A 61 year old female patient presented with metastatic bone pain three
years post mastectomy. Standard oral analgesics and epidural morphine
were ineffective in achieving pain control. Her pain was eventually c
ontrolled with morphine sulphate 48 mg daily via a self administered i
ntrathecal pump. These devices are being used with increasing frequenc
y and this case report highlights some of the problems encountered in
this patient's management.