Kentuckiana Pain Specialists

Intrathecal Pain Pump Implant

Dr. Ajith Nair is a leading provider of intrathecal pain pumps with over 20 years of experience in pump implantation. This advanced therapy delivers medication directly to the spinal cord area in microdoses for powerful pain control with far less systemic medication.

What Is an Intrathecal Pain Pump Implant?

Targeted Medication Delivery

An intrathecal pain pump is a small implantable device that delivers medications directly into the intrathecal space surrounding the spinal cord, providing powerful effect with dramatically smaller doses than oral medication requires.

Reduced Systemic Side Effects

Because the medication bypasses the digestive tract and acts locally, patients receive full benefit immediately using much smaller doses — significantly reducing the systemic side effects associated with oral opioids.

Who Is a Candidate?

You may be a candidate if you have severe chronic pain not treatable with conservative therapies and no longer tolerate or wish to take oral opioid painkillers. Dr. Nair evaluates each patient individually before recommending this option.

Conditions That May Be Treated With a Pain Pump

Dr. Nair evaluates your medical history and existing health before recommending an intrathecal pain pump. Common conditions that may benefit from this therapy include the following.

Cancer Pain

Severe, refractory cancer pain that cannot be adequately managed with oral or transdermal medications may respond well to intrathecal drug delivery.

Failed Back Surgery Syndrome

Persistent, severe pain following one or more spinal surgeries that has not responded to other interventional treatments or conservative management.

Spinal Cord Injuries

Chronic pain and spasticity resulting from spinal cord injury that has not been adequately controlled with standard therapies.

Severe Migraines

Intractable migraines that have not responded to conventional preventive and acute treatments may be considered for intrathecal delivery of appropriate medications.

Chronic Pancreatitis

Severe, chronic abdominal pain from pancreatitis that has not been controlled by other means may benefit from targeted intrathecal pain management.

Muscle Spasticity

Severe muscle spasticity associated with cerebral palsy, multiple sclerosis, or traumatic brain injury can be managed effectively with intrathecal baclofen therapy.

What to Expect During Treatment

Before a permanent implant is considered, Dr. Nair works with you through a trial phase using temporary injections to evaluate whether targeted medications successfully resolve your pain.

Step 1 — Trial Phase

Dr. Nair performs a temporary injection trial to confirm that targeted medication delivery provides meaningful pain reduction before committing to permanent implantation.

Step 2 — Catheter Placement

A thin catheter is placed into the intrathecal space around your spinal cord through a small incision in your back, allowing precise delivery of medication to the target area.

Step 3 — Pump Placement & Ongoing Care

The pump is placed through a small incision below your waist and connected to the catheter. Regular refill appointments ensure the pump functions properly and your pain remains well-controlled.

Ready to explore the intrathecal pain pump?

Schedule a consultation with Dr. Ajith Nair at Kentuckiana Pain Specialists. With over 20 years of experience in pump implantation, our team will help determine whether this advanced therapy is right for you.

Frequently Asked Questions About Intrathecal Pain Pumps

Common questions patients ask before considering a pain pump implant.

An intrathecal pain pump is an implanted device that delivers medication directly into the fluid surrounding the spinal cord. It provides powerful pain control using much smaller medication doses than oral therapy requires.
Yes. Before a permanent pump is recommended, Dr. Nair performs a trial using temporary injections to confirm that targeted medication delivery provides meaningful relief for your specific condition.
Pump refills are typically required every few months depending on dosage and the specific medication used. Dr. Nair will schedule regular appointments to refill and monitor your device.
Pain pumps are used for severe chronic pain conditions including cancer pain, failed back surgery syndrome, spinal cord injury pain, severe migraines, chronic pancreatitis, and muscle spasticity.
Recovery time varies by patient. You will need time to heal before returning to usual activities. Many patients experience a significant reduction in pain soon after treatment begins.

Schedule an Appointment

Kentuckiana Pain Specialists

If you or a loved one is experiencing cancer-related pain, schedule a consultation with Kentuckiana Pain Specialists to discuss advanced pain management options. Call (502) 995-4004 today.