Lumbar Back
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Whats a lumbar puncture like and why do you have to lie on your back afterwards?
I'm going for a lumbar puncture and I've read up on the procedure so I'd just like to hear some personal experiences.
They told me that I will have to lie on my back for at least 3 hours before I can start moving again and then they still said I most probably will spend the rest of the day in bed. Does anyone have an explanation for that?
A lumbar puncture is like a spinal anesthetic, but the needle is a bit larger to allow the cerebral spinal fluid to be collected ( a spinal needle is so small it would take forever to collect the fluid).
The SKIN over your back is the only well innervated part - so it is numbed with local anesthesia (lidocaine). After that, as long as they can find a clear passage between the bones, it is not painful, only uncomfortable, because they go VERY slow in the interest of safety (not going too far by accident) and because you have to scrunch over and hump your LOWER back out like a cat the whole time.
If you are really worried, ask that it be done by an anesthesiologist. ER docs often do them, but they tend to be a little less practiced (no offense to any ER docs out there).
Because there is a hole in the tissue or "skin" around your spine, it will continue to leak some even after the procedure. By laying down, you reduce the effect of gravity pushing even more fluid out, which can produce a "post-spinal headache" if too much leaks out.
Low Back Anatomy with pinched nerves, disc ruptures & pain
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