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An epidural blood patch is an interventional procedure that uses the patient’s own blood to treat a dural leak. The dura is the sac surrounding the spinal cord that contains spinal fluid. There are several causes of dural leak. Most commonly, it occurs after spine surgery, a spinal tap or inadvertently after an epidural steroid injectEpidural blood patch therapy is a specialized treatment designed to relieve severe headaches and neurological symptoms caused by spinal fluid leaks. This minimally invasive procedure is often recommended for patients who experience post-dural puncture headaches (PDPH) following a lumbar puncture, spinal anesthesia, or epidural injection. At Ascend Pain & Wellness, we provide expert care for patients suffering from these debilitating conditions, helping them regain comfort and normal function.
An epidural blood patch is a procedure that uses a small amount of the patient’s own blood to seal a leak in the spinal dura, the protective membrane surrounding the spinal cord and cerebrospinal fluid. When a puncture or tear in this membrane leads to the loss of spinal fluid, it can cause intense headaches, nausea, dizziness, and neck stiffness. By injecting blood into the epidural space, the clotting effect helps close the leak, restoring normal fluid pressure and alleviating symptoms.
This treatment is highly effective for patients who develop persistent headaches after a spinal tap, epidural, or spinal surgery. If untreated, spinal fluid leaks can lead to long-term discomfort and complications.
Learn more about pain therapy treatments at Ascend Pain & Wellness.
Spinal fluid leaks can cause a distinct type of headache that worsens when sitting or standing and improves when lying down. Other symptoms may include:
If these symptoms persist after a lumbar puncture, epidural anesthesia, or spinal surgery, an epidural blood patch may be the most effective solution.
Explore other non-surgical pain treatments.
This procedure is typically done in an outpatient setting and takes about 30 minutes. A small amount of the patient’s own blood is drawn from the arm and injected into the epidural space near the site of the leak. The blood forms a clot, sealing the hole in the dura and restoring normal cerebrospinal fluid pressure.
Patients are monitored for a short time after the procedure and can return home the same day. Many experience immediate relief from headaches, while others notice gradual improvement over the next 24 hours.
Unlike oral medications or rest, which may only provide temporary relief, an epidural blood patch directly addresses the root cause of spinal fluid leaks. The key benefits include:
For patients with recurrent or severe post-dural puncture headaches, a second blood patch may be necessary if symptoms return.
Read about other advanced pain management techniques.
Most patients experience significant symptom relief within 24 hours. It is recommended to avoid strenuous activity, bending, or heavy lifting for at least 48 hours after the procedure to allow the blood clot to fully seal the leak.
For long-term prevention, patients should discuss alternative anesthesia techniques with their healthcare provider if they require future spinal procedures. In rare cases, additional imaging and intervention may be needed for persistent or complex spinal fluid leaks.
Many patients feel relief within minutes to hours after the injection, but full improvement may take 24 to 48 hours.
The procedure is generally well tolerated. Patients may feel pressure or mild discomfort at the injection site, but this typically resolves quickly.
Side effects are rare but may include temporary back pain, mild fever, or low blood pressure. The risk of infection or nerve injury is extremely low when performed by experienced specialists.
Most insurance plans cover the procedure when it is medically necessary for treating spinal fluid leaks. Our team can assist with verifying insurance coverage.
At Ascend Pain & Wellness, we specialize in minimally invasive pain management techniques that provide long-lasting relief. Our team of specialists offers expert care for patients suffering from post-dural puncture headaches and spinal fluid leaks.
Schedule Your Consultation Today
If you are suffering from severe headaches following a spinal procedure, an epidural blood patch may be the most effective solution.
Contact Ascend Pain & Wellness to schedule a consultation.
Call (708) 550-7005 or visit our website for more information.
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