Can back ache after epidural anesthesia?

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  • 1The back aches after epidural anesthesia, why it happens and for how long?
    • 1.1How epidural anesthesia works
    • 1.2Possible complications
    • 1.3Locations of pain localization after epidural anesthesia
    • 1.4How long does the back pain last?
    • 1.5How to ease the pain and to whom to turn?
  • 2Why does my back hurt after epidural anesthesia?
    • 2.1Epidural space
    • 2.2Causes of pain
    • 2.3What if I have pain after an epidural?
    • 2.4How long does the back hurt?
    • 2.5Implications for the patient
    • 2.6Denial of responsibility
  • 3Back ache after epidural anesthesia: what to do? Epidural blockade: the principle of action, consequences, reviews
    • 3.1What is the blockade of the spine?
    • 3.2How is the blockade of the spine
    • 3.3Indications
    • 3.4The main advantages of epidural blockade
    • 3.5Contraindications
    • 3.6Why does my back hurt after the procedure?
    • 3.7Medical errors during the procedure
    • 3.8Elimination of pain after the procedure
    • 3.9Prevention
    • 3.10Reviews
  • 4Back ache after epidural anesthesia: what to do?
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    • 4.1Indications for use
    • 4.2Complications
    • 4.3Foci of pain
    • 4.4Duration of pain
    • 4.5Help with prolonged pain
  • 5What to do with back pain after epidural anesthesia
    • 5.1The use of epidural anesthesia in the treatment of diseases of the spine
    • 5.2Contraindications for epidural anesthesia
    • 5.3Why there are pains after epidural anesthesia
    • 5.4Elimination of back pain
    • 5.5Importance of preliminary preparation for epidural anesthesia
    • 5.6Myths associated with epidural anesthesia
    • 5.7Phantom pain with epidural anesthesia

The back aches after epidural anesthesia, why it happens and for how long?

Epidural anesthesia has found wide application in abdominal surgery, plastic surgery, and especially in obstetrics and gynecology.

When you inject anesthetic solution into the epidural space, the sensitivity disappears in the part of the body located below the puncture site.

So, at the time of delivery, the procedure is performed for the pelvic region, and the anesthetic solution is injected between the vertebrae in the lumbar region. After its conduction in some patients, in particular, in childbirth, back pain is observed.

In this article, we will consider in detail the questions: can back ache after epidural anesthesia? Is the occurrence of pain a rule or an exception? Why does it appear? How long does the pain last? What can I do to ease the condition?

How epidural anesthesia works

The essence of the procedure is the introduction of an anesthetic, which is a local anesthetic and a drug, in the interval between the solid cerebrospinal membrane and the vertebrae.

Substance, getting on the nerves, disables sensitivity along their entire length from the spine itself.

The person at the same time is in full consciousness, losing control of the lower part of the body, but during childbirth this does not prevent continuing fights, and the cervix opens normally.

The blockage after the administration of the drug is slow, occurs after 10-20 minutes. and continues until the end of childbirth.

If necessary, additional doses are administered through the fixed catheter to be removed after the delivery.

A few hours after the end of labor, the sensitivity is completely restored.

Possible complications

    Anesthesia is performed by an experienced anesthesiologist, observing all necessary precautions and carefully monitoring the patient's condition. But this does not completely preclude the onset of side effects or complications. According to statistics, they occur in one of the 23 thousand. cases and represent the following situations:
  • Head and back pains that last for several days. Sometimes the pain lasts for several months or years.
  • The danger of epidural hematoma with coagulopathy and puncture of the venous plexus.
  • In one of twenty cases after the administration of the drug, incomplete anesthesia occurs.
  • Incorrect technique of the procedure, which damages the dura mater, which causes headache and spinal pain. With deep penetration of the needle, the drug can get into the fluid surrounding the spinal cord and cause a "high block" with disorders in the functioning of the heart and breathing.
  • Very rarely there is a temporary loss of sensitivity of the lower half of the body.

Locations of pain localization after epidural anesthesia

The causes of back pain after the procedure of anesthesia can be different, and first of all it is due to a puncture near the spine, in which such an organism reaction is related to natural processes.

