Thinking and Communicating About Back Pain

According to Britain’s Daily Mail, back pain is one of the medical disorders that doctors most frequently encounter, more common even than heart disease. In fact, when taking into account the number of years that discomfort is experienced, back pain tends to outpace heart disease, malaria, and other such major health concerns and other life-threatening illnesses. Any type of chronic pain disorder can represent a huge impact on an individual’s quality of life. Dr. Solomon Kamson, who specializes in pain medicine, notes that chronic pain issues often cause patients to have a negative outlook not only on their health but also on other areas of life.

If you are experiencing back pain, you no doubt understand what a distraction and an impediment it can represent for your productivity and even for your happiness. According to the same study, doctors are also starting to see back pain occurring with increased frequency in patients as young as 25 to 30. This rise in frequency is often linked to our increasingly sedentary lifestyles, which actually put a bigger strain on our backs than a very active lifestyle. This has been found to be true even when that active lifestyle involves regular heavy lifting or other activities that put a strain on the back. The bottom line is that no matter how much strain a regular activity may put on your back, maintaining a healthy lifestyle is still the best measure of preempting back problems.

While it is difficult to live with any kind of chronic pain, back pain can be particularly debilitating. There are many routes that a patient can choose to pursue relief, but much of the process of ongoing back pain management comes down to the degree to which the sufferer can make lifestyle changes. This could mean stopping behaviors that were causing or exacerbating the problem, or to changing behavior in accordance with their current medical condition. While some chronic back problems are related to genetics, patients should still be prepared to consider behavioral therapies to increase their ultimate likelihood of living a pain-free life.

As with any chronic pain issue, it can be extremely frustrating for patients suffering from back pain to communicate their needs to their friends and family. Because chronic pain may not have an apparent cause and because it is so persistent, family and friends may have difficulty understanding the very real symptoms that patients experience.

However, for patients trying to come up with a pattern of behaviors that will allow them to live their lives in spite of their pain, here are a few talking points that might help explain to family and friends exactly what it means to live with chronic pain:

• Your feelings and abilities from one day to the next are going to be variable. Because people living with chronic pain often learn to do things despite their pain, family and friends may interpret your ability to do certain activities as a sign that you are not feeling pain. Remind them that your mood or what you’re doing is not necessarily an indication of the amount of pain you are experiencing at any given moment.

• Similarly, just because you are able to do an activity one day, it doesn’t mean you will be able to do it tomorrow. Friends and family need to learn to understand that when you say you are unable to do something they need to take you at your word, and not doubt you because you were able to do the same thing recently.

• Family and friends need to respect the urgency with which you handle your illness. Set clear boundaries so that when you say you need to lie down right away or take your medicine right away, family and friends understand that you really mean it. They also need to understand and respect your feelings when you say you do not want their medical advice. Remind them that you are doing everything in your power to feel better and that you prefer not to dwell on the subject unnecessarily.

There is no doubt that living with chronic back pain is a challenge. If you are in need of a new way to approach chronic pain, contact the Spine Institute Northwest to learn more about the options we offer for an improved quality of life.

Easy Steps You Can Take to Improve Your Back Health

If you have a problem with your posture, chances are you can probably feel it! Extended periods of poor posture can lead to back pain and even injury, so it pays to identify the root of your posture problem. This allows you to take the appropriate measures for realignment.

Dr. Solomon Kamson regularly sees patients who deal with pain that, had it been diagnosed early, could have been at least partially treated through behavior modification. When pain problems can be easily connected with behavioral issues, Dr. Kamson would recommend that you pursue behavioral solutions as your primary option. Conservative treatments like these should be tried before moving on to more intensive solutions.

Here are some noninvasive, conservative approaches that you can take to improving your posture and back health:

Yoga: Focus specifically on poses that lengthen the spine and help improve your muscle strength in your neck and back. Be sure to tell your yoga instructor that you have issues with posture or back pain, so that he or she can help you get the most from your practice and help ensure that you are not exacerbating your issue.

Balance Exercises: When you have correct posture, your body isn’t just properly aligned — it’s also balanced. Improving your balance can provide a natural way to correct your posture problems.

Fix Your Ergonomics: Practice self-awareness while you are at work. Posture problems related to the workplace can quickly become habitual — and since we spend so much time at work, it’s no surprise that these habits often turn into longer-term health issues. One idea: Do a quick search for pictures related to ergonomics and print one out to put by your desk as a regular reminder to correct your desk posture.

