Having a Spinal Tap (Lumbar Puncture)

A spinal tap (lumbar puncture) may be used to help diagnose certain problems in your brain or spinal cord. Prepare for your test as instructed. You may be asked to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or blood thinners a few days before your test. From start to finish, your spinal tap will take about 30 to 60 minutes. The test may be done in a medical office. Or it may be done in the emergency room or the hospital. Sometimes the test is done in a radiology office with X-ray guidance or with ultrasound imaging. Your healthcare provider may screen you for bleeding disorders. They may also order a head or spine CT scan and an MRI before the test. This is done to be sure that there is no increased risk for you in having a spinal tap done.

During the test

You will lie on your side with your knees drawn into your chest. (This is called the fetal position.) Or you may be asked to sit bent forward, with your chin down. First, your low back will be wiped with a special disinfectant. Then your skin will be numbed with a medicine (local anesthetic). The provider will insert a sterile spinal needle through the skin of your lower back until it reaches the sac that contains the cerebrospinal fluid (CSF). You may feel some pain or pressure when this happens. It is important to stay still during the test. Some spinal fluid will be taken out through the needle. The needle is then removed. Finally, a small bandage is placed over the skin puncture site. You may be asked to lie still for a short time before you leave.

Healthcare provider inserting needle into lower spine of draped patient lying on her side. Inset shows cross section of lumbar spine with needle inserted into spinal canal.

After the test

When you’re able to leave, have an adult family member or friend drive you home.
When you get home, rest lying down for a certain period of time as directed by your provider.
If you get a headache, lying flat and drinking plenty of fluids may help relieve it. Often the headache is more painful when you stand. It gets better over time. You may also want to take an over-the-counter pain reliever as advised. But don't take aspirin. Caffeine drinks may help relieve a headache after a spinal tap. These include soda, coffee, or tea. A headache may also occur with an upset stomach (nausea), vomiting, or dizziness.
The day after your spinal tap, you can remove your bandage.
Your provider will tell you when your test results are ready.