---
title: 6 Tips to Combat Pressure Sores After a Spinal Injury
description: Spinal Cord Injury survivors (SCI) are among the most common sufferers of pressure sores. Discover how you can minimize your risk of developing pressure sores.
image: https://www.spinalcord.com/hubfs/Blog%20Images/pressure_sores.jpeg
---

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# 6 Tips to Combat Pressure Sores After a Spinal Injury

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

 Publish Date: December 08, 2020

![Eating a lot of protein can help avoid pressure sores after a spinal cord injury.](https://www.spinalcord.com/hs-fs/hubfs/Blog%20Images/pressure_sores.jpeg?width=1000&name=pressure_sores.jpeg "Eating a lot of protein can help avoid pressure sores after a spinal cord injury.")

Out of everybody on the planet, people with spinal cord injuries (SCI) are among the highest risk populations susceptible to pressure ulcers, or what are more commonly known as pressure sores. It's a sad but true fact. However, there are prevention tips and methods that can save you from the hell of suffering with pressure sores after a spinal injury. You don't have to accept them as a way of life just because you're sitting all day.

In fact, there are thousands of people with spinal cord injuries who have successfully prevented  post-injury pressure sores for years. Below are a handful of these tips. From upgrading to the best wheelchair cushion to eating like an Olympian, the tips below can keep your skin in pressure-sore free shape.

## Eat Your Daily Protein

One of the easiest things you can do to prevent pressure sores is to eat your daily required amount of protein. Many people don't understand how important protein is to the overall health and wellness of your body. Protein not only can prevent pressure sores, it also can help heal them more quickly by [synthesizing enzymes, collagen and connective tissues](http://www.npuap.org/wp-content/uploads/2012/03/Nutrition-White-Paper-Website-Version.pdf), as well as multiplying cells. Protein enables your body to strengthen your skin by it building up, as well as bulking up the muscle underneath. Meats, protein shakes, protein bars, eggs, spinach, beans, nuts, these are the things you need to eat to get your protein each day.

## Eat Veggies, Drink Water Religiously

When it comes to other things you put in your body every day to prevent pressure sores, [eating a wide variety of vegetables](https://www.spinalcord.com/blog/you-are-what-you-eat-nutrition-after-a-spinal-cord-injury) and drinking copious amounts of water also can help. Kale and greens, such as spinach, are especially good. Avocados, peas, sweet potatoes and green peppers are all great for the skin as well. The more varied the vegetables you eat, the wider the variety of vitamins and minerals. Vitamins and minerals strengthen your skin in a huge way. Water also has a glorious effect on the skin, hydrating it and strengthening it. Pro tip: Whenever you drink soda and alcohol, make sure to counteract it with equal parts water.

## Get Custom Seating

Getting custom seating is not a must, but if you can get it, it’s one of the best ways to prevent pressure sores. Many people typically use a Jay or a Roho cushion and these are fine, but if your knees are too high or if anything else about your wheelchair is ill-suited to your body, it can have a negative effect on your tush over time, leaving you with a pressure sore before you know it. This is why getting custom seating is so great because it uses computerized pressure mapping to see exactly where under your tush unneeded pressure is happening. Seating specialists will then create a molded seat just for you in accordance to these high pressure areas.

## Wear the Right Clothes & Shoes

You also need to be aware of the clothes and shoes you wear every day as they can have a negative effect on your skin if they're are too tight or constrictive. Many pants — jeans, in particular — have bulky back pockets that can cause skin breakdown if you sit in them too long. Shoes as well can be too tight and cause pressure sores on the feet (thanks to edema/swelling).

When it comes to clothing, always avoid any embellishments or constrictiveness in any garment. You also want to make sure there isn't too much loose fabric since this can also be problematic for the skin if you sit on it. For shoes, try to find shoes that are wide with. If you cannot find a wide show in the design you like, try to go a half-size bigger.

## Remember Pressure Relief Throughout the Day

If you're not moving that much during the day, doing daily pressure release exercises is a must. For paraplegics and some quadriplegics, this means picking up your leg under the knee and stretching the thigh upwards for 10-20 the seconds to relieve pressure from the tush, and you should do this to each leg every couple of hours or so. For quadriplegics who cannot lift their legs, many now get a tilt power wheelchair that tilts their entire body backwards, completely taking the pressure off. Whichever method you choose, make sure you do pressure relief exercises at least 3 to 5 times a day. We've put together a list of [5 essential daily exercises for SCI survivors](https://www.spinalcord.com/blog/5-essential-daily-routines-for-sci-survivors).

## Check Your Skin Daily

Despite doing the above measures, it's always good to perform [daily skin checks](https://www.spinalcord.com/skin-management-after-sci) when you have a lack of sensation. You can either do this in the morning or at night, and if you don't have a caregiver to assist you, you can use your phone or a mirror so you can see your backside and make sure that no skin breakdown or ulcertation is beginning. If you catch a pressure sore before it progresses beyond stage one, your chances at helping it to quickly heal are optimal. Make sure to check other areas of the skin, too, as you never know where your skin might suddenly experience unwanted pressure.

If you already have a pressure store and are struggling to help it heal, check back next week for an article on must-know tips on healing a pressure sore quickly.

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### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
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```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 <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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