Post-Dural Puncture Headache - Having No Pillow Does Not Prevent It, Not Even Psychologically. Should We Try Giving Pills Instead?

Abstract

Objectives: To compare patients who received spinal anaesthesia and didn't use pillow in post-op period with those who used pillows and those who mobilised and with those who received general anaesthesia for the development of dural headache, and also neck and back pain. Design: Experimental. Place & Duration of: The study was conducted at the Bone and Joint hospital in Srinagar over a period of 3 months. Study Patients and Methods: This study compared 201 post-op patients who were divided into 4 groups 1. Those who didn't use pillows 2. Those who used pillows, 3. Those who were mobilised, 4. The general anaesthesia group was kept as a control. They were followed for 7 days for development of headache, back and neck pain. Results: This study found no association between the lying without pillow and prevention of PDPH or any other post-operative complication. Conclusion: head ache, neck, backache and other such problems were worst in the immobilised group and least in mobilised group.

Recurrent Headaches After Spinal Anesthesia and Their Link to Associated Factors of Candidates for Cesarean

“…The results of our study were consistent with the ndings of the study by Choi and Chang and the study by Shah et alwho found no link between the time of immobilization in the supine position after SA and recurrent PDPH [25,26].…”