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What does COVID-19 mean for the Pain Management Program? This guide includes resources to help you to self-manage your pain. Learn more about the following during COVID-19: • How to access services in the pain program • Our approach to treating chronic pain • Accessing food • Strategies to manage self-isolation • Living with worry • Mental health information and supports • Crisis prevention •Exercising with chronic pain • Medication information
This is a handout to explain how Amitriptyline treats pain by increasing the concentrations of chemical messengers in the nervous system to reduce the pain messages arriving in the brain. The pain is usually described as burning, tingling, shooting, or numb. This medication can be used to treat fibromyalgia and prevent migraine headaches.
Assistive Devices Program (ADP) is a government funding program. It pays up to 75% of some mobility devices. For more about this program, visit: www.health.gov.on.ca/adp. To qualify for the program you must meet the following criteria: Valid Ontario Health Card. Have a physical disability
Autonomic dysreflexia (AD) is a dangerous rise in blood pressure that can happen after spinal cord injury. It affects people who have a spinal injury at level T6 or above. AD happens when you have pain or discomfort in the areas of your body that have no feeling. The most common cause of AD is a full bowel or bladder. When you have AD, you have other signs and symptoms at the same time. If you have these symptoms, you need to fix the problem right away. AD is a medical emergency. If not treated, it can cause stroke, heart attack, seizure, and death.
Bladder infections are one of the most common health issues after spinal cord injury. A bladder infection is also called a urinary tract infection (UTI). This is because the bladder is part of your urinary tract. Your urinary tract includes your kidneys, urethra, and ureters.
This is an online learning course to learn about how spinal cord injury can cause changes to how your urinary system works. The way you go to the bathroom will be different, but with what you learn in rehab, plus time and trial and error, you’ll be able to master your bladder program so it doesn’t keep you from enjoying life.
When you do intermittent catheterization (IC), you need to empty your bladder on a schedule. The timing of your next IC will depend on how much urine you had during your last IC.
This is an online learning course to learn about your bowel program. This will include a routine for emptying your bowel on a regular schedule using a technique called digital stimulation. You may use suppositories, laxatives or other medications.
After a spinal cord injury, the muscles that help you breathe and cough can be weak. Breath stacking improves breathing and coughing by helping remove mucous from your lungs. Getting mucous out of your lungs helps prevent lung collapse and infections like pneumonia. Having a healthy lung volume improves oxygen, helps you speak louder, and reduces breathing problems.
Getting into a car can be a challenging transfer. At first, you might need one or two people to help. The amount of help you need depends on the height of the car and your skill. With practice, some people learn to transfer alone. Always practice transfers with your therapist before trying alone.
Cleaning your drainage bag is a common way to prolong the life of your bag and prevent infection. Two commonly used cleaning solutions are available to be mixed at home.
A condom catheter is a urine drainage system for men. It is made of a condom attached to a drainage bag. You can use a condom catheter to prevent bladder accidents or to help with draining your bladder.
Preparing meals after spinal cord injury is simple enough with some planning. An important part of a healthy diet is preparing your own food. By eating at home you can control portion sizes and reduce fat, salt, and sugar intake. Using the right tools and devices can help make it safer and easier for you to prepare meals. Remember that changes in your sensation and strength may put you at risk for burns and cuts.
Sometimes pain does not go away with medications or other treatments. Pain that lasts many weeks or months is called long-term or chronic pain. After a spinal cord injury, this kind of pain is often caused by damage to your nerves or spinal cord. When your spinal cord does not heal very well, this pain can last for months or even years. This handout will teach some helpful tips for coping with chronic pain.
Fibre and fluid intake is essential to keep your bowels moving effectively after a spinal cord injury. This resource provides information about managing your diet for optimal bowel function. This handout was created by health care professionals at the Lyndhurst Centre, home of University Health Network's Spinal Cord Injury Rehabilitation Program in Toronto, ON.
This is a handout explaining that Duloxetine is a medication that works by increasing the brain levels of two chemical messengers, norepinephrine and serotonin, that help to lessen the intensity of incoming pain signals. It is used to treat pain from damaged nerves, fibromyalgia, chronic low back pain, and knee pain due to osteoarthritis. Duloxetine is also used to treat depression and anxiety.
This is a handout explaining what an epidural steroid injection (ESI) is and why is it performed?
This is a handout to explain that a facet join injection can be used to help diagnose the cause and location of pain or to treat pain related to facet joint dysfunction. Facet joint injections can be performed in the neck (cervical), upper back (thoracic), or lower back (lumbar). The exact location at which the procedure is performed at depends on where your pain is coming from. It involves the administration of a local anesthetic (when done as a diagnostic procedure) or a mixture of local anesthetic and an anti-inflammatory medication known as a steroid (when done for treatment purposes).
Spinal cord injuries can affect your strength and your reaction speed. If you are able to walk after your injury, you can be at higher risk of falling. Certain things can be done to prevent falls. Knowing what to do when you have a fall can help you stay safe and get help quickly.