Dr Ankit Daware

Spinal Cord Injury

Advanced Care | Precise Diagnosis | Personalized Recovery Plans

Spinal Cord Injury (SCI) is one of the most serious and life-changing medical emergencies. An injury to the spinal cord not only affects mobility and sensation but can also influence bladder, bowel, breathing, and overall quality of life. Early diagnosis, timely intervention, and specialized rehabilitation improve long-term outcomes significantly.
Dr. Ankit Daware, one of Nagpur’s leading spine specialists, offers advanced, evidence-based treatment for all types of spinal cord injuries, ensuring expert care from emergency management to rehabilitation and long-term follow-up.

What Is a Spinal Cord Injury?

A spinal cord injury occurs when there is damage to any part of the spinal cord or the nerves at the end of the spinal canal. The injury may be traumatic (due to road accidents, falls, sports injuries, violence) or non-traumatic (due to tumors, infections, arthritis, or degenerative diseases). The spinal cord is responsible for carrying messages between the brain and the rest of the body. When it is damaged, the flow of signals is interrupted, leading to partial or complete loss of movement and sensation.

Types of Spinal Cord Injuries

A spinal cord injury is classified into two main types:

1. Complete Spinal Cord Injury

In a complete SCI, there is total loss of motor and sensory function below the level of injury. Patients cannot move or feel the affected parts of the body.

2. Incomplete Spinal Cord Injury

In an incomplete SCI, some function remains. The patient may retain partial movement, sensation, or both.
Recovery is more promising in incomplete injuries.

Incomplete injuries include:

  • Anterior Cord Syndrome

  • Central Cord Syndrome

  • Brown-Sequard Syndrome

  • Posterior Cord Syndrome

  • Cauda Equina Syndrome

Each type affects mobility, sensation, bladder, and bowel function differently.

Common Causes of Spinal Cord Injury

Spinal cord injury can result from many factors, including:

  • Road traffic accidents – the most common cause in India

  • Fall from height

  • Sports accidents

  • Violence or assault

  • Industrial & occupational injuries

  • Birth injuries (rare)

  • Tumors affecting the spine

  • Spinal infections (Tuberculosis, osteomyelitis)

  • Degenerative spine diseases

Early intervention by a specialized spine surgeon like Dr. Ankit Daware ensures better neurological outcomes and faster recovery.

Symptoms of Spinal Cord Injury

Symptoms depend on the severity and location of the injury. Some commonly seen symptoms are:

  • Loss of movement

  • Loss of sensation

  • Difficulty in breathing

  • Loss of bladder or bowel control

  • Pain or intense stinging sensation

  • Muscle weakness or paralysis

  • Sexual dysfunction

  • Difficulty with balance or walking

  • Extreme back pain or pressure

  • Numbness or tingling in hands, fingers, feet, or toes

Immediate medical attention is crucial if any of these symptoms appear.

Emergency Management of Spinal Cord Injury

When a spinal cord injury occurs, the first response plays a critical role in preventing further neurological damage.
Dr. Ankit Daware and his team follow global emergency guidelines such as:

  • Stabilizing the spine

  • Preventing movement

  • Maintaining adequate breathing

  • Rapid imaging (X-ray, CT scan, MRI)

  • Initiating medications if required

  • Early surgical intervention for unstable injuries

  • Transferring the patient to an intensive care setting

Timely treatment decreases complications and increases chances of neurological recovery.

Diagnosis of Spinal Cord Injury

Accurate diagnosis helps determine the type, level, and severity of the injury.
Dr. Ankit Daware uses advanced diagnostic tools, including:

1. X-Ray

To detect fractures, dislocations, or spinal misalignment.

2. CT Scan

Offers detailed bone imaging, helps identify complex fractures.

3. MRI Scan

The most essential test to detect spinal cord compression, nerve damage, ligament injury, swelling, or bleeding.

4. Neurophysiological Tests

Such as EMG and NCV to check nerve conduction and muscle response.

