What should be done about limb numbness after spinal cord injury?

Feb 28, 2025 Source: Cainiu Health
Disease description:

After my spinal cord injury, not only do I experience numbness in my limbs, but I also feel that my mobility is significantly affected. Now I am very distressed and don't know when this numbness in my limbs will improve. I would like to know what I should do about limb numbness following a spinal cord injury.

Doctor's answer (1)
Dr. Lv Zhiqin

Spinal cord injury refers to damage to the spinal cord caused by trauma, disease, or other factors, affecting its normal function and resulting in sensory, motor, reflex, and autonomic dysfunction below the level of injury. When patients experience limb numbness after spinal cord injury, it is usually because the spinal cord's conduction pathways have been disrupted, preventing sensory signals from being transmitted normally to the brain. Below are some suggestions and management approaches for this condition:

1. Confirm diagnosis: Initially, perform CT or magnetic resonance imaging (MRI) to determine the extent of spinal cord injury and to identify any vertebral displacement or bone fragments compressing the nerves.

2. Surgical treatment: If diagnostic tests reveal surgical indications, such as associated spinal fractures, surgical reduction and fixation of the fracture may be required to maintain spinal stability and perform local decompression.

3. Nerve function recovery training: Utilize specific rehabilitation exercises to stimulate the injured nerves and promote functional recovery.

4. Physical therapy: Includes electrical stimulation therapy, ultrasound therapy, and others to help restore muscle strength and improve blood circulation.

5. Acupuncture treatment: By stimulating specific acupuncture points, it helps regulate the flow of blood and energy (Qi), thereby relieving muscle tension and reducing pain.

6. Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used for pain relief, while glucocorticoids may help control inflammatory responses following spinal cord injury. Additionally, nerve-nourishing medications such as vitamin B complex preparations or neurotrophic factors may be used under medical guidance to promote nerve regeneration and repair.

The above suggestions are for reference only. The specific treatment plan should be developed based on the patient's individual condition and the recommendations of their physician.