Treatment FAQ

what is the best treatment for spinal cord injury

by Dr. Cristian Kilback DDS Published 3 years ago Updated 2 years ago
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A spinal cord injury requires immediate treatment in order to address life-threatening complications and to decrease the risk of long-term problems. Corticosteroid drugs such as dexamethasone (Decadron) or methylprednisolone (Medrol) are used to reduce swelling. In some cases, surgery may be recommended.Aug 30, 2021

Medication

The second stage of addressing a spinal cord injury focuses on surgical treatment. There are several different purposes behind a spinal surgery including removing foreign objects, removing bone fragments, decompressive surgery to address herniated disks that are compressing the spine, and tendon transfer surgery is a procedure limited to one year after injury aimed at …

Procedures

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Therapy

Oct 22, 2020 · Non-steroidal Anti-Inflammatory Drugs (NSAIDs) like ibuprofen and naproxen are easily accessible medications that can help relieve pain after spinal cord injury. Pain after spinal cord injury can vary from mild to severe, and those with mild to moderate pain will likely be recommended NSAIDs.

Self-care

Jun 06, 2005 · The most commonly recommended oral pharmacological agents for chronic pain fall into 3 major categories: antidepressants, anticonvulsants, and analgesics. Historically, antidepressants, especially tricyclic antidepressants, have been considered first-line drugs for neuropathic pain after SCI based on clinical experience and case reports (3,18–20).

Nutrition

Dec 07, 2020 · There are many different types of physiotherapy treatment techniques, including: Muscle stretching, Massage therapy, Joint manipulation, Acupuncture, and …

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Apr 30, 2021 · Best foods for spinal cord injury. A healthy diet can immensely contribute to your recovery from any injury or sickness. If you’re looking for foods that reduce back pain and help in spinal cord injury treatment, you should make the following nutrition a part of your life: Carrots, beets, sweet potatoes

What to do if someone has a spinal cord injury?

How do you treat a spinal cord injury?

Is there any cure for spinal cord injury?

Are You protecting your spinal cord from injury?

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Which therapy is best for a spinal cord injury?

Activity-based therapy (ABT), or what is also known as activity-based restorative therapy (ABRT), is a form of therapeutic activity that assists in the rehabilitation and recovery of individuals with neurological conditions, spinal cord injuries, and other traumatic injuries.

Can spinal cord injury cured?

There is no cure for a spinal cord injury. However, rehabilitation and adaptive devices can help a person gain more independence and improve their quality of life.May 5, 2020

How long does it take for spinal cord injury to heal?

Although most recovery occurs within the first 3-6 months following a spinal cord injury, recovery can continue well past that period. Consistently practicing affected movements/activities will help promote neuroplasticity.Dec 14, 2021

Can you walk after a spinal cord injury?

While some sufferers of spinal cord injuries are eventually able to walk again after their injuries, others are not able to do so. The spinal cord is a complex nerve network responsible for communicating messages between the brain and the rest of the body.Mar 10, 2021

What are the treatments for spinal cord injury?

Medications. Medications may be used to manage some of the effects of spinal cord injury. These include medications to control pain and muscle spasticity, as well as medications that can improve bladder control, bowel control and sexual functioning.

How to rule out spinal cord injury?

In the emergency room, a doctor may be able to rule out a spinal cord injury by careful inspection and examination, testing for sensory function and movement, and by asking some questions about the accident.

Why do you need to immobilize your neck?

Immobilizing your neck to prevent further spinal cord damage. Avoiding possible complications, such as stool or urine retention, respiratory or cardiovascular difficulty, and formation of deep vein blood clots in the extremities. If you do have a spinal cord injury, you'll usually be admitted to the intensive care unit for treatment.

How does spinal cord injury affect your life?

You may wonder how your spinal cord injury will affect your everyday activities, job, relationships and long-term happiness. Recovery from such an event takes time, but many people who are paralyzed progress to lead productive and fulfilling lives. It's essential to stay motivated and get the support you need.

