Ok guys I need some opinions So I had a baclofen pump installed around October of last yea for severe spasticity ( it was bad ). The results where amazing. Now I have a increase in spasticity a decent amount. I went to my doctor at TIRR and did x rays and labs but everything came back fine. What can it be
Hello. I too have a baclofen pump. This is my fourth pump. My spasms were so bad they used to toss me from the chair or bed onto the floor. I’m on 650 micrograms per 24 hours. I’m still spasming. I put up with the spasms rather than keep having the pump turned up. What dose are you on? If you are still spasming, ask your consultant to turn the dose up (Medtronic pumps are programmable). Incidentally, I’ve had all sorts of problems since having the pump fitted. Having an implant the size of a baclofen pump may trigger pain and dysreflexia, which it does in me. In fact I've been awake since 3:30 AM, the spasms and pain so bad that it was impossible to sleep. I'm still spasming and I'm still in pain. It hasn't done with me yet. You've just got to ride the storm until it settles down. Obviously something is triggering all this sensitivity, pain and spasm but what it is God only knows. I've had scans and all sorts of tests. Negative. Some spinal people spasm and some don't. It's the luck of the draw my friend. You just have to accept that this is how it is and get on with it. Make sure your consultant is aware of your problems. If he is a good doctor, he will try to get to the bottom of it, or perhaps turn the dose of the pump up to give you a bit of relief.
I’m so glad you have Mikeq to commiserate with, Garcia. I don’t have a pump and I only took Baclofen for (hmmm, not sure) about a year and a half. I have spasms, too,...sometimes strong enough that I have to hang onto the arm of my wheelchair to stay in it. But I treasure my brain, so I won’t take Baclofen. Since I’m paraplegic, I have my hands and arms to stop myself from being thrown out of my wheelchair or to get my leg back into bed when it goes for a walk without my consent. I understand that you will both continue to take Baclofen, but I will still tell you what I do that reduces my spasticity.
Any parasites in the intestinal tract can trigger spasticity. I have no scientific support for saying this, though there may be research on it somewhere, Constipation can also trigger spasticity. I say this from my own experience. I use a zapper. It kills bacteria and parasites in the intestinal tract. This encourages a smooth bowel movement within a few hours, which, in my case, also effects a major reduction in spasticity. The zapper is not FDA approved. Mine is a SyncroZap.
I also take Kratom. You can get it, Garcia, here in Texas. Top quality. To start out, I suggest Green Maeng Da strain. It’s legal and will come in the mail. I order 8 ounces at a time, every few months. I will PM you the name of the place where I order and the phone number. Kratom is not FDA approved. Kratom is outlawed and unavailable in the UK.
So, there you have it. This helps me survive with a better quality of life than I would otherwise have.
I forgot to mention the brain numbing effects of intrathecal baclofen. It really does take the edge off of one's mind. It strips one's enthusiasm away. Of course it all depends on the dose that you are receiving. If you can keep it below 500 micrograms, so much the better. I personally prefer to keep the dose to a minimum, put up with a few spasms rather than be saturated with baclofen. 650 micrograms, which is the dose I'm on, is too much. But what can I do? I'm actually having discussions with my consultant about zapping a few spinal nerves and having the pump removed.
I forgot to mention the brain numbing effects of intrathecal baclofen. It really does take the edge off of one's mind. It strips one's enthusiasm away. Of course it all depends on the dose that you are receiving. If you can keep it below 500 micrograms, so much the better. I personally prefer to keep the dose to a minimum, put up with a few spasms rather than be saturated with baclofen. 650 micrograms, which is the dose I'm on, is too much. But what can I do? I'm actually having discussions with my consultant about zapping a few spinal nerves and having the pump removed.
Mike- How disappointing for you that the pump is... less than optimal. For clarity, I know several pump users who have not suffered any lessening of their enthusiasm for life nor their various projects. Experiences vary, yet long-range problems always emerge. Pumps wear out and must be replaced. One friend went through five of them over the years before developing a reaction that forced him back on oral baclofen.
Being without solutions is a desperate spot, yet again a warning. Another person I know had her cord cut to eliminate leg spasms... and after a few months they returned. I want you to find help and only mention gruesome stories in case some doc says, "No problems! No risk!" There is always risk, which must be weighed agains the risk of continuing in life robbed of meaning.
