Print OverviewSpinal headaches are a fairly common complication in those who undergo a spinal tap (lumbar puncture) or spinal anesthesia. Both procedures require a puncture of the membrane that surrounds the spinal cord and, in the lower spine, the lumbar and sacral nerve roots. During a spinal tap, a sample of cerebrospinal fluid is withdrawn from the spinal canal. During spinal anesthesia, medication is injected into the spinal canal to numb the nerves in the lower half of the body. If spinal fluid leaks through the tiny puncture site, you may develop a spinal headache. Most spinal headaches — also known as post-dural puncture headaches — resolve on their own with no treatment. However, severe spinal headaches lasting 24 hours or more may need treatment.Products & ServicesA Book: Mayo Clinic Guide to Pain ReliefAvailable Solutions for Headaches from Mayo Clinic StoreShow more products from Mayo Clinic SymptomsSpinal headache symptoms include: Dull, throbbing pain that varies in intensity from mild to very severe Pain that typically gets worse when you sit up or stand and decreases or goes away when you lie down Spinal headaches are often accompanied by: Dizziness Ringing in the ears (tinnitus) Hearing loss Blurred or double vision Sensitivity to light (photophobia) Nausea and vomiting Neck pain or stiffness Seizures When to see a doctorTell your health care provider if you develop a headache after a spinal tap or spinal anesthesia — especially if the headache gets worse when you sit up or stand. CausesSpinal headaches are caused by leakage of spinal fluid through a puncture hole in the membrane (dura mater) that surrounds the spinal cord. This leakage decreases the pressure exerted by the spinal fluid on the brain and spinal cord, which leads to a headache. Spinal headaches typically appear within 48 to 72 hours after a spinal tap or spinal anesthesia. Sometimes epidural anesthesia may lead to a spinal headache as well. Although epidural anesthetic is injected just outside the membrane that surrounds the spinal cord, a spinal headache is possible if the membrane is unintentionally punctured. Risk factorsRisk factors for spinal headaches include: Being between the ages of 18 and 30 Being female Being pregnant Having a history of frequent headaches Undergoing procedures involving the use of larger needles or multiple punctures in the membrane that surrounds the spinal cord Having a small body mass By Mayo Clinic Staff Request an appointment Diagnosis & treatment May 10, 2022 Print Show references Walls RM, et al., eds. Headache disorders. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed Feb. 27, 2022. Gropper MA, et al., eds. Spinal, epidural, and caudal anesthesia. In: Miller's Anesthesia. 9th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Feb. 27, 2022. Bateman BT, et al. Post dural puncture headache. https://www.uptodate.com/contents/search. Accessed Feb. 27, 2022. Post-lumbar puncture and other low-pressure headaches. Merck Manual Professional Version. https://www.merckmanuals.com/professional/neurologic-disorders/headache/post%E2%80%93lumbar-puncture-and-other-low%E2%80%93pressure-headaches?qt=&sc=&alt=. Accessed Feb. 27, 2022. Waldman SD. Post-dural puncture headache. In: Atlas of Uncommon Pain Syndromes. 4th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Feb. 27, 2022. Related Associated Procedures MRI Products & Services A Book: Mayo Clinic Guide to Pain Relief Available Solutions for Headaches from Mayo Clinic Store Show more products and services from Mayo Clinic Spinal headachesSymptoms&causesDiagnosis&treatmentDoctors&departments Advertisement Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy Opportunities Ad Choices Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. NEW: Listen to Health Matters Podcast - Mayo Clinic PressNEW: Listen to Health Matters PodcastMayo Clinic on Incontinence - Mayo Clinic PressMayo Clinic on IncontinenceThe Essential Diabetes Book - Mayo Clinic PressThe Essential Diabetes BookMayo Clinic on Hearing and Balance - Mayo Clinic PressMayo Clinic on Hearing and BalanceFREE Mayo Clinic Diet Assessment - Mayo Clinic PressFREE Mayo Clinic Diet AssessmentMayo Clinic Health Letter - FREE book - Mayo Clinic PressMayo Clinic Health Letter - FREE book CON-20377900 Patient Care & Health Information Diseases & Conditions Spinal headaches