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What is involved in getting spinal or epidural anesthesia? Does it hurt?

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What is involved in getting spinal or epidural anesthesia? Does it hurt?

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First the proper monitors will be placed, such as an EKG and blood pressure cuff. An IV will be placed. You are then placed in a sitting position or on your side and sterile drapes are placed on the lower back. A local anesthetic (numbing medicine) is then placed in the area by the use of a small needle. Once the area is numb, a spinal or epidural needle is then advanced to the proper position while you stay still. After the spinal or epidural is given, a warming sensation is initially felt and later numbness in the lower half of the body. The extent of the numbness and the duration is based on the type of surgery planned and the medications used. The patient also temporarily loses some muscle strength in the area affected.

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