Neuroregeneration could become an option for spinal cord injury treatments in the future. A spinal cord injury or SCI is when there is damage to the bundle of nerves and cells that send and receive signals from the brain and body. A spinal cord injury can be caused by direct trauma/injury to the cord or damage to the tissue and vertebrae. The damage can result in temporary or permanent changes in:
- Body function/s below the injury site.
There are incomplete and complete injuries. Injuries that cause limited or no cell death can achieve a full recovery. Injuries that are more serious and/or are higher on the spinal cord can cause permanent damage and/or paralysis. Automobile crashes, accidents, and serious falls are the most common causes of spinal cord injuries.
- An incomplete injury means the cord can still transmit messages, but there is interference/disturbance.
- A complete injury means communication and motor function/voluntary body movement is not transmitting.
Symptoms of a spinal cord injury include:
- Unnatural or awkward positioning of the spine or head.
- Pain or pressure in the head, neck, or back.
- Loss of or changes in sensation in the hands and feet.
- Problems with walking.
- Weakness or inability to move parts of the body.
- Loss of movement.
- Paralysis can occur immediately or develop over time as swelling and bleeding affect the cord.
- Loss of bladder and bowel control.
- Changes in sexual function.
- Difficulty breathing.
SCI Damage Control
A spinal cord injury affects the central nervous system, the body’s central headquarters. Damage can cause complications through what’s called the secondary injury cascade, which is a series of chemical reactions the body activates to help the situation. However, if the chemical response does not stop and stays active, it can worsen the injury. The body recognizes that an emergency has occurred and tries to go into a shut-down mode that kills off some of the cells in the central nervous system. When a spinal injury happens, treatment focuses on stopping the damage as quickly as possible to stop the injury cascade and prevent as much cell death as possible. This act is called neuropreservation, meaning that the team is trying to preserve and save as many nerve cells as possible.
Injury Neuroregeneration Treatment Studies
While current treatment primarily focuses on stopping as much damage as possible then going through physical therapies to maintain spinal alignment and rehabilitate the body, the future of injury treatment is looking towards regrowing and repairing the damaged nerve cells through a process known as neuroregeneration. Repairing nerves that have been damaged could change life for many. Neuroregeneration Treatments being studied include:
- A study in The Lancet Neurology presents how getting surgery as soon as possible after an injury can provide significant benefits.
- The findings could change all of the guidelines for spinal cord injury.
- A study on Riluzole, a medication that has shown promise to slow down nerve cell damage.
- A team completed a randomized controlled trial for the medication; soon, the final results will be available.
Antibodies are being studied in two ways.
- To stop nerve cells from being damaged.
- To help damaged nerve cells regenerate.
- Scientists are studying ways to grow new nerve cells from an individual’s stem cells without the need for embryonic stem cells.
- Specialized stem cells could also be used to help other nerve cells regenerate.
- Another approach is using electrical stimulation to restore function in the spinal cord.
- Therapy that could help a paralyzed individual walk again.
The Future of Neuroregeneration
Aside from early surgery intervention, most neuroregenerative treatments are not ready or accessible yet. There’s still much more research before it can become a mainstream treatment option. Treatment that involves regenerating nerve cells will take longer than a treatment designed to protect nerve cells. However, more clinical trials are expected to be done in the next few years, with stem cell therapies taking the longest. Some of these therapies could be ready to be used on actual patients in 5-10 years.
The Importance of Measuring Body Composition
Most diet and fitness programs focus on weight loss or gain. However, they tend to overlook that individuals have completely different body compositions. Body composition describes the amount of:
- In the body.
Measuring body composition can tell a body’s unique makeup and help identify areas to work on to improve overall health and wellness. Body composition analysis provides a snapshot of an individual’s health/fitness levels to help achieve health goals from the inside out.
Aguilar, Juan et al. “Spinal cord injury immediately changes the state of the brain.” The Journal of neuroscience: the Official Journal of the Society for Neuroscience vol. 30,22 (2010): 7528-37. doi:10.1523/JNEUROSCI.0379-10.2010
Badhiwala, Jetan H; Wilson, Jefferson R; Witiw, Christopher D; et al. (February 2021). The Lancet Neurology Vol. 20, No. 2, P. 117. The Influence of Timing of Surgical Decompression for Acute Spinal Cord Injury: A Pooled Analysis of Individual Patient Data. DOI: 10.1016/S1474-4422(20)30406-3
Chari, Aswin et al. “Surgical Neurostimulation for Spinal Cord Injury.” Brain sciences vol. 7,2 18. 10 Feb. 2017, doi:10.3390/brainsci7020018
The information herein on "Neuroregeneration: Growing Nerve Cells" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.
Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez DC or contact us at 915-850-0900.
We are here to help you and your family.
Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card