/ / Backache after epidural anesthesia: what to do? Epidural blockade: principle of action, consequences, reviews

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

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

The therapeutic effect is achieved due tosimultaneous administration of several drugs. In particular, the components included in the composition have a pronounced analgesic effect with a maximum concentration in the lesion focus. There is also a reflex effect at all levels of the nervous system.

What is a spinal blockade

What is epidural anesthesia, and whichindications for its implementation - these and many other questions interest 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 obstetrics, it is used in the lumbar region, as anesthesia during cesarean section or for anesthesia during labor.

backache after epidural anesthesia

A few years ago, a cesarean section was performedexclusively under general anesthesia. Used drugs for anesthesia have a lot of side effects. The consequences of the epidural blockade during caesarean section are less pitiable, since there are practically no side effects on 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 far from always possible to apply this technique, which is why a preliminary examination and consultation with a doctor is required.

How is the spinal block

Knowing what epidural anesthesia is and whatShe has testimony, you can determine the feasibility of its implementation. The procedure requires minimal patient preparation. The blockade involves the injection of an anesthetic drug under x-ray control, ensuring the accuracy and complete safety of the manipulation. On average, drug administration lasts no more than 20 minutes. The analgesic effect comes almost immediately and lasts up to 6 months.

spinal cord roots

When conducting anesthesia in case ofserious problems with the back, the doctor observes the patient for 1-2 hours in the hospital, and then lets go home. If the blockade provided the desired result, but its effect was short-lived, then the medication could be re-administered.

Indications

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

  • with cesarean section;
  • natural childbirth;
  • pregnancy with hypoxia;
  • violation of the heartbeat of the fetus;
  • severe illness in the parturient woman;
  • wrong position of the fetus;
  • anomalies of labor.

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

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

epidural space

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

The main advantages of the epidural blockade

This procedure has certain advantages, in particular, such as:

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

When applying anesthesia for caesarean sectionor during childbirth there is no toxic effect on the body, and there is no hypoxia of the fetus. Whether to do an epidural anesthesia, the patients decide together with the doctor, according to available indications and taking into account the contraindications.

Contraindications

Anesthesia with the introduction of a painkillerepidural space, in addition to indications for use, has certain contraindications. That is why you need to consult with a doctor, as well as undergo a full examination. Contraindications may be local and absolute. The latter can be attributed such as:

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

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

  • the presence of inflammatory processes in the area of ​​pain;
  • deviations from the development of bone structure;
  • idiosyncrasy of painkiller components.

epidural blockade

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

Why back pain after the procedure

Many patients note that after epidural anesthesia, back aches.

Painful sensations can occur at the mostvarious reasons. First of all, the patient should understand that absolutely any intervention in his body can lead to side effects. If the injection is carried out in the spine, the pain will be a completely natural process, but it will not last long. The maximum duration of the pain is only a few days.

an epidural during childbirth what is it

Sore back after epidural anesthesia is not verystrongly, the pain is somewhat dull, which is very similar to the pain after the usual injections made to other parts of the body. This is provoked by the fact that irritation occurs in the adjacent tissues from the catheter or needle. Over time, this pain will pass without the use of any medications and additional procedures.

If your back hurts after epidural anesthesia andthere is an inflammatory process, which may mean that an infection was introduced at the injection site. This option is possible only if the medical staff conducted the procedure incorrectly and did not disinfect the medical instruments, which led to infection. In addition, an additional headache occurs, the temperature rises, and the heartbeat quickens.

Зачастую достаточно сильно болит спина после epidural anesthesia. What to do and how to solve this problem, you need to know, because it can cause very serious violations. That is why in the event of the slightest pain, it is imperative that you consult a doctor for examination and appropriate treatment.

Medical errors during the procedure

If your back hurts after an epidural,This may be the reason that the injection is incorrect. It is worth noting that medical errors are quite rare. As a rule, they are associated with insufficient experience of the doctor. Consider some of the effects of anesthesia during childbirth.

