Circulatory Problems in Paraplegia Patients: How Physio360 Ensures Optimal Vascular Health.

INTRODUCTION;

Paraplegia, a condition resulting from spinal cord injury or disease, leads to partial or complete paralysis of the lower half of the body. While mobility challenges are the most visible outcome, hidden circulatory problems pose serious health risks in paraplegic patients. At Physio360, we understand that vascular complications demand timely attention and physiotherapy intervention to prevent life-threatening outcomes like blood clots, pressure sores, and deep vein thrombosis (DVT).

Understanding Circulatory Issues in Paraplegia.

Due to limited or absent muscle activity in the lower limbs, venous return to the heart is significantly reduced in paraplegic individuals. This stagnation of blood flow increases the risk of:

• Deep Vein Thrombosis (DVT)

• Oedema or Swelling in Lower Limbs

• Pressure Ulcers due to Reduced Perfusion

• Autonomic Dysreflexia (especially in injuries above T6)

• Poor Thermoregulation and Cold Extremities

  
  

Common Signs of Poor Circulation in Paraplegic Patients

Patients and caregivers should be vigilant for:

• Swelling in the feet, ankles, or legs

• Discolouration (blue or purple feet)

• Coldness in limbs

• Pain or heaviness (if sensation is partially intact)

• Formation of sores or ulcers that heal slowly

  
  

What Causes Circulatory Problems in Paraplegia?

• Lack of Muscle Pump Activity: The calf muscles help pump blood back to the heart; their inactivity leads to pooling.

• Prolonged Immobility: Long hours in a wheelchair or bed elevate DVT risk.

• Nerve Damage: Autonomic nerves that control blood vessels may be impaired.

• Infection or Injury: Poor healing responses due to compromised circulation.

  
  

How Physio360 in Chennai Helps Manage Circulatory Problems in Paraplegia

At Physio360, we take a multidisciplinary approach to improve and maintain healthy blood flow in paraplegic patients. Here's how:

✅ 1. Positioning and Regular Repositioning

• Teaching patients and caregivers how to change positions every 2 hours.

• Use of pressure-relieving cushions and mattresses.

  
  

✅ 2. Passive and Active-Assisted Range of Motion Exercises

• Performed daily by our trained physiotherapists to simulate the muscle pump effect.

• Prevents contractures, stiffness, and enhances circulation.

  
  

✅ 3. Compression Therapy

• Graduated compression stockings are recommended to improve venous return and prevent oedema.

• Physio360 ensures proper fitting and education for usage.

  
  

✅ 4. Electrical Muscle Stimulation (EMS)

• EMS devices are used to stimulate paralysed muscles, mimicking natural contractions.

• A proven tool to improve local circulation and muscle tone.

  
  

✅ 5. Cardiovascular Conditioning

• Arm ergometry and breathing exercises are integrated to improve overall cardiovascular health.

• Tailored programs for spinal cord injury patients by Physio360 rehabilitation specialists.

  
  

✅ 6. Education on Early Warning Signs

• At Physio360, patients and families are trained to identify signs of DVT or circulatory compromise.

• Immediate referral is ensured in case of emergency signs.

  
  

Risk of DVT in Paraplegia – A Silent Threat

Deep Vein Thrombosis (DVT) is one of the most dangerous complications. Without muscle contraction, blood may clot in deep veins, potentially travelling to the lungs (pulmonary embolism), which is life-threatening.

Prevention at Physio360 includes:

• Use of anticoagulant therapy under medical supervision

• Mechanical compression devices

• Encouraging early mobilisation as part of neuro-rehabilitation

  
  

Holistic Rehabilitation at Physio360.

Paraplegia isn’t just about immobility; it’s about living a functional, healthy life with the right care. At Physio360, our neuro-rehabilitation program combines:

• Manual therapy

• Functional electrical stimulation

• Wheelchair skill training

• Psychological counseling

• Occupational therapy for ADLs

We ensure that vascular health is an integral part of recovery, reducing long-term complications and improving quality of life.

Why Choose Physio360 for Paraplegia Rehabilitation?

✔ Advanced physiotherapy equipment

✔ Home visit options for bedridden patients

✔ Individualised treatment plans

✔ Professional team of neuro-physiotherapists

✔ Centrally located in Chennai with easy accessibility

Take Charge of Your Circulatory Health Today

If you or your loved one is managing paraplegia, don’t ignore circulatory health. Early physiotherapy can prevent irreversible damage.

Book your assessment now at Physio360 in Chennai.Empowering movement. Enhancing lives.

REFERENCE AND RESEARCH ARTICLE.

1.Cardiovascular dysfunction following spinal cord injuryhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4810964/.

2.A systematic review of cardiovascular risk factors in patients with traumatic spinal cord injuryhttps://pubmed.ncbi.nlm.nih.gov/34852665/.