    After the procedure, the pain can be localized in the following areas:
  1. At the puncture site
    • The pain that lasts for several days, caused by irritation with a needle or a catheter of surrounding tissues;
    • When entering the site of a puncture infection with the subsequent occurrence of an abscess or purulent epiduritis (occurs with inserted catheter for more than 4 days).
  2. Sacral pain
      Often associated with patients who have experienced labor and epidural anesthesia, with the consequence of the procedure of anesthesia, but in fact the causes of pain in the sacrum are the following:
    • Uncontrolled contractions in conjunction with excessive stress during childbirth can cause dislocation or displacement of the sacrum;
    • A large fetus, its wrong location or the exit with the legs forward causes injury, displacement or fracture in the sacral region;
    • Infection in the genitourinary organs, combined with a sacrum injury;
    • Pinching of the nerve during delivery;
    • Injury of the sacrum, which occurred before delivery, provoked its displacement during the birth process.
  3. In the lower back:
    • With exacerbation caused by the presence of intervertebral hernia;
    • If the nerve is irritated by a solution of a local anesthetic;
    • Pain that is not associated with anesthesia, but as a result of excessive stress on the spine and surrounding muscles when carrying a child and childbirth;
    • With an accidental puncture of the plexus of veins in the epidural region with the formation of a hematoma;
    • With undesirable damage to the nerve root by the catheter, resulting in paresthesia, neurological problems, painful back pain;
    • With accidental damage to the intervertebral ligaments.

There are cases when pain in the back area occurs on a psychological level. Often the patient who underwent epidural anesthesia is convinced that the procedure was unsuccessful, although the true cause of pain lies in the consequences of childbirth and a high burden on the spine.

How long does the back pain last?

After the procedure the painful sensations last from several hours to several days, and pass by themselves.

In the presence of disorders or complications caused by improper puncture or during labor, pain can last for several months and even years.

In this case, the patient needs medical help.

How to ease the pain and to whom to turn?

If after the epidural anesthesia the back hurts, and the pain is not passing character, then you should consult a neurologist, an osteopath or a therapist.

Complete elimination of pain can only be done if the true cause of their occurrence is discovered.

For this purpose, diagnostics is performed using electroneuromyography, showing any deviations in functioning of the spinal cord, MR-tomography, which determines violations in the structure of the vertebrae and spinal canal.

    After carrying out diagnostic measures and identifying the cause of the pain, treatment is carried out based on the following measures:
  • Restoration of the physiological mobility of the affected spine with the help of osteopathy, taking into account the indications and contraindications to the conduct of this type of procedures.
  • Help in the restoration of damaged nervous tissue. If the use of medicines is not possible (with breastfeeding), magnetic stimulation is used, but modern medicines significantly accelerate the regenerative processes and promote a full-fledged recovery.
  • In case of serious postpartum disorders - pelvic disorders and paraparesis, the decision to take medication is taken in conjunction with the patient, and it will be necessary to refuse breastfeeding.
  • In the formation of purulent lesions in the puncture area, surgery is performed to prevent further spread of the infection.

After childbirth with the use of epidural anesthesia with continuous pain in the back is recommended to visit the chiropractor who solves the following problems:

  • Eliminates pain.
  • Restores the natural position of the joints of the spine, returning them natural mobility.
  • Improves the functioning of the muscular and ligament apparatus, systems and internal organs.

In most cases, pain after epidural anesthesia passes by itself, and medical intervention is not required, although a specialist can recommend pain medication.

Completely get rid of the consequences of this type of anesthesia will help reduce the burden on the back, correct posture, the implementation of a set of special exercises and compliance with the diet, which allows you to control the normal body weight.

How to forget about joint and spinal pain?

  • Does pain limit your movements and full life?
  • Are you worried about discomfort, crunching and systematic pain?
  • Perhaps you have tried a bunch of medicines, creams and ointments?

A source: http://zdorovya-spine.ru/boli/v-poyasnichnom-otdele/epidur.html

Why does my back hurt after epidural anesthesia?

The term "epidural anesthesia" refers to a specific medical manipulation.

The term itself consists of two words:

  • "Anesthesia" is a temporary loss of a sense of pain.
  • "Epidural" means the area where the analgesic is injected.

Epidural anesthesia can be prescribed in different places of the spine. This depends on the location of the operation. People are wondering if back pain can occur after epidural anesthesia. To find out, consider the structure of the human spine.

Epidural space

As is known, the human spine consists of separate vertebrae connected by joints. In each vertebra there is an aperture, and all together they form a spinal canal in which the spinal cord is contained.

The canal to the waist is filled with the spinal cord, and then it passes into the so-called spinal cord.

From each vertebra, axons leave: nerve roots, which are the conductors of certain functions from the spinal cord to the zones of the body.

