--- title: Preventing Secondary Complications of SCI description: A spinal cord injury can be devastating enough but there are a whole host of secondary complications that can occur because of being paralyzed. image: https://www.spinalcord.com/hubfs/secondary%20complications%20when%20having%20SCI.jpg --- [![spinalcord logo desktop](https://www.spinalcord.com/hubfs/Logos/spinal-cord_png.png) ![spinalcord logo mobile](https://www.spinalcord.com/hubfs/Logos/spinal-cord-white_png.png) ](https://www.spinalcord.com/) MENU ** ![spinal cord logo slide out mobile](https://www.spinalcord.com/hubfs/Logos/spinal-cord_png.png) ** [![Dale Swope](https://www.spinalcord.com/hs-fs/hubfs/dale-img-min.jpg?width=100&name=dale-img-min.jpg) The Purpose Behind Spinalcord.com ** Play Dale Swope's Story ](https://www.youtube.com/watch?v=C1kPXDw_CQU) [For Advice Call: (877) 336-7192 ](tel:8773367192) ![Spinalcord Logo](https://www.spinalcord.com/hubfs/Logos/spinal-cord-logo-icon-svg.svg) - [About](https://www.spinalcord.com/about-us) - 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[Community](https://www.spinalcord.com/spinal-cord-injury-community) - [Trusted Organizations](https://www.spinalcord.com/trusted-by-the-spinal-cord-injury-community) - [Events Calendar](https://www.spinalcord.com/events) - [Podcast](https://www.spinalcord.com/sci-life-uncovered/episode-1) - Recognition - [Best of Awards](https://www.spinalcord.com/best-of-awards) - [Trusted By Designation](https://www.spinalcord.com/trusted-by-the-spinal-cord-injury-community) - [** ](tel:8773367192) - [** ](https://www.spinalcord.com/blog/preventing-secondary-complications-of-sci#) - [** **(877) 336-7192** ](tel:8773367192) - [** **Contact Us** ](https://www.spinalcord.com/contact-us) # Preventing Secondary Complications of SCI Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors) Publish Date: December 08, 2020 A spinal cord injury can be devastating enough but there are a whole host of secondary complications that can occur because of being paralyzed. Some of them are life-threatening, but most are conditions that can lower the quality of life. No matter the severity of the complication, most can be avoided if the right steps are taken. Below are some of the most common secondary complications of spinal cord injuries and how to prevent them. ## Pressure Sores ![pressure sores](https://www.spinalcord.com/hs-fs/hubfs/pressure%20sores.jpg?width=726&name=pressure%20sores.jpg) One of the most dangerous secondary conditions of a spinal cord injury is pressure sores. These occur from sitting and not moving enough throughout the day or in bed. Many people with spinal cord injuries will experience a pressure sore whether it is caused by their wheelchair, shower chair or sitting anywhere else or on anything. One of the best things to prevent pressure sores is custom seating for your wheelchair.  If that is impossible to get, your next best option is meeting with a physical therapist who can help you choose the right cushion for your chair. It is also important to look at all of your mobility equipment, wherever you may be sitting, such as your shower chair, Hoyer lift, and vehicle, so you can make sure you are protecting your skin at all times.  Also, one of the best things you can do is check your skin every night after you get out of your wheelchair. Make sure to use a mirror if you have no one to help or using your phone to view. Pressure sores can become life-threatening if the infection enters the bloodstream. It is always important to make sure you have a pressure wound doctor monitoring your as well.  ## Urinary Tract Infections ![man holding urine sample for UTI](https://www.spinalcord.com/hs-fs/hubfs/man%20holding%20urine%20sample%20for%20UTI.jpg?width=726&name=man%20holding%20urine%20sample%20for%20UTI.jpg) Another life-threatening secondary condition of spinal cord injury is urinary tract infections. It is important to prevent kidney and bladder stones as well. Since people with spinal cord injuries are prevalent in getting both of these due to catheter use, you must drink at least 8 cups of water each day. Diluting your urine is one of the best ways to prevent infection. You can also try natural supplements, such as cranberry supplements and D-Mannose, which is a sugar that many believe makes it difficult for bacteria to grow in the bladder. ## Muscle Spasms ![women jogging - muscle spasms](https://www.spinalcord.com/hs-fs/hubfs/women%20jogging%20-%20muscle%20spasms.jpg?width=726&name=women%20jogging%20-%20muscle%20spasms.jpg) While spasticity is not a life-threatening of a secondary complication, it is one of the most common secondary conditions that people with spinal cord injuries experience. There are many medications that people will take to help to stop spasms since they can be disruptive and even dangerous. Baclofen is the number one prescribed medication to prevent spasms. Some will even get a Baclofen pump. Many people are also taking cannabis pills to prevent spasticity. Daily stretches and working out can also help.  ## Osteoporosis ![human bone - osteoporosis](https://www.spinalcord.com/hs-fs/hubfs/human%20bone%20-%20osteoporosis.jpg?width=726&name=human%20bone%20-%20osteoporosis.jpg) Many people with spinal cord injuries are at a high risk of getting osteoporosis due to not walking. Osteoporosis can be a very dangerous condition as we age. An important thing many people with spinal cord injuries do to prevent osteoporosis is to take a daily Vitamin D supplement, as well as a calcium supplement. Some people will increase their calcium intake in their diet instead. Using a standing frame also helps stave off osteoporosis. Doctors recommend standing at least 1 hour a day to combat osteoporosis. You can also get a yearly Dexa-scan to check the calcium levels in your bones. ## Respiratory Issues ![respiratory issues](https://www.spinalcord.com/hs-fs/hubfs/respiratory%20issues.jpg?width=726&name=respiratory%20issues.jpg) Since many people are at a high risk of respiratory issues after a spinal cord injury mainly due to compromised muscle ability in the torso cavity, using a home breathing machine such as a Spirometer can help by increasing lung capacity. Deep breathing exercises for people with higher-level injuries can also help. Pneumonia is a high-risk condition that many with SCI are susceptible to, which is why keeping up with respiratory health post-injury is so important. ## Constipation/Diarrhea ![diarrhea](https://www.spinalcord.com/hs-fs/hubfs/diarrhea.jpg?width=726&name=diarrhea.jpg) Digestive/gastrointestinal issues are common post-injury due to the nerves in the lower intestines being paralyzed. Many experiences the contrast of constipation/diarrhea and use various medications (laxatives) or anti-diarrheal medications to rectify the issue, but long-term changes to diet, adding fiber, drinking enough water and eating healthy can help. ## Depression ![depressed man](https://www.spinalcord.com/hs-fs/hubfs/depressed%20man.jpg?width=726&name=depressed%20man.jpg) Many people experience depression post-injury and taking anti-depressants is common. Do not be embarrassed to talk to a mental health professional. It is important to tackle your mental health just as fiercely as you would any other secondary complication of SCI so you can be the best version of yourself possible. Never ignore this secondary complication. ## Autonomic Dysreflexia ![blood pessure rising up](https://www.spinalcord.com/hs-fs/hubfs/blood%20pessure%20rising%20up.jpg?width=726&name=blood%20pessure%20rising%20up.jpg) Another life-threatening secondary condition is autonomic dysreflexia (AD), which causes an increase in blood pressure due to pain being present in an area of the body that’s paralyzed. AD can lead to a stroke if the pain is not stopped. Pounding headaches, sweating and flushed skin are easy-to-spot signs. ## Scoliosis ![woman having back ache due to scoliosis](https://www.spinalcord.com/hs-fs/hubfs/woman%20having%20back%20ache%20due%20to%20scoliosis.jpg?width=726&name=woman%20having%20back%20ache%20due%20to%20scoliosis.jpg) And lastly, a secondary complication that can cause chronic pain and bad posture, and can even hurt your organs, is scoliosis. Scoliosis is caused by the torso muscles being paralyzed and the backbone not being fully supported, which leads to the backbone/vertebrae curving. Braces can be fitted to prevent the curvature from getting worse. **Paralysis can be a life-changing condition, but you do not have to let it ruin your overall health. By being aware of the above secondary complications and prevention methods, you can live a long, healthy life.** **[![Brain Injury Association of Florida, Inc.](https://no-cache.hubspot.com/cta/default/575040/423996a0-8823-4ff6-86b9-cc16522da597.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/423996a0-8823-4ff6-86b9-cc16522da597)**   **Topics:** Spinal Cord Injury, Spinal Cord Injuries, Complications, Autonomic Dysreflexia ### 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** [![New Call-to-action](https://no-cache.hubspot.com/cta/default/575040/dc8bc979-ba55-463a-9400-f92cbdebcb1a.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/dc8bc979-ba55-463a-9400-f92cbdebcb1a) 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) ## [Contact Us](https://www.spinalcord.com/contact-us) ![logo-footer-spinal-cord.png](https://www.spinalcord.com/hs-fs/hubfs/img/logo-footer-spinal-cord.png?width=249&name=logo-footer-spinal-cord.png "logo-footer-spinal-cord.png") **  [877-336-7192](tel:8773367192) ** [support@spinalcord.com](mailto:support@spinalcord.com) [**](https://www.facebook.com/spinalcordcom) [**](https://www.linkedin.com/company/spinalcord-com/) [**](https://twitter.com/SpinalCordCom) [**](https://www.youtube.com/channel/UCAbz2AC18acXQkpMNPeDIqg) Copyright 2026 | All Rights Reserved. [Spinal Cord, Inc.](https://www.spinalcord.com) Sponsored by [Tampa personal injury lawyers](https://www.swoperodante.com/tampa-personal-injury-lawyer/) at Swope, Rodante P.A. a Florida law firm located at 1234 E 5th Ave, Tampa, FL 33605. 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) [**](https://www.spinalcord.com/blog/preventing-secondary-complications-of-sci#) [**](https://www.spinalcord.com/blog/preventing-secondary-complications-of-sci#) ```json { "@context" : "https://schema.org", "@type" : "WebSite", "name" : "Spinal Cord, Inc.", "potentialAction" : { "@type" : "SearchAction", "query-input" : "required name=search_query", "target" : "https://www.spinalcord.com/search?q={search_query}" }, "url" : "https://www.spinalcord.com/" } ``` ```json { "@context" : "https://schema.org", "@type" : "Organization", "contactPoint" : [ { "@type" : "ContactPoint", "contactType" : "customer service", "telephone" : "+1-877-336-7192" } ], "legalName" : "Spinal Cord, Inc.", "logo" : "https://www.spinalcord.com/hubfs/Logos/spinal-cord_png.png", "sameAs" : [ "https://www.facebook.com/spinalcordcom", "https://twitter.com/SpinalCordCom", "https://www.youtube.com/channel/UCAbz2AC18acXQkpMNPeDIqg", "http://www.linkedin.com/company/spinalcord-com" ], "url" : "https://www.spinalcord.com/" } ``` ```json { "@context" : "http://schema.org", "@type" : "Article", "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 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.

