Baclofen can be a medication that treats stiff muscles and spasms, a condition known as spasticity, which will happen to people with different nerve diseases.
Normally, the muscles get electrical signals from the patient’s nerves that tell them once to tense and relax. Spasticity happens once these signals become uneven, actually because the nerves are broken.
This makes muscles tense up or move once the patient doesn’t need them to. Baclofen works by restoring the conventional signals. It will facilitate the patient allowing him to move his muscles commonly.
What are the side effects of Baclofen?
Side effects might include:
What Is Intrathecal Baclofen?
The patient will take baclofen as a pill or directly into a district of his spine known as the intrathecal house. This part of the patient’s body is stuffed with the fluid that surrounds his medulla spinalis and nerve roots.
This type of treatment, known as intrathecal baclofen (ITB), will facilitate those who have a tough time with aspect effects of the pill type. It delivers the drug right to the medulla spinalis, thus it doesn’t flow into throughout the body initial. The patient desires solely little doses for the drug to figure. This keeps aspect effects to a minimum.
What Is the Intrathecal Baclofen Pump System?
Doctors use a pump system to deliver baclofen directly into the humor. It’s made from a tubing (a little, versatile tube) and a pump. A physician puts the device a spherical metal disc, concerning one in. thick and three inches around underneath the skin of the patient belly close to his region.
The pump stores and releases the proper quantity of medication through the tubing. A small motor moves the medication from the pump through the tubing. The patient’s treatment team will use little laptop outside his body to send messages to the pump and build changes within the dose, rate, and temporal order of the medication. The patient may flip the system off once he doesn’t want it.
People with the pump should return to their doctor's workplace for pump refills and medicine changes, usually each one to three months. At the top of the battery's life (usually five to seven years), the doctor can take away and replace the system.
Who ought to get ITB?
If baclofen pills haven’t helped his spasticity, the patient will attempt a pump system. It tends to figure higher for jerkiness within the legs instead of the arms.
Before the patient get ITB, he can meet with a treatment team which will embody a doctor who makes a specialty of rehabilitation (a physiatrist or neurologist), a healer, an activity expert, a nurse, and a welfare worker.
All of those professionals work along to see the patient’s spasticity symptoms and to line a treatment arrange that matches his personal desires. Several doctors who concentrate on pain management, known as anesthesiologists, conjointly manage ITB pumps.
Know the Risks
Any surgery comes with risks, and implanting the baclofen pump isn't any exception. They include:
- An unhealthy reaction to physiological condition
- Trouble with bladder management
- Pump malfunction: If the pump stops operating (this is rare), it's going to offer the patient an excessive amount of drugs right away which will cause symptoms like temporary state, dizziness, weakness, bother sleeping, lightheadedness, nausea, constipation, vomiting, loose muscles, bother with vision, coma, metabolism depression, seizures, dry mouth, diplopia, poor concentration and looseness of the bowels.
- Kinked tubing: If the catheter stops operating well, the patient might have surgery to exchange it.