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The spinal cord and the roots sprouting from it are under the protection that surrounds the epidural space. When an anesthetic agent is injected there, it temporarily blocks the nerve impulses that go to the roots from the spinal cord.

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There is anesthesia of a certain part of the body. Often the patient has a backache after epidural anesthesia.

The procedure lasts approximately 10 minutes. First, the puncture site is treated with a disinfectant, an anesthetic injection is made, an igloo-catheter is inserted. The drug, introduced into the epidural space, disables sensitivity to pain.

Although this method is widely used, but in some patients the spine hurts after epidural exposure.

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Causes of pain

An injection produced into the vertebral area will cause a natural feeling of pain, as well as from any injection. Painful sensations do not last long, maybe several days.

Blunted pain is most likely caused by tissue irritation due to a long needle.

If the back aches for a while after the epidural injection, the pain should soon pass.

Let's consider some features:

  1. Painful sensations arise if the infection is brought to the injection site. This happens very rarely, there are such symptoms: immediately after the epidural pains the back, the head, the temperature rises. In this case, urgent treatment is required, sometimes surgical intervention in the event of an abscess.
  2. Pain sometimes occurs due to the effects of anesthetic. In some, it negatively affects the nearby nerve endings.
  3. Such anesthesia with a spinal hernia can exacerbate painful manifestations, especially if it is touched. True, this happens very rarely, rather, because of inexperience of the doctor.
  4. Phantom pains. The patient has a specific psychological state, when he feels something that does not.
  5. There are times when a person complains that the loin hurts, and doctors can not find the cause. This is the so-called idiopathic pain. Usually it passes by itself and quickly enough.
  6. The duration of the pain syndrome is sometimes influenced by psychological factors. The patient seems to have some kind of damage in his back, this fear provokes painful sensations.
  7. Sometimes in women. This procedure is applied when there is a threat to the life of the mother or child. After such anesthesia, serious complications are rare, but sometimes in the postpartum period, there is a feeling of heaviness, numbness in the legs, soon it passes.

What if I have pain after an epidural?

Epidural anesthesia is widely used not only in the anesthesia of labor, cesarean sections, but also in many types of surgery.

The injections are performed in different parts of the spine, and after that, for a long time the patient can feel painful manifestations at the injection site.

Patients should be aware that every intervention in a person's body can cause a side effect.

Some back pain is caused by the doctors. To conduct such an impact in the vertebral space requires a lot of practical experience.

Getting into the right place is quite difficult: you can touch the ligaments of the spine, vessels, nerve roots. If the patient feels back pain after epidural anesthesia, the treatment will be indicated only by the doctor.

How long does the back hurt?

Back pain after anesthesia in the lumbar region does not occur in all patients. The reason lies in the reaction of an individual to a foreign object in his body, that is, a needle-catheter.

When a patient with difficulty endures these sensations, experiences some discomfort, the doctor can prescribe an adequate treatment.

How much does the back ache after epidural anesthesia? Everyone has different ways.

Most likely, the pain will be felt only a few days, but in some cases longer:

  • When the nerve is injured, ligaments, pain can be felt up to several months. This problem should be addressed as soon as possible.
  • When there is a hematoma, a muscle spasm.
  • When the back formed neurological injury, neoplasm.

Implications for the patient

If after the intervention the patient has pain, symptoms that never happened before, he should immediately consult a doctor. In no case can not be treated independently.

To understand how epidural anesthesia was reflected, why there is back pain, the doctor will prescribe an MRI scan, electroneuromyography is a computer method for studying the nerve impulse. These methods determine the sensitivity of nerve fibers, the degree of muscle excitability.

After determining why the loin hurts after epidural anesthesia, treatment is prescribed to improve the mobility of the vertebrae, repair damaged nerves. For more serious damage, medications are prescribed.

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Breastfeeding mothers are offered magnetic therapy, treatment by an osteopath doctor, since taking medication during feeding is not advisable.

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When, after the supposed termination of the action of the anesthetic after epidural anesthesia, the back hurts, how long it will take to heal, the doctor will determine. The introduction of a needle into the lumbar region, the entry of fluid into the nerve, can destroy nerve fibers.

As a result, there comes paresthesia - a violation of the sensitivity of the nerve end of the spinal cord. The patient will feel tingling, crawling. With adequate treatment, the damage will take place after a while.

