Prevention of paraplegia

Some causes of paraplegia can be prevented, and complications can be prevented in people living with it.

Preventing spinal injury

• Road safety: wear seat belts and helmets, and avoid drink-driving
• Fall prevention: secure ladders, use railings, fix slippery floors, and be careful at heights and in construction
• Sports safety: use correct technique and protective gear, and never dive into shallow water
• Workplace safety: harnesses and guards
• Child safety: window grills, safe play areas and car seats

Preventing non-injury causes

• Treat tuberculosis fully
• Get prompt care for back pain with fever, weakness or weight loss
• Treat vitamin B12 deficiency
• Manage diabetes and blood pressure
• Vaccination against infections that cause myelitis

First aid after a possible spinal injury

Do not move the person unless there is immediate danger. Keep the head, neck and back in a straight line and call 112.

Preventing complications

• Pressure sores: change position at least every 2 hours in bed, use pressure-relieving cushions, and check skin daily
• Urine infections: drink enough, empty the bladder regularly, and use clean catheter technique
• Blood clots: movement, compression and medicines as advised
• Chest infections: deep breathing and vaccines
• Bone loss and contractures: stretching, standing and calcium and vitamin D
• Low mood: counselling and peer support

Ayurvedic view

Daily routine, nutritious food and gentle massage may support general health. They do not prevent spinal injury or replace skin and bladder care.

See a doctor if you notice redness over a bony area, fever or a change in urine.

Remember

Safety measures prevent most injuries, and daily care prevents most complications.