Spinal Cord Injury

Myelopathy or spinal cord injury is a problem in the spinal cord that causes numbness and loss of motor (muscular) control. Spinal cord injuries can be caused due to trauma such as accident and falls and Disease caused due to spina bifida, polio, tumors etc. The effect of spinal cord injuries be Complete (total function and sensation is lost below the injured point) or Incomplete (Sensation is not lost and only few functions of the part suffers malfunctioning).

Spinal cord injuries in general occur due to the following:

Diabetic Neuropathy

Diabetic Neuropathy is a nerve disorder caused by acute diabetes. Those suffering from diabetes for more than 20 years are more likely to suffer diabetes neuropathy. Abnormal blood fat levels along with long durations of diabetes are the usual cause of diabetic neuropathy. This condition manifests as weakness and numbness in the limbs. It can also affect the heart, digestive tract and genitals. Peripheral neuropathy is the most common manifestation of diabetic neuropathy wherein the limbs of the patient are affected. Autonomic neuropathy affects digestion, bowel and bladder function, sexual response and perspiration. There might be adverse effects on the heart and blood pressure. Focal neuropathy affects a single nerve in the wrist, thigh or foot. It can also affect the nerves controlling the eye muscles. Smoking and excessive consumption of alcohol may further increase the risk of diabetic neuropathy.

Patients suffering from promimal neuropathy experience pain the hips and thighs and weakness in the legs. Symptoms of diabetic neuropathy include numbness and tingling in the feet, legs and arms. There may be dizziness due to drop in postural blood pressure. Diarrhea, constipation and indigestion are common symptoms of diabetic neuropathy. Patients suffering from diabetic neuropathy may have erectile dysfunction or vaginal dryness. Treatment for diabetic neuropahty has to be individualized. Acupuncture or medications can relieve pain in the case of peripheral neuropathy. Persons suffering from diabetes must monitor blood sugar levels. Any foot problems must be attended to promptly.

Cold Burn

Cold burn or frostbite occurs when the skin is in touch with an extremely cold body. Extreme cold can cause damage to the skin and underlying tissues. For example, if there is a prolonged contact of the skin with moderately cold body like snow or very cold bodies like dry ice, liquid helium or liquid nitrogen for a brief period, cold burns will occur. Here heat is transferred from the skin and organs to the cold body that is in contact. In other kinds of burns, the body that causes the burn is hotter and heat is transferred to the skin or the organ.

Symptoms of frostbite include pins and needles sensation and then numbness in the area. Initially there may be throbbing or aching. The affected part seems to become insensate. In severe frostbite, when the tissue starts to freeze, the skin at that area may appear white and numb. In the affected areas, abnormal accumulation of blood takes place. In addition to accumulation of body fluids, a blood clot may form thereby preventing blood circulation around the area resulting in tissue decay. Normal functioning of the body is disturbed because of cooling of the internal organs, which will lead to a critical condition called hypothermia. Cooling of the brain or heart is very dangerous.

If hypothermia is noticed, treating it should be the priority. Blisters are noticed when there is very severe frostbite. It may also damage tendons, muscles, nerves and bones. Gangrene is inevitable in the case of very severe frostbite. Frostbite may affect any part of the body. The most vulnerable parts are hands, feet, nose and ears. Recovery may be significant when the skin and underlying body tissues are injured and it may be permanent if there is injury to the blood vessels. If gangrene follows, the affected part may have to be amputated. When warming up of the affected part begins, the patient will experience intense pain. There will be tingling or burning sensation in the affected area also.

People taking beta-blockers that decrease blood flow to the skin and those who suffer Peripheral Vascular Disease are at risk when exposed to cold for a prolonged period. Any person who is exposed to extreme cold for a long period is susceptible to frostbite. Diabetes, peripheral neuropathy or Raynaud's phenomenon are some conditions that may have increased risk of cold burns. Smoking and windy weather when the rate of heat loss from the skin is more will hinder the healing process. Cold burns at the work place are common. People who work in factories where they may come in contact with metal surfaces that are at extremely cold temperatures are prone to cold burns. When the skin is moist, they may receive almost instantaneous cold burns.

Prevention of cold burns
Extreme cold, wet clothes, high winds and poor circulation are some of the factors that can contribute to cold burns. Tight boots or clothing and conditions like cramped positions, some medications, smoking or alcohol can cause frostbite. Wearing appropriate clothing in winter when the temperature goes below normal and will help. Winter clothes like mittens, layered clothing that is wind-proof and water resistant gives good protection.

First Aid for cold burns