Treatment of Post-SCI Pain

Mr. Rajah consults with you at 1 year post injury, after trying a number of over the counter pain medications such as acetaminophen and ibuprofen for this pain, and a series of complementary/alternative medicine supplements. He wants to know what treatments are available for post- SCI pain.
List all the different treatments available to manage pain post SCI.
Answer (See figure 9 for post SCI pain treatments)
1. Non-Pharmacological Management
Massage and Heat
Acupuncture and TENS
Exercises for Post-SCI pain
Exercises for Shoulder Pain
Cognitive Behavioural Therapy
Visual Imagery
Hypnotic Suggestions
Transcranial Electrical Stimulation
Static Magnetic Field Therapy
Transcutaneous Electrical Nerve Stimulation
Transcranial Magnetic Stimulation
Pain Management Program
2.  Pharmacological Management
Antidepressants – Tricyclics SNRIs
Anaesthetic Medications
3. Surgical Interventions
Spinal Cord Stimulation
Destructive Neurosurgical Procedure
Dorsal Rhizotomy
Lateral Spinothalamic Tractotoms
Spinal Cordotomy


Figure 9. Treatments available to manage pain post SCI.