Post-dural puncture headaches often develop within a few days of a lumbar puncture (spinal tap). They usually go away on their own within a week or two, but if they persist, a doctor might recommend an epidural blood patch.
A lumbar puncture headache is a common side effect you may develop after undergoing a lumbar puncture (spinal tap) procedure. Experts estimate that
While usually a temporary side effect, there are ways you can help manage and treat lumbar puncture headaches. Consider the following information if you’re scheduled for a spinal tap or develop a headache after your procedure.
You’ll notice that “women” is used when sharing stats and other data points in this article.
Although we typically avoid language like this, specificity is key when reporting on research participants and clinical findings.
Unfortunately, the studies and surveys referenced in this article didn’t report data on, or include, participants who were transgender, nonbinary, gender nonconforming, genderqueer, agender, or genderless.
A lumbar puncture headache (aka post-dural puncture headache [PDPH]) develops after a lumbar puncture procedure.
The purpose of a lumbar puncture is to retrieve cerebrospinal fluid (CSF). A doctor may order this procedure to test for infections, autoimmune diseases, or other conditions. You may also need a lumbar puncture for certain medications, such as anesthetics (including an epidural) or chemotherapy.
Sometimes, fluid may leak from the puncture site, resulting in a headache after the procedure. This can happen if the hole at the needle insertion site doesn’t close up, resulting in fluid leaking from your spine.
Your brain usually floats in CSF. A leakage of CSF can cause the brain to “
- women ages
20 to 40 years
- pregnant people
- people with a history of PDPH
- people with a low body mass index (BMI)
Needle size and lumbar puncture headaches
The needle a healthcare professional uses to perform a spinal tap can also affect your risk of a lumbar puncture headache. Although it seems intuitive,
The angle of the needle, when inserted, can also affect your risk of headache.
Lumbar puncture headaches tend to cause dull achiness rather than sharp pain. You may also feel them on both the front and back of your head.
Spinal headaches vary in severity. Some people may experience mild discomfort, while others might have pain that interferes with their daily activities. Some cases may also be more persistent, with pain tending to worsen upon standing.
In addition to a headache, you may also experience:
Spinal tap-related headaches may appear within a few hours of a lumbar puncture and usually appear within 48 hours. According to the International Headache Society (IHS), a headache needs to start within 5 days of a lumbar puncture for doctors to classify it as PDPH.
Developing a lumbar puncture headache isn’t necessarily a cause for concern. But you may want to talk with a doctor if your headache is chronic, accompanies other symptoms, or doesn’t improve with rest.
While the exact timeline varies, lumbar puncture headaches typically last from
When to contact a doctor
Contact a doctor if you’re experiencing a headache for longer than
5 daysfollowing a spinal tap procedure.
Seek immediate medical attention if you experience a sudden, severe headache that may be accompanied by stiffness, vision changes, or confusion. These may be symptoms of another serious medical condition.
A lumbar puncture headache usually improves on its own without medical intervention.
But doctors may treat severe cases with an epidural blood patch. This procedure involves taking a small sample of your own blood and injecting it into your lower back. The purpose is to form a blood clot to close the hole and stop the spinal leakage.
Various studies estimate that a blood patch improved people’s conditions
Depending on your tolerance, a doctor may recommend caffeine. According to a
Epidural blood patch side effects
If you have an epidural blood patch, report the following side effects to a doctor right away:
- severe backache
- chronic back stiffness
- loss of feeling in your back or legs
- difficulty urinating
Lumbar puncture headaches tend to be worse when standing up. A doctor will likely encourage you to lie down as much as possible until your headache improves. They may also recommend over-the-counter (OTC) pain medications, such as acetaminophen (Tylenol) or ibuprofen (Advil).
As caffeine may have a positive effect, some healthcare organizations suggest that 1 to 2 cups of coffee per day may help.
Long-term complications of a spinal headache are rare. Still, it’s important to see a doctor if you continue to have a severe headache a few days after your spinal tap. They can assess your condition and rule out other underlying causes.
Other possible risks associated with a spinal tap include:
- a chronic headache that may last for months
There’s no sure way to prevent lumbar puncture headaches.
Doctors typically recommend rest for
A lumbar puncture headache is a common side effect after undergoing a spinal tap procedure. It develops when the hole in your spine from the puncture doesn’t close all the way, allowing spinal fluids to leak out of the site.
Most lumbar puncture headaches resolve on their own within a few days as your puncture heals. During this time, it’s important to rest and use OTC pain relievers as a doctor recommends. Call a doctor if your symptoms don’t improve within a few days.