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Pain after spinal cord injury (SCI)

Pain is a common and serious problem for people with spinal cord injury (SCI). It can occur both in areas with preserved sensation and in areas where sensation is reduced or absent. The pain is real and can significantly worsen quality of life, interfering with daily activities and rest.

For most people, the pain becomes chronic and can last for years. It is most often associated with damage to nerves, muscles, or joints. It is difficult to eliminate completely, but it is possible to reduce its intensity and learn to control its effect on life. Pain frequently intensifies anxiety, stress, and depression — and vice versa. This is an interconnected process, not a “psychological invention.”

Main types of pain

1. Neuropathic (nerve) pain

Arises due to damage to nerve structures. It may feel like burning, tingling, “electric shocks,” numbness, or stabbing pain. Sometimes pain occurs even with light touch. It often responds poorly to treatment, so a comprehensive approach is required.

If new or worsening pain appears years after the injury, especially along with changes in sensation, muscle strength, or spasticity, it is important to see a doctor — this may indicate another medical condition. Increased pain can also be triggered by constipation, urinary tract infection, or depression.