Source: bing.comSpinal headaches, also known as post-dural puncture headaches or PDPH, are headaches that occur after a spinal tap or epidural injection. They are usually not harmful, but can be very uncomfortable and can last for several days or even weeks. In this article, we will discuss the causes, symptoms, and treatment options for spinal headaches.
Causes
The most common cause of spinal headaches is a spinal tap, which is a procedure in which a needle is inserted into the spinal canal to collect cerebrospinal fluid (CSF) for testing or to relieve pressure. If the needle punctures the dura mater, the outermost layer of the spinal cord, it can cause leakage of CSF, which can lead to a spinal headache.
Source: bing.comEpidural injections, which are used to relieve pain in the lower back, can also cause spinal headaches if the needle punctures the dura mater. Other less common causes of spinal headaches include spinal anesthesia, which is used during surgery to numb the lower half of the body, and spontaneous CSF leaks, which occur without any known cause.
Symptoms
The main symptom of a spinal headache is a dull, throbbing pain that is usually located in the front or back of the head. The pain can be severe and can worsen when you stand up or sit upright. Other symptoms of spinal headaches may include:
- Nausea and vomiting
- Stiff neck
- Sensitivity to light and sound
- Dizziness
Source: bing.comIf you experience any of these symptoms after a spinal tap or epidural injection, you should contact your healthcare provider immediately.
Treatment
The most effective treatment for spinal headaches is bed rest and hydration. You should lie down as much as possible and drink plenty of fluids, especially water and caffeine. Caffeine can help to constrict the blood vessels in the brain, which can reduce the headache pain.
Source: bing.comIf the headache is severe and does not improve with bed rest and hydration, your healthcare provider may recommend a procedure called a blood patch. This involves injecting your own blood into the epidural space to seal the hole in the dura mater and stop the leakage of CSF.
Prevention
There are several things you can do to reduce your risk of developing a spinal headache after a spinal tap or epidural injection. These include:
- Staying hydrated before and after the procedure
- Lying down for several hours after the procedure
- Avoiding strenuous activity for several days after the procedure
- Taking over-the-counter pain relievers, such as acetaminophen or ibuprofen, as directed
Source: bing.comIf you are scheduled to undergo a spinal tap or epidural injection, be sure to discuss the risks and benefits with your healthcare provider and ask any questions you may have.
Conclusion
Spinal headaches can be uncomfortable and can last for several days or even weeks, but they are usually not harmful. If you experience any symptoms of a spinal headache after a spinal tap or epidural injection, contact your healthcare provider immediately. The most effective treatment for spinal headaches is bed rest and hydration, and if the headache is severe, a blood patch may be necessary. To reduce your risk of developing a spinal headache, be sure to follow your healthcare provider's instructions and take steps to prevent dehydration and strenuous activity after the procedure.
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