Denial of responsibility

The information in the articles is intended only for general reading and should not be used for self-diagnosis of health problems or for therapeutic purposes.

This article is not a substitute for medical advice from a doctor (neurologist, therapist).

Please consult your doctor first to know the exact cause of your health problem.

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A source: http://osteohondrosy.net/pochemu-bolit-spina-posle-ehpiduralnojj-anestezii.html

Back ache after epidural anesthesia: what to do? Epidural blockade: the principle of action, consequences, reviews

Epidural blockade of the spine is a method in which medications are injected directly into the source of pain. As a result, there is a loss of sensitivity in the area of ​​exposure.

The therapeutic effect is achieved through the simultaneous administration of several drugs.

In particular, the constituent components have a pronounced analgesic effect with a maximum concentration in the lesion site.

Also, there is a reflex action at all levels of the nervous system.

What is the blockade of the spine?

What is epidural anesthesia, and what indications for its conduct - these and many other issues are of interest to patients. This is one of the most common types of local anesthesia used in medical practice.

A blockade is performed on various areas of the spinal cord, depending on the type of surgical intervention.

In midwifery, it is used in the lumbar region, as an anesthetic during a cesarean section or for anesthesia during childbirth.

A few years ago Caesarean section was performed exclusively under general anesthesia. The drugs used for anesthesia have a lot of side effects.

The consequences of epidural blockade in the conduct of caesarean section are less deplorable, since there are practically no side effects in the mother and fetus. The main advantage of this type of anesthesia, in contrast to general anesthesia, is the preservation of the mother's consciousness.

However, it is worth remembering that it is not always possible to apply this technique, which is why a preliminary examination and consultation with the doctor is required.

How is the blockade of the spine

Knowing what epidural anesthesia is and what evidence it has, you can determine the feasibility of conducting it. The procedure requires minimal preparation of the patient.

Blockade involves the injection of an anesthetic under X-ray control, which ensures the accuracy and complete safety of the manipulation performed. On average, the drug does not last more than 20 minutes.

Anesthetic effect comes almost immediately and lasts up to 6 months.

When carrying out anesthesia in the event of serious problems with the back, the doctor observes the patient for 1-2 hours in a hospital setting, and then lets him go home. In case the blockade provided the required result, but its effect was short, it is possible to re-introduce the drug.

Indications

Many are interested in how epidural anesthesia is done and what indications for it. In particular, this procedure is carried out:

  • with caesarean section;
  • natural childbirth;
  • pregnancy accompanied by hypoxia;
  • violation of the fetal heartbeat;
  • severe illnesses in the parturient woman;
  • incorrect position of the fetus;
  • anomalies of labor.

In addition to obstetrics, epidural blockade is widely used in operations. In particular, it can be conducted:

  • at operations in the field of the perineum;
  • surgical intervention in the abdominal cavity;
  • urological operations;
  • surgical intervention in vascular surgery;
  • surgery on the joints, bones.

This procedure can be used in conjunction with general anesthesia. This will significantly reduce the dosage of pain medications, which the patient will subsequently need.

The main advantages of epidural blockade

Such a procedure has certain advantages, in particular, such as:

  • the patient is conscious;
  • ensures the stability of the cardiovascular system;
  • can be used with a full stomach;
  • Do not irritate the respiratory tract;
  • allows to eliminate postoperative pain.

When using anesthesia for caesarean section or during labor, there is no toxic effect on the body, nor does fetal hypoxia occur. Whether to do epidural anesthesia, patients decide together with the doctor, according to the available indications and given contraindications.

Contraindications

Anesthesia with the introduction of an anesthetic in the epidural space, in addition to indications for use, has some contraindications.

That's why you need to consult a doctor, as well as undergo a complete examination. Contraindications may be local and absolute.

The latter include such things as:

  • epilepsy;
  • pathology of the liver;
  • neurotic disorders.

In addition, it is important to take into account and local contraindications, which include such as:

  • the presence of inflammatory processes in the localization of pain;
  • deviations from the development of bone structure;
  • individual intolerance of the components of the analgesic.

The procedure is not carried out with violations of blood coagulability, in the case of a serious condition of the patient, as well as during lactation (breastfeeding).

Why does my back hurt after the procedure?

Many patients note that after the epidural anesthesia the back hurts.

Painful sensations can occur for a variety of reasons. First of all, the patient should understand that absolutely any interference in his body can lead to side effects.

If the injection is carried out in the region of the spine, the pain will be a completely natural process, but it will not last very long.

