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January 1, 2026 / Blogs

The Value of Intrathecal Pump Management in the Home

The value of intrathecal pump management in the home: enhancing intrathecal care for patients and providers

An intrathecal pump is a life-changing technology for managing chronic pain and spasticity. This surgically implanted device delivers medication directly to the fluid surrounding the spinal cord. Because the medication is delivered directly to the central nervous system, this method can be more effective than oral medication and provide powerful relief with a much lower dose, sometimes less than 1% of an oral dose.1

While life-changing, the therapy also requires a long-term commitment. The pump's reservoir must be refilled regularly, often every few weeks or months, to ensure treatment continues.

Standard care protocols often require patients to travel to a doctor’s office or hospital for every refill. This could create a significant burden, especially for those already managing severe pain or spasticity.

Intrathecal pump management in the home offers a specialized care model that addresses these challenges directly. By bringing expert clinical care directly into the home, it offers meaningful benefits for patients, providers, and practices alike.

           1. The patient benefit: comfort, access, and better outcomes

For patients, the advantages of home intrathecal pump management services are immediate and profound. Moving care from the clinic to the living room relieves the significant burden of travel and waiting time.

This service is more than just a convenience; it is a vital component of compassionate care. It is an attractive option for patients who:

  • Experience physical discomfort during transportation
  • Live long distances from their provider’s office
  • Have caregiver support issues that make travel difficult

This model isn't just theoretical. A long-term study on home-based intrathecal infusion found it provided patients with satisfactory analgesia (pain relief), had few side effects and offered a high degree of patient autonomy.2

By removing these barriers, home care facilitates better adherence to treatment schedules, ensuring patients get their refills on time. This stability and support directly contribute to a better quality of life, allowing patients to focus on their well-being in a comfortable, familiar environment, just as our patient Jayme experienced when her social interactions and overall well-being improved with home infusion.

           2. The provider and practice benefit: efficiency and focus

The home-based intrathecal pump management model is a powerful solution for busy clinical practices. When a qualified partner manages routine pump refills in the home, it creates immediate efficiency.

This additional time and space allow providers to focus on larger impact procedures and more complex patient needs within the clinic.

Furthermore, a comprehensive home infusion partner reduces administrative burdens. Pentec’s dedicated teams, including reimbursement specialists, simplify the entire process by:

  • Simplifying the referral and intake process
  • Navigating the complexities of insurance coverage
  • Managing verifications and prior authorizations

This holistic support enables physicians to spend more time caring for patients and less time on administration.

           3. The clinical partnership: A trusted extension of your team

A home infusion service can only succeed with trust and seamless clinical coordination and collaboration. The Pentec Health model is designed to function as an in-home extension of a healthcare provider's office.

This trust is built on two key pillars: clinical excellence and continuous communication.

  • Unmatched clinical and pharmaceutical expertise: Pentec’s nurses are industry leaders in intrathecal pump management. Our nurses are trained through the only ANCC-accredited Intrathecal Nurse Fellowship program in the nation. This Accreditation with Distinction, the highest honor bestowed by the ANCC, validates that our nursing program is at the forefront of national care standards.
  • Seamless communication and oversight: We ensure providers and patients have 24/7 access to our nursing and pharmacy teams. All patient data, including physical assessments, pump telemetry, and refill schedules, is entered into a proprietary electronic medical record (EMR) system, ensuring accuracy and 24/7 availability to physicians and their staff.

This commitment means patients are still managed by their providers; our nurses function as an expert extension of the practice to execute the ordered refills and adjustments, implementing the physician treatment plan in the home with clinical precision.

A holistic solution for intrathecal care

Intrathecal pump therapy is a remarkable treatment, and its management should enhance, not hinder, a patient's quality of life.

Home implanted pump management services provide a holistic solution that benefits everyone involved.

Patients receive high-quality, specialized care in the comfort of their own homes.

Providers gain new efficiencies and more time to focus on complex procedures.

Clinics gain a trusted, accredited partner dedicated to seamless communication and superior clinical oversight.

To learn more about how Pentec Health's home infusion program can benefit your practice and patients, contact us today.


  1.  Intrathecal Pain Pump. 7 Apr. 2023, https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/intrathecal-pain-pump.
  2. Gestin, Y., et al. ‘Long-Term Intrathecal Infusion of Morphine in the Home Care of Patients with Advanced Cancer’. Acta Anaesthesiologica Scandinavica, vol. 41, no. 1, 1997, pp. 12–17. Wiley Online Library, https://doi.org/10.1111/j.1399-6576.1997.tb04607.x. PubMed, https://doi.org/10.1053/j.jrn.2015.09.003.