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Pain & Spinal Conditions and Diseases
To further help our patients, we present to you the most current and reliable information about pain and spinal conditions and diseases. We also offer Back pain advice and information about therapies that can relieve the pain, exercises that can stabilize the back, and doctors who will treat your specific condition.  We would also like to keep you up to date on the latest information available for the treatment of these conditions and diseases.

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Spinal Cord Injury (SCI)

Effects from Spinal Cord Injury

The physical and emotional consequences from a spinal cord injury (SCI) can be devastating. Loss of spinal cord function can affect activities that are autonomous (e.g. breathing) as well as thought-driven actions (e.g. driving). Both motor and sensory functions may be lost.

According to the National Spinal Cord Injury Association (NSCIA), not every spinal cord injury results from a motor vehicle accident (42%), violence (24%), falling (22%), or sports (8%). Occasionally SCIs are caused by diseases such as polio.

Spinal cord injuries are usually described using the following terms:

Paraparesis: A slight degree of paralysis affecting the lower extremities

Paraplegia: Complete paralysis of both lower extremities and usually the lower trunk. The upper extremities are not involved.

Quadriparesis: Partial paralysis of all four limbs (arms, legs)

Quadriplegia (or Tetraplegia): Complete paralysis of all four limbs


Other terms used to describe neural dysfunction include:

Paresis: Partial paralysis

Paralysis: Partial or complete loss of motor function

Paresthesias: Abnormal sensation such as burning or tingling

The spinal cord does not have to be severed for function to be lost. Most people with spinal cord dysfunction present with the cord intact. Cord injuries usually fall into one of the following categories:

   Contusions, or bruising of the spinal cord
   Compression injuries that place pressure on the cord
   Lacerations or tearing (e.g., from a bullet)
   Central Cord Syndrome
   Complete severing (rare) W

When injury occurs and for a time period following, the spinal cord swells. Loss of function occurs below the level of the injury and may be permanent or temporary. Much depends on the severity of the injury.
 

Spinal Region

Location

Area Effected

Spinal Levels

Cervical

Neck

Neck, arms, hands

C1 thru C7

Thoracic

Chest

Torso, parts of the arms

T1 thru T12

Lumbar

Low Back

Hips, legs

T12 thru L5

Sacral

Pelvis

Groin, toes, parts of the leg

S1 thru S5

Symptoms may include loss of motor function, sensation or proprioception. The nerves responsible for these functions transmit their messages through the muscles, tendons, joints and other organs.
Destruction of sensory nerve fibers may lead to loss of sensation such as touch, pressure, and temperature. Reflexes may become exaggerated, bladder and bowel control may be lost, even the ability to breath normally may be compromised


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