The maximum duration of pain is only a few days.

The back hurts after epidural anesthesia is not very strong, the pain is somewhat blunted, which is very similar to soreness after normal injections made to other parts of the body.

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This is provoked by the fact that irritation occurs in a number of located tissues from the catheter or needle.

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Over time, such pain will pass without the use of any medications and additional procedures.

If the back hurts after epidural anesthesia and an inflammatory process is observed, this may mean that an infection has been infiltrated at the injection site.

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This option is possible only if the medical personnel incorrectly performed the procedure and did not disinfect the medical instruments, which resulted in infection.

In case of infection, there is an additional headache, the temperature rises, and the heart rate increases.

Often, the back aches strongly after epidural anesthesia.

What to do and how to solve this problem, you need to know necessarily, since this can be the cause of very serious violations.

That is why, in case of the appearance of the slightest pain, it is necessary to consult the doctor for the examination and the appropriate treatment.

Medical errors during the procedure

If the back hurts after epidural anesthesia, this may be the reason that the injection is incorrect. It is worth noting that medical errors are rare. As a rule, they are associated with the doctor's insufficient experience. Let's consider some consequences of anesthesia during childbirth.

The doctor may touch the roots of the spinal cord during the procedure. It is very difficult to get into the epidural space, therefore, during the procedure, you can also be affected:

  • blood vessels;
  • hernia;
  • ligaments of the spine.

Especially dangerous is damage to the nerve roots of the spinal cord.

Since there are a lot of blood vessels in the area of ​​medication administration, a doctor may stumble upon a vein plexus.

The pain in this case passes independently, without medical intervention.

The risk of such a trauma increases in patients taking medications to improve blood flow.

Also, a hernia can be affected during the procedure. In order to avoid such consequences, it is necessary to conduct a full spine check before blockade.

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Nerve endings can be damaged. In this case, the consequences can be very serious. It all depends on how deep the needle went.

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As a result, a variety of neurological abnormalities may occur.

As can be seen, the consequences of medical errors can be very serious, so a qualified and experienced specialist should carry out the blockade.

Elimination of pain after the procedure

In operations, epidural anesthesia is used in extreme cases, since it carries a risk to the patient.

If after the procedure the spine is very badly hurt, then you should immediately contact the doctor, and not suffer the pain. The further actions will depend on the source of the painful sensations.

The doctor will conduct the examination and prescribe the appropriate therapy. Typically, patients are prescribed painkillers and vitamins.

If an infection has been introduced during the administration of the drug, inflammation may occur. In such a case, the treatment will be longer and complex impact on the source of pain will be required.

In the presence of infection, anti-inflammatory medications are prescribed, as well as antibiotics that will help to eliminate inflammation and destroy the pathogen. A specific drug should appoint a doctor.

Self-medication in such cases is unacceptable.

Purulent lesions are eliminated solely through surgical intervention. Timely contact with a doctor will prevent further spread of the infection.

To eliminate back pain after epidural anesthesia, not only anesthetics are used. Other effective therapies include:

  • osteopathy;
  • magnetotherapy.

Osteopathy helps to restore the mobility of the damaged area of ​​the spine. However, when carrying out such a procedure, it is necessary to take into account the individual characteristics of the organism of each patient and to calculate all the risks.

Magnetotherapy accelerates the ongoing regenerative processes, which allows much faster recovery. Often, this procedure is used in the period of breastfeeding, as well as in the presence of contraindications for medical therapy.

The duration of treatment is determined only by the attending physician, based on the available indications, the clinical picture and contraindications.

To much quicker to remove unpleasant pain, you can take a course of manual therapy.

This will help not only to eliminate pain, but also to improve joint mobility, muscle tone and ligament functioning.

Prevention

Knowing what it is - "epidural in childbirth and surgery as well as the consequences of this procedure, you can choose methods of prevention to prevent the occurrence of pain. When carrying out preventive measures, complications after the procedure can be substantially minimized.

Unpleasant consequences can be in people with excess weight, which is why you need to try to control it within normal limits. To find the optimal diet for yourself, you can visit a nutritionist. Especially carefully you need to monitor your diet during pregnancy.

It is important to do special exercises aimed at strengthening the muscles, but you need an individual approach. Therefore, it is desirable to hold the first sessions with the trainer.

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It is necessary to monitor the state of the immune system, especially if there is a predisposition to the occurrence of allergic reactions. In addition, taking certain medications can affect the patient's condition.

