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Hope of Recovery & Cure<br />

Recovery<br />

Spinal shock may initially mask the eventual<br />

outcome of your impairment. You may be<br />

tempted to not participate in some aspects of<br />

your rehabilitation in the hope that you will<br />

recover the function as your injury settles.<br />

It is true that there are many different<br />

outcomes from similar levels of impairment,<br />

especially if you have an incomplete injury.<br />

The hope that you will recover lost function<br />

should not stop you from participating in<br />

your rehabilitation. If you work harder<br />

towards your rehabilitation now you will<br />

be able to make better use of any return of<br />

function later. You will also be able to get<br />

out of hospital sooner!<br />

Cure<br />

You may want to know what the likelihood<br />

of a ‘cure’ is. A spinal cord injury is not a<br />

disease, even if it has been caused by one,<br />

and therefore cannot be ‘cured’. As with<br />

any other injury, medical professions treat<br />

the symptoms and effects of the injury as<br />

best as modern medicine allows.<br />

A spinal cord injury is one of the most<br />

complicated injuries the body can sustain.<br />

At the time of this publication there are over<br />

200 research programmes internationally<br />

studying all of the aspects of spinal cord<br />

injury and regeneration. There are many<br />

hopeful advances but none of these<br />

programmes have successfully restored full<br />

function following a complete lesion.<br />

Whilst it is reasonable to assume that the<br />

constant advances in medical technology<br />

will eventually allow surgeons to restore<br />

function to injured spinal cords, it is also<br />

likely that these procedures may initially be<br />

available only for the newly injured. This<br />

is because the body ‘att cks’ the site of the<br />

lesion following injury. It seems that the<br />

first advances in spinal cord injury will be<br />

in preventing the body attacking the injured<br />

area within the first 48 hours<br />

Existing injuries may be more difficul to<br />

repair than ‘new’ ones.<br />

After injury, damaged nerve cells release<br />

Calcium ions and substances that break<br />

down the protective myelin insulation of<br />

nerves and other cell membranes. This chain<br />

reaction damages nerve cells near the site of<br />

injury that could otherwise have recovered.<br />

The damage also seems to be more severe if<br />

there is a lack of oxygen following the injury.<br />

A lot of research is going into preventing this<br />

secondary injury to reduce the overall effec<br />

of the injury. There are many publications<br />

and websites devoted to the advances in<br />

spinal cord research if you are interested in<br />

learning more about this.<br />

“We do not discourage<br />

hope for an eventual ‘cure’<br />

but we do encourage you<br />

to do everything within<br />

your capabilities to have<br />

an active and enjoyable<br />

life now! If you sit and<br />

wait for a ‘maybe’ you may<br />

end up disappointed and<br />

missing out on the many<br />

opportunities available<br />

immediately.”<br />

© New Zealand Spinal Trust, 2014<br />

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