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Objectives: To compare patients who received spinal anaesthesia and didn’t use pillow in post-op period with those who used pillows and those who mobilised and with those who received general anaesthesia for the development of dural headache, and also neck and back pain. Design: Experimental. Place & Duration of: The study was conducted at the Bone and Joint hospital in Srinagar over a period of 3 months. Study Patients and Methods: This study compared 201 post-op patients who were divided into 4 groups 1. Those who didn’t use pillows 2. Those who used pillows, 3. Those who were mobilised, 4. The general anaesthesia group was kept as a control. They were followed for 7 days for development of headache, back and neck pain. Results: This study found no association between the lying without pillow and prevention of PDPH or any other post-operative complication. Conclusion: head ache, neck, backache and other such problems were worst in the immobilised group and least in mobilised group.

Post-Dural Puncture Headache - Having No Pillow Does Not Prevent It, Not Even Psychologically. Should We Try Giving Pills Instead?