An intrathecal pump or pain pump works to relieve chronic pain by inserting small amounts of medicine directly into the intrathecal space (area surrounding the spinal cord) to prevent pain signals from being perceived by the brain. Because medication is placed directly into the spine, we can give 1/300 of the dose taken by mouth. Medications commonly used are Morphine, Dilaudid, Bupivicaine, Baclofen (for spasticity), and Prialt. Since using small dosages of medication, patients usually don’t experience the side effects from these medications, as they will taking by mouth (confusion, sleepiness, constipation, etc).” Also, medication is administered 24 hours a day so a patient does not feel the “highs and lows” seen with oral medication. Pain pumps are used on patients with chronic debilitating pain that have had relief no other way (cancer; chronic pain from failed surgeries, multiple sclerosis, spasticity, etc). The pain pump is programmed and regulated at our clinic. The pump is refilled every few months. The medicine can be changed and periodic adjustments can be made.