Leaflet Details
| Title | Epidural Haematoma Advice |
| Department | Inpatient Pain Service |
| Author(s) | Monica Thompson |
| Review Date | November 2025 |
| Next Review | November 2027 |
| Download | A4 Handout PDF |
| Accessibility Options | Click on the Recite Me button to show our accessibility resources |
Patient Information
Information for patients who have had an Epidural Infusion
Introduction
Serious complications from epidural pain relief are very uncommon (around 1 in 10,000). However, because the epidural space lies close to the spinal cord, a build-up of fluid such as an infection (pus) or a blood clot can place pressure on the spinal cord. If this happens, it must be recognised and treated quickly by specialist hospital doctors to prevent long term problems.
This leaflet explains what symptoms to look out for and what to do if you think something is wrong after your epidural catheter has been removed.
Assessment before the epidural catheter is removed
Medications used in your epidural can sometimes cause temporary numbness or weakness in your legs.
Once the epidural is stopped, your doctors and nurses will assess you to ensure these effects have worn off. They will:
- Ask you to lift each leg straight up without bending your knee.
- Check that the sensation in your legs has returned to what it was before your operation.
Please remember that some types of surgery can also cause changes in sensation or strength, so any differences may be related to your operation rather than the epidural.
While you are still in hospital
If you notice any of the symptoms listed below as new problems after your epidural has been stopped, please inform the nurse in charge immediately. They will contact the Inpatient Pain Service or the on-call Anaesthetist straight away.
After you have been discharged
If you develop any of the symptoms listed below after going home, please contact the on-call Anaesthetist immediately by calling the hospital switchboard:
📞 01932 872000
Ask the operator to Page 5007.
The on-call Anaesthetist will advise you and, if needed, arrange to see you in the Emergency Department at St Peter’s Hospital for assessment.
Signs and Symptoms to Watch For
- Redness, pus, tenderness, or pain at the epidural site (the area on your back where the catheter was inserted)
- Feeling generally unwell even if your surgical wound appears normal
- High temperature accompanied by neck stiffness
- New numbness and/or weakness in your legs, or difficulty standing or bearing weight
- Problems passing urine, or loss of bowel control
