Does a LP hurt? Might have to have one done

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Jenny R.
Regular Member


Date Joined Sep 2006
Total Posts : 162
   Posted 12/24/2006 1:55 PM (GMT -6)   
My neuro is sending me for a bunch of blood work, and if it all comes back normal she wants to do a LP.  I had a epidural when I had my son, is it simliar?  She gave me Metanx to take until I see her again the Jan 30.  She feel that it could be EBV attacking my nervous system, since nothing has shown on MRIs.  She also said that it may take weeks to see an improvement with the Metanx, but has seen a few people with the same symptoms that it has helped them and they also tested postive for chronic EBV.  Thanks, and Merry Christmas to all!!!!!

rhondab
Veteran Member


Date Joined Mar 2006
Total Posts : 2146
   Posted 12/24/2006 2:12 PM (GMT -6)   
Hey Jenny!

No, as far as i know it does't hurt to have an lp. Just pressure and a real need to be still! Yes, very much like the epidural. I've seen posts from many on lp's and the majority of them are positive...easy to get thru...but of course there are those exceptions where for whatever reason the person has some pain. The majority of the probs i have seen here are dealing with the headache that could follow. As they'll tell u, lay flat for several hours (they'll tell u how long) afterwards. There's a thing called a 'Blood Patch" that u can ask for that seems to improve the chances of u not getting that headache. U can ask about it prior to having the lp so (if u'r doc agrees to it) u'll get it done right after the lp and it'll all be part of the same time on the table.

I'm not familiar with Metanx. What is it prescribed for? I do hope it gives u relief and this will all be something 'fixable' for u. "EBV'? Is that Epstein Barr Virus?? Please let us know how the med works for u and how u'r doing. I hope u'r doc appt on the 30th will be revealing and u'll be on the road to recovery very soon. Best wishes to u!

rhonda

Jenny R.
Regular Member


Date Joined Sep 2006
Total Posts : 162
   Posted 12/24/2006 2:17 PM (GMT -6)   
Hi Rhonda, and Merry Christmas also.  The Metanx is a high doses of B vitamins and folic acid, she said its higher than B-12 injections.  Yes, EBV is Epstein Barr virus.  Do you have this?  I heard about 95% have it, mine was chronic EBV six years ago, this is when all my problems started. 

uppitycats
Veteran Member


Date Joined Jun 2005
Total Posts : 2135
   Posted 12/24/2006 2:18 PM (GMT -6)   

Just a clarification: When Rhonda says "reports on LP's have been positive", I THINK she means that people are reporting that the LP didn't hurt, and wasn't so bad after all...not that the results of the LP were "positive", indicating some disease or disorder.

I've never had an epidural, so can't offer a direct comparison.  But here's what happens with an LP: You'll be asked to curl up in the fetal position, to give the doctor (or technician) a tight spine to work with.  You'll feel a needle with the anesthesia (a local anesthesia)...and then when they do the actual lumbar puncture, more a pressure and a "pop" sensation when they enter the spinal column.

So a needle stab, and then a weird sensation should be about all you feel.  The worst (and most common) side effect is a severe headache afterwards, but if you carefully follow your doctor's directions -- usually that you should drink plenty of fluids prior to the procedure, then lie flat afterwards for several hours -- you should be fine.

As Rhonda suggested, if you DO get the headache, it should appear within 24 hours of the procedure.  Don't hesitate to call your doctor and ask for the blood patch: they take blood from your arm, and re-inject it into the spinal cord, near where they drew the spinal fluid. The idea is to get the fluid levels back to near-normal -- the disruption in fluid levels is what causes the headache.  It only takes a few minutes and the headache is immediately relived, so don't hesitate to ask about it.

I hope you find some results and can get treatment for your problems!

 

 


...I am not a doctor, nor health professional, and don't pretend to be one, here.....


rhondab
Veteran Member


Date Joined Mar 2006
Total Posts : 2146
   Posted 12/24/2006 2:37 PM (GMT -6)   
Hey Jenny!

Thanks! I thought that was what u were saying, but my memory is horrible and i didn't want to trust what i thought i remembered about u'r other posts and just assume i knew what EBV was. No, i've never had it. I guess i've been tested for it, surely with ALL the blood they've taken i've been tested! ;)

Hey Uppity!

THANKS!! Yes, i meant reports from others on how they felt the lp went for them...NOT how their med reports turned out. I'm sorry i said that in a misleading way, but very glad u caught it for me! Good thing u'r here!! ;)

rhonda

madlou
Regular Member


Date Joined Nov 2006
Total Posts : 87
   Posted 12/24/2006 3:35 PM (GMT -6)   
I just had an LP done 12/11/06. I, of course, anticipated pain. The numbing meds were injected and I felt a little pressure. Every time the doctor touched me I thought "Here it comes!" But when he finally put the needle in I felt only a little pressure. Be forewarned however that your nerves are floating inside the spinal column. He is putting a needle in and cannot see any of these nerves. You stand a great chance that he will touch one with the needle. That's what happened to me. I suddenly felt as though I had been electrocuted...a current ran down my right leg from my hip to my toes. I said "Ow, ow, ow" and the doctor pulled the needle back a little. Afterwards, while laying on the table, my left butt cheek suddenly went numb. That scared me but I was reassured by the doctor. That numbing medication moves around. Overall I'd say it was no worse than the epidural I had prior to delivery of my son. Try not to scare yourself. Remember the epidural. It wasn't that bad.

whtedragons78
Regular Member


Date Joined Jun 2006
Total Posts : 74
   Posted 12/26/2006 8:24 PM (GMT -6)   
I have had 2 lp's about a yr apart. Each one was different, my first one i layed flat on my stomach and the dr used an x ray type maching to guide the needle in. and once he got to the spinal cord area, my leg twitched and stopped. then a few mins he was like ok your done. they wheeled me to recovery and i had to lay on my back for an hr (trying to force myself to drink fluids laying down i think i poured more on my shirt than anything) and then was on the way home an hr later. no headache at all just slept the rest of the afternoon hehehe

#2 lp - on my side, in a fetal position, no nurse, just a dr. when she was done, she put a bandaid on it and said ok your free to go. She said that they have done studies and if you are going to get the "headache" your gonna get it if your lying down, sitting, walking or whatever. I was up and walking 5 mins after that one, crawled into a jeep wrangler and off to the mall. no headache

Thats my story on the lp, but im sure that allll people are totally different on how they respond to it

good luck - Cyndi
Mother has MS, diagnosed 10 yrs ago.
Diagnosed with spastic colon in 2000.
Diagnosed with RRMS Sept 06
Provigil 100mg, Copaxone


Shashi
Regular Member


Date Joined Jul 2006
Total Posts : 156
   Posted 12/26/2006 9:11 PM (GMT -6)   
Hi, I had an LP a few months ago. Be sure to ask that it be done under fluroscopy so they don't have to poke around on you. I had it that way and felt no pain at all.
Hugs,
 
Lisa ~
 
Living in Limboland!
 
Negative MRIs + Negative LP + Positive symptoms = A lot of confusion + A ton of frustration!

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