• Funniest Story on the Job Contest Starts Now!

    Contest starts now and ends September 27th. Winner will receive a special user banner and $10 Amazon Gift card!

  • Site Updates Coming Next Week

    Site updates are coming next week on Monday, Wednesday, and Friday. Click the button below to learn more!


Lumbar Tfesi and potential PDPH


Full Member
10+ Year Member
Aug 25, 2008
Hey everyone,
I did a L5-S1 and S1 TFESI using a 22g spinal needle on a patient recently. I was never past 6” on the pedicle in AP and contrast appeared epidural. Patient went home later in the day had a mild headache. Subsequently she did fine all day then 36 hours after the procedure developed a headache, bilateral occipital region to crown of the head. Doesn’t endorse postural improvement but I am thinking what if it is a PDPH. How could it have happened if I didn’t go too far into the foremen? It’s just not making sense to me. Thanks for any advice or tips always appreciated.
About the Ads
About the Ads
This thread is more than 1 year old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.