The Spinal Manual

The Spinal Manual has been developed in partnership with staff from the The Queen Elizabeth National Spinal Injuries Unit to help those coming to terms with a spinal injury with common problems. If you have questions regarding the Spinal Manual it is best to address them to members of staff at the The Queen Elizabeth National Spinal Injuries Unit.

Full Spinal Manual (Right click “Save link as..” to download)

The Spinal Unit, Anatomy of the Spinal Cord, Psychological Adjustment, Phone Numbers

This booklet is to give you and your family some key information about your rehabilitation after spinal injury.
Introduction to the Queen Elizabeth National Spinal Injuries Unit
The spinal cord is that part of your central nervous system that transmits messages from the brain to the muscles of the body.
Anatomy of the Spinal Cord Injury
Spinal Cord Injury has far reaching consequences. There are many adjustments to adapt to life after injury, both physically and psychologically.
Psychological adjustment after SCI
Phone numbers for departments of the The Queen Elizabeth National Spinal Injuries Unit.
Contact Telephone Numbers
Physical aspects of spinal injury
Pressure area care means looking after your skin to prevent it from breaking down (also known as pressure ulcer or pressure sore).

Skin Care after your SCI

When you have a spinal cord injury it can cause changes in the way your bladder works.
Managing your bladder
Spinal Cord Injury (SCI) affects to varying degrees the mechanics and sensations of sex and sexuality.

Sexuality after your SCI

Spinal Cord Injury physical complications
Autonomic dysreflexia is one of the most serious life-threatening complications of a spinal cord injury.
Autonomic Dysreflexia
Neurogenic pain (‘neuropathic pain’) is caused by abnormal communication between the nerves that were damaged by your spinal cord injury and the brain.
Neurogenic Pain
Life outside the Unit after a SCI
Discharge Planning starts almost immediately. The consultant sets a provisional discharge date after admission to the Spinal Unit.
Discharge Planning
Your occupational therapist (OT) will be able to help with any concerns you have accessing your home.
If, at the time of your injury you are employed or still in education, your occupational therapist will discuss the possibility of returning to either one of these.
Education and Employment
This is something that people do not think about a great deal but if you do not look after your wheelchair there is a chance it could break and possibly leave you stranded.
Wheelchair Maintenance
The spinal injury clinic at the Southern General University Hospital provides regular lifelong follow-up care following your spinal cord injury.
Out patient clinic
The Spinal Nurse Specialists provide life long follow up, care, support and advice to all patients who go home from the Spinal Unit who have suffered a spinal cord injury with some degree of spinal cord damage.
Role of the Spinal Nurse Specialists
Driving, Transport & a Glossary
For many people, using transport or being able to drive after a spinal cord injury can be a daunting thought. However, the freedom of a car is more of an essential than a luxury for most wheelchair users.
Information about Driving