\n\n

What Is a Spinal Contusion?

\n\"Signs-of-a-spinal-contusion-title-image\"\n

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.

\n

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.

\n

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.

\n

Warning Signs of a Serious Spinal Contusion to Watch For

\n

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.

\n

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:

\n\n

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.

\n

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.

\n

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.", "author" : { "@type" : "Person", "name" : "Spinalcord.com Team" }, "datePublished" : "2020-12-03", "image" : "https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion", "name" : "Warning Signs of a Serious Spinal Contusion", "url" : "https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion" } ``` ```json { "@context":"https://schema.org", "@graph":[{"@type":"WebSite", "@id":"https://spinalcord.com/#website", "url":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion", "name":"Spinal Cord Inc", "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. 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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.", "inLanguage":"en-US"}, { "@type":"ImageObject", "@id":"Spinalcord Logo", "inLanguage":"en-US", "url":"https://www.spinalcord.com/hubfs/Logos/spinal-cord_png.png", "width":327,"height":300, "caption":"spinal contusion"}, { "@type":"WebPage","@id":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion/#webpage", "url":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion", "name":"Warning Signs of a Serious Spinal Contusion", "isPartOf":{"@id":"https://spinalcord.com/#website"}, "primaryImageOfPage":{"@id":"www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion/#primaryimage"}, "datePublished":"2020-12-03T18:30:35+00:00","dateModified":"2020-12-03T18:30:35+00:00", "author":{"@id":"https://www.spinalcord.com/meet-our-authors"}, "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.", "breadcrumb":{"@id":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion/#breadcrumb"}, "inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion"]}]}, { "@type":"BreadcrumbList", "@id":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion/#breadcrumb", "itemListElement":[{"@type":"ListItem", "position":1, "item": { "@type":"WebPage", "@id":"https://spinalcord.com/", "url":"https://spinalcord.com/", "name":"Home"}}, {"@type":"ListItem", "position":2, "item":{"@type":"WebPage", "@id":"https://spinalcord.com/blog/", "url":"https://spinalcord.com/blog/", "name":"Articles"}}, {"@type":"ListItem", "position":3, "item":{"@type":"WebPage", "@id":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion/", "url":"https://www.spinalcord.com/blog/signs-of-a-serious-spinal-contusion/", "name":"Warning Signs of a Serious Spinal Contusion"}}]}, {"@type":"Person", "@id":"https://www.spinalcord.com/meet-our-authors", "name":"Spinalcord Team", "image":{"@type":"ImageObject", "@id":"https://www.spinalcord.com/hubfs/Logos/spinal-cord_png.png", "inLanguage":"en-US", "url":"https://www.spinalcord.com/hubfs/Logos/spinal-cord_png.png", "caption":"Spinalcord Team"}, "description":"The authors at SpinalCord.com come from diverse backgrounds including doctors, attorneys, medical journalist, and survivors of spinal cord injuries or traumatic brain injuries. Each author brings with them different experiences and expertise which when combined provide clinically accurate information which is useful to all individuals in the spinal cord and traumatic brain injury communities. Within the content you will find citations to medical journals, scientific research, as well as national and local resources to provide immediate support to families in need of assistance. Content is reviewed and updated regularly with changes in the clinical guidelines, new resources, and fresh ways to understand the content such as videos and infographics. ." } ]} ```