Railway spine

Railway spine is a term that was used in the late 19th and early 20th centuries to describe a condition suffered by people who had been involved in railway accidents. The symptoms included back pain, partial paralysis, numbness, and other neurological symptoms. The condition is now understood to be a form of post-traumatic stress disorder (PTSD).

History

The term "railway spine" was first used by John Eric Erichsen, a British surgeon, in 1866. He believed that the condition was caused by a physical injury to the spine, caused by the sudden jolt of a railway accident. However, later researchers, including Jean-Martin Charcot and Sigmund Freud, argued that the symptoms were psychological in origin.

Symptoms

The symptoms of railway spine can vary widely, but often include back pain, partial paralysis, numbness, and other neurological symptoms. Some patients may also experience psychological symptoms, such as anxiety, depression, and flashbacks to the traumatic event.

Diagnosis

Diagnosis of railway spine can be difficult, as the symptoms can be similar to those of other conditions, such as whiplash or spinal cord injury. However, a history of involvement in a railway accident, along with the presence of the characteristic symptoms, can help to confirm the diagnosis.

Treatment

Treatment for railway spine typically involves a combination of physical therapy and psychological therapy. Physical therapy can help to alleviate the physical symptoms, while psychological therapy can help to address the underlying psychological trauma.

See also

• Post-traumatic stress disorder
• Whiplash
• Spinal cord injury

References

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