Procedure Description
An epidural blood patch is a minimally invasive procedure used to treat spinal headaches caused by a leak of cerebrospinal fluid (CSF) from the epidural space. The most common cause of this type of headache is a dural puncture, which can occur after a lumbar puncture (spinal tap), epidural injection, or spinal anesthesia.
The procedure involves injecting a small amount of the patient's own blood into the epidural space. The blood forms a clot that seals the leak, restores normal CSF pressure, and resolves the headache.
What It Treats
Epidural blood patches are used to treat post-dural puncture headaches (PDPH) caused by:
Lumbar puncture
Spinal or epidural anesthesia
Unintentional dural puncture during epidural procedures
CSF leaks causing low-pressure headaches
Symptoms typically include:
A severe headache that worsens when sitting or standing
Pain that improves when lying flat
Neck stiffness, nausea, or sensitivity to light and sound
How It Is Performed
You will lie on your side or sit in a curled position, similar to the position for an epidural.
The lower back is cleaned and numbed with local anesthetic.
A small amount of your own blood (10–20 mL) is drawn from a vein in your arm.
Using fluoroscopic (X-ray) guidance or anatomical landmarks, a needle is inserted into the epidural space at or near the site of the original dural puncture.
Your blood is slowly injected into the epidural space, where it spreads and forms a clot to seal the CSF leak.
The needle is removed, and you will remain lying flat for 30–60 minutes to help the patch set.
The procedure usually takes 30–45 minutes from start to finish.
Pre-Procedure Instructions
You may eat and drink normally unless otherwise directed.
Continue your regular medications unless instructed to stop blood thinners.
Inform your provider if you:
Are pregnant or breastfeeding
Have a history of bleeding disorders, infection, or fever
Are taking anticoagulants or antiplatelet medications
Wear comfortable clothing and arrange for someone to drive you home.
What to Expect After the Procedure
Most patients experience rapid and significant relief from headache symptoms—often within minutes to a few hours.
Mild back discomfort or pressure at the injection site may occur and typically resolves within 24–48 hours.
You’ll be advised to rest and avoid strenuous activity for the next 24 hours.
Repeat blood patching may be required if symptoms return or persist after several days.
Call your provider if you experience:
Return of headache symptoms
Fever, chills, or signs of infection
Numbness, leg weakness, or difficulty urinating
New or worsening back pain
Quick, Reliable Relief from Spinal Headaches
At Parkview Spine & Pain, our skilled team offers epidural blood patching for patients experiencing post-lumbar puncture or spinal anesthesia headaches. This simple, highly effective procedure can seal CSF leaks and restore your comfort and daily function.
👉 Schedule your evaluation today if you’re experiencing spinal headaches or need follow-up care after an epidural or spinal procedure.