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Doctor insights on: What Is The Difference Between A Lumbar Puncture And A Myelogram

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Can you tell me the difference between a lumbar puncture and a myelogram?

Can you tell me the difference between a lumbar puncture and a myelogram?

Injection of dye: They both involve a needle being placed into the spinal canal. In a lp, cerebrospinal fluid is removed from the canal, while in a myelogram a dye is injected into the canal. This dye allows very clear imaging of the spinal cord and nerve roots. ...Read more

Myelogram (Definition)

A myelogram is a common diagnostic study that most patients tolerate well. The physician will place you on a flouroscopy table, prep your lower back, inject a local anesthetic, place a needle in your back, inject dye, remove the needle, place a bandaid and summon the radiology tech to take x-rays. Then you will have a ct. You will be observed for several ...Read more


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How do a lumbar puncture and a myelogram differ?

See below: A LP involves withdrawing cerebrospinal fluid for study. A myelogram involves injecting a special dye for evaluation of spinal pathology. The placement and location of the needle are the same for both procedures. ...Read more

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What is the difference between spinal anethesia (for csection) and a lumbar puncture (for CSF testing)? Is one more painful than the other?

What is the difference between spinal anethesia (for csection) and a lumbar puncture (for CSF testing)? Is one more painful than the other?

No, they are the: Same procedure and you are given local anesthesia prior in both. You might be able to receive sedation prior to CSF testing but probably not if pregnant ...Read more

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I'm having lots of poison in my lower left back 4 weeks after a lumbar puncture. I've had a bulged disk in the past but it was on the right side.

I'm having lots of poison in my lower left back 4 weeks after a lumbar puncture. I've had a bulged disk in the past but it was on the right side.

R/O SPINAL TRAUMA: After a lumbar puncture, which may be done to evaluate for meningitis, encephalitis or MS. You may suffer from a severe spinal headache and/or pain at the puncture site. If this is the case you need to call your doctor and it may be remedied by a blood patch. If it was a difficult LP you may have a spinal cord hematoma. Either way you need a full exam blood work and a follow up MRI. ...Read more

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I'm really nervous about lumbar puncture, what can you tell me more about this?

Normal: It is perfectly normal to be nervous about this, but it's a simple procedure. If your doctor is okay with it, ask to take a sedative just before the procedure. Local anesthetic in the back helps reduce any pain/discomfort associated with the procedure. ...Read more

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I had a lumbar puncture 7 hours ago and now I'm having somewhat severe back pain and I feel foggy. Is this normal?

I had a lumbar puncture 7 hours ago and now I'm having somewhat severe back pain and I feel foggy.  Is this normal?

Any headache?: #1 adverse effect of lumbar puncture is post-procedure headache, which is treated with lying flat and drinking lots of water besides the pain meds. Back pain where the LP was done, if persistent beyond 48 hrs, may indicate infection, but more likely nerve involvement during the procedure. Mental lethargy should not happen unless you had meningitis. Was meningitis what LP was done for? ...Read more

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What should normal inter crainal pressure be during my last lumbar puncture my beginning pressure was 38 I was just wondering i also ha e iih?

What should normal inter crainal pressure be during my last lumbar puncture my beginning pressure was 38 I was just wondering i also ha e iih?

Positional: In the side-lying position intracranial pressure as measured during lumbar puncture should be between 100 and 150 cm of water pressure. If pressure is measured while sitting upright, pressure level in fluid column should extend to base of skull (foramen magnum) but numerically will exceed 150. The rest of your question is unclear. Are you asking about a post-spinal headache? ...Read more

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Can I take pain medication before a lumbar puncture?

Ask doctor: Before any procedure ask doctor for 'approved medications'. Invariably, nsaids (e.g. Aleve, (naproxen) advil) are to be stopped 1 week before a procedure to prevent bleeding complications. ...Read more

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When attempting a lumbar puncture, how many attempts should be made at one time?

When attempting a lumbar puncture, how many attempts should be made at one time?

Lumbar puncture: The only way for you to know how many attempts for lumbar puncture is to listen to the doctor who is taking care of you. Should not be too many! ...Read more

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Is a lumbar puncture needed to diagnose ms?

