[meme]

[size=4][font=Arial Black]hi there i have had it done it is working great but i have a rather large swelling on my pump site is this normal it is the size of a orange. The pump works great but i still have bad days were i am having to take oral baclofen as well i have no idea what my pump is set at As anyone any idea at what a good setting is

[tom71]

the dosage is going to vary depending on how much tone you have, I started out back in may 2006 at 100, now I'm up to 225.
Tom

[Apparelyzed]

If you have swelling around the pump which feels like a large bubble of fluid, there are three possibilities which are causing this.

1. The fluid could just be sirus fluid, produced by the body as part of the healing process. This fluid will be absorbed over time naturally back into the body, but if the fluid doesn't dissipate, it may need asperating with a syring by your doctor.

2. You could have a CSF leak. This is normally associated with a headache, increased spasticity, and swelling around the scar on the back following periods out of bed in an upright position. In order to stop the leak, a sample of blood is injected into the spine next to the tip of the catheter, and the blood seals the gap, plugging the leak. After this is done, the patient should stay flat for a couple of days, and only get up whilst wearing an elasticated binder for a couple of weeks.

3. The fluid could be an infection. This would need to be asperated, and treated with antibiotics. In extreme cases, the pump would need removing.

The best thing you can do is get it checked out by your surgeon to see what the problem is.

Best regards

Simon.