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Doctor insights on: Spinal Block Vs Epidural

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What is an epidural vs spinal block?

What is an epidural vs spinal block?

Anatomic differences: In a spinal block, the local anesthetic is placed in the spinal fluid; whereas in an epidural block it goes into the epidural space or space around the spinal chord. The latter works by diffusion of the drug to the nerves whereas the former the onset is faster and more predictable. Both have advantages and disadvantages. ...Read more

Dr. Neigatha Graney
2 doctors shared insights

Epidural (Definition)

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


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What is an epidural of spinal block used for?

Pain management: Epidural injections are done for various reasons, mostly to block pain. During labor, epidural injections are given for the pain of labor. Sometimes epidural nerve blocks are given for pain like sciatica. Some people with chronic pain from spine disease are given epidural steroid injections. ...Read more

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What is the difference between an epidural and a spinal block?

What is the difference between an epidural and a spinal block?

Spinal block: Spinal block is injecting the medicine into the subarachnoid space. Epidural is into the epidural space. The subarachnoid space is where the Cerebrospinal fluid is). ...Read more

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What is the difference between a spinal block and the epidural?

What is the difference between a spinal block and the epidural?

Interchangeable: In my neck of the woods, these terms are used interchangeably. but with an epidural the tube is left in your back in case more medicine is needed, while with a block it is one shot in the back. ...Read more

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What complications can result from having a spinal block or epidural?

What complications can result from having a spinal block or epidural?

Many: But they rarely happen. Infection at site of needle puncture or tissues surrounding the spinal nerves (arachnoiditis). Headache is there is spinal fluid leakage and this can be addressed. Extremely rare is damage to nerves. Sterile technique is important as well as an experienced and well trained anesthesiologist. ...Read more

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Is a spinal block for a C-section more painful then a epidural?

In good hands: In the hands of a good anesthesiologist, they are very similar and one will not be any worse than the other. If you know you are having a c-section ahead of time, ask to talk to the anesthesiologist about your options and risk/benefit of different options before the scheduled surgery. ...Read more

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Spinal epidural block forpeople with disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Having a c section can't have an epidural or any thing that punctures the spin like a spinal block what is the next best pain med I can have?

Having a c section can't have an epidural or any thing that punctures the spin like a spinal block what is the next best pain med I can have?

Talk to your OB MD: Your present treating OB MD should mandatorily be consulted, and he/she can discuss all the options available to you specific to your medial condition as it exists. ...Read more

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How do you know if you'll have a bad reaction to general anaesthetics? Had conscious sedation, epidural and 2 spinal blocks which seemed to last long no family history of bad reactions that i know of.

How do you know if you'll have a bad reaction to general anaesthetics? Had conscious sedation, epidural and 2 spinal blocks which seemed to last long no family history of bad reactions that i know of.

Unlikely!: Most common unpleasant side effect of general anesthesia (ga) is nausea; today we have good meds to minimize that. Severe or allergic reactions to drugs used in ga are very rare, and we are trained to recognize and treat them. There's no way to know in advance. But if no one in your family has had a problem, you probably won't. Talk to your physician anesthesiologist before surgery. Good luck! ...Read more

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