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Abstract

The incidence of pain in the patient with spinal cord injury is significant. Importantly, it leads to significant decrease in function with increased disability and handicap. Additionally, its management is often frustrating for both the patient and physician.

There is significant variability in the type of pain after spinal cord injury and a distinct void in the literature when it comes to well controlled studies to assess its etiology and treatment. Treatment is often derived from anecdotal reports of patients with spinal cord injury pain or from approaches utilized in the non spinal cord injury population.

This presentation’s goals are to under the significance of the problem, appreciate various classification systems, discuss overall evaluation of the patient with spinal cord injury pain and review treatment options. Five clinical types of pain including mechanical, segmental, central, visceral, and psychic will be reviewed with recommended treatment of each type.