Don’t Sit Still: You may have heard news stories about scary research that says sitting is killing us. The good news: Even two minutes on your feet each hour is enough to overcome this problem. Get up and move around regularly. Standing up and walking around for a few minutes loosens your muscles, and will act like a reset button on your back and posture.

Get More Exercise: Even just a light workout that includes both cardio and muscle toning can make a huge difference for your back health. In addition, as posture problems like swayback can be related to obesity, talk to a doctor and a trainer about coming up with a weight loss plan as this could ultimately offer you significant relief for back pain.

The Best Yoga Positions to Alleviate Back Pain

If you suffer from persistent back pain, chances are that yoga is one of the last forms of exercise you would consider for your back condition. However, what many do not realize is that yoga can potentially alleviate your pain—instead of avoiding bending your back, which can cause stiffness and exacerbate your condition, the right yoga poses can actually strengthen your spinal column and relieve your pain. Before starting an exercise regimen, however, it is important to consult with a spinal specialist such as Dr. Solomon Kamson of the Spine Institute Northwest. You want to ensure the exercises are appropriate for your case and will not cause you additional pain.

Mountain Pose
The mountain pose is a great position to start your yoga routine. Its benefits include an improvement in core strength and overall balance. Begin by standing with your feet pointed inward. Your heels should be slightly separated and your big toes should be touching each other. Relax your shoulders and arms, allowing your arms to hang by your sides. Focus on your feet as you close your eyes, envisioning that you are planted firmly on the ground. Lift up on the balls of your feet, then onto your toes. Be sure to keep your weight evenly distributed. Next, find your balance as you settle down on your flat feet and fan out your toes. Be sure to engage your thigh muscles, however, do not lock your knees as you lift your pelvic bone toward your navel. Keep your chin parallel with the floor as you relax your shoulders. Then, relax your facial muscles as you focus on breathing until you are ready to move on to the tree pose.


Tree Pose
The tree pose is designed to reduce stress, improve posture, strengthen the core, and improve overall balance. Begin by shifting all of your weight to your left foot. Reach your hand down and grab your right ankle. Lift the right ankle to the left thigh, or, if you can’t reach, up to your calf. Once you are in this pose, stretch your spine. You should feel the spine lengthen as your pelvic bone points inward and tailbone points toward the floor. Next, put your palms together in front of your chest as you move your shoulder blades inward. Take slow, steady breaths before switching to the other side of the body.

Cat Pose
The goal of this pose is to stretch the muscles and tendons supporting the spine, while opening up the spaces in your vertebrae. Begin by kneeling. The hands should be below the shoulders and the knees should be below the hips. Spread your fingers as you look downward, engaging the muscles of your abdomen. Inhale as you lift your head and tailbone, curving the lower back inward. Then, as you exhale, tuck the tailbone inward as you release the neck toward the floor and drop your head.

Child’s Pose
The goal of this pose is to promote overall relaxation. Begin by sitting on the heels of your feet. Stretch your hands and arms outward in front of you as you bend your upper body forward. Your chest should be near your knees. Stretch your arms forward, as far as you can while feeling comfortable. Breathe deeply as you focus on the muscles in your spine and back lengthening.

If you are suffering from persistent back pain and conservative treatments like physical therapy or exercise haven’t helped, you should consider consulting Dr. Solomon Kamson, founder of the Spine Institute Northwest. Dr. Kamson can help you start on the path to getting back your life, with an accurate diagnosis and a strong knowledge of the many treatment options that are available to help back pain sufferers.

Why Regular Exercise is Important for Back Health during Pregnancy

While there are many things you should avoid during pregnancy, exercise is not one of them. In fact, exercise can be very beneficial to support a healthy pregnancy. Exercise during pregnancy is also critical for back health. During pregnancy, the body goes through many changes. Two of these changes are a shift in the body’s center of gravity and excess weight accumulating around the abdomen. Both of these changes can cause the spinal column to naturally bend forward, which will eventually lead to lower back pain. Not only does regular exercise during pregnancy help eliminate lower back pain, it is a useful tool in weight management, spinal strength, and spinal flexibility.

