Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025. Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025. Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025. Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025.
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Intrathecal Pump(ITP) Implantation, Washington

Struggling with chronic pain that hasn’t responded to other treatments? Discover lasting relief with Intrathecal Pain Pump (ITP) Implantation targeted pain control with fewer side effects. Let us help you reclaim your life.

What is an Intrathecal Pain Pump (ITP) Implant

What is an Intrathecal Pain Pump (ITP) Implant?

An Intrathecal Pain Pump (ITP) is a small, implantable device that delivers medication directly into the spinal fluid (intrathecal space) to manage severe, chronic pain. By bypassing the digestive system and targeting the pain receptors at the spinal cord, it allows for significantly lower medication doses, often 1/300th of oral amounts, while achieving more effective relief with fewer side effects. This treatment is commonly used for conditions like cancer-related pain, failed back surgery syndrome, complex regional pain syndrome (CRPS), and other nerve-related or chronic spinal pain disorders.

We specialize in providing this advanced pain management option to patients who have not responded well to conventional therapies. We start with a comprehensive evaluation to ensure you’re a suitable candidate for ITP procedure. If appropriate, we conduct a ITP trial phase, a temporary medication delivery, to assess the pump’s effectiveness in managing your pain. If the trial is successful, we proceed with the permanent implantation of the device through a minimally invasive procedure.

Conditions Commonly we Treated with Intrathecal Pain Pump Implant Procedure

Cancer Pain

We offer the ITP procedure to patients suffering from advanced cancer pain when traditional medications are no longer effective. The pump delivers targeted relief, reducing side effects and enhancing quality of life.

Failed Back Surgery Syndrome (FBSS)

Our ITP Implantation procedure provides long-term pain control for individuals with FBSS, avoiding the need for repeat surgeries and minimizing dependency on oral medications.

Complex Regional Pain Syndrome (CRPS)

With Intrathecal Pump Implantation for pain, we help patients with CRPS regain comfort and mobility by delivering pain medication directly to the spinal fluid.

Chronic Pancreatitis Pain

We provide ITP Implantation for pain relief in patients with chronic pancreatitis, helping manage persistent abdominal pain while reducing reliance on systemic opioids.

Severe Spinal Cord Injury Pain

Our advanced ITP procedure is ideal for individuals suffering from chronic nerve pain due to spinal cord injuries, offering precise and lasting pain control.

Arachnoiditis

At WaPASS, our approach to treating arachnoiditis includes ITP Implantation surgery, targeting inflammation at the spinal level to reduce pain flare-ups and restore function.

Why and When Should You Consider ITP Implantation?

You should consider ITP Implantation when chronic pain severely impacts your daily life and conservative treatments like oral medications, physical therapy, or injections, no longer provide sufficient relief. If you suffer from conditions such as cancer-related pain, failed back surgery syndrome, or complex nerve pain and require high doses of pain medication, Intrathecal Pump Implantation may be the right solution.

At WaPASS, we recommend the ITP procedure when patients experience intolerable side effects from oral opioids or have pain that is localized and can be better managed with targeted therapy. Unlike systemic medications, the ITP Implantation for pain relief delivers small, effective doses directly to the spinal cord, helping reduce side effects and improve quality of life.

Our team carefully evaluates your condition through a trial phase before proceeding with full ITP Implantation surgery, ensuring the treatment is both effective and right for your needs. If you’re ready for advanced, long-term pain relief, we’re here to help guide your journey.

Consult with your spine specialist to determine if ITP implantation is the right choice for you.

Why and When Should You Consider ITP Implantation

Not sure if an ITP pump is your best option?

We’re here to guide you toward the most effective, personalized pain relief solution.

Struggling with persistent pain that medications can't fix
Our Intrathecal Pump(ITP) Implantation Procedure

Our ITP Implantation Procedure

Our Intrathecal Pump (ITP) implantation procedure is a minimally invasive surgery designed to deliver pain medication directly into the spinal fluid for effective, long-term pain management. During the ITP implantation, a small catheter is carefully placed in the intrathecal space of the spine and connected to a pump implanted under the skin, usually in the abdomen. This pump is programmed to release precise doses of medication, reducing the need for high oral doses and minimizing side effects. Performed under local or general anesthesia, the ITP implantation procedure ensures accuracy, patient comfort, and faster recovery, offering a reliable solution for chronic pain control. We ensure your journey with ITP Implantation surgery is safe, effective, and designed for long-term pain management.

Why Choose WaPASS for Your ITP Implantation?

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Frequently Asked Question

If you have chronic pain that hasn’t responded well to other treatments or experience side effects from oral pain meds, you may be a candidate. At WaPASS, we perform a trial procedure first to see how well the ITP works for you before moving to full implantation.

An Intrathecal Pump Implantation for Pain in Washington delivers medication directly to your spinal fluid, meaning you get better pain relief with much lower doses and fewer side effects like grogginess, constipation, or dependency.

While the pump is implanted, it can be removed if necessary. We start with a trial to ensure the ITP Implantation for pain relief will be effective for your specific needs before committing to the permanent device.

Yes, one of the biggest advantages of the ITP procedure is that we can easily adjust the dosage or type of medication without additional surgery. Adjustments are made noninvasively during your follow-up visits.

Yes. If needed, the ITP Implantation for pain relief can be reversed. The pump and catheter can be safely removed if you no longer need it or wish to stop therapy.

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