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Before conducting epidural anesthesia, the patient should consult a doctor and tell him about all the medications he takes.

To carry out the procedure of anesthesia is necessary only in the checked up clinics which have a good reputation. Beforehand it is necessary to familiarize with responses and recommendations of acquaintances.

In the postpartum period and immediately after the operation, it is not recommended to lift weights, as this can provoke severe pain in the back area. Do not overload the spine too much until the muscles are well strengthened.

Back pain is rarely provoked by epidural anesthesia.

Often, many other factors lead to this, in particular, such as insufficient professionalism of the doctor, diseases of the internal organs and excess weight.

However, in any case, at the slightest alarm signs you need to visit a doctor.

Reviews

Many women are interested in what it is - "epidural during delivery" - and how such a procedure affects the condition of the mother and child.

Many reviews confirm that this is a completely safe procedure, which has virtually no contraindications.

In addition, if it is carried out correctly, there are no complications and side effects.

Many patients say that after such a procedure, only a slight soreness in the puncture site and a slight numbness are noted.

According to some people, for several days there are pains in the back area and the head is very sore.

In this case, the patient is shown bed rest and symptomatic therapy.

A source: http://.ru/article/324748/bolit-spina-posle-epiduralnoy-anestezii-chto-delat-epiduralnaya-blokada-printsip-deystviya-posledstviya-otzyivyi

Back ache after epidural anesthesia: what to do?

Epidural anesthesia is increasingly used in modern medicine during surgical operations, plastic surgery, obstetrics. This process is the injection of an injection into the spine for pain relief of the pelvic organs, mainly during labor.

After anesthesia, there may be pain in the spine, the causes of which are many, so you can not start this process and ignore the alarming bells of the body. Back pain after epidural anesthesia should be diagnosed in a timely manner and measures taken.

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During the injection of the injection, the back is treated with a special topical agent that facilitates the subsequent anesthesia.

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Further, with the aid of a specialized needle, a liquid is inserted into the spine to block the excitation wave, causing unpleasant and sometimes intolerable sensations.

Indications for use

Epidural anesthesia requires the professionalism of an anesthesiologist, because any wrong action is fraught with serious consequences for the whole body. This is one of the weighty reasons why you need to weigh all the risks and the need for such a procedure.

The most common cases of using this method of anesthesia in obstetrics, in such cases:

  • premature onset of the birth process;
  • Caesarean section according to the indications, which was prescribed on schedule;
  • high uterine tone;
  • low pain threshold for a woman;
  • multiple pregnancies;
  • protracted birth process, unforeseen complications during childbirth;
  • high level of blood pressure;
  • a large concentration of protein in the urine.

You can not be afraid for the fetus, because epidural anesthesia does not have a negative effect on the intrauterine organism.In the process of delivery, the woman feels good without feeling pain, but at the same time, the movement is not limited at this moment, the patient can move freely.

Complications

Most patients after the epidural feel well and do not feel any side effects, but in some cases unforeseen complications arise:

  • back pain after anesthesia;
  • temporary loss of sensitivity of the lower body;
  • blunt and persistent headaches, migraines for a long time;
  • damage to the hard shell of the spinal cord, which leads to malfunctioning of the heart and impaired breathing;
  • development of hematoma;
  • there are also cases of incomplete anesthesia.

Foci of pain

After anesthesia, there may be a different nature of the pain sensation and the reasons for this are different. There are several different pain localizations:

  1. At the injection site:
  • slight pain at the point of injection of the needle or in the area around it due to irritation from the injection;
  • the occurrence of an abscess or purulent formation due to infection during the injection of anesthesia.
  • the formation of a hematoma due to an accidental needle hit in the area of ​​the plexus of veins;
  • exacerbation if there is a hernia;
  • damage in the process of connecting a nerve fiber bundle catheter, resulting in back pain after epidural anesthesia;
  • nerve irritation;
  • pain of the spine due to disturbed intervertebral ligaments;
  • independent of anesthesia pain that arose during pregnancy from wearing a fetus.
  • compression of the nerve;
  • mechanical damage, sacrum injury, arising prior to childbirth or in the process;
  • complications during childbirth due to unnatural location of the fetus, large size, other complications;
  • urino-genital infections.

Duration of pain

Pain after epidural anesthesia usually passes quickly enough, you do not need to do anything.

But if during the procedure there were any violations or childbirth proved to be complicated and unanticipated difficulties, pain can persist for a week or more. months.

