Doctor insights on:
Epidural Blood Patch Complications
Great Relief: Epidural blood patch (ebp) as a treatment for post-dural puncture headache in obstetrical anesthesia has a reported success rates in the 70% - 95% range, producing either permanent or partial relief. Rarely, a 2nd ebp will be required and it has an even higher success rate. Once a clot forms in the epidural space, headaches very rarely return. ...Read more
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
Epidural costs: An epidural blood patch is a procedure that is reimbursed without regard for the time involved. Insurance companies reimburse contracted md's at 4 to 6 units. Medicare, medical, and blue cross pay around $100. Other insurances pay around $200 - $500. If you have no insurance, $350 - $600. ...Read more
I had an epidural blood patch done 1 week ago, I've had a permanent mild headache ever since and nightmares every night. Is this normal?
It is not unusual to have persistent headaches after spinal tap and blood patch. To obtain relief, try drinking lots of caffeine-containing fluids, such as coffee, tea, cola, or chocolate. An abdominal binder or even panty hose may help. Tylenol (acetaminophen) is also useful. A second blood patch can be tried if the headaches worsen, or
are accompanied by light sensitivity and worse sitting up or standing. ...Read more
Got epidural blood patch 5 weeks ago. My right side of head gets chills and a numbing feeling? What can this mean?
Unusual, but...: Dear Brenda, having symptoms this late after a dural puncture is very unusual. I can reassure you that your symptoms most likely have nothing to do with the epidural blood patch procedure itself. The clot that was formed by injecting the blood into the epidural space was washed away after about four days. You should consult a neurologist if the symptoms persist. ...Read more
Had an epidural blood patch, does spinal fluid recover itself?, What happens with the blood that got injected in my dura? Does it all go bac to normal
The back of my head feels bruised and tender to touch, had no injury to head. Got epidural blood patch due to csf leak about 4 weeks ago. What do I do?
What are some long term complications from a spinal headache? Having neurological problems since. Never given blood patch.
Likely unrelated: The only neurological effect likely from a dural puncture is that of a headache. Rarely, these headaches can last months but usually resolve within days, even without a blood patch. If you are having other neurological symptoms, an evaluation by a neurologist should be sought. ...Read more
Yes: Just wait a few days and start slowly to see how it feels. ...Read more
If I have a Spinal Headche, do I need to get the blood patch? What if I don't get it? What can I do?
Increase fluids: Also try to lay still for a few hours to allow for the hole to close. The blood patch is an option. Call ahead to let the hospital know if you are coming in for this. ...Read more
Increased back pain: A blood patch can cause a pressure sensation or tightness in your low back. It may also cause temporary tingling in your legs. If these symptoms persist, or you experience a fever or signs of infection, you need to see your physician asap, as it could be a sign of a major issue. Temporary low back pain is probably ok. ...Read more
Always ask doctor!: Never consent to any procedure unless all your questions have been answered. A blood patch is usually done to treat headache caused by a spinal tap, or occasionally by an epidural. The blood patch stops the leak of spinal fluid that causes the headache. Usually, this is done by a physician anesthesiologist who will be happy to answer any questions about it. ...Read more
Yes: It's appropriate to phone your anesthesia care provider with an update. Although the likelihood that your nausea was precipitated by your epidural blood patch is highly unlikely, communicating with your mds to help you sort out and put these symptoms behind you is the first step. Dehydration & persistent CSF leak should be ruled out. ...Read more
What happens if you get a blood patch if you don't need it? Also can you be asleep for the procedure
I am assuming you are talking about an epidural blood patch for treatment of spinal headache.
Usually they do not provide sedation for the procedure as it is done bedside and you need to be sitting up. Depending on your anesthesiologist, they may give you some sedation.
If you truly do not need the epidural blood patch - do not get it, spinal headache can also be managed with conservative means
GL ...Read more
Okay got blood patch done in ER last night. Was fine woke up with headache but was advised might have one for next 3 days so that is normal?
