Patient with an Intrathecal Pain Pump

Intrathecal drug delivery systems (IDDS) are increasingly used modalities for the management of various chronic pain syndromes including cancer pain, CRPS, and failed back surgery as well as non-pain syndromes such as uncontrolled quadriparetic or paraparetic spasticity [1, 2]. Given that intrathecal medications are largely confined to the epidural space, microgram medication dosages are able to be utilized with a great degree of efficacy. Thus, IDDS also allows for the weaning and possible discontinuation of systemic pain and spasticity medications, which are associated with various systemic adverse effects.