Spasms are of the Devil. I have had spasms all of my 27 years as a paraplegic but mine have worsened in the past year to the point of sudden spasms that feel like I could flip my chair backwards. So my neurologist tried just Baclofen. 20 mg 3 times a day with not much success. Tried 30 mg 3 times a day with a little more success but still having the occasional almost flipping out of my chair spasm. Thankful for my reflexes and able to grab my handrim. I am now on 20 mg of Baclofen and 5mg of Valium both 3 times a day. It seems to have minimized the spasms considerably. However if I miss my middle of the day dose (mainly due to getting busy at work), I notice the spasms worsening around 7pm. So overall I am pleased with the Baclofen/Valium combination I am currently using.
It does take your body a little while to adjust to the side affects of the Baclofen/Valium which for me was drowsiness at first. I could be watching a show in the evening and dose at the drop of a hat and not even felt sleepy. Thankfully my body has adjusted well and the drowsiness is minimal.
Post by softballdad on Apr 13, 2018 7:15:31 GMT -8
Garcia have you tried taking a few puffs of some weed? When my legs get gnarly I'll have a few puffs and they are calm. It's like a warm blanket enveloping you and telling you things are going to be ok and puts a smile on your face. Drinking water to stay hydrated help with mine as well and lessen the sodium and caffiene intake helps too.
The pump had been working fine. I’ve only had it for 5 months and I had found a good dose that worked for me. I’m very active and independent then out of nowhere spasticity returned. I’m working with doctors to figure it out. X — rays are fine, skin is good,very minor uti ( on antibiotics for that). Next step is to change pump settings from a constant dose to bolus doses. Maybe my body got used to the constant dose. I haven’t got around to trying marijuana, I have a few friends that tell me it works great ( SCI and CP )
Post by bantughost on May 25, 2018 18:41:03 GMT -8
I take 25mg x 3 times a day baclofen and 200mg x 2 times a day carbamazepine. Baclofen alone didnt do it for me. Somehow I went the first ten or so years post injury without any medications after tendon release surgery in the groin and Achilles tendons. Then for some unknown reason things just went south.
Update, so I just found out today that the catheter of my baclofen pump is blocked/clogged. I go in on Tuesday to replace system. Oddly enough I’ve only had it about 6 months
that's the problem with implanted devices, they can go wrong. I'm so dependent on my baclofen pump that I worry about calamities interrupting supplies of baclofen, such as a nuclear war between North Korea and America. I know it seems ridiculous, worrying about events that are probably never going to happen. But without intrathecal baclofen my spasms and the subsequent blood pressure would kill me. It's horrible to be dependent on a mechanical object that can go wrong. I'm on my fourth pump. I hesitate to say that none of them have ever gone wrong. You see I have even becoming superstitious about tempting fate. I know many patients whose pumps have failed or the catheter has blocked or fallen out of position. They have been lucky. Most of them were on very small doses and the effects of the pump failing just gave them extra spasm, put them back where they were. My problem is the device itself has caused a negative reaction with my body, a trigger for extreme sensitivity and autonomic dysreflexia. I was better off before, just spasming and not getting all the A.D. Had I known how my body would react to the implant I would never had it. But like Tetra said, clinicians only tell you of the benefits. They really explain the negative consequences. My pump was supposed to be a 'cure all' device. Turned out it was anything but. One other thing worth mentioning about intrathecal baclofen, is the sheer severity of the spasms if the device fails. It's like the spinal cord suddenly wakes up and for a short time the spasms come back with a vengeance before calming to their original status. That's what makes it so frightening for me. I know what it was like when I had my first bolus of 50 micrograms injected into the spinal cord before having the pump fitted. The next day, when the bolus wore off, the spasms were unbelievable. I was literally clinging to my wheelchair for around eight hours, my legs leaping all over the place and my body slamming backwards. A horrible experience and one that I never want to go through ever again.
Mikeq, reading your story, I much identify with you, although my spinal injury is less severe than yours. While in the hospital after my injury, a night nurse refused to cath me when I needed it. This happened two or three nights. I was in distress. It makes me feel ill to remember it. Dependency on devices ...and then being deprived of those devices, causes us an unhealthy fear. Few AB people would understand.
that must have been an horrendous experience, vintage. I can imagine how you felt, knowing that your bladder was filling up with potential damage to your kidneys if the catheter was not inserted.