In Search of the Best Pain Clinic in LA: Cancer Pain Care, Catheter Placement

By | March 3, 2012

Accurate placement of the catheter tip can be the difference between pain relief and side effects.

We have spoken before about the importance of IDDS catheter tip placement in treating different cancer pain syndromes. The best pain clinic in Los Angels would know that the old approach of just placing the catheter at around T8 and simply turning up the intrathecal pain pump infusion rate to control coverage exposes the patient to increased risks and side effects and simply will not work with some of the more lipid soluble agents. The best pain clinic in LA would know that unlike surgical anesthetic mixtures or epidural test infusions, both of which utilize much larger injectate volumes and much more rapid delivery rates, intrathecal drug delivery systems used for cancer pain relief use very slow infusions that have limited spread within the spinal canal. Furthermore much of this spread is due to agitation of the CSF with normal body motion. This means that spread will be even more limited during sleep and in more seriously ill individuals. The best cancer pain clinic in Los Angeles would know that accurate placement of the pain pump catheter tip will give better cancer pain relief and fewer side effects. We at Schlesinger Pain Centers are careful to examine all of the clinical data prior to implantation. A spot on the PET scan can indicate a metastatic focus and a potential site of future pain. We also understand the natural history of the different cancers we treat and discuss the long-term plan with your medical, surgical and radiation oncologists so that the catheter placement and treatment plan is correct not only for the cancer pain you have today, but for all foreseeable contingencies.


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