Weight Management
Although you do need to gain weight for a healthy pregnancy, weight management can still be important. There is a fine line between eating enough to support your body weight and the baby’s, and eating so much that you gain excess weight—your doctor can help determine what is a healthy amount of weight gain for your body type and circumstances. Extra weight places additional strain on your back. This is the reason that finding the right balance between eating and exercise is important. If you can keep your weight at a healthy level, it will lessen the risk of back pain. Low-impact aerobic exercises such as walking, water aerobics, and yoga can help with back pain and weight management.
pregnancy ultrasound
Strengthening the Back
Regular exercise during pregnancy also strengthens the muscles around the back. As these muscles are strengthened, they provide extra support for the spinal cord. This strengthens the entire vertebral column of the back. As the spinal column is strengthened, it allows the spine to support excess weight and compensate for the body’s shift in gravity. Exercises such as stretching, yoga, and low-impact aerobic exercises are good for strengthening the back.

Maintaining Spinal Flexibility
Finally, participating in regular exercise throughout your pregnancy can help maintain spinal flexibility. Another complaint from women is the further they are in their pregnancy, the harder it is to bend over. This may be caused by the excess weight around the abdomen. If the spine is not strong enough or flexible enough to support this extra weight while bending, then it may cause pain. When you exercise to improve spinal flexibility, it may be easier to bend, stretch, and perform other activities throughout your day. Stretching and yoga are very helpful in maintaining spinal flexibility.

Acceptable Exercises
There are many different types of exercise that are generally considered safe during pregnancy. These include stretching, low-impact aerobic exercises, and more. Each of these types of exercise can benefit back health. To maintain your spine’s flexibility, try regular stretching exercises. These can include the pelvic tilt, side-to-side stretches, front-to-back stretches, hip rotation, waist rotation, and more. To maintain the strength of your spine, consider walking, bicycling, yoga, and other gentle exercises. If back pain is already a problem during your pregnancy, you could also try water aerobics. Spinal specialists such as Dr. Solomon Kamson of the Spine Institute Northwest often recommend water aerobics for patients experiencing back pain, because it has a very low level of impact on the back.

Exercises to Strengthen the Spinal Column During Pregnancy

Back pain is a common complaint during pregnancy, but do you know what is causing your pain? It is believed there are two factors that contribute to back pain during pregnancy. First, the body is going through many changes, one of them being weight gain. This extra weight must be supported by the spinal column. When the spinal column cannot support the weight, it naturally curves—potentially resulting in back pain. The second reason back pain may be experienced is because the body’s center of gravity shifts. As weight accumulates around the abdomen, the spinal column can compensate by bending forward, again resulting in back pain.

Fortunately, there are many types of exercise that can strengthen the spinal column during pregnancy. These include twisting, bending, and other types of mild exercise. For additional exercises that may benefit your spinal column, speak to a spinal specialist such as Dr. Solomon of the Spine Institute Northwest. While these exercises are considered to be safe for healthy pregnant women, before beginning them it is still important to clear any exercise regimen with a physician.

Expecting mother

Waist Rotation
Waist rotation helps to maintain spinal alignment and mobility during pregnancy. Keep your hips stationary and bend slightly forward. Be sure you are bending at your waist. Rotate the upper body several times both clockwise and counter-clockwise.

Hip Rotation
Hip rotation is very similar to waist rotation. Place yourself in the same position as you did with the waist rotation exercise, again bending slightly forward at the waist. The key difference is that you will be keeping your upper body stationary, instead of your hips. Rotate your hips clockwise and then counter-clockwise several times.

Side-to-Side Spinal Stretch
To do the side-to-side stretch, begin in the same position as you did with the hip and waist rotation. Bend at the waist as far as you can to the left, and then to the right. You should bend as far as you feel comfortable, without moving your hips. Repeat this exercise several times for the most effectiveness.

Forward-to-Back Spinal Stretch
Begin with the fingers at the base of the spine, with your left hand at the left of the spine and right hand at the right of the spine. Bend your body slightly forward from your waist. Then, bend your body backwards, pushing forward with your fingers in the same motion. As you bend backward, you should also raise your heels off of the floor. Work your fingers up the spine, bend forward, and repeat the process until you’ve gone as high as is comfortable.

Torso Twist
Begin by standing with your feet shoulder’s width apart with your arms extended outward at your sides. Twist from the waist up to the left, and then to the right. Keep a slow, steady pace, avoiding any sudden movements. Make sure that you keep your head facing in the direction that you are turning.

Pelvic Rock
Begin on the floor on your hands and knees. Your back should be flat and your spine should be parallel to the floor. To do the exercise, tense your lower abdominal muscles as you squeeze the buttocks. Rock the pelvis forward as you tilt the pubic bone toward your chin. Hold the position and feel the stretch until you are ready to release. This should be done 10-20 times.

