What is a Spinal Headache?

Spinal headache after anesthesia is a type of headache that can happen after certain medical procedures. These headaches often occur after a spinal tap or spinal anesthesia. In these procedures, a needle is placed into the lower back. Sometimes, this can cause a leak of spinal fluid. As a result, a headache may develop. Doctors also call this a post-dural puncture headache.

Usually, the pain starts within a few days after the procedure. However, not everyone who has spinal anesthesia will get this headache. Still, it is important to know the signs and what to do if you feel unwell.

Causes of Spinal Headache After Anesthesia

There are several causes of spinal headache after anesthesia. Most often, it happens when spinal fluid leaks from the spot where the needle entered. This leak lowers the pressure around the brain and spinal cord. Because of this, the brain may shift slightly when you stand up, causing pain.

Use of a large needle during the procedure

Multiple attempts to place the needle

Being young or female (these groups have a higher risk)

History of headaches or migraines

According to the World Health Organization (WHO), these headaches are more common after certain types of anesthesia, such as spinal or epidural anesthesia.

Common Symptoms

Spinal headache after anesthesia has some clear symptoms. Most people notice the pain gets worse when they sit or stand. On the other hand, lying down often makes the pain better. Other symptoms can include:

Dull or throbbing pain in the front or back of the head

Neck pain or stiffness

Nausea or vomiting

Ringing in the ears

Blurred vision or sensitivity to light

Sometimes, you may also feel dizzy or tired. If you notice these symptoms after a spinal procedure, it is important to tell your doctor.

Diagnosis and When to Seek Help

Doctors diagnose spinal headache after anesthesia by asking about your symptoms and recent procedures. They may also do a physical exam. In rare cases, they might order tests to rule out other problems.

It is important to seek help if:

Your headache is severe or lasts more than a few days

You have trouble seeing, speaking, or moving

You develop a fever or neck stiffness

You feel confused or very sleepy

Early treatment can help prevent complications. Therefore, always contact a healthcare professional if you are worried.

Prevention Tips

There are ways to lower the risk of spinal headache after anesthesia. Doctors use special techniques to help prevent this problem. For example, they may:

Use the smallest needle possible

Choose a special type of needle that causes less fluid to leak

Limit the number of needle attempts

Ask you to lie flat for a short time after the procedure

Although these steps help, they do not remove all risk. Still, following your doctor’s advice can make a difference.

Treatment Options

Most spinal headaches get better on their own within a few days. However, some people need treatment. Common options include:

Resting in bed, especially lying flat

Drinking plenty of fluids

Taking pain medicine as advised by your doctor

Receiving a “blood patch” procedure, where a small amount of your blood is injected near the puncture site to seal the leak

Usually, these treatments work well. But if your headache does not improve, your doctor may suggest other options.

Frequently Asked Questions

How long does a spinal headache last?

Most spinal headaches last a few days. Sometimes, they can last up to a week if not treated.

Is a spinal headache dangerous?

Usually, it is not dangerous. However, severe or lasting headaches need medical attention.

Can I prevent a spinal headache?

Doctors use special needles and techniques to lower your risk. Still, it is not always possible to prevent it completely.

What is a blood patch?

A blood patch is a treatment where your own blood is injected near the leak. This helps seal the hole and stop the headache.

If you have more questions, talk to your doctor. They can give advice based on your health and needs.

Consult a healthcare professional if you experience symptoms of spinal headache after anesthesia.