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COMMON COMPLICATIONS OF SPINAL CORD INJURY: URINARY TRACT INFECTION, LOSS OF MUSCLE TONE
Urinary Tract Infection
Some individuals with spinal cord injury are prone to developing urinary tract infections (UTIs), for two reasons. First, the nerves that signal when the bladder is full and those that control the sphincter muscles between the bladder and the urethra can be damaged by the injury. When the bladder does not empty completely, there is a greater risk of infection. Second, the use of a urinary catheter can introduce bacteria into the bladder. Infections can be minimized by proper bladder care and the use of sterile catheters, but may occur despite your best efforts. A UTI requires treatment with antibiotics, usually for about a week. A mild UTI involves only the bladder and typically responds to oral antibiotics. A severe UTI with fever may involve the kidneys and can cause serious kidney damage if not treated aggressively. It usually requires IV antibiotics and a short stay in the hospital.
Loss of Muscle Tone
Damage to the spinal cord itself usually causes spasticity, an increase in muscle tone, as noted above. Damage to the cauda equina (the bundles of nerve roots located below the spinal cord but inside the lower vertebral column), however, usually causes decreased muscle tone. (Muscle tone can also decrease in some cases of true spinal cord injury.) When tone is reduced, the muscles become flaccid and may atrophy (lose bulk). Flaccid legs can become very thin and bony. Loss of the cushioning normally provided by muscle increases the risk of developing pressure sores on the skin.
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