Not usually: These days, MRI films are typically sufficient but LP may be used if diagnosis is unclear ...Read more

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I got a spinal tap / lumbar puncture today?

If you have a: Specific question about the procedure or symptoms afterwards then please clarify and re-ask the question. ...Read more

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How often is it safe for a lumbar puncture be done?

As often as needed: To diagnose or treat a patient illeness. ...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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How long can a lumbar puncture/ spinal tap headache last?

Days: Varies, but often can take a few days to completely go away. If the headaches are increasing or accompanied by other symptoms (stiffness, fever, neck pain, etc) you should see the physician that did the spinal sampling. It takes a bit of time to restore the volume of fluid drawn during that time headache (alone) are not uncommon. ...Read more

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I have a post lumbar puncture headache, should I get treated?

I have a post lumbar puncture headache, should I get treated?

Depends on duration: This depends on the duration of the post LP headache. If you have a headache when upright, that improves when lying flat following an LP that has been present for several days, you should call the doctor and explain your symptoms. Treatment is usually very effective in terminating symptoms in several hours.







Lp. ...Read more

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For how long does a lumbar puncture/ spinal tap headache last?

For how long does a lumbar puncture/ spinal tap headache last?

Duration: It can last from two days to rarely a month, cured immediately most of the time with an epidural blood patch. ...Read more

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How much time does a lumbar puncture/ spinal tap headache last?

How much time does a lumbar puncture/ spinal tap headache last?

Post LP Headache: Post lumbar puncture/spinal tap headaches last until the tiny hole in the dura seals. This can be years but is usually a day or 3. Typically, the cure is to lay flat for 24 hours to keep the pressure low and allow the tiny hole in the dura to heal which it almost always does. Lots of caffeine is helpful too. You may want to call your dr and ask about a blood patch. ...Read more

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Do I have to get some blood tests before doing a lumbar puncture?

Do I have to get some blood tests before doing a lumbar puncture?

Depends on question: Possibly, depending on why the LP is being done. Some tests require comparing the concentration of chemicals in the blood to that in the csf. Also, sometimes people need to make sure their blood is clotting properly before doing the lp, to reduce the risk of bleeding. ...Read more

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Why can't a lumbar puncture be used for someone who has a subdural haematoma?

Herniation risk: When you remove spinal fluid during a lp, you lower spinal column pressure. If you have something in or around your brain that's increasing pressure within the skull (including blood), this could cause the brain to "herniate"-- to squeeze into places it doesn't belong to go from a high pressure area to a low pressure area. Herniation can be fatal, which is why we don't take the risk. ...Read more

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Is it okay to have terrible stinging pain after lumbar puncture (spinal tap)?

Yes: The lumbar puncture procedure can cause some locals back pain. The back pain should not last for more than 2-3 days after the procedure. It should not cause severe back pain. Talk to your doctor if you develop any headaches, numbness/tingling/weakness in the low extremities, severe back pain, or any difficulty with bowel or bladder function. ...Read more

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Is there any other way to diagnose meningitis without having to do lumbar puncture?

Is there any other way to diagnose meningitis without having to do lumbar puncture?

ABSOLUTELY NOT !: You can only confirm suspicion of meningitis and gain the material needed to assure proper treatment by doing a spinal tap. Anything less endangers the life of the child. A parent who refused such a study would be subject to court order revoking parental rights. ...Read more

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Had lumbar puncture on Tuesday should I still have a really severe headache after 5 days?

Had lumbar puncture on Tuesday should I still have a really severe headache after 5 days?

Spinal headache: You probably have a spinal headache. I would go to ER, since you may need a blood patch, which would be the only true effective treatment for this. ...Read more

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Can a lumbar puncture be the cause of lumbosacral plexopathy if it was not done properly?

Usually inflammation: I have had a number of individuals develop lumbosacral plexopathy symptoms throughout the years, I have put them all on a course of steroids and they all improved. I don't think it's traumatic, I think it's inflammatory, perhaps due to some blood in the region irritating the nerve trunk, roots and plexi. ...Read more

Dr. Dariush Saghafi
387 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


Dr. Louis Gallia
1 doctor shared a insight

Lumbar (Definition)

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