I had a lumbar puncture last Wednesday as part of testing to diagnose my possible MS. (4 attacks of fatigue/tingling/vertigo, MRI showing some lesions, recently aching and tightness in hips, legs & back that my neuro didn't think was related, but that I do. Especially given what has happened....read on)
Within several hours of the tap (which went fine, though it was "bloody" since the doc nicked a vein) I started developing extremely painful muscle spasms in my back and neck and shoulders, to a lesser extent my hips/buttocks. I went to the ER the next morning and they gave me painkillers and Neurontin. Now the spasms have lessened, but I'm still very achey, and have a mild headache which worsens when I'm sitting or standing. (Spinal headache?) I've spent most of the last 6 days in bed, drinking fluids, resting, getting massages from my saintly husband.
Both the ER doc and the neuro who did the tap were puzzled by the muscle spasms, and said that it was unusual. (??) They suspected that the tap triggered what is basically a flare-up of my MS (or whatever it is I have...). As I mentioned, I've had some mild cramping and aching in my back and hips/thighs over the past couple of months, so they think that the tap may have exacerbated that.
Would you agree with their assessment? Can a tap trigger a flare-up, or is this just a natural reaction to trauma to the meninges that anyone -- even someone without MS -- could have?
Back aches and pain are reported to occur relatively commonly after an LP
the mechanism is unclear but may be related to spinal fluid collecting around the LP site (the deep part) and putting pressure on nerve roots
alternatively there will be some pain from tissue damage from the needle but this is usually self-limiting
A spinal headache is from persistent spinal fluid leakage around the site, and can be helped by fluids, caffeine, and if necessary a patch can be administered. In most cases, it is self-limiting (that is, stops by itself within days to weeks)
all the above are the most likely explanations for your post-LP symptoms
there is no known relationship between LPs and MS exacerbations
talk to your neurologist about the pain and headaches - they should be able to deal with the possibilities above
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.