Baclofen intrathecal pump

Intrathecal baclofen pump therapy is a treatment option used to manage severe spasticity of cerebral or spinal origin. The treatment works by reducing muscle hyperactivity, allowing more normal motor movements.

We aim to reduce a patient's muscle tone and help them to gain better control of spasms. We also work with patients to reduce pain associated with spasticity and to improve positioning, prevent contractures in the long term

It is also important that we ease the task of caring for patients with severe spasticity, including hygiene, dressing and positioning in a wheelchair.

This service is provided for:

  • patients with severe spasticity and/or dystonia which may impede or mask existing motor control
  • patients who develop unacceptable side-effects to anti-spasticity medications
  • patients whose positioning and ease of care could be improved

How the service works

Patients are assessed by a team which includes a neurologist, neurosurgeon, nurse specialist and neurophysiotherapist. Once the team have assessed the patient, they would then discuss the results of the test dose with the patient and the expectations/goals to be achieved by the patient having an ITB pump inserted.

If the team considers that the patient would benefit from ITB therapy, then an elective admission is organised for a test dose of ITB. The patient is then assessed during this admission. Once the test dose has been completed, if the test dose is positive a ITB pump inserted, then the patient will be readmitted at a later date for ITB pump implantation.