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Beulah E.
10-06-2006, 02:25 PM
My new Pain Management doctor has recommended the Medtronic pump for severe back pain.

I browsed/searched through most of the comments posted on this board.

I've been through the gammit of steroid injections, pain patches, methadose and percocet pills.

Any comments form recent patients receiving this pump, as to the relief and how it effects your daily living.

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charliecat31
10-06-2006, 02:39 PM
I don't have the Medtronics, I have the Codman (used to be Arrow). There are big differences between the two - the most being that the Medtronics has to be completely replaced every 5-7 years because it runs off a battery. The Codman works on hyrdrolics and is expected to last a lifetime. The dosage in the Medtronics can be changed a little easier and set to deliver different strengths at different times, while the Codman is a constant flow of a specific dose. I'm young (mid 30's) so the Codman was a better option for me so I won't have to have surgery every 5-7 years to replace the pump.

You'll go through a trial of the pump that lasts about a week and is to make sure you have no complications from the medication being delivered directly into your spine. After the permanent pump is implanted it can take months to get the dose where it needs to be, so this is not an over night solution. It's important to discuss placement of the pump with your surgeon - too low and it's right at your pants waist band, too high and it's up under your ribs.

If you search the board you will find a ton of threads about the pump and a lot of great information. If you want to know anything specific - please let me know and I'll try to help any way I can.:D

Beulah E.
10-06-2006, 05:45 PM
Thanks for the reply's from charliecat and benspap.

I'll be back as soon as I know what to ask.

Thanks !!!!

charliecat31
10-06-2006, 07:23 PM
Charlie........Compared to the Medtronic pump, can you tell me how big your pump is and where it is located? I have heard that there are alot of smaller pumps out there and I also was told that when my pump gets changed, next year, the new one will be smaller. That is good. My grandson, who is 14 months, likes to set on my lap and when he feels my pump jabbing him, he tries to figure out what it is and he pulls on it, even though it is under my skin....It makes me laugh but it is a little painful. Mine is the size of a snuff can... Have you had good luck with yours?

Thanks for your help...Benspap1

Hi Ben:
The Codman is about the size of a hockey puck. It's implanted in my abdomen, about even with my belly button but a few inches over. It's not the least bit noticable under clothing and no one would even know I have it.

I have very bad DDD in my low back. The pump has allowed me to get off some meds, but I still take others for break through pain and I'm completely disabled. It's been helpful, but not enough pain relief for me to resume my life unfortunately. Thanks for asking though

HBMod07
10-06-2006, 10:46 PM
Please do not quote a message and then post only the quote and then start a new message under that. Please either put your comment in the quoted message or simply do not quote the message.

Thank you

Hope4U2
10-07-2006, 12:17 AM
Hi there,

I have had the Medtronics Pump since August 4. Prior to that, it was 4 years of severe, chronic pain that started with a car accident and was made worse by severe DDD. After multiple failed surgeries, my employer, their doctor, and my doctor were all leading me down the path to Long Term Disability. I thank God every day that I went to another doctor who gave me the MPP video and also put me in contact with patients who had been through the pump surgery and maintenance successfully. I can't even begin to describe how great it feels to have my life back. It's not perfect, and I am still only working part-time, but I have my mind back...and am off Oxycontin. Still take some meds for breakthrough like others, but it's like 2% of the prior to the pump dosages, and it's not all the time.

I know my back is not getting better and I've just bought myself some time at work. I'm in my mid 30's, too, and all this mess has turned my life upside down. However, the pump has been the one bright spot, and even if I ended up disabled tomorrow, I'll be much happier using the pump rather than heavy meds to get pain under control. I don't relish having the surgery again in 5-7 years, but the catheter now stays in for life, so at least it's just the abdominal surgery. Plus, I'm told the battery technology has improved a lot in just the past 10 years...and that gives me hope that more improvements are on the way.

