Treatment of low back pain with intraspinal opioids delivered via implanted pumps

Low back pain, more recently defined as "failed back surgery syndrome" is a common, yet devastating, pain complaint. Although physical therapy and systemic analgesics provide relief in most patients, intraspinal opioids delivered via implanted pumps may be indicated in those individuals who cannot tolerate oral medications. Orthopaedic nurses are essential in the identification and care of patients who might benefit from this therapy.