5. ASIA Scale Classification

Used internationally to assess injury severity and predict recovery.

Accurate diagnosis ensures appropriate treatment planning.

Spinal Cord Injury Treatment by Dr. Ankit Daware

Treatment depends on the cause, severity, and level of the injury.
Dr. Ankit Daware offers a comprehensive, multidisciplinary treatment approach including surgery, medication, and rehabilitation.


1. Surgical Treatment

Surgery is recommended when there is:

  • Spinal cord compression

  • Unstable spine fractures

  • Bone fragments pressing the cord

  • Herniated discs causing nerve injury

  • Tumors or infections compressing nerves

  • Worsening neurological deficits

Common Surgical Procedures Include:

Spinal Decompression Surgery

removes pressure from the spinal cord caused by bone fragments, disc material, or swelling.

Laminectomy

removal of the lamina to create more space for the spinal cord.

Discectomy

removal of damaged or herniated discs.

Spinal Fusion Surgery

joining two or more vertebrae to stabilize the spine using implants.

Instrumentation & Stabilization

metal screws, rods, and cages are used to support the spine and prevent further injury.

Minimally Invasive Spine Surgery (MISS)

smaller incisions, less blood loss, faster recovery.

Dr. Ankit ensures precision using advanced surgical technologies for safer outcomes.


2. Non-Surgical Treatment

Not all spinal cord injuries require surgery.
Non-surgical care includes:

  • Medication to reduce inflammation

  • Neck or back bracing

  • Pain management

  • Physiotherapy and rehabilitation

  • Occupational therapy

  • Lifestyle modification

  • Regular follow-ups

For incomplete injuries, non-surgical management with focused rehabilitation often results in significant improvement.

Rehabilitation for Spinal Cord Injury

Rehabilitation is the most crucial part of recovery.
Dr. Ankit Daware works closely with physiotherapists, occupational therapists, speech therapists, and psychologists to create personalized recovery plans.

Rehabilitation Goals Include:

  • Improving mobility

  • Restoring muscle strength

  • Developing daily living skills

  • Managing bowel and bladder function

  • Improving balance and coordination

  • Teaching wheelchair mobility skills

  • Enhancing breathing capacity

  • Providing psychological support

  • Improving overall quality of life

Physiotherapy for Spinal Cord Injury

A structured physiotherapy program includes:

  • Range-of-motion exercises

  • Strengthening exercises

  • Balance and gait training

  • Body-weight supported treadmill walking

  • Functional electrical stimulation (FES)

  • Hydrotherapy

  • Posture training

  • Transfer training

  • Wheelchair skills

  • Breathing exercises

Physiotherapy helps regain functional independence and reduces long-term complications.

Occupational Therapy

This helps patients perform daily activities such as:

  • Dressing

  • Grooming

  • Eating

  • Bathing

  • Writing

  • Using adaptive devices

Occupational therapy promotes independence and confidence.

Long-Term Complications of Spinal Cord Injury

Without proper care, SCI may lead to various complications such as:

  • Pressure ulcers

  • Muscle spasms

  • Chronic pain

  • Bladder infections

  • Breathing issues

  • Bone thinning

  • Blood clots

  • Autonomic Dysreflexia

  • Sexual dysfunction

  • Depression or anxiety

Regular checkups with Dr. Ankit Daware help monitor and reduce such complications.

Spinal Cord Injury Recovery – What to Expect

Recovery varies from patient to patient depending on:

  • Type of injury

  • Severity of damage

  • Level of injury

  • Age and overall health

  • Timeliness of treatment

  • Quality of rehabilitation

Key Recovery Points:

  • Most improvements occur within the first 6 months.

  • In incomplete injuries, patients often regain significant function.

  • Early surgery improves mobility outcomes.

  • Intensive rehabilitation enhances neurological recovery.

  • Lifestyle, diet, and psychological support play a major role.

Dr. Ankit ensures that every patient receives continuous guidance through each recovery phase.

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