---
title: Why Not Being Able to Walk Isn’t the Worst Aspect of Paralysis
description: Can you believe that not walking again isn’t the worst aspect of life the spinal cord injury? Just ask those who live with paralysis.
image: https://www.spinalcord.com/hubfs/Cant%20Walk%20due%20to%20SCI.jpg
---

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# Why Not Being Able to Walk Isn’t the Worst Aspect of Paralysis

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

 Publish Date: July 30, 2020

When people think of [**paralysis**](https://www.spinalcord.com/types-of-paralysis), they automatically think of not being able to walk and having to use a wheelchair for the rest of their lives. While this is the case for some, can you believe that not walking again isn’t the worst aspect of life the [**spinal cord injury**](https://www.spinalcord.com/types-of-spinal-cord-injuries)? Just ask those who live with paralysis. In fact, there are many more side effects of paralysis that are not only more frustrating but more life-threatening as well. See some of the worst of these side-effects below.

## **Reason #1: Autonomic Dysreflexia**

[**![_0000_Recognizing_Signs_of_Autonomic_Dysreflexia_in_Spinal_Cord_Injury](https://www.spinalcord.com/hs-fs/hubfs/_0000_Recognizing_Signs_of_Autonomic_Dysreflexia_in_Spinal_Cord_Injury.jpg?width=800&name=_0000_Recognizing_Signs_of_Autonomic_Dysreflexia_in_Spinal_Cord_Injury.jpg)**](https://www.spinalcord.com/blog/recognizing-signs-of-autonomic-dysreflexia-in-spinal-cord-injury)

People with spinal cord injuries are four times more likely to suffer from a massive stroke and this is partly due to autonomic dysreflexia, a condition that many people with spinal cord injuries at the T4 level and above are susceptible to. When any pain is perceived by the body where the person cannot feel, they will instantly have a massive headache and many other side-effects (sweating, reddened face) due to a spike in their blood pressure. 

After a spinal cord injury, paralysis severely affects the autonomic system. The body is no longer able to regulate all of the functions the autonomic system is in control of. When pain is experienced by someone with paralysis, they will have instead get a headache due to the spiking blood pressure. It is prudent to remove the source of pain as soon as possible in order to stop the headache.

If left untreated, autonomic dysreflexia can cause a stroke. For many, they will experience autonomic dysreflexia from sex, going to the bathroom, tight clothing, and many more activities that the body will sometimes misinterpret as more painful then it actually is. Medication can be used to prevent this, but it isn’t always foolproof. Caution must always be heeded.

## **Reason #2: Bladder & Bowel**

**![Neurogenic-bladder-bowel-blog2](https://www.spinalcord.com/hs-fs/hubfs/Neurogenic-bladder-bowel-blog2.jpeg?width=1800&name=Neurogenic-bladder-bowel-blog2.jpeg)**

The bladder and bowel system becomes disconnected from the brain after a spinal cord injury. 

This means people with paralysis are no longer able to feel when they need to empty their bladder or bowels. This can lead to a myriad of issues, including incontinence and need assistance with going to the bathroom on a daily basis for the rest of their lives. Catheter-use each day is required, which causes chronic bladder infections. Digital evacuation is required as well, causing chronic hemorrhoids. A loss of modesty is impossible to avoid after a spinal cord injury. 

## **Reason #3: Chronic/Nerve Pain**

**![Spinal Contusion often disrupts nerve impulses](https://www.spinalcord.com/hs-fs/hubfs/Spinal%20Contusion%20often%20disrupts%20nerve%20impulses.jpg?width=726&name=Spinal%20Contusion%20often%20disrupts%20nerve%20impulses.jpg)**

Not all people with paralysis are numb and unable to feel the pain. Many people have incomplete injuries which means much of the spinal cord is still intact, leading to confused nerve signals. Nerve pain is one of the most common causes of pain. This is caused by the spinal cord being injured and misfiring pain signals. Chronic pain is also common. This can come from a variety of activities such as sitting all day, overuse of the shoulders, or pain in the bladder and bowel area.

## **Reason #4: Difficulty Achieving Orgasm**

**![Sexy look of provocative woman seducing a man](https://www.spinalcord.com/hs-fs/hubfs/Stock%20images/Sexy%20look%20of%20provocative%20woman%20seducing%20a%20man.jpeg?width=1000&name=Sexy%20look%20of%20provocative%20woman%20seducing%20a%20man.jpeg)**

Although many people can feel pain, it is less likely for people to feel pleasure in their erogenous zones after a spinal cord injury due to the location of the section of the spinal cord that controls sexual functions (located at the very bottom of the spinal cord). Most people with paralysis have severely affected sexual function. In men, most are unable to get an erection without medication, and most are unable to achieve orgasm. For women with paralysis, although they can still have sex, many no longer feel pleasure and have difficulty reaching orgasm as well.

## **Reason #5: Skin Issues**

**![Skin Rash, Skin Issues](https://www.spinalcord.com/hs-fs/hubfs/Skin%20Rash,%20Skin%20Issues.jpg?width=726&name=Skin%20Rash,%20Skin%20Issues.jpg)**

Pressure sores are the hidden pandemic among people with spinal cord injuries. Poor seating, bad posture, and overzealous activities can lead to pressure sores that can upend people's lives and leave them on bed rest for several months. The skin becomes a delicate creature after a spinal cord injury and even the smallest injury can become a serious one. It is critical to stay on top of your skin at all times after a spinal cord injury.

While all the issues above are worrisome, they still do not do cover every side-effect of living with paralysis. Depression, kidney and bladder stones, high divorce and unemployment rates leading to loneliness and financial loss, and many more issues, all certainly give not being able to walk anymore a run for its money. 

**Topics:** Spinal Cord Injury, Paralysis, Wheelchair Bound, paralyzed

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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)

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- [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)

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{
  "@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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