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Doctor insights on: Contraindication Lumbar Puncture

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How is lumbar puncture performed?

How is lumbar puncture performed?

Carefully :): Lp is typically performed in the office. You will lie on your side curled up into a tight ball. After sterilizing the area, local anesthetic is injected into the skin at the small of the back, and then a spinal needle is advanced between the vertebrae into the spinal canal. Once in the canal, the fluid pressure is measured and fluid is removed for analysis. Total time is typically 20 mins. ...Read more

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Dr. Dariush Saghafi
399 doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


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Lumbar stenosis surgery safety?

Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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Pain long after lumbar puncture, dr. listed "lumbosacral plexopathy", "lumbar puncture reaction". Did procedure cause perm damage, can DR be at fault?

Pain long after lumbar puncture, dr. listed "lumbosacral plexopathy", "lumbar puncture reaction". Did procedure cause perm damage, can DR be at fault?

Doubtful diagnosis: The lumbar plexus is nowhere near a lumbar puncture needle. This is likely the wrong code. Lumbar pain is rare after a lumbar puncture but not non-existent. Because it is rare, coding might be difficult and he probably just chose one that comes close. This is probably "mal-outcome" (expected potential side effect) rather than malpractice. ...Read more

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Does lumbar spinal stenosis require surgery?

Does lumbar spinal stenosis require surgery?

Depends: If the symptoms aren't bad then i generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural steroids, surgery can be helpful. ...Read more

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What is a spinal tap / lumbar puncture like?

Not bad: A small needle prick in the small of the back then some pressure and that is about it. ...Read more

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How much cerebro spinal fluid is removed during lumbar puncture ?

How much cerebro spinal fluid is removed during lumbar puncture ?

3-5 cc: Usually routine analysis necessitates between 3 to 5 cc. This is about half a teaspoon to one teaspoon. Some conditions necessitate removing 2 teaspoons and in rare conditions such as hydrocephalus, 20-30 cc may be removed. ...Read more

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Mri :lumbar radiculopathy l4-5, s1, edematous sciatic nerve. Severe leg pain. Epidurals not helping. Do i f?

Mri :lumbar radiculopathy l4-5, s1, edematous sciatic nerve. Severe leg pain. Epidurals not helping. Do i f?

Surgery: If you have completed a proper work-up and have failed a reasonable period of conservative care ( at least 6-8 weeks ) and you are in significant pain that prevents you from doing your normal activities, then surgery is an option to discuss with your doctor. Check out spine-health.Com. ...Read more

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What is recommended if lumbar epidural steroid injections don't work?

What is recommended if lumbar epidural steroid injections don't work?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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Is an epidural steroid injection helpful for spinal stenosis pain?

Is an epidural steroid injection helpful for spinal stenosis pain?

Yes: Very helpful. Speak with your doctor regarding your options for treatment. ...Read more

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How risky is the lumbar puncture?

LP: Lumbar puncture these days is done for diagnostic as well as anesthetic purposes. The needles used now are pencil point and the anesthetic agents injected are preservative free. So in experienced hands, there is no danger. However, if done above the level of L2, it has a potential of damaging the spinal cord. ...Read more

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Pain down the spinal cord after having a lumbar puncture?

LP complications: When spinal tap is done, if difficult, you might have local external bruising, swelling, and tenderness. Rarely, a local infection could occur. Typically, the usual reactions dissipate within a day or two. If symptoms are worsening, contact your doctor. ...Read more

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About how much cerebro spinal fluid is removed during a diagnostic lumbar puncture ?

Small amount: Typically 1 to 2 tablespoons. If fluid needs to be sent for cytology - looking for abnormal cells, then more fluid is needed. You produce the fluid continuously and whatever fluid is taken out is rapidly replaced. ...Read more

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ESI/Nerve Block vial contaminated w/ metallic. 2 MRI's 5days apart. Legs numb bilateral, Disc hern T- and L Spine. CSF leak? Is Mylogram appropriate

ESI/Nerve Block vial contaminated w/ metallic. 2 MRI's 5days apart. Legs numb bilateral, Disc hern T- and L Spine. CSF leak? Is Mylogram appropriate

Difficult problem: How do you know the vial was contaminated? Any Fever chills meningeal signs? A CSF leak would have a severe headache that is positional, I.e. It goes away when lying down and is severe when standing. You need to discuss these questions with your doctor or get a formal second opinion. These are extremely serious issues that should be followed up on by your doctor. Myelogram-discuss with MD. ...Read more

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What are indications for spinal stimulation implant? I have cervical spondyl. and torn lumbar disc w/ degenerative disc disease. Tens unit helps.

What are indications for spinal stimulation implant? I have cervical spondyl. and torn lumbar disc w/ degenerative disc disease. Tens unit helps.

If surgery ,physical: thearpy , oral pain medications , epidural injections fails to give you a relief the next step would be spinal stimulation implant. ...Read more

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Can a lumbar puncture paralyze me?

Can a lumbar puncture paralyze me?

Rarely: I have seen this happen twice in the span of my medical career, both instances in which the performing physician was not aware of the patients' use of blood thinners. Hematomas formed and extended upward from the "safe" levels of lumbar puncture up to the spinal cord. ...Read more

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Waht are the complications of an inadvertent dural puncture with epidural anesthesia?

Waht are the complications of an inadvertent dural puncture with epidural anesthesia?

Level?: Most frequent complication is spinal headache which can be treated with epidural blood patch. If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off. ...Read more

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Can dural puncture from spinal anesthetic from csection cause tarlov cysts? Also where do they put needle for spinal?

Can dural puncture from spinal anesthetic from csection cause tarlov cysts? Also where do they put needle for spinal?

Tarlov cysts: Tarlov cysts are not known to be triggered by a dural puncture. For a spinal "tap" the needle is inserted at the level of l4-5 for surgical spinal anesthesia. It may be inserted higher for a myelogram (injecting the "x-ray dye" into the spinal fluid it may be inserted at higher levels. After about L2 level there is no spinal cord inside the spine - just the nerve roots so any approach higher than. ...Read more

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Dr. Ed Friedlander
1 doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more