---
title: Are TBIs and SCIs Related to PTSD
description: Is a traumatic brain injury (TBI) or a spinal cord injury (SCI) related to post traumatic stress disorder (PTSD)? Either can be related, depending on circumstances, but having one of these injuries is not a guarantee that you or a loved one will develop PTSD.
image: https://www.spinalcord.com/hubfs/Blog%20Images/Doctors%20Looking%20At%20Results%20Image-654031-edited.jpeg
---

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# Are TBIs and SCIs Related to PTSD

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

 Publish Date: December 09, 2020

Is a [traumatic brain injury](https://www.spinalcord.com/traumatic-brain-injury) (TBI) or a [spinal cord injury](https://www.spinalcord.com/spinal-cord-injury) (SCI) related to post traumatic stress disorder? The short answer is that “either can be.” However, the long answer is more complicated because neither of these injuries is an automatic guarantee that you or someone you love will develop this type of psychological condition.

What we mean by that is that while some people who sustain a TBI or an SCI may also experience PTSD, others with similar injuries may not. Conversely, some people who experience PTSD may not have suffered either type of physical injury — or any bodily injury at all.

In general, there are many [things to know about living with PTSD, a TBI, or an SCI](https://www.spinalcord.com/blog/9-things-you-need-to-know-about-living-with-ptsd-a-tbi-or-sci). Below, we’ll address each of these types of conditions and how these conditions can be related:

## **What is Post Traumatic Stress Disorder?**

At its core, [PTSD](https://www.ptsd.va.gov/professional/PTSD-overview/index.asp) is a condition that results when a person of any age, race, or gender experiences some type of emotionally or psychologically traumatic event. These types of adverse occurrences can include combat, natural disasters, and assault. The trauma can be something that happens to you or a loved one, or is something that you or they witness happening to someone else. The symptoms of PTSD may not begin to emerge for weeks, months, or even years after the event.

Trauma, in and of itself, is not a rare occurrence. The [National Center for PTSD](https://www.ptsd.va.gov/public/ptsd-overview/basics/how-common-is-ptsd.asp) estimates that 60% of men and 50% of women experience at least one trauma in their lives, although the types of trauma vary between the gender groups. In the U.S. population, the Center estimates that up to 8% of the population will have PTSD at some point in their lives, and 8 million adults have PTSD during a given year. Women (10%) are thought to be more likely to develop this form of stress disorder, whereas men (4%) are estimated to develop the psychological disorder in their lives.

When it comes to looking at how PTSD, TBIs, and SCIs occur, spinal cord and brain injuries may be affiliated with the cause of the trauma, but the PTSD would be one of the results.

## **PTSD and TBI: How They Can Be Related**

Traumatic brain injuries, which are a form of [acquired brain injury](https://www.spinalcord.com/acquired-brain-injury), are caused by a physical force or factor that results in damage to the brain and are not the result of a congenital condition or degenerative disease. This damage can come in one of three forms:

- [Closed head injuries](https://www.spinalcord.com/closed-head-brain-injury), which can include coup-contrecoup brain injuries, concussions, brain contusions, diffuse axonal injuries, and second impact syndrome;
- [Open-wound brain injuries](https://www.spinalcord.com/open-wound-brain-injury) (also known as penetrating brain injuries); or
- [Crushing brain injuries](https://www.spinalcord.com/head-trauma-crushing-brain-injury).

The cause of the brain damage can be a traumatic event, such an attack or assault. It also can be the result of something less psychologically traumatic like being hit in the head by a falling object or a falling and hitting your head.

The severity of the injury, which can range from mild (mTBI) to severe, can be a good indicator of the potential of developing PTSD or another psychiatric disorder. According to the National Center for PTSD’s [Traumatic Brain Injury and PTSD](https://www.ptsd.va.gov/professional/co-occurring/traumatic-brain-injury-ptsd.asp) web page, “Patients who have experienced mTBI are also at increased risk for psychiatric disorders compared to the general population, including depression and PTSD.”

This type of comorbidity, having both PTSD and TBI, can complicate your recovery but it doesn’t mean that it’s impossible. Early [medical treatment and intervention](https://www.spinalcord.com/blog/what-medical-treatment-is-available-for-my-loved-one-after-a-traumatic-injury) for a brain injury is critical to achieving optimal recovery, and receiving mental health treatment and adopting healthy behaviors can aid in recovery for PTSD.

## **How PTSD Can Relate to Spinal Cord Injuries**

Much like traumatic brain injuries, spinal cord injuries also can result in the development of PTSD. Part of this can be due to [the way that an SCI occurs](https://www.spinalcord.com/causes-of-non-traumatic-traumatic-spinal-cord-injuries), such as the result of a horrific car accident or being the victim of a violent attack, which a spinal cord injury survivor may relive in their mind for years to come.

Another reason is that an SCI can affect virtually every aspect of your life — everything from the sensory and motor functions of your body to your ability to use the restroom, eat, or live independently. This life-altering change can result in a negative impact on your [mental health](https://www.spinalcord.com/mental-health-care-after-sci).

 According to an [SCI research study](https://www.ncbi.nlm.nih.gov/pubmed/18330773) published in The Australian and New Zealand Journal of Psychiatry:

> *“Nearly half (48.5%) of the population with spinal cord injury suffered mental health problems of depression (37%), anxiety (30%), clinical-level stress (25%) or post-traumatic stress disorder (8.4%). Overall, there was a twofold or more increase in the probability of emotional disorders compared to the general population.”*

As you can see, PTSD, TBIs, and SCIs can be related but are not always experienced by all individuals. When you or someone you love sustains one of those injuries, you may or may not develop PTSD as a result.

To learn more about traumatic brain injuries, be sure to download our free resource guide by clicking on the link below.

[![Traumatic Brain Injuries CTA](https://no-cache.hubspot.com/cta/default/575040/c91ab555-190d-475f-8487-93fcc2505942.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/c91ab555-190d-475f-8487-93fcc2505942)

**Topics:** Spinal Cord Injury, Traumatic Brain Injury

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#### 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. 

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### 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.

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{
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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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