---
title: 3 of the Best Spinal Cord Injury Physiotherapy Treatments
description: Learn about some of the spinal cord injury physiotherapy treatment options that can benefit you or your loved one after a traumatic spinal cord injury.
image: https://www.spinalcord.com/hubfs/Physiotherapy-blog2.jpeg
---

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# 3 of the Best Spinal Cord Injury Physiotherapy Treatments

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: December 07, 2020

Thanks to the incredible advances in medical technology and practices for [spinal cord injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries) (SCIs) over the past several decades, there are now more options than ever concerning spinal cord injury physiotherapy [treatments](https://www.spinalcord.com/treatment-for-brain-spinal-cord-injuries), or what is frequently known as physical therapy.

A physiotherapist, or what is frequently known as a [physical therapist](https://www.bls.gov/ooh/healthcare/physical-therapists.htm) or PT, is someone who specializes in human activity and movement, according to the [World Confederation for Physical Therapy](https://www.wcpt.org/). They help patients such as spinal cord injury survivors improve their mobility, limit the risk of causing further damage to the [spinal cord](https://www.spinalcord.com/what-is-the-spinal-cord), and manage their pain so they can rejoin their communities.

[Early intervention](https://www.spinalcord.com/blog/restorative-therapy-3-reasons-why-early-intervention-matters) for treatment after a spinal cord injury is crucial to achieving your optimal recovery, as are continuing care and rehabilitation. However, the type of treatment that you should choose for your injuries will depend on your goals, your [level of injury](https://www.spinalcord.com/types-of-spinal-cord-injuries), and how high the damage is on the spinal cord. (For example, a cervical spinal cord injury is more severe and life-threatening than a lumbar spinal cord injury.) Be sure to speak with your doctor before starting a spinal cord injury physiotherapy treatment.

[![Learn More About Coping with a Recent SCI](https://no-cache.hubspot.com/cta/default/575040/b295e25e-a529-437e-a14c-8a71f0bedd79.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/b295e25e-a529-437e-a14c-8a71f0bedd79)

## **Spinal Cord Injury Physiotherapy Treatments**

### **Conventional Physiotherapy (Physical Therapy)**

This type of traditional therapy involves a lot of hands-on therapy, [exercises](https://www.spinalcord.com/blog/6-exercises-for-after-a-spinal-cord-injury), 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. 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.

Spinal cord injury physiotherapy treatments are available at [hospitals and rehabilitation centers](https://www.spinalcord.com/spinal-cord-injury-hospitals-rehabilitation-directory) throughout the United States. Furthermore, some treatments can be combined with PT to result in greater recovery results. For example, [a study in the United Kingdom](https://www.bbc.com/news/health-29645760) that used [olfactory ensheathing cells](https://www.spinalcord.com/blog/the-secret-to-spinal-cord-repair-may-be-hiding-in-your-nose) (OECs) from nasal cavity skin cells to patch a man’s spinal cord injury that was sustained during a knife attack. When combined with hours of daily physiotherapy, the treatment led to increased muscle growth and helped him learn to walk again, as well as regain some bladder, bowel, and sexual functionality.

### **Activity-Based Therapy**

[Activity-based therapy](https://www.spinalcord.com/blog/how-can-activity-based-therapy-centers-improve-the-life-of-a-spinal-cord-injury-survivor) (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 to promote neuroplasticity, strength training, and gait training.

[![activity based therapy center map](https://www.spinalcord.com/hs-fs/hubfs/Activity%20Based%20Therapy/abt_gif.gif?width=600&name=abt_gif.gif)](https://www.spinalcord.com/activity-based-therapy-centers)

Unlike conventional physical therapy, ABT requires you to physically be in a standing position and not seated in your wheelchair or lying down. This method of treatment allows you to [enjoy the benefits of standing](https://www.spinalcord.com/blog/the-benefits-of-standing-after-spinal-cord-injury) and avoid the health issues that result from sitting for prolonged periods, including (but not limited to):

- Muscle spasms;
- Respiratory issues;
- Skin ulcers (pressure sores);
- Osteoporosis;
- Bowel function issues; and
- Urinary tract infections (UTIs).

[ABT centers](https://www.spinalcord.com/activity-based-therapy-centers) are located throughout the United States and provide a wide variety of different services.

