Paraplegia

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
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Paraplegia
Synonyms
Pronounce
Specialty	Neurology, Physical medicine and rehabilitation
Symptoms	Paralysis of the lower limbs
Complications	Pressure ulcers, Deep vein thrombosis, Urinary tract infections
Onset	Sudden or gradual
Duration	Long-term
Types	Complete, Incomplete
Causes	Spinal cord injury, Multiple sclerosis, Transverse myelitis
Risks	Trauma, Infection, Autoimmune disease
Diagnosis	Physical examination, MRI, CT scan
Differential diagnosis	Quadriplegia, Hemiplegia
Prevention	Safety measures, Vaccination
Treatment	Physical therapy, Occupational therapy, Assistive devices
Medication	Muscle relaxants, Pain management
Prognosis	Varies depending on cause and severity
Frequency
Deaths

Medical condition involving impairment in motor or sensory function of the lower extremities

Paraplegia is a medical condition characterized by the impairment in motor or sensory function of the lower extremities. It is typically caused by damage to the spinal cord or the nervous system at the level of the thoracic, lumbar, or sacral regions. This condition results in the loss of movement and sensation in the legs and lower body.

Causes

Paraplegia can result from various causes, including:

• Traumatic injury: This is the most common cause of paraplegia, often resulting from motor vehicle accidents, falls, or sports injuries.
• Non-traumatic causes: These include spinal cord tumors, infections such as meningitis or transverse myelitis, and degenerative diseases like multiple sclerosis.
• Congenital conditions: Some individuals are born with conditions such as spina bifida that can lead to paraplegia.

Symptoms

The primary symptoms of paraplegia include:

• Loss of movement in the lower limbs
• Loss of sensation in the lower body
• Bladder and bowel dysfunction
• Sexual dysfunction
• Chronic pain

Diagnosis

Diagnosis of paraplegia involves a thorough neurological examination and imaging studies such as MRI or CT scans to assess the extent and location of spinal cord damage.

Treatment

While there is no cure for paraplegia, treatment focuses on improving the quality of life and maximizing independence. Treatment options include:

• Physical therapy: To maintain muscle strength and improve mobility.
• Occupational therapy: To assist with daily activities and adaptive techniques.
• Assistive devices: Such as wheelchairs, braces, and other mobility aids.
• Medications: To manage pain and spasticity.
• Surgical interventions: In some cases, surgery may be necessary to stabilize the spine or relieve pressure on the spinal cord.

Prognosis

The prognosis for individuals with paraplegia varies depending on the cause and severity of the spinal cord injury. Early intervention and rehabilitation can significantly improve outcomes and quality of life.

Living with Paraplegia

Living with paraplegia requires adjustments in lifestyle and environment. Many individuals with paraplegia lead fulfilling lives with the help of support systems, adaptive technologies, and community resources.

See also

• Quadriplegia
• Spinal cord injury
• Rehabilitation (neuropsychology)