In medicine, there were precedents when a patient could have a backache for several years.

In any case, with continued uninterrupted discomfort in the lower back for the qualified help of a competent doctor who will conduct diagnostics and prescribe effective treatment.

Help with prolonged pain

If the backbone hurts, you do not have to endure the pain and wait that it will soon pass by yourself.

At the first unpleasant sensations it is important to ask for help in a medical institution.

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If the pain-provoking factors are not serious, the attending physician after the examination can prescribe pain relievers that will relieve the unpleasant sensations and facilitate the well-being.

When infectious infections are prescribed anti-inflammatory drugs, antibiotics, which will remove the acute process of inflammation, destroy the pathogens of infection.

Purulent formations are eliminated exclusively by an operative route. As a result of cleaning, you can avoid further spread of the infection and aggravation of the situation.

Why does the back ache after epidural anesthesia what to do first thing? This question torments many patients.

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You need to contact a specialist who will conduct a detailed examination and identify the cause of the pain.

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After diagnosis is a set of measures that are aimed at eliminating the cause of pain and maximizing the relief of the condition:

  • osteopathy. With its help, the mobility of the damaged area of ​​the spine is restored, but one must take into account the individual characteristics of each organism and calculate the risk to the spine;
  • magnetotherapy, accelerating regenerative processes and helping to recover faster. Especially effective is the procedure for those to whom the epidural was shown during labor and during the period of breastfeeding, medication is contraindicated;
  • drug therapy in difficult cases, with the need to abandon breastfeeding, because the risk of serious complications is very large.

How long will the treatment last, determines the attending physician, based on the existing clinical picture and the rate of recovery of the body.

In order to be able to quickly eliminate unpleasant pain, you can contact the manual therapist and take a course of recovery.

With the help of this therapy, not only pain is eliminated, but also joint mobility returns, muscle tone improves, ligamentous apparatus functioning.

In addition to any therapy, you must ensure yourself the attendant conditions: perform simple exercises, keep your posture, reduce to a minimum load on the back and spine, adjust the diet, control excess weight and ensure a comfortable sleep on a firm mattress every day.

A source: http://NashiNervy.ru/o-nervnoj-sisteme/chto-delat-pri-boli-v-spine-posle-epiduralnoj-anestezii.html

What to do with back pain after epidural anesthesia

Epidural anesthesia is a modern method of anesthetizing patients.

The needle, through which the active substance is supplied, is injected directly into the epidural space of the spine. In this zone there are a lot of nerve endings.

When the medicine acts directly on them, a certain part of the body loses its sensitivity.

Today this type of anesthesia is most often used in childbirth.

If a woman is very tired of active labor, suffers from severe pain, in a certain period, you can enter an anesthetic into the waist.

Unpleasant sensations become dulled, the woman in labor can simply rest. In the West, such a course of labor is common, epidural anesthesia is done in our country mainly in cesarean section.

This approach has many advantages:

  • The mother is in full consciousness, participates in the process of birth;
  • the drug affects the local level, does not harm the child;
  • the exit from local anesthesia is carried out quickly and without negative consequences.

An experienced doctor must perform the procedure. Only in this case anesthesia will be successful, there will be no negative consequences of such intervention.

The use of epidural anesthesia in the treatment of diseases of the spine

Sometimes anesthesia is required for patients with diseases of the musculoskeletal system. This category includes herniated intervertebral discs, sciatica. In this case, the procedure is carried out even more cautiously.

If the space around the vertebrae is inflamed, there is a risk of additional infection of this site. When the needle passes into the epidural space, there is a risk of damage to the dura mater.

This probability is extremely small, but it is there.

At the time of the procedure, the patient should not be diagnosed with any concomitant diseases. Therefore, before epidural anesthesia, a complete diagnosis of the patient's condition is carried out.

This method introduces numerous painkillers and anti-inflammatory drugs. They affect the local level, do not harm the whole body.

The likelihood of negative consequences and the development of side effects is extremely small.

Contraindications for epidural anesthesia

There is a category of patients who can not do spinal anesthesia at all. You should familiarize yourself with this list in advance. A person should be healthy at the time of the procedure.

The slightest inflammatory processes, the presence of pathogenic bacteria in the blood, a rash on the skin - all this refers to contraindications.

It is necessary to wait until the symptoms disappear or choose another method of injection.

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Poor blood clotting is another contraindication. At the puncture site in this case, an impressive hematoma can form. It presses on the nerve endings, causing severe pain.

