"Doctor… Will I Become Paralysed?"
Almost every week before surgery, I hear this question from patients. Some ask it quietly. Some ask it with visible fear. Many say, "Doctor, I am not afraid of the surgery… I am afraid of the spinal injection."
As an anaesthesiologist, I completely understand this fear. Most patients are not afraid because of the procedure itself — they are afraid because of stories they have heard from relatives, neighbours, or social media.
The good news is simple: modern spinal anaesthesia is one of the safest and most commonly used anaesthetic techniques when performed by trained professionals. Let us separate myths from facts.
What Is Spinal Anaesthesia?
Spinal anaesthesia is a technique where a small amount of anaesthetic medicine is injected into the fluid around the nerves in the lower back. It temporarily numbs the lower half of the body so surgery can be performed comfortably without pain.
Spinal anaesthesia is commonly used for:
- Caesarean section (C-section)
- Hernia surgery
- Hip and knee surgeries
- Urology procedures
- Lower abdominal surgeries
- Lower limb surgeries
Myth 1: "Spinal Anaesthesia Causes Paralysis"
This is the most common fear, but permanent paralysis from spinal anaesthesia is extremely rare. The spinal cord usually ends much higher than the level where spinal anaesthesia is given. The injection is performed below that level by trained anaesthesiologists using proper precautions and sterile technique.
Myth 2: "The Needle Goes Into the Spinal Cord"
No. The injection does not go into the spinal cord. The medicine is injected into the spinal fluid below the end of the spinal cord, where nerve roots are present.
Myth 3: "I Will Have Lifelong Back Pain"
Spinal anaesthesia usually does not cause lifelong back pain. Some patients may feel mild soreness at the injection site for a day or two, similar to any injection. Long-term back pain is more commonly related to posture, muscle strain, ageing, pre-existing spine problems, or the surgery itself.
Myth 4: "The Injection Is Very Painful"
Most patients say it was much easier than they expected. Before giving the spinal injection, the skin is usually numbed with local anaesthetic. Patients may feel a small prick or pressure, but the procedure is usually completed within a few minutes.
Myth 5: "I Will Feel Everything During Surgery"
You may feel touch, pressure, or movement — but you should not feel surgical pain. If you are anxious, your anaesthesiologist may give medicines to help you relax comfortably during the procedure.
Myth 6: "Spinal Anaesthesia Is Less Safe Than General Anaesthesia"
Neither spinal anaesthesia nor general anaesthesia is automatically better for everyone. The safest option depends on your age, medical condition, type of surgery, heart and lung status, and your anaesthesiologist's assessment. Your anaesthesia plan is chosen based on what is safest for you.
Myth 7: "The Numbness Will Never Go Away"
Spinal anaesthesia is temporary. The numbness usually wears off gradually over a few hours, depending on the medicines used.
Myth 8: "Older Patients Should Avoid Spinal Anaesthesia"
Many elderly patients safely receive spinal anaesthesia. In selected patients, it can provide excellent pain relief and may help avoid some effects associated with general anaesthesia.
Myth 9: "If I Move During the Injection, I Will Become Paralysed"
Your anaesthesiologist will guide your position carefully. Small movements are usually anticipated, and the medical team will assist you in maintaining stability. While it is important to stay as still as possible, minor adjustments do not cause sudden paralysis.
Myth 10: "You Don't Need to Fast Before Spinal Anaesthesia Because You Stay Awake"
You must follow the exact fasting rules given by your surgical team. Even if you remain awake during the procedure, a completely empty stomach is critical for safety if a fast transition to general anaesthesia becomes necessary or if you experience routine nausea.
Have Questions About Your Anaesthesia?
Dr. Chaitanya Pilladi and our anaesthesia team at Sri Ganga Hospital are here to answer all your concerns before surgery. Your comfort and safety are our priority.
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