Spinal Cord Injury (SCI)

Overview

A spinal cord injury (SCI) occurs when the spinal cord is damaged, interrupting the flow of signals between the brain and the body. This can result in partial or complete paralysis, loss of sensation, and loss of bodily functions below the level of injury.

The Royal Buckinghamshire Hospital is a recognised centre of excellence for spinal injury rehabilitation, providing world-class care, advanced therapies, and tailored rehabilitation programmes to help individuals maximise independence and quality of life following an SCI.

Causes of Spinal Cord Injury

Spinal cord injuries may result from:

• Traumatic accidents, such as falls, road traffic collisions, or sports injuries
• Acts of violence (e.g. knife or gunshot wounds)
• Spinal tumours or infections
• Degenerative conditions, such as spinal stenosis
• Medical or surgical complications

Types of Spinal Cord Injury

The extent and severity of SCI vary depending on the location and nature of the injury:

• Complete SCI – Total loss of movement and sensation below the injury
• Incomplete SCI – Partial preservation of movement or sensation
• Tetraplegia (Quadriplegia) – Paralysis affecting all four limbs (cervical spine injuries)
• Paraplegia – Paralysis affecting the lower limbs (thoracic, lumbar, or sacral injuries)

Symptoms of Spinal Cord Injury

Common signs and symptoms include:

• Loss of movement or paralysis
• Loss of sensation (touch, heat, or cold)
• Muscle weakness or spasticity
• Loss of bowel or bladder control
• Difficulty breathing (in high cervical injuries)
• Chronic pain or abnormal sensations

The severity and combination of symptoms depend on the level and completeness of the injury.

Diagnosis

Prompt diagnosis is critical following a spinal injury. Investigations may include:

• Physical and neurological examination
• MRI or CT scans to assess spinal cord damage
• X-rays to identify fractures or dislocations
• Ongoing assessment to monitor neurological function

Rehabilitation at Royal Buckinghamshire Hospital

We provide comprehensive, consultant-led spinal injury rehabilitation with a focus on:

• Specialist physiotherapy to improve strength and mobility
• Occupational therapy to support daily living skills
• Hydrotherapy, functional electrical stimulation, and assistive technology
• Respiratory care for high-level injuries
• Psychological support for mental health and wellbeing
• Vocational rehabilitation to aid return to work or education

Our multidisciplinary team works collaboratively to help patients achieve their maximum potential for independence and function.

Why Choose Royal Buckinghamshire Hospital?

• Recognised spinal rehabilitation specialists
• Purpose-built facilities with accessible accommodation
• Innovative technology and therapy options
• Inpatient and outpatient rehabilitation programmes
• Comprehensive family and carer support

If you’re experiencing persistent shoulder pain or weakness, contact Royal Buckinghamshire Hospital for expert assessment and treatment of rotator cuff injuries. There is no need to be registered with our The Royal Buckinghamshire Hospital, or live locally.

If you have insurance which covers consultations, we can in most cases invoice the insurer directly. Where you are paying directly any costs will always be discussed.

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