The battle for single-use catheters

Medical professionals agree that hydrophilic single-use catheters are the safest option for individuals requiring clean intermittent catheterisation. Medical aids are, however, unwilling to cover the cost. Following a spinal cord injury (SCI), one of the greatest challenges is to manage incontinence. Urinary incontinence and the management of the paralysed bladder...

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Dealing with shoulder pain

Most people with an SCI will experience shoulder pain at some point, but it’s very important to prevent serious injury. Here are a few ways to reduce or avoid injury. Shoulder pain is common in people with a spinal cord injury (SCI) as well as people who have suffered a...

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Tendon transfers

Patients suffering from an SCI that has compromised their upper limbs may consider the option of tendon-transfer surgery Living with spinal cord injury (SCI) is challenging at the best of times. Individuals with an SCI where upper limb function is normal and preserved (paraplegics) are usually functionally independent in all...

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Not just for frown lines…

Don’t confuse focal spasticity with general spasticity: the two are very different and require different treatment. Follow these tips to help you better deal with focal spasticity. Spasticity is a condition that is commonly seen in patients who have suffered a neurological event. It is the uncontrolled contraction of muscle...

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Scourge of the ingrown toe nail

I often see chronic spinal cord injury (SCI) patients in my clinic complaining of a sudden increase in spasticity and often the cause can be multifactorial. As I’ve noted before, it is very important to exclude some of the more common causes of increased spasticity. However, one that is often...

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Dem bones, dem dry bones…

Spinal cord injury (SCI) is frequently accompanied by joint problems, but these can often be overcome with careful management and exercise. The so-called “over-use syndromes” seen in SCI are widely known. Both in paraplegia and in independently functioning tetraplegics, the upper limb becomes the remaining functioning unit, and therefore the...

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