A lumbar puncture, sometimes called a spinal tap, is a test where a small amount of fluid is taken from around the spinal cord using a thin needle in the lower back. The fluid is checked for signs of inflammation and immune activity. Numbing medicine is used, and the test usually takes less than an hour.
People are usually positioned curled on their side or sitting while leaning forward. After numbing medicine, there is brief pressure in the lower back. Some clinics include a period of lying flat afterward to reduce the chance of a headache.
Not everyone needs a lumbar puncture for an MS diagnosis, but some do. Knowing what it looks for helps you understand why it might be part of your workup.
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