Treatment · Updated October 6, 2026
When to discuss a pump
The practice lists intrathecal therapy among its services. A pump is a specialized option when a clinician determines that pain or spasticity management warrants targeted drug delivery. The medication, device indication, diagnosis, and alternatives all need individual review.
Make the refill commitment part of eligibility. A person who travels frequently or has difficulty reaching appointments needs a practical plan for continuous access to the clinical team.
The maintenance commitment
Ask how refills are scheduled, who programs the pump, how low-reservoir alerts work, and how an urgent interruption in delivery would be handled. Missing refills or a device malfunction can be consequential; obtain a written contact and emergency plan.
Request a clear explanation of the proposed medicine, catheter path, pump location, and trial process. The FDA approval for one pump does not tell you which model or drug a clinic uses. Those exact details affect monitoring, possible interactions, and later procedures.
Procedure and follow-up
Discuss surgical risks, catheter or pump problems, medication side effects, and the monitoring schedule. Compare the expected care burden with nonimplant approaches and bring a complete medicine list to the evaluation.
Carry a plan for travel or a missed appointment: who can refill the device, how early to schedule, and where the record of its settings is kept. Ask the team to explain how it recognizes underdelivery, overdose, or a catheter problem without self-adjusting treatment.
Questions to ask
- Why is intrathecal delivery appropriate for my diagnosis?
- What is the refill interval and who handles urgent pump issues?
- What alternative plan exists if the pump must be stopped?