Exercises That Can Make Your Back Pain Worse

There are several benefits regular exercise can offer for your lower back. It increases the flexibility and endurance of your spine and muscles, meaning that it can help prevent future injury. It also strengthens the core muscles of the back, which help to support the spine. Finally, regular exercise can lead to weight loss, reducing the load on your back if you are carrying a few extra pounds. Being overweight places an increased strain on the back, which can cause lower back pain.

However, not all exercises benefit your back. In fact, some can make your back pain worse, especially if done improperly. If you have a pre-existing back condition, it is best to speak with a spinal specialist such as Dr. Solomon Kamson of the Spine Institute Northwest before beginning an exercise regimen.

Running and Jogging
Both running and jogging are great cardiovascular exercises. However, sidewalks, park paths, and tracks are hard surfaces that forcefully impact the soles of the feet while running. This impact works its way up to the lower back, causing pressure. If you suffer from back pain, try walking instead. Walking is also a heart-healthy exercise, but it is not quite as stressful on the back.

Crunches are a big no-no for the lower back. They involve bending the lower spine into a stressful and sometimes painful position. Instead, incorporate planks into your workout routine. Planking works the abdominal muscles as well as, if not better than, crunches. It also reduces the amount of stress on the lower back while strengthening the core muscles of the back.

While an aerobic exercise class can be a fun way to work up a sweat and strengthen the body, it is also high-impact. Aerobic exercises often involve twisting and other movements that can have a negative impact on the back. Instead, take a swimming class. Swimming motions such as the breast and backstroke can strengthen the core muscles, as well as improve flexibility. It is also low-impact, which is critical for individuals that already suffer from back pain.

low impact water aerobics

Overhead Weight Presses
When you lift weights directly over your body, it often puts excessive pressure on the spine. This can cause compression that leads to injury. Instead, do lateral raises. These allow you to work your shoulders without putting unnecessary strain on the back.

Inclined Treadmill
While walking on an inclined treadmill can seem like the ideal exercise to tone the hamstrings and glutes, it also puts a lot of stress on the hamstring. This stress can then reach up into the lower back. Instead, consider using a stair climber machine. A stair climber will allow you to work your quadriceps, glutes, and hip girdle muscles without harming your back.

Leg Raises
When you lie on your back and lift your straightened legs, it can be very detrimental to spinal health. It not only bends the spine, it puts stress on it while it is bent. Instead, do reverse curl-ups. Reverse curl-ups allow you to protect your back without sacrificing the benefits to the abdominal area that leg raises offer.

Toe-Touch Hamstring Stretch
When you stretch the hamstring by touching the toes, it can cause strain that transfers into the back. Instead, stretch the hamstring without unnecessary bending. Do a supported hamstring stretch by using a chair or another flat surface as you tilt your pelvis forward. This allows you to stretch and strengthen the hamstring without harming the back.

If you would have chronic pain but would like to start an exercise regimen, however mild or moderate, it’s important that you first contact a pain management professional like Dr. Sol Kamson of the Spine Institute Northwest.

Photo: Peter van der Sluijs

The Relationship between Walking and Sciatica

It is well known that poor posture while we sit or stand can cause back problems. But did you know that your walking posture can also affect your sciatic nerve? If you have pain that shoots down your leg, it is very possible that your sciatic nerve is to blame. Sciatica can be caused by a bone, spinal disc, or muscle putting pressure on the sciatic nerve. To combat this, you should begin by aligning your body properly while walking.


What is Sciatica?
Sciatica is a condition that often affects the back, hip, and outer part of your leg. It is a shooting pain that can be so severe it makes sitting or standing almost impossible. Sciatica is often caused by the compression of one of the spinal nerve roots found in the lower back. This compression is often a result of a disc, bone, or muscle putting pressure on the spinal nerve root. If you believe that sciatica is the cause of your back pain, contact a back doctor such as Solomon Kamson of the Spine Institute Northwest for diagnosis and options for treatment.

How Does Walking Affect Sciatica?
To understand how walking affects sciatica, you must understand how the body works. It is our bones that are responsible for holding us upright. The muscles are responsible for moving our bones. The nerves fit into this because they send the necessary messages to tell the muscles to move the bones.

For the nerves to effectively send messages, our body must be aligned properly. The legs should be under the pelvis, and the spine should be aligned directly above the pelvis. This allows the nerves to freely flow throughout the body. So where does walking fit into this equation?

sciatic nerve

If you think about it, as you walk you are essentially falling forward and then catching yourself. The brain sends a message through the nerves to tell the muscles to bring the rear foot forward, to prevent falling. However, when this message occurs, it is not uncommon for people to slightly lean backward. This slight lean is what can cause trouble with your sciatic nerve.