### **Functional Electrical Stimulation **

[Functional electrical stimulation](https://www.christopherreeve.org/living-with-paralysis/rehabilitation/functional-electrical-stimulation) (FES) is a form of treatment that applies brief electrical pulses to paralyzed or weakened muscles via electrodes to help improve or restore their function. [Although largely underutilized](http://www.csp.org.uk/news/2013/10/03/physio-use-electrical-stimulation-shockingly-low), this form of treatment is being used to by some providers to assist with exercises that help to boost heart and lung function, as well as improve bladder and bowel function, and increase mobility.

## **The Obvious and Hidden Costs of a Spinal Cord Injury**

A traumatic spinal cord injury is an incredibly expensive condition that can require part-time or around-the-clock care. In addition to the assistance of a paid care provider, you’ll also have to pay a [variety of costs](https://www.spinalcord.com/blog/hidden-costs-of-a-spinal-cord-injury-and-tips-for-dealing-with-them) relating to doctor visits, hospital stays, home modifications, fertility treatments, transportation or an accessible vehicle or adaptive controls, and spinal cord injury physiotherapy treatments. 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.

This is where a spinal cord injury lawyer can help. If you were injured as the result of someone else’s negligence or actions, a caring and experienced SCI attorney can help you receive the compensation you deserve for your injuries. [Swope, Rodante P.A.](https://www.swoperodante.com/) law firm, which specializes in spinal cord injury law, has [helped clients receive hundreds of millions of dollars in compensation](https://www.swoperodante.com/success-stories/).

To learn more about how to live with a spinal cord injury, be sure to download our free guide by clicking on the image below.

 [![New Call-to-action](https://no-cache.hubspot.com/cta/default/575040/d59d2232-0b56-4b13-a195-eab292389dfa.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/d59d2232-0b56-4b13-a195-eab292389dfa)

**Topics:** Spinal Cord Injury, Treatment

### Stay Updated on Advancements On Traumatic Brain & Spinal Cord Injuries

About the Author

#### Spinal Cord Team

 The authors of Spinalcord.com are made up of attorneys, those in the medical field, and survivors of spinal cord injuries or traumatic brain injuries. Learn more about our team of authors including a brief biography that explains how they impact the SCI and TBI community. 

[Learn More About the Author](https://www.spinalcord.com/meet-our-authors)

**Leave a Comment**

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true

### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Secondary Complications](https://www.spinalcord.com/secondary-complications-after-sci-spinal-cord-injury)
- [Causes](https://www.spinalcord.com/signs-symptoms-of-spinal-cord-injuries)
- [Symptoms](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Prognosis](https://www.spinalcord.com/prognosis-of-spinal-cord-injuries)
- [Legal Help](https://www.spinalcord.com/spinal-cord-injury-legal-help-get-a-lawyer)

### Brain Injury

- [Types of Brain Injuries](https://www.spinalcord.com/types-of-traumatic-brain-injury)
- [Causes](https://www.spinalcord.com/causes-of-traumatic-and-acquired-brain-injuries)
- [Symptoms](https://www.spinalcord.com/traumatic-brain-injury-tbi-symptoms)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
- [Legal Help](https://www.spinalcord.com/brain-injury-legal-help-get-a-lawyer)

### Finding Treatment

- [Physician Directory](https://www.spinalcord.com/brain-and-spinal-cord-injury-physician-directory)
- [Rehabilitation Directory](https://www.spinalcord.com/spinal-cord-injury-hospitals-rehabilitation-directory)
- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

- [Spinal Cord Injury Lawyer](https://www.spinalcord.com/spinal-cord-injury-lawyer)
- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
- [Where To Start](https://www.spinalcord.com/brain-spinal-cord-injury-lawyer-where-to-start)
- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

#### [About Us](https://www.spinalcord.com/about-us)

Spinal cord injuries are traumatic for patients and their families. They cause disruptive changes to every aspect of your life and there is a lot of new information to navigate and understand. Our experts have collected everything in one place to help you learn more about your injury, locate doctors and treatment centers, find financial support, and get assistance navigating your next move.

[Learn More About SpinalCord.com →](https://www.spinalcord.com/about-us)

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 The information provided by SpinalCord.com is not a substitute for professional medical advice, diagnosis, or treatment, see [ Disclaimer Policy.](https://www.spinalcord.com/disclaimer)

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  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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