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Intra-articular pain pumps (for example, On-Q pumps) have been linked to a debilitating condition known as PAGCL, or post-arthroscopic glenohumeral chondrolysis. The intra-articular pain pumps are prescribed after arthroscopic shoulder surgery to temporarily deliver pain medication, but PAGCL is itself a very painful condition that has been diagnosed in an alarming number of patients treated with an intra-articular pain pump.

Delivering Pain Medication to the Shoulder Joint

Intra-articular pain pumps are designed to infuse pain medication through a catheter (a thin, flexible tube) directly into the synovial cavity of a joint. “Intra-articular” means “within the joint.” The types of painkilling drugs that are typically used with an intra-articular pain pump are:

• local anesthetics such as ropivacaine and bupivacaine
• opioids such as morphine, hydromorphone, and fentanyl
• combination of drugs to maximize the analgesic (painkilling) effect

The medication is delivered by the pain pump in single doses or in a steady flow for a specific period, or in a combination of the two methods.

Joints That Are Treated with Intra-Articular Pain Pumps

The joints that are commonly treated with an intra-articular pain pump include the knee and shoulder. The shoulder joint (i.e., the glenohumeral joint) is the joint that can develop PAGCL.

Deterioration of the Shoulder Cartilage

In PAGCL, the cartilage in the shoulder joint begins to deteriorate (chondrolysis). Cartilage is a smooth, firm, whitish tissue that covers the ends of the bones at the joint, acting like a shock absorber. Shoulder cartilage damage causes a great deal of pain, and this pain may not be controllable with medication.

In fact, the cartilage destruction caused by PAGCL is not reversible. The only plausible treatment for a severe case of PAGCL is additional shoulder surgery.

If You’ve Had an Intra-Articular Pain Pump

The intra-articular pain pumps that are designed to lessen pain have been linked to the development of a painful injury, PAGCL. If you have been treated with such a shoulder pain pump and developed PAGCL, contact a law firm that represents the victims of defective medical devices and learn more about your legal rights.

"Shoulder Pain Pump Does More Harm Than Good"

According to recent reports, patients who had surgery for dislocated shoulders are saying the product they used to control the pain caused more harm than good.

Many patients have reported that in trying to ease their pain us...

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