Spinal shock occurs after the onset of trauma to the spinal cord. Shock tends to occur several minutes after injury and at this time it is crucial that correct medical intervention is on place.
The body reacts to injury by developing swelling to the spinal cord and this can then cause function to impaired to the point of it being very difficult to get a true assessment of the actually extent of function loss and nerve damage.
Spinal shock can last for approximately 4-6 weeks and during this period nerve signals are inhibited so function below injury level can show as worse that it is. That said, its important to remember that even after the swelling has reduced, sometimes function does not return.
It some cases function returns completely and in some cases part function returns, it all very much depends. There are some individuals that will experience spinal shock for months..each person will vary.
It is crucial that correct intervention is given at the time of injury that helps prevent nerve cell death. There are procedures that are a standard and set in place to help save as much function as is possible.
keithbruce, I know that an injection used to be given to help reduce the swelling, the effectiveness of this injection has been controversially discussed and some may it did not really make much difference.
According to the Mayo Clinic '' Intravenous (IV) methylprednisolone (A-Methapred, Solu-Medrol) is a treatment option for an acute spinal cord injury. If methylprednisolone is given within eight hours of injury, some people experience mild improvement''.
At this point, there is no treatment for cell death from spinal cord injury. Other treatment options include management etc, making sure any damage to the spinal or compression is repaired or relieved. The individual is immobilized, breathing etc is controlled ( higher levels) and associated risks lessened as much as possible.
Post by kilg0retr0ut on Oct 1, 2016 5:19:11 GMT -8
LARA???? Keith, wish she'd pop-up because she's much better at this than me. But, here's my take. As Lara said there was a lot of controversy surrounding the clinical trials (NASCIS ll and lll.
Revised recommendations As a result of the controversy over the NACSIS II and III studies, a number of professional organizations have revised their recommendations pertaining to steroid therapy in SCI.[46, 47]
The Congress of Neurological Surgeons (CNS) has stated that steroid therapy "should only be undertaken with the knowledge that the evidence suggesting harmful side effects is more consistent than any suggestion of clinical benefit." The American College of Surgeons (ACS) has modified their advanced trauma life support (ACLS) guidelines to state that methylprednisolone is "a recommended treatment" rather than "the recommended treatment." The Canadian Association of Emergency Physicians (CAEP) is no longer recommending high-dose methylprednisolone as the standard of care.
In a survey conducted by Eck and colleagues, 90.5% of spine surgeons surveyed used steroids in SCI, but only 24% believed that they were of any clinical benefit. Note that the investigators not only discovered that approximately 7% of spine surgeons do not recommend or use steroids at all in acute SCI, but that most centers were following the NASCIS II trial protocol.
Updated guidelines issued in 2013 by the CNS and the American Association of Neurological Surgeons (AANS) recommend against the use of steroids early after an acute SCI. The guidelines recommend that methylprednisolone not be used for the treatment of acute SCI within the first 24-48 hours following injury. The previous standard was revised because of a lack of medical evidence supporting the benefits of steroids in clinical settings and evidence that high-dose steroids are associated with harmful adverse effects.[50, 51]
I had the medicine years and ytago, only in pill form and took it 7 pills the first day 6 the next day and so on down to 1 the last day. Maybe the newer treatment works better as my treatment was so long ago. It was experimental then.My injuries were in the L4 and L5 level. All the nerves and such down there are all pinched to one side. I walk with a cane , but fall sometimes 5 or 6 times a day. I lose control of my legs. The other day I laid on the floor for over 40 minutes before I could get up again.I am still losing more function everyday. Mine has been very slowly.