A blood patch works by stopping spinal fluid leakage. Most patients feel better immediately, and are free of headaches and light sensitivity. However some who have had headaches for 4 or 5 days or more only
gradually recover. Drink lots of caffeine containing fluids such as coffee, tea, cocoa and take tylenol (acetaminophen). Wear an abdominal binder or pantyhose. You will improve. A second patch is rare. ...Read more
I've had problems with my lower back swelling and sharp pains. It only started occurring after I had a blood patch done. Should I be worried?
You should get: Evaluated. It is possible that the blood caused a neuritis. However, it is also possible that the back symptoms are unrelated to the blood patch. A neurologist will help you figure it out. The anesthesiologist who performed the blood patch will want to know and likely will help, you find a good neurologist. ...Read more
When the dr did my blood patch as the blood was going in I lost my hearing for a few min. But dr said it was just the pressure. Is that normal?
Recovery: If your hearing fully recovered you are most likely fine. If you still worry, see ent. ...Read more
I had a blood patch done yesterday bc of a headaache it did not take it away and im still in severe pain, what should I do? This is day 6 of this
Blood patch: Blood patch is usually 90%effective. There are many variables -level of injection. Volume of blood injected etc. Sometimes they need to be repeated. I would suggested go back and speak to the doc who did the blood patch. I also assume it was done for headache due to dural puncture. ...Read more
Just had a blood patch done but my lower back is killing me what can I do aside from OTC medicine I can't move with out being on a 10 scale of pain.
And: Many patients get immediate relief during the injection. We think this might be by compressing the dural sac. It merely a matter of pressure gradients. Make the pressure greater outside the leak and the leak slow down or stops. As long as your brain is making more CSF than lost, the headache stays away. For technically challenging patient anatomy, sometime fluroscopy is used to guide the procedure. ...Read more
I had a blood patch done 3 weekend ago, is it normal to still have pressure in my back where the needle was & down my spine?
Should improve: This pressure should improve but I would follow up with your doctor to get checked out. ...Read more
Your blood that's used for the blood patch go away after your spinal fluid regenerates itself? Is there long time risks? (Clots)...ect?
I had a blood patch done today after a low pressure headache following a LP. Is it normal to develop a headache on one side after the blood patch?
PLPHA: Post lumbar puncture headache (PLPHA) happened in 10 to 30 % patients following lumbar puncture. If other conservative treatments (bed rest, oral pain medications) failed then epidural blood patch is the next step. After the first epidural blood patch most patients feel relief immediately but sometimes it needs a second blood patch for those whose headache still has not resolved completely. ...Read more
Had blood patch 5 days ago, thought I was doing fine unti today headache is back and now when I bend my neck forward it causes pain in my low back....
Happy to Consult: Would you like to consult? I am confused by your question and need more detail ...Read more
Spinal headache due to spinal tap, a blood patch was given. The headache was gone and is now returning. What should be done?
Spinal headache: After a spinal tap or lumbar puncture, patients can suffer low pressure or spinal headaches due to persistent leakage of spinal fluid through the puncture site. The usual treatment is to lay flat and drink fluids. Occasionally a blood patch is required to stop the headaches. Rarely, a second blood patch is required. Check with the physician to determine if the headaches are spinal in origin. ...Read more
I just had a blood patch done yesterday for a post spinal headache... My back is so sire I cant really even move. Should I go to my local ER?
Back pain: Is common after a blood patch. You should call the professional that performed the blood patch and go to ER if you have any neurological symptoms ...Read more
I had a spinal tap done about two months + ago, and a blood patch 3 days later. I now have the worst back pain that is only getting worse every day?
Differences between irritated meninges and inflamed meninges? - Do their symptoms present the same? I have possible meningeal irritation after a blood patch. Are there tests to know the difference?
No difference: When you doctor uses the word irritated he's using a common word to approximate the meaning of inflammation, which is a medical term for a protective/reparative process that occurs when parts of the body have been infected or injured. The inflammatory response can involve white blood cells, lymphocytes, chemical mediators working together to remove injurious substances and heal the affected tissue ...Read more