What is the best test to check for herniated disks?

Magnetic resonance imaging (MRI). MRI uses a strong magnetic field and radio waves to produce computer-generated images. This test is very helpful for looking at the spinal cord and identifying herniated disks, blood clots or other masses that may be compressing the spinal cord.

What is electrical stimulation?

Electrical stimulation devices. These sophisticated devices use electrical stimulation to produce actions. They're often called functional electrical stimulation systems, and they use electrical stimulators to control arm and leg muscles to allow people with spinal cord injuries to stand, walk, reach and grip.

What tests are needed for neck pain?

But if the injured person complains of neck pain, isn't fully awake, or has obvious signs of weakness or neurological injury, emergency diagnostic tests may be needed. These tests may include: X-rays. Medical personnel typically order these tests on people who are suspected of having a spinal cord injury after trauma.

What is the goal of spinal cord injury treatment?

The primary goals of spinal cord injury treatment are to help minimize complications and promote functional independence. Every spinal cord injury is unique, so a personalized approach to rehabilitation that targets each individual’s specific weaknesses is essential. Many factors such as the level and severity of injury, secondary complications, ...

What is the purpose of physical therapy for spinal cord injury?

Physical therapy is the foundation of spinal cord injury rehabilitation. It focuses on improving mobility through targeted exercises. A physical therapist will evaluate your functional abilities and create a personalized exercise regimen designed to maximize range of motion, strengthen the muscles, and improve movement patterns.

Why do stem cells help with spinal cord injuries?

In contrast, stem cell therapy is intended to promote the regeneration of damaged spinal cord tissues. Because stem cells can divide infinitely and differentiate into various cell types depending on their surrounding environment, they show great potential as a treatment for spinal cord injuries.

How does oxygen help with spinal cord injury?

Oxygen plays an essential role in cellular activity and may help reduce secondary damage after a spinal cord injury by reducing swelling, promoting tissue growth, and increasing the production of antioxidant enzymes.

Why is spinal cord stimulation important?

Because the spinal cord adapts based on demand, highly-repetitive and task-specific movements are essential for promoting neuroplasticity . Consistent stimulation will help the spinal cord perceive a demand for that function and prompt circuit reorganization.

What are some examples of CAM?

Examples of CAM therapies include: 1 Acupuncture is a traditional Chinese practice that involves placing hair-like needles into specific acupoints for therapeutic relief. In Western countries, acupuncture has been adopted as a technique for pain relief, but in the East, it’s used to treat a variety of neurological problems. 2 Massage therapy helps stimulate blood flow, which increases the body’s ability to absorb oxygen into the tissues. It also relaxes the muscles and relieves tension, which can help reduce pain and improve range of motion. 3 Hyperbaric oxygen therapy involves breathing in pure oxygen at increased pressures. Oxygen plays an essential role in cellular activity and may help reduce secondary damage after a spinal cord injury by reducing swelling, promoting tissue growth, and increasing the production of antioxidant enzymes. 4 CBD products allow SCI patients to benefit from the pain-relieving properties of marijuana while avoiding its psychoactive effects.

What is the difference between primary and secondary damage?

Primary damage is the direct result of the traumatic event that compresses the spinal cord . In contrast, secondary damage describes the damage your spinal cord experiences in the hours to weeks following the initial injury. Examples of secondary damage include reduced ...

Spinal Cord Injury Treatment

The first stage of spinal cord treatment usually initiates in an emergency room department as a form of trauma care.

Contact an Experienced St. Louis Personal Injury Attorney for a Free Consultation

If you have suffered a spinal cord injury due to an accident or harm caused by another, it is important to discuss the circumstances of your injury with an experienced personal injury attorney who can help to protect your legal rights and interests.

What are the benefits of spinal cord meds?

Medications for Spinal Cord Injury: Key Points. Medications can help minimize damage in the early stages of SCI and manage secondary complications like pain, spasticity, bowel and bladder problems, depression, and respiratory weakness. While they can significantly improve your quality of life, medications should be taken with caution ...