The physician during the procedure can touch the spinal cord roots. It is very difficult to get into the epidural space, so during the procedure it may also be affected:

  • blood vessels;
  • hernia;
  • spinal ligaments.

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

Since in the area of ​​drug administration is locatedmany blood vessels, the doctor may stumble upon the vein plexus. The pain in that case passes independently, without medical intervention. The risk of this type of injury increases in patients taking medication to improve blood flow.

what is epidural anesthesia

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

Могут быть повреждены нервные окончания.In this case, the consequences can be very serious. It all depends on how deep the needle has entered. As a result, various types of neurological abnormalities may occur. As you can see, the consequences of medical errors can be very serious, so the blockade should be carried out by a qualified and experienced specialist.

Elimination of pain after the procedure

При операциях эпидуральная анестезия используется in extreme cases, since it carries a risk for the patient. If the spine hurts very much after the procedure, then you should immediately contact the doctor and not endure the pain. Further actions will depend on the source of the pain. The doctor will examine and prescribe the appropriate therapy. As a rule, patients are prescribed painkillers and vitamins.

If during the administration of the drug was enteredinfection, inflammation may occur. In this case, the treatment will be longer and require a complex effect on the source of the pain. In the presence of infection, anti-inflammatory drugs are prescribed, as well as antibiotics, which will help eliminate inflammation and destroy the infectious agent. The specific drug should be prescribed by a doctor. Self-treatment in such cases is unacceptable.

anesthesia during childbirth

Purulent tumors are eliminated solely by surgical intervention. A timely visit to the doctor will prevent the further spread of the infection.

To eliminate back pain after epidural anesthesia, not only painkillers are used. Other effective therapeutic effects include:

  • osteopathy;
  • magnetic therapy.

Osteopathy helps restore mobilitydamaged part of the spine. However, when carrying out such a procedure, it is necessary to take into account the individual characteristics of the body of each patient and calculate all the risks.

Magnetotherapy accelerates occurringregenerative processes, which allows much faster recovery. Often this procedure is used during breastfeeding, as well as in the presence of contraindications for the use of drug therapy.

Продолжительность лечения определяет только the attending doctor, based on the available evidence, clinical presentation and contraindications. In order to eliminate unpleasant painful sensations much faster, you can undergo a course of manual therapy. This will help not only eliminate pain, but also improve joint mobility, muscle tone and ligament functioning.

Prevention

Knowing what it is - "an epidural during childbirth andoperations, as well as the consequences of this procedure, you can choose preventive methods to prevent the occurrence of pain. When taking preventive measures, complications after the procedure can be minimized.

Unpleasant consequences can be people withoverweight, which is why you need to try to control it within normal limits. To choose the best 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 aimedto strengthen the muscles, but it requires an individual approach. Therefore, it is advisable to conduct the first classes with a trainer. 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 may affect the patient's condition. Before conducting an epidural anesthesia, the patient needs to consult with the doctor and tell him about all the drugs he takes.

It is necessary to carry out the procedure of anesthesia only in proven clinics that have a good reputation. First you need to read the reviews and recommendations of friends.

В послеродовой период и сразу после проведения surgery is not recommended to lift weights, as this can cause severe pain in the back. Do not overload the spine too much until the muscles are well strengthened.

Back pain is rarely provoked.epidural anesthesia. Often, many other factors lead to this, in particular, such as lack of professionalism of the doctor, diseases of internal organs and excess weight. However, in any case, at the slightest warning signs, you need to visit a doctor.

Reviews

Many women are interested in what it is -"an epidural during childbirth" - and how this procedure affects the state of the woman in labor and the child. Many reviews confirm that this is a completely safe procedure, which has practically no contraindications. In addition, with its proper implementation, there are no complications and side effects.

Many patients say that after suchProcedures marked only slight soreness at the puncture site and slight numbness. According to some people, for several days, there is pain in the back and a very headache. In this case, the patient is shown bed rest and symptomatic therapy.

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