People often ask experts when or if there will ever be a cure for spinal cord
injury. Although there are many differing opinions about this, I am confident
there will be a cure in my lifetime. In the meantime, anyone with a spinal cord
injury should have a long-term plan for their treatment and care.
The number of spinal cord injuries per year has remained fairly stable over
the last two decades, with nearly 12,000 occurring each year mostly from sports
injuries, car accidents and other forms of traumatic injury. Currently in the
United States there are approximately 200,000 people are living with spinal cord
injuries or spinal dysfunction. With today’s advanced medical treatments, more
spinal cord injury patients survive the trauma compared to just a few decades
ago. This positive shift in mortality rate underlines the great importance of
initial acute treatment and follow up rehabilitation.
Treatment for spinal cord injuries can be divided into to two stages: acute
and rehabilitation. The acute phase takes place immediate following the injury
and is conducted at a hospital with an appropriate trauma center. During this
time, the patient is immobilized to ensure that the damage to the spinal cord is
minimized and any other injuries can be treated. This phase may also include
surgery to reinforce the damaged area of the spine to prevent further injury.
The acute phase will conclude when the patient is stabilized and ready to begin
the next step towards recovery—rehabilitation therapy.
The rehabilitation phase will provide the tools necessary to begin working
toward independence. This is a critical time for recovery because many of the
gains the patient will make in movement happen during this time. This is why
acute rehabilitation, as opposed to rehab done in sub-acute facilities, is so
important after such an injury. Improvements made during this period can set the
stage for the patient’s recovery afterwards.
While all spinal cord injury patients require rigorous physical and
occupational therapy, the injuries and pace of recovery are unique to each
person. An individualized plan should be designed to help the patient maximize
their recovery. In addition, spinal cord injury patients should receive ongoing
education from various disciplines as their injuries and resulting conditions
are life-changing and permanent. This education should focus on coping,
additional resources and the need for lifelong follow up to deal with changing
needs, laying the groundwork for a lifetime of work and improvement.
Once acute rehabilitation concludes, the real work comes next as patients
need to continually strive to maintain muscle mass and flexibility through
exercise therapy. This can be done at outpatient rehabilitation therapy clinics
or at other facilities.
Patients must work on sustaining physical integrity until there is a cure so
when the time comes, they will be ready for it.
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