The Scottish Mail on Sunday

WHAT’S THE DIFFERENCE...

...between spinal anaesthesi­a and epidural?

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BOTH are used for pain relief and administer­ed via the back.

Spinal anaesthesi­a, sometimes called a spinal block, is a single jab delivered into the dural sac, a long tube which contains the spinal cord and nerves and is filled with fluid.

It is often used prior to lower body procedures such as those involving the genitals or urinary tract. The relief is immediate and lasts for one to two hours.

An epidural is administer­ed via a catheter – a tube that allows a constant flow of medicine into the bloodstrea­m – into the region surroundin­g the spinal cord. The pain relief takes about 20 minutes to kick in and can last for several hours, which is why it is used during labour.

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