Best of luck to you!

coastline
10-08-2006, 01:49 AM
There is a VHS Tape as well on the Codman 3000 morphine pump. I feel I am lucky in the sense that I didn't know that much information about a morphine pump before it was implanted but my Doctor installed a Codman (A Johnson & Johnson Co.) formerly ARROW. There are distict differences between a Codman and the Medtronics. I know of 2 people other than me that have pumps, both have a Medtronics and they told me that both of them had to have it surgically removed after about 7-8 years due to battery difficulties. The Codman that I have operates I believe like a freon or gas operated pump so no batteries. It is a constant flow pump meaning that it delivers constantly the same dose of medicine that is in the Resevoir of the Pump. The 2 resevoir sizes that the Codman models are 1. 30 ml pump 2. 50ml pump. The larger resevoir, the larger of a pump in size.I have seen posts from Dave (Shoreline) on this forum and he has indicated that their are advantages to the Medtronics as the doctor can program this particular model pump so it will deliver more medicine during periods when you are more likely to need the increase, and the doctor also has the ability to program it where at a specific times where the pump doesn't deliver as much medicine at other times. I am sure their are pro's and con's with each model such as failure or cathedar problems that could occur where at any time surgery would be required to repair/replace the pump and or cathedar. I am 48 yrs old and I like the Codman because I am hoping for pump longevity, it gives me approximately 50-60% pain relief with no side effects and I take oral medicine ONLY AS NEEDED. My doctor explained and emphasized to me that both oral and the intrecal pump medicine (Morphine) compete for the receptors on the spine that block pain going to the brain, so in a nutshell I try watch very closely what I take orally and only taking oral when the times really get rough like I may have slept or twisted or lifted the wrong way; this way my body hasn't developed a great tolerance to the oral medicine, and therefor I get good relief when I need breakthrough relief. I would just really like to emphasize that you explore and research both manufacturers of the pump you want, do the 7-10day trial and pray that it gives you good relief without as little side effects as possible such as nasuea, urinary retention etc. One thing always to remember, I have learned this from these forums, we all have to be able to live and tolerate with some pain, in my case with the pump, orals only when necessary works for me. I have only had 2 increases in the 3 meds that they put into my pump (Morphine/Clonadine/Baclofen). I have been getting a few headaches lately but the Extra Strength Tylenol has been helping a lot. I sincerely recommend you due your homework and make a knowledgeable decision as this is a huge desicion to undergo. One thing I have noticed with the pump, thier seems to be alot more doctors that fill the Medtronics pump in my area as the Medtronics has been around longer. I believe that I read somewhere that the Medtronics was originally developed for terminally ill patients that weren't going to live that long, so the battery issue wasn't that much of a concern. As technology improved and Codman came up with an alternative means of powering the pump I am really praying for it too work for a long time before any maintenannce or replacement is needed. To me it is a younger pain patients alternative to battery operated pumps. I guess the Codman is newer technology but different technology as well and I have to travel over 125 miles one way for a fill every 45 days where-as if I had a medtronics I could get it filled 50 miles from my home ( I live in a real rural area). Best of Luck, the surgery for implanting a pump wasn't that bad, I had surgery at 2pm and stayed in the hospital overnight, it was a rough night, but I walked out the next morning at 10:30 am, and I have some of my life back again. A pump is just another way of introducing/delevering medicine into your body, hopefully yours will be as successful as mine has been. I would do it again tomorrow, it really relieved the pain that much without the FOG. Good Luck and God Bless... Jeff

Beulah E.
10-08-2006, 06:41 AM
Thanks...coastline....I'm learning.
Beulah E.

charliecat31
10-08-2006, 03:13 PM
Another thing to consider if you are thinking about getting a pump - I don't know if this is true with the Medtronics, but I know with my Codman I can't go in a sauna or hot tub and if I have a fever I need to let my PM doc know right away. The increase in the body tempature from these things can cause the pump to release more medication. So no heating pads near the pump, be cautious about a lot of strenous exercising, anything that will cause an increase in body tempature. I would think for most people none of these would be a big consideration, but I just thought I would add this - hadn't thought to tell you in my other posts.

Hope all of these posts from these wonderful people are helping you in your decision.





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