Over time, the poor posture you exhibit while walking can cause the spine to misalign, discs to become misplaced, and muscles are weakened. This can lead to pressure being placed on the sciatic nerve. This results in the shooting pain known as sciatica.

Practicing Good Posture While Walking
There are several steps you can take to ensure the way you walk is not affecting your back. As you walk, take care to align your spine correctly. You should suck in your abdomen and walk with your shoulders back. Align your shoulders over your hips. Allow your arms to swing naturally at your sides, to promote balance. You should also align your neck, so there is no pressure placed on your cervical spine. Walk with your chin forward and your head aligned with your neck.

Take care not to lock your knees as you are walking. You should gently bend your knees to make a fluid walking motion. Additionally, choose proper footwear while walking. The right shoe will provide good arch support and a sturdy, flat sole. Proper cushioning will also alleviate the amount of pressure on the spine when you walk across hard surfaces. If you are experiencing pain that you believe may be the result of sciatica, contact a pain specialist like Dr. Sol Kamson.

The Relationship between Smoking and Back Pain

It is believed that 8 out of 10 Americans will suffer from back pain at some point in their life. This can be for a variety of reasons, including traumatic injury, spinal disease or degeneration, and environmental factors. Have you ever considered the effects of the things that you put into your body on your back health? Nutrient and vitamin rich foods that contain magnesium, calcium, Vitamin D, potassium, and other essential nutrients help to build bone and support back health. However, the things that you put into your body can also have a negative effect on health. If you smoke, the nicotine that you put into your body attacks the cells that promote bone growth, which can contribute to the eventual degeneration of the bone and the spine.
quit smoking
How Smoking Affects Back Health
There are two cells that work in the area around the bone, osteoblasts and osteoclasts. Osteoblasts are responsible for rebuilding the bone, whereas osteoclasts break down bone to allow reshaping. However, when you smoke, nicotine attacks your osteoblasts. Now, when osteoclasts break down the bone, there are no cells to help build new bone. This leads to degeneration, weakness, and even the eventual development of a spinal disease.

Smoking and Nutrient Absorption
There is another reason that smoking is bad for overall bone health, including your spine. Smoking reduces the body’s ability to absorb essential nutrients, especially calcium. Good calcium absorption is important because calcium is a necessary nutrient for bone health. It is a key element of the rebuilding process, making it an essential factor in spinal health. However, when you smoke, the nicotine prevents your body from absorbing the calcium that it needs for bone and spine health. It does not matter how much calcium you get in your diet if your body cannot properly absorb it for use in bodily processes.

Smoking and Other Diseases
In addition to attacking the cells necessary for bone regrowth, smoking is a contributing factor to other diseases that may have negative effects on the health of your spine. Some of the diseases that smoking can contribute to include high cholesterol, hypertension, and coronary artery disease. These three diseases are also contributing factors to poor spinal health: The occurrence of these diseases in smokers has actually been related to an increase in degenerative lumbar spine conditions.

Why You Should Quit Smoking Before and After Surgery
If you are having spinal surgery, it is highly likely that an experienced back surgeon will ask you to quit smoking. Dr. Solomon Kamson of the Spine Institute Northwest requires that patients quit smoking before they will be cleared for surgery. The reason for this is that smoking depletes your oxygen supply, can increase your risk of infection and blood clots, and impairs the healing process. Nicotine has negative effects on the body’s ability to heal bones, skin, and surgical incisions. Smoking can also increase your post-operative pain and make the healing process take longer. There are already a large number of reasons to quit smoking, but your back health should be one of them, too.

How Your Footwear Choices Affect Your Spinal Health

Have you ever been standing for a long period of time, only to realize that your shoes leave your body feeling achy and sore? While there is a lot of emphasis placed on the effects of posture on your spinal health, less emphasis is placed on footwear. Even if you have the best posture, the wrong footwear can cause misalignment and contribute to conditions of the spine. For tips on how your footwear may be affecting spinal health, speak to a back specialist such as Dr. Solomon Kamson MD, PhD of the Spine Institute Northwest.