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In rare cases, paralysis develops. Allergy to the administered substance is also a contraindication. Allergens are preliminarily performed in order to exclude the negative consequences of the procedure.

Why there are pains after epidural anesthesia

Sometimes a patient notices that his back hurts after epidural anesthesia, what to do in this case will prompt the doctor. First, the cause of the unpleasant sensations is determined.

There can be several:

  • violation of the procedure;
  • the needle irritation of the tissues and nerve endings of the epidural space;
  • the development of infection in this area.

Immediately it is necessary to stipulate that epidural anesthesia should be carried out in a sterile room, using disposable instruments.

The site of the injection must be treated with a disinfectant. The likelihood of infection is minimized.

If the medical staff adhered to all of the above rules, you may not worry.

In people who already suffer from problems with the musculoskeletal system, the likelihood of pain after the procedure is higher than in the other categories of patients. Sometimes it's enough just to wait a few days until the place of the injection heals.

Even a small scratch, an abrasion on the arm or leg hurts a few days, delivering some discomfort. And now remember that needle, which is conducted epidural anesthesia, its size.

Naturally, the healing of tissues takes time.

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Elimination of back pain

If the pain does not pass for a long time, it is necessary to appear to the treating doctor. He will conduct an examination, perhaps, will appoint additional examinations.

They will help to identify the exact cause of discomfort. The likelihood of developing negative effects of epidural anesthesia is small.

It is one such case for 25 thousand successful injections.

If the pain after anesthesia is caused by irritation of the surrounding tissues, then the doctor can advise complete rest for several days, an anti-inflammatory compress. Warmings are appointed only in the event that the probability of development of abscesses, suppuration is completely excluded.

It is important

Sometimes there is a need for an MRI or CT scan. These methods of functional diagnostics are considered the most accurate and effective.

Importance of preliminary preparation for epidural anesthesia

To avoid pain after the procedure, it is important to prepare for the injection in advance. Be sure to listen to everything the doctor tells you. The position of the patient during the introduction of the needle is very important. The specialist finds the right area between the vertebrae, there he makes an injection.

For this, the patient lies on his side and curls up. The doctor must see all the bulging vertebrae. For this reason, epidural anesthesia is sometimes not recommended for people with an impressive excess weight.

Because of the large layer of fat on the back, the doctor simply does not see where to inject.

Myths associated with epidural anesthesia

This kind of anesthesia is considered safe. Often, patients simply do not have other alternatives. But around this procedure, a lot of terrible stories are created, which ordinary people frighten each other. It's time to debunk these myths.

The first of themis that epidural anesthesia can lead to complete paralysis of the entire body.

There is such a probability, but it is so small that you do not even need to worry about it.

If the procedure is carried out in a hospital, a medical worker with sufficient experience, then it will definitely go well.

Read the same: Psychosomatic disorder - back pain

Myth number 2: pain in the back after the introduction of the needle will never pass. At first, all patients have a backache, but eventually you will forget about these feelings.

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In addition, in parturient women who underwent epidural anesthesia, pain in the back arises because of the heavy loadings when carrying the fetus. We need to wait a little.

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Myth number 3: Epidural anesthesia can lead to the development of tumor processes. In fact, there is no connection between these factors at all. Sometimes a swelling occurs at the puncture site. In rare cases, hematomas are possible. But they eventually resolve.

It is important

After using this type of anesthesia, you need to listen to your body. You will understand that the pain passes every day, becomes less noticeable, and then disappears altogether.

Phantom pain with epidural anesthesia

Especially impressionable patients develop so-called phantom pains. If a person knows in advance what the procedure is for him, he studies the information on this issue. On the one hand, the availability of such data is a big advantage for us.

On the Internet, you can find a lot of articles on the topic of epidural anesthesia.

On the other hand, people without medical education can not make a correct diagnosis, and many of them they begin to look for subtle signs of negative consequences on their subconscious level, side effects effects.

In reality, they do not have anything to hurt, but they feel the so-called phantom pains. Sometimes, to get rid of this condition, a psychologist is required. This help is invaluable.

It is necessary for women after childbirth, who, in the face of postpartum depression, have mood swings. The specialist will help to make sure that the patient is perfectly well and completely free from the negative consequences of epidural anesthesia.

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A source: https://spinous.ru/pain/chto-delat-pri-bolyax-v-spine-posle-epiduralnoj-anestezii.html