---
title: What You Need to Know About Lumbar Spinal Cord Damage
description: Although a lumbar spinal cord injury is not life-threatening, it is still a traumatic injury that will change your life. Discover how lumbar spinal cord damage can affect your life and chances for recovery.
image: https://www.spinalcord.com/hubfs/lumbar_spinalcord.jpeg
---

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# What You Need to Know About Lumbar Spinal Cord Damage

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

 Publish Date: December 07, 2020

Unlike a cervical spinal cord injury (SCI), damage to the [lumbar spinal cord](https://www.spinalcord.com/lumbar-l1-l5-vertebrae-spinal-cord-injury) is severe but not necessarily life-threatening. The lumbar spine, which is located in the lower back below the [thoracic spine](https://www.spinalcord.com/thoracic-spinal-cord-injury), consists of five vertebrae (L1-L5, although some people are born with a [sixth lumbar vertebra](https://www.spinalcord.com/blog/the-sixth-lumbar-vertebrae-the-anatomy-behind-the-rare-extra-bone)) and spinal cord tissue and nerves. Damage to this area of the spinal cord commonly affects the hip and leg regions of the patient.

Common causes of lumbar spinal cord damage include:

- Automobile accidents;
- Falls;
- Trauma;
- Degeneration;
- Osteoporosis; and
- Birth defects.

A lumbar spinal cord injury can be either complete or incomplete. This means that the injury either completely cuts off communication between the brain and the rest of the central nervous system or partially affects the transmission and receiving of messages but some function is still retained. Incomplete and complete injuries can occur at any level of the spinal cord, including the lumbar spine.

*How does lumbar spinal cord damage affect your recovery and how you live your life?*

## **What to Expect After a Lumbar Spinal Cord Injury**

Every spinal cord injury is unique and differs in severity and effect. When someone suffers [damage to the lumbar spinal cord](https://www.spinalcord.com/lumbar-l1-l5-vertebrae-spinal-cord-injury), their injury may result in paraplegia with varying degrees of muscle sensation or function in the legs.

Some of the effects of a lumbar spinal cord injury include:

- Paraplegia with functional independence;
- Limited or full loss of sensation below the injury site;
- The need for a manual wheelchair (either for part-time or full-time use)
- Weakness, numbness, or loss of function in the hips, groin, and legs; and
- Loss of control of bladder and bowel functions.

The recovery process will depend on [which spinal nerves](https://www.shepherd.org/patient-programs/spinal-cord-injury/Lumbar-Spinal-Cord-Injury) are affected by the injury.

> For example, damage to L1 and L2 can affect hip flexion, whereas L4 may affect the ability to bend your foot in an upward motion. An injury affecting L3-L5 can affect the hips and legs, causing numbness that extends down to the feet.

The spinal cord itself only extends part way down the length of the lumbar spine in the lumbar region, meaning that the lowest vertebral segment containing spinal cord tissue is L2.

## **Your Level of Independence After a Lumbar SCI**

The good news is that many lumbar spinal cord injury survivors are able to remain independent and care for their own hygienic needs without assistance after treatment. Depending on the severity of their injury, some patients can manually operate their wheelchair or even walk for short distances with the help of braces or other assistive devices.

## **The Types of Treatments That Are Available**

There is no one preferred or one-size-fits-all solution for treating a lumbar spinal cord injury — or any kind of SCI, for that matter. [Treatment options](https://www.spinalcord.com/lumbar-l1-l5-vertebrae-spinal-cord-injury) depend on the health and condition of the patient, their goals, and what they are willing to do.

### **Surgery**

The pressure around the spinal nerves can be reduced and the cord itself fixated through surgical decompression.

### **Rehabilitative Care**

Physical and occupational therapy are common forms of treatment for individuals with lumbar spinal cord injuries.

### **Activity-Based Therapy**

[Activity-based therapy (ABT)](https://www.spinalcord.com/activity-based-therapy-centers) is a therapeutic activity that is becoming increasingly common as a form of rehabilitative care for patients with spinal cord injuries. Much like physical therapy, ABT aims to help patients strengthen their bodies and improve their overall physical health.

### **Palliative Care**

Some people with spinal cord injuries will use assistive devices to aid mobility and personal hygiene, and painkillers to help manage the pain from their injuries.

### **Experimental Treatments**

There are several types of [experimental treatments](https://www.spinalcord.com/blog/advancements-in-technology-reduce-complete-spinal-cord-injuries) that are being explored as researchers seek to find a “cure” for spinal cord injuries and paralysis. These treatments can include [stem cell injections](https://www.spinalcord.com/blog/what-do-stem-cells-have-to-do-with-a-spinal-cord-injury), [functional electrical stimulation](https://www.spinalcord.com/blog/electrical-stimulation-helps-paralyzed-man-move-legs) (FES), and brain-computer interfaces.

## **Lumbar SCI Damage May Not Only Be Physical**

The damage from spinal cord injuries can extend beyond the physical body. It’s not uncommon for people with spinal cord injuries at any level to experience feelings of depression as a result of their injury.

An SCI is a traumatic, life-changing experience that changes your life in real and significant ways. For some, they may experience loss of sensation or function below the site of the injury, may lose their ability to walk, which may mean they can no longer work or engage in the same hobbies or activities they enjoy.

A way to combat these negative feelings and emotions is to rely on your existing support system — your family, friends, and loved ones — or to develop a new one by finding companionship with other survivors in the [SCI community](https://www.spinalcord.com/spinal-cord-injury-community).

If you’re seeking more information about coping with a spinal cord injury, be sure to check out our free resource guide by clicking on the banner below or contact us to speak to a specialist.

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**Topics:** Spinal Cord Injury, Recovery & Rehabilitation, Education

### 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)

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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.

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

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{
  "@context" : "http://schema.org",
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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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