Here is My Question:
Is there any reason for a person with MS having knee replacement surgery not to have spinal anesthesia instead of general anesthesia? Spinal anesthesia is the norm at the hospital where I get care and seems to me to be generally safer. But my surgeon said anesthesia might be reluctant to use spinal anesthesia due to my MS. I have “ mild” MS that has not caused any significant mobility impairments….which is more than I can say for the osteoarthritis in my knees.
I do not want to have general anesthesia for a number of reasons and feel like this would be second rate care based on superstition since *I* can’t find any data to support increased risk with spinal anesthesia. Do you know of any?
Epidural and spinal anesthesia is widely accepted in most countries for people with Multiple Sclerosis. Most of the studies published concern the use of these forms of anesthesia at childbirth for cesarean section, but there is little reason to believe this form of anesthesia would expose additional risks for other procedures where this form of anesthesia is utilized in people without MS.
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Professor of Clinical Neurosciences
University of California San Diego
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