Question - How long do you have to lay flat after a lumbar puncture?

Answered by: Heather Adams  |  Category: General  |  Last Updated: 25-06-2022  |  Views: 815  |  Total Questions: 14

Following the lumbar puncture, we recommend that you lie flat for at least 30 minutes (or as specified by the doctor performing the procedure) and drink plenty of fluids. This helps reduce the incidence of a headache. You will be allowed to roll from side to side as long as your head is not elevated. If you need to urinate, you may need to do so in a bedpan or urinal during the time that you need to stay flat. Care after a spinal tap Once a spinal tap is completed, you will be instructed to lie flat. Avoid strenuous or vigorous exercise for a day or so following the lumbar puncture. If you have a headache, lay down as much as possible and drink plenty of fluids. About 20 to 30 minutes. There is an additional recovery period of about 30 minutes after the test, when you will remain at the clinic. Lying flat in bed after a lumbar puncture does not prevent you from getting a headache from the procedure. If you develop a headache after a lumbar puncture, lying flat for several hours may help. Rest when you feel tired. Getting enough sleep will help you recover.

http://www.wch.sa.gov.au/services/az/divisions/paedm/clinhaem/files/blood_disorders/additional_info/

Most lumbar punctures are performed under sedation using drugs called midazolam and fentanyl. The aim of sedation is for your child to be relaxed, but not necessarily asleep. Most children usually do not remember the procedure happening.

http://med.stanford.edu/content/dam/sm/neuroimaging/documents/LP_Pre_Post.pdf

Caffeine: Caffeine may be used to treat a post procedure headache. As CSF pressure decreases, such as with a leak, blood vessels in the brain will dilate (get bigger) to get more fluid to the brain. Headache pain is caused by the blood vessels getting bigger.

https://www.drugs.com/cg/lumbar-puncture-aftercare-instructions.html

Care for a post-lumbar puncture headache: Drink more liquid than usual after your lumbar puncture. Ask how much liquid is right for you. Caffeine may be used to treat a headache. Drinks such as coffee, tea, or some soft drinks have caffeine.

https://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/tests-and-procedures/lumbar-punc

Potential side effects may include: headache. backache. nausea and vomiting. dizziness. irritation of a nerve may cause temporary numbness, tingling or pain down your legs. infection where the needle was inserted. bleeding into the spinal canal.

https://www.nanosweb.org/files/EMR%20Corner/After%20LP%20instructions.pdf

You can shower after 24 hours. This is a good time to remove the bandage and replace with a clean bandage.

https://www.everydayhealth.com/multiple-sclerosis/treatment/ms-diagnosis-spinal-tap-paralysis-neurol

In most people, a spinal tap causes no more than a small amount of discomfort. Some may feel some burning and nerve twinges when the needle is inserted. “I tell women who've had epidurals [a form of regional anesthesia sometimes used during labor] that a spinal tap will feel similar to that, ” Dr. Stone says.

https://www.verywellhealth.com/lumbar-punctures-common-questions-answered-2488675

Pain or numbness: After the spinal tap, you may feel temporary numbness or pain in your lower back and/or legs. Bleeding: There is a risk of bleeding from a lumbar puncture, either in the area that was punctured or into the spinal canal, though the latter is rare.

https://www.mountsinai.org/health-library/tests/csf-total-protein

An abnormal protein level in the CSF suggests a problem in the central nervous system. Increased protein level may be a sign of a tumor, bleeding, nerve inflammation, or injury. A blockage in the flow of spinal fluid can cause the rapid buildup of protein in the lower spinal area.

http://www.swbh.nhs.uk/wp-content/uploads/2012/06/Lumbar-puncture-ML3669.pdf

Avoid strenuous activity for the first 24 hours after the procedure. You can return to all your usual activities such as work and driving, as soon as you feel well enough after that. Some of the test results from the lumbar puncture will take a few days, but others can take several weeks.

https://kidshealth.org/en/parents/emmi-lumbar-puncture.html

A lumbar puncture is not a surgery. So someone getting one might be awake during it, and won't need stitches or extended recovery time. If a child seems anxious or agitated, the doctor will recommend a sedative (a type of medicine that helps the patient relax during the procedure).

https://www.portlandpaincare.com/patient-information/epidural-blood-patch

After resting for about 30 minutes, you will be asked to stand up. Typically, most patients experience significant relief immediately. After a few hours, your body will have had a chance to replenish the lost spinal fluid and your headache should continue to get better.

https://www.ncbi.nlm.nih.gov/books/NBK367574/

After a lumbar puncture, you will usually stay in the hospital or practice for at least one hour, but more typically for up to four hours, depending on how much cerebrospinal fluid was extracted and whether the puncture was used for a treatment.

https://www.royalberkshire.nhs.uk/patient-information-leaflets/Anaesthetics/Anaesthetics%20epiduraan

What is the difference between an epidural and a spinal anaesthetic? A spinal is a single injection with a thin needle that puts the local anaesthetic close to the nerves, within the fluid that surrounds the spinal cord. An epidural usually stays in place for 2-3 days.

https://www.mstrust.org.uk/understanding-ms/diagnosing-ms/how-ms-diagnosed/what-it-have-a-lumbar-pun

You will probably be told to stay lying flat in bed for an hour or so, possibly up to six hours. If things are straightforward, you may be able to leave after two or three hours. Because of the loss of the fluid and the change in the pressure around the brain, a post-procedure headache is very common.