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What is paraplegia? (Introduction)

Reviewed by medical experts · For informational purposes only

Introductory summary

What paraplegia is, what it affects, common causes and outlook, with emergency steps after a back injury.

Paraplegia is paralysis or severe weakness of both legs, and sometimes the trunk and pelvic organs, while the arms keep normal function. It usually results from damage to the spinal cord in the chest (thoracic), lower back (lumbar) or sacral region. The brain still sends signals, but they cannot pass the damaged level.

What it affects

  • Movement and feeling in the legs and often the lower trunk
  • Bladder and bowel control
  • Sexual function
  • Blood pressure and temperature control in some people
  • Skin health, because pressure areas are not felt

Complete and incomplete

In complete injury there is no movement or feeling below the injury. In incomplete injury some movement or feeling remains, and recovery is more likely.

Common causes

Road accidents, falls, sports injuries, spinal infection such as tuberculosis, tumours, vascular problems, and spinal cord diseases.

Outlook

Many people with paraplegia live full, independent lives with rehabilitation, mobility aids and good health care. Recovery depends on the cause and whether the injury is complete.

Ayurvedic view

Ayurveda describes paralysis of the legs under Pangu or Adhoanga-vata, related to Vata. This is an interpretive framework. It may support well-being but does not reverse spinal cord damage.

Emergency: after a back or neck injury, do not move the person. Keep the spine still and call 112.

See a doctor if you develop sudden leg weakness, numbness, or loss of bladder or bowel control. This is an emergency.

Remember

Early specialist care and rehabilitation make a large difference to independence and health.

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