Hi david,

Sorry, there seems to be a dearth of Pump users at this time.

What you have to ask yourself, and weigh up, is what relief you got from oral meds before your Pump, adding the extra pain from the op and the months of poor pain management.

Of course, you can take cocktails of meds orally, so you get greater benefit and you can - within reason - adjust times to suit good/bad days/hours. For my spine pain I take Tramadol and Arcoxia, for Neurological I take Ketamine and have Lidocaine Infusions, Topiramate side effects help some, too. All together they reduce the pain to a 4/5 at the start of the Infusion cycle. That means I can function, barely.

Even if I were suitable for an op (bad heart) I would stick to oral meds unless I was offered a guaranteed Wonderdrug to knock out the pain completely. I simply feel I am in control and change to another med, though physically difficult, is straightforward.

Sorry I can only offer my uneducated opinion. I hope it gets easier.

Dave.