Studies show that three out of ten women wear high-heeled shoes at least three times each week. This is a recipe for a back health disaster. When you wear high heels, your toes are often forced into a narrow space. This space forces your toes and your feet to realign, causing your weight to be distributed in a way that puts stress on your spine. Spinal stress can lead to spine misalignment, sciatic nerve troubles, disc degeneration, and other back conditions.
high heels
Though high heels can damage your back, it does not mean that you have to give them up forever. Instead, try moderation. Heels are generally safe to wear as long as they do not exceed a height of two inches. After two inches, gravity will naturally pull your feet forward and redistribute your weight. If you work at an occupation that requires you to dress to impress, try choosing cute, professional shoes that do not have heels exceeding a height of two inches.

Another tip is to only wear high heels when you really need them. Even if you are wearing just a two-inch heel, you should wear tennis shoes for the walk from the parking lot or subway to your office. Once you are in the work environment, switch into your heels.

Tennis Shoes
You would think that because they are flat, tennis shoes would be the ideal shoe to promote a healthy spine. However, this is not necessarily the case. You may find that over time, your favorite pair of tennis shoes begins to cause back, foot, or leg pain. This is likely because the sole is worn. As your tennis shoe experiences natural wear and tear, the sole and internal cushioning become worn. This reduces the cushioning and the support that you are receiving from your tennis shoe.

How to Choose Proper Shoes
There are three key components to a shoe that supports back health: Proper cushioning, proper support, and accurate sizing. When you are choosing a shoe, you need proper cushioning. This reduces the impact felt by the body as you walk across tile, concrete, and other hard surfaces. Proper support is important because each person’s foot is unique. You may need arch support, whereas someone else needs more support in the heel. Speak with an orthopedic specialist to determine where you need support most. Finally, when choosing shoes, make sure that you choose the appropriate size. If your shoe is too tight, it can redistribute your weight and put strain on the back, as well as make the feet sore. If your shoe is too loose, you will lose the effects of the support and cushioning of your shoe.

Spinal Pain Pump FAQ

An intrathecal pump implant (spinal pain pump) is used to decrease the amount of pain medication that a patient must take to experience relief. The pump is implanted under the skin. A catheter is run from this pump to the location of pain in the spine. By administering the pain medication directly, a more potent effect is experienced and the amount of medication needed can be reduced. Spinal pain pumps are used by doctors, including Dr. Solomon Kamson of the Spine Institute Northwest, as a way to alleviate chronic back pain.

spinal pain pump

What is a Spinal Pain Pump?
An intrathecal drug pump is a round, metal, hockey puck-sized device that is inserted under the skin of the abdomen. A small plastic tube is run from the device into the fluid-filled space around the spine. The pump is programmed to release specific amounts of medication slowly, throughout the day. The doctor can easily raise or lower this amount.

How Does a Spinal Pain Pump Work?
There are three parts to a pain pump: the catheter, the receiver, and the external controller. The external controller is used by your doctor to turn the pump on and off, or to adjust the level of medication that is released throughout the day. The receiver, which has a reservoir full of pain medication, releases the medication at the rate specified by the doctor. The medication then travels through the catheter and into the cerebrospinal fluid (CSF). The CSF flows through the area around the spinal cord and both bathes and protects the brain and spinal cord. By administering the pain medication into this fluid, only 1/300 of the pain medication needs to be administered.

What are the Benefits of Spinal Pain Pumps?
There are many benefits to intrathecal drug delivery. One of the biggest benefits is that it reduces the need for oral medications. Because less medication is needed, the side effects that are often associated with pain medication are reduced. In some instances, a patient-controlled programmer is used. This allows the patient to adjust the dosage of their device within certain parameters. The spinal surgeon closely monitors the patient’s pain levels to determine if the pump is working, or if a different amount of medication is needed. Finally, the intrathecal pump can be removed at any time. It is performed as an outpatient procedure, and doesn’t require much time for recovery.

How is a Spinal Pain Pump Implanted?
The intrathecal drug implant is placed under the skin in a simple, minimally invasive procedure. This is done under anesthesia. The surgeon places the catheter first. A small incision is made in the back, through which the catheter is placed into the intrathecal space. It is secured in place with sutures. Then, the surgeon will pass the catheter under the skin, from the spine to the abdomen. Next, the surgeon makes a 4 to 6 inch incision in the side of the abdomen, creating a pocket between the skin and muscle layers. Then, the surgeon attaches the extension catheter. The catheter is placed under the skin and sutured to the fascia layer over the stomach muscles. Last, the surgeon closes the incisions in the back and stomach using staples or sutures. Often, the patient can be discharged two to three hours after the procedure.