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A spinal tap can be uncomfortable, but the fear of a spinal tap ending in paralysis is unfounded. The spinal cord, which has to be damaged to cause paralysis, ends just below the ribs and is not in the area between the third and fourth lumbar vertebrae in the lower back, the area where the needle is injected. In most people, a spinal tap causes no more than a small amount of discomfort. Patients may feel some burning and nerve twinges when the needle is inserted. “I tell women who’ve had epidurals that a spinal tap will feel similar to that.The most serious side effect is a spinal tap headache – which can be severe and may make you nauseous. You’ll know that’s what’s happening if the pain goes away when you’re lying down but reappears when you stand or sit. Be sure to contact your doctor immediately and drink lots of water. Because of the caffeine content, coffee and tea may also help.