Intrathecal Baclofen Service
Nottingham's adult Intrathecal Baclofen Team consists of a multi-disciplinary team of specialists in implanting pumps and managing spasticity in complex neurological conditions.
We are based at QMC and manage the intrathecal baclofen service for the East Midlands region.
We support dozens of individuals with intrathecal baclofen pumps, as well as individuals considering this treatment now or in the future. We also support young adults with pumps in transition from our children to adult services.
We are here Monday to Friday with emergency weekend cover.
What is Intrathecal Baclofen?
Baclofen is a drug which is commonly used to help manage spasticity (stiffness) and spasms in various neurological conditions. It is commonly taken as a tablet or liquid, however, some people experience intolerable side effects when taken in large doses when spasticity is severe.
Intrathecal Baclofen (ITB) allows the delivery of baclofen directly into the fluid filled area which surrounds the brain and spinal cord. The drug is administered by a pump which is surgically placed under the skin on the front of the abdomen (stomach). The pump is connected to a thin tube, which is tunnelled under the skin to the back of the spine where it is placed and secured into the fluid filled space.
Will the treatment help me?
Intrathecal Baclofen is considered when spasticity or spasms are severe, impacting on function or comfort, and cannot be managed by other medications. This method of delivery allows the baclofen to be placed directly to the spine and does not travel around the body, minimising side effects.
Common goals of treatment include: improve comfort, ease or comfort in getting washed and dressed, improve tolerance of sitting in a chair, reduce spasms, reduce tablets causing side effects.
How to refer
You can be referred by any healthcare professional. There is no strict criteria for referral and each case is individually assessed.
Most patients have previously been seen by a neurologist or rehabilitation consultant and tried managing spasticity using tablets or injections before considering Intrathecal Baclofen. Please feel free to contact any of the team with any questions or queries regarding referral.
Please send referrals to Mr Basu’s secretary, Ruth Lowe:
Secretary to Mr Basu (Consultant Neurosurgeon)
Neuromodulation Nurse Specialist
Queens Medical Centre
Nottingham University Hospitals
Tel: 0115 924 9924
(Please leave a message on the answerphone and we will get back to you)