Frequently Asked Questions – Baclofen Pump

How does a baclofen pump work?

A baclofen pump system includes a programmable pump and catheter that are surgically placed, usually just under the skin of the abdomen. The system delivers a liquid form of the drug baclofen directly to the fluid around the spinal cord, where it's needed most.

Most people report that the pump is not uncomfortable or restrictive, and does not interfere with their movement. Depending on your build, it may not show at all under regular clothes.

If oral baclofen didn't work for me, why would intrathecal baclofen work?

Because the drug is delivered directly to the spinal fluid where it is needed, only minimal amounts circulate in the blood throughout the body. This helps minimise the possible side effects that can accompany oral baclofen.

Will a baclofen pump cure my spasticity?

While a baclofen pump (ITB therapy) won't eliminate the primary source of your condition or cure your disease, it may help you manage your severe spasticity and might allow you to participate in daily activities that have become difficult or impossible.

Am I a candidate for a baclofen pump?

Only your doctor can determine whether you are a candidate for a pump. Candidates must:

Show a positive response to a baclofen injection in a standard screening test
Have sufficient body size to support the pump; the pump must be implanted 2.5 centimetres (1 inch) or less from the surface of the skin
Not have any infection
Not be allergic to baclofen

In addition, healthcare professionals may use the following criteria to determine if you are a candidate for ITB therapy:

Severe spasticity or spasms that interfere with function or daily activities
Severe spasticity or spasms that interfere with care or positioning

Next: Getting a Baclofen Pump

Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.

Last updated: 27 Sep 2010