What happens to the spinal cord after injury?

After spinal cord injury, the body activates the release of biochemical processes intended to stabilize the spinal cord. However, these are powerful chemicals that can increase damage to the spinal cord by reducing blood flow, increasing inflammation, overexciting the neurons, and inhibiting axon regrowth.

Why do spasticity medications only work for short term?

It’s important to understand that these medications will only provide short-term spasticity relief because they do not address the underlying cause: nerve damage. For long-term relief, individuals should practice physical therapy exercises to stimulate neuroadaptive changes in the spinal cord.

What are the side effects of opioids?

Common side effects of opioids include drowsiness, dizziness, and constipation. 6. Antispasmodics and Muscle Relaxants. Antispasmodics (also commonly called anticholinergics) and muscle relaxants can help reduce the effects of bowel or bladder problems and spasticity after spinal cord injury. A spinal cord injury can disrupt the transmission ...

How long does it take for antidepressants to kick in?

The effects of anti-depressants are not immediate and generally take a few weeks to fully kick in. 4. Anticonvulsants. Anticonvulsants like gabapentin can help spinal cord injury patients manage neuropathic pain.

What are the side effects of anticonvulsants?

Common side effects of anticonvulsants include fatigue, dizziness, and loss of coordination. 5. Narcotic Analgesics (Opioids) Individuals experiencing severe chronic pain after SCI may be prescribed a class of medications called narcotic analgesics or opioids.

How does anticonvulsant affect pain?

Neuropathic pain is caused by damage to the nerves, which can affect the hyperexcitability of pain signals. Anticonvulsants reduce pain by suppressing the overactive transmission of pain signals below the level of injury. Common side effects of anticonvulsants include fatigue, dizziness, and loss of coordination. 5.

What are the treatments for SCI?

These included oral medications, invasive therapies, physical therapy, counseling/psychotherapy, and alternative treatments. However, only a few of these treatments were rated as more than somewhat helpful. There is a need to better understand the efficacy of various treatments for chronic pain in persons with SCI.

What is the best medication for musculoskeletal pain?

Analgesics that are typically useful for musculoskeletal pain problems such as nonsteroidal anti-inflammatory drugs (NSAIDS), acetaminophen, and opioids are generally not found as helpful in relieving neuropathic pain (20,26,27).

How long does pain relief last after acupuncture?

However, pain relief from massage and acupuncture lasted for days for a subgroup of about 25% of those who received these treatments. In patients who received chiropractic care, pain relief lasted for days in 41% and for weeks in 19%.

What are the limitations of the previous study?

One limitation of the previous study was that it provided only a limited number of pain treatments for patients to select and rate and also did not provide information concerning the length of pain relief produced by those treatments that did provide at least some relief for some patients.

How long does pain relief last?

The relief from the various treatments, including most medications, tended to last only minutes or hours; however, pain relief from alternative treatments such as massage, acupuncture, and hypnosis was reported to last for days in 25% to 33% of those who tried these treatments. Conclusions:

Does marijuana help with pain?

Of all the treatments rated, marijuana was reported to give the greatest pain relief. It had been tried by 32% and was being used currently by 23% of the sample. Most of those using marijuana reported hours of pain relief after treatment.

Is gabapentin a first line drug?

Anticonvulsants, most notably gabapentin, are increasingly being used for neuropathic pain and are now considered first-line drugs. In a recent randomized controlled trial, gabapentin was found more effective than placebo for neuropathic pain in persons with complete paraplegia (23).

How much does a spinal cord injury cost?

Some physical therapy providers charge $100 per hour, or even upwards of $50,000 for a year of physical therapy training. While some spinal cord injury survivors try to raise funds via crowdfunding, that’s not always successful and also isn’t a viable long-term solution to cover those costs.

Why is early intervention important after spinal cord injury?

