Post dural puncture headache, managed with epidural blood patch, is associated with subsequent chronic low back pain in patients: a pilot study
Current Pain and Headache Reports, 2020•Springer
Abstract Purpose of Review Post dural puncture headache (PDPH) is a relatively common
complication which may occur in the setting of inadvertent dural puncture (DP) during labor
epidural analgesia and during intentional DP during spinal anesthetic placement or
diagnostic lumbar puncture. Few publications have established the long-term safety of an
epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this
pilot study was to examine the association of chronic low back pain (LBP) in patients who …
complication which may occur in the setting of inadvertent dural puncture (DP) during labor
epidural analgesia and during intentional DP during spinal anesthetic placement or
diagnostic lumbar puncture. Few publications have established the long-term safety of an
epidural blood patch (EBP) for the treatment of a PDPH. Recent Findings The aim of this
pilot study was to examine the association of chronic low back pain (LBP) in patients who …
Purpose of Review
Post dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH.
Recent Findings
The aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were contacted and completed a survey questionnaire via telephone. The EBP group was found to be more likely to have chronic LBP (percentage difference 20% [95% CI 6–33%], RR 2.6 [95% CI 1.3–5.2]) and also LBP < 6 (percentage difference 24% [95% CI 9– 37%], RR 2.3 [95% CI 1.3–4.1]). There were no significant differences in the severity and descriptive qualities of pain between the EBP and non-EBP groups.
Summary
Our findings suggest that PDPH treated with an EBP is associated with an increased prevalence of subsequent low back pain in parturients. The findings of this pilot study should spur further prospective research into identifying potential associations between DP, EBP, and chronic low back pain.
Springer
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