A study in the University of Washington showed patients with spinal-cord injury may complain of upper extremity (UE) pain. The study questioned 135 participants and reported 58% reported some type of pain, 70% complained of shoulder pain, 52% had wrist pain, 44% experienced hand pain while 36 % had elbow pain. Upper extremity discomfort was more prone to be familiar with function activities, for example pressure reliefs, transfers, and wheelchair mobility. This can be a common problem in individuals with SCI and has an effect on daily activities. There needs to be prevention and management programs for SCI patients. Physical therapy is a good starting point and also the most widely used selection for SCI patients suffering from upper extremity pain.
5 Common Forms of Upper Extremity Pain and How to Treat Them:
- Hand pain:
SCI patients often complain of their hand pain, feel initially at night. Weakness and atrophy can with the passage of time occur, resulting in lack of grip strength. Hand dynamo meters can be used to sure able measure and document of muscle strength for SCI patients and their response to treatment.
- Bi-capital Tendinitis: Patients with bi-capital tendinitis complain of pain within the front from the shoulder which can radiate on the arm. For the Deloitte in order to the base of the neck. Using rest, medication and ice to handle the pain in the acute phase, gentle stretching along with heat and ice can be used when the acute phase of the injury has transpired.
- Tennis Elbow: Patients with SCI can experience another repetitive use injury, Tennis Elbow, due to the forceful elbow extension, maximal pronation, and wrist flexion required to use a wheelchair. Electrical Stimulation can be useful within the management of Tennis Elbow for SCI patients by looking into making the muscle contract which can help decrease muscle spasm.
- Carpal tunnel symptoms:
The repetitive stress of using a wheelchair can also predisposes the wrists of patients with a number of over use tendinitis issues, specially carpal tunnel. Heating modalities such as paraffin wax bath can help decrease pain and increase the strength of motion from the wrist.
- Shoulder Pain:
The key reason a boost in shoulder pain in SCI patients is that this population relies entirely on the upper limb or both ambulation and weight-bearing tasks. The shoulder is not created for this type of reliance. Using Cold Compression Therapy wraps for the shoulder that will help to decrease pain and inflammation familiar with the shoulder, specifically in the rota tor cuff.The required reliance upon the upper extremities place spinal cord injury patients at a greater risk for upper extremity pain. This pain, if left untreated, can hinder day to day activities. Pain management treatment must be created and implemented for SCI patients so that they can flourish.