Early intervention for treatment after a spinal cord injury is crucial to achieving your optimal recovery, as are continuing care and rehabilitation.

What is physiotherapy for mobility?

This is done by helping to retrain your brain and body in an attempt to regain some or all lost mobility. There are many different types of physiotherapy treatment techniques, including: Muscle stretching, Massage therapy, Joint manipulation, Acupuncture, and. Neurodynamic exercises.

What is activity based therapy?

Activity-based therapy (ABT), or what is also known as activity-based restorative therapy (ABRT), is a form of therapeutic activity that assists in the rehabilitation and recovery of individuals with neurological conditions, spinal cord injuries, and other traumatic injuries. It involves a lot of repetitive muscle movements ...

What is an ABT center?

This method of treatment allows you to enjoy the benefits of standing and avoid the health issues that result from sitting for prolonged periods, including (but not limited to): Urinary tract infections (UTIs). ABT centers are located throughout the United States and provide a wide variety of different services.

What is ABT physical therapy?

It involves a lot of repetitive muscle movements to promote neuroplasticity, strength training, and gait training. Unlike conventional physical therapy, ABT requires you to physically be in a standing position and not seated in your wheelchair or lying down.

What is traditional therapy?

This type of traditional therapy involves a lot of hands-on therapy, exercises, and stretching maneuvers to facilitate movement. The goal is to help a patient manage pain, improve circulation, prevent or reduce muscle atrophy, contractures, and weakness, and improve their overall health and wellness.

What is spinal cord injury?

A Spinal Cord Injury (SCI) is complete or partial damage to the spine, causing total or partial paralysis. What makes an SCI so traumatizing is that it may happen to anyone at any age, and it will severely affect the person’s lifestyle. Damage to the spinal cord rarely heals because the injured nerve cells fail to regenerate. It can be a life-changing injury. It estimates that there are approximately 17,700 SCI cases each year and about 450,000 people suffering from SCI in the United States.

What is the most common form of SCI?

The most common form of SCI with 47% of cases is incomplete tetraplegia, while the least common is complete tetraplegia.

Is the spinal cord a bundle?

The spinal cord is not one unified cord but a bundle of nerves that sending and receiving a large number of signals from all over the body to the brain. It allows you to feel any sensation in your body and move your arms and legs on command. Therefore, you must take good care of it and take spinal cord injury treatment seriously.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medications to relieve symptoms and surgery to stabilize the spine.
Medication

Steroid therapy: To minimize the secondary effects of SCI.

Methylprednisolone


Analgesics: To relieve pain.

Codeine . Hydrocodone . Oxycodone . Methadone

Procedures

Spinal surgery: To stabilize the spine.

Therapy

Traction of the spine:To keep the spine immobilized to stabilize spine.

Rehabilitation:Physical and occupational therapy, coping strategies for dealing with spasticity and pain, use of assistive devices such as wheelchairs, walkers, leg braces.

Self-care

Always talk to your provider before starting anything.

Avoid movements and strenuous activities like lifting.

Nutrition

Foods to eat:

  • Vitamin C rich foods- citrus fruits; oranges, strawberries, broccoli, papaya
  • Protein rich foods- meat, eggs
  • Vitamin A rich food like carrots, beef, liver, kale, spinach, broccoli

Foods to avoid:

  • Fast foods such as fries, burgers due to excessive calories as metabolism is impaired
  • High sodium foods to reduce fluid retention that could raise blood pressure
  • Alcohol
  • Sugars

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Neurosurgeon
Specializes in surgery on the nervous system, especially the brain and spinal cord.
Physical therapist
A health professional who helps patients reduce pain and improve or restore mobility.

Preparing For Your Appointment

  • In the emergency room, a doctor may be able to rule out a spinal cord injury by careful inspection and examination, testing for sensory function and movement, and by asking some questions about the accident. But if the injured person complains of neck pain, isn't fully awake, or has obvious signs of weakness or neurological injury, emergency diagnostic tests may be needed. T…
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