the Metronic’s implant!

REPLY
@gcranor

Metronic’s pain pump with the right Pain Doctor gives me enough pain relief (from a 8 to a 4) to enjoy almost everyday! I do not have brain fog with the Metronic’s implant!

Jump to this post

Thanks for your update, I was hoping you would. I am waiting to return to the NS to see if they can help with my lower back pain, in May he said it had not fully fused. He said they don’t do another surgery so soon after a fusion, it will be 2 years next January on L4-5. The area below this has been causing me much pain since shortly after and the radiologist report the day after surgery states there’s damage to L5, S1, and the SI joints. If they can’t fix this, I’m ready for a pain pump. I think with the right doctor and correct dose the pain can be made bearable. I’m so tired of this opioid war. I am not having the scs, too many scary stories. I hope the CDC can right the terrible wrong they inflicted on patients in 2016, trying to make politicians happy by fooling the public they were doing something about the number of overdose deaths. Seems Those numbers get worse every year, with fentanyl coming in from everywhere. May you have a painless and joyful day, and thanks again!

REPLY
@ezofcin

Hi Stephen,
I have a couple questions about the placement for pump. Did you have any advise on we’re the pump is placed in abdomen, right verse left side ?
I’ve gone through canacer treatment and my right side is very weak. But I mainly sleep on my left side, did you have any information on which side is best?

Jump to this post

I wasn't asked. It was put on my left side. It doesn't limit which side I sleep on. I never sleep on my stomach so I can't comment on that. Good luck.

REPLY
Please sign in or register to post a reply.