This presentation will educate attendees (adjusters, QRCs, and Nurses) on the innovative use of microdose intrathecal pumps in managing chronic pain. We will cover how these pumps function, the criteria for selecting appropriate patients, and the key distinctions between microdosing and macrodosing. The discussion will also highlight how microdosing influences neuroplasticity, compare it to traditional pain treatments, and showcase clinical case studies that demonstrate its benefits in real-world applications.