Acute Phase of Spinal Cord Injury Quiz
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Loss of sensation
Weak
Tingling
My leg is numb
Numbness in hands
Body numbness
Numbness in lower leg
Not seeing your symptoms? No worries!
What is Acute Phase of Spinal Cord Injury?
The acute phase starts right after a spinal cord injury, which is caused by trauma to the spinal cord. This phase includes blood vessel damage, ionic imbalance, neurotransmitter buildup (excitotoxicity), inflammation, swelling, and cell death.
Typical Symptoms of Acute Phase of Spinal Cord Injury
- Unable to move my fingers
- Unable to turn over when lying down
- Numbness anywhere from the knees to the ankles
- Reduced sensitivity to feeling pain
- Numbness in the region from shoulder to elbow
- Numbness anywhere from the elbow to the wrist
- Numbness of the thigh
- Tingling or pricking numbness in the legs even when keeping still
Diagnostic Questions for Acute Phase of Spinal Cord Injury
Your doctor may ask these questions to check for this disease:
- Are you unable to move your fingers despite using strength?
- Do you struggle turning over in bed by yourself?
- Do you have numbness in your lower legs?
- Do you have reduced sensitivity to pain?
- Do you have numbness from shoulder to elbow?
Treatment of Acute Phase of Spinal Cord Injury
Treatment focuses on maintaining breathing, preventing shock, immobilizing the patient to avoid more spinal cord damage, and preventing complications like stool or urine retention, respiratory or heart issues, and deep vein clot formation.
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Feb 13, 2025
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Wilson, J. R., Tetreault, L. A., Kwon, B. K., ... (2017). Timing of decompression in patients with acute spinal cord injury: a systematic review. Global spine.
https://journals.sagepub.com/doi/abs/10.1177/2192568217701716Fehlings, M. G., Tetreault, L. A., Wilson, J. R., ... (2017). A clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scope. Global spine.
https://journals.sagepub.com/doi/abs/10.1177/2192568217703387Kong, X., & Gao, J. (2017). Macrophage polarization: a key event in the secondary phase of acute spinal cord injury. Journal of cellular and molecular medicine.
https://onlinelibrary.wiley.com/doi/abs/10.1111/jcmm.13034