Spinal cord injury (SCI) is a mortal condition and it has been recognised as such since antiquity. In about 2500 BC, in the Edwin Smith papyrus, an unknown Egyptian physician gave prognosis for a SCI: ‘an ailment not to be treated’. That view was sustained until the early years of the 20th century. In World War I 90% of patients who suffered a SCI died within one year of the injury’s occurrence. Only 1% survived more than 20 years. Although a change of vision appeared, in the 1960s the mortality rate was still rather high: 35%. Luckily, nowadays, the better understanding and management of spinal cord injury have led to a reduction in mortality and a higher incidence of incomplete spinal cord damage in those who survive.
- Around 1,000 people sustain a SCI each year in the UK and Ireland.
- About 80% of those living with a spinal cord injury are male.
- 50,000 people live with paralysis in the UK and Ireland.
- The cost to the nation is estimated at £1 billion per annum.
Spinal Cord Injury Causes.
A spinal cord injury (SCI) is damage or trauma to the spinal cord which results in a loss or impaired function causing reduced mobility or feeling. Typically the damage is caused by a trauma or a disease.
A loss of function may occur even without severance of the spinal cord. Frequently, the spinal cord remains intact, but the cellular damage to it results in loss of functioning. Typically, a SCI affects the chest and legs and may result in paraplegia. The effects may vary depending on the type and level of the injury:
- Complete injury: diagnosed where there is no function below the level of the injury; no sensation and no voluntary movement; and it affects equally both sides of the body;
- Incomplete injury: there is some functioning below the primary level of the injury. You may be able to move one limb more than another, may be able to feel parts of the body that cannot be moved, or may have more functioning on one side of the body that the other.
A paralysis may be:
- Paraplegia: loss of movement and sensation of the lower part of the body. Usually, both legs and internal organs below the level of injury would be affected;
- Tetraplegia (aka Quadriplegia): both legs and arms are affected.
The spinal cord is a collection of nerves that spreads from the bottom of the brain down the back. 31 pairs of nerves connect the spinal cord to your arms, legs, chest and abdomen. Thus, your brain is allowed to command your muscles and control the movement of your limbs. These nerves also control the function of your organs including your heart, lungs, bowels and bladder. Furthermore, nerves run from your limbs back to the spinal cord transmitting information to the brain in relation to touch, pain, temperature and position. The spinal cord is situated in the spinal canal which is surrounded by bones in your neck and back (vertebrae), which constitute the back bone. The vertebrae’s function is to protect the spinal cord from injury.
The spinal cord may be divided in four major sections: Cervical, Thoracic, Lumbar and Sacral.
A C6 injury would result in tetraplegia: partial paralysis of hands and arms as well as lower body.
A T4 injury would result in paraplegia: paralysis below the chest.
A L1 Injury would result in paraplegia: paralysis below the waist.
TREATMENT OF SCI
Although a SCI is not as common as a lot of other injuries, its physical and psychological consequences are devastating. Very few people experience full recovery following a spinal cord injury. A substantial proportion of SCIs result in neurologically complete and tetraplegic deficits. Lifetime costs of managing SCI and related secondary conditions are astounding and pose a significant burden on individuals with spinal cord injury, their families, and society.
To begin treating a SCI the spine must be restrained and inflammation controlled. Thus, further damage is prevented. The treatment itself varies depending on the specifics of the injury.
A lot of cases of SCI are treated with surgery. A surgery’s aims are:
- To relieve pressure on the spinal cord: this could involve removing parts of the broken vertebrae which are compressing the spinal cord. In cases where the spinal cord is being compressed by tumour, infection or severe arthritis, a surgery is performed to diminish the extent of compression.
- To stabilize the spine: if the vertebrae are weakened from fracture, tumor or infection, they may not be capable of supporting the normal weight from the body and protecting the spinal cord. A combination of meta screws, rods and plates may be necessary to aid in holding the vertebrae together and stabilize them until the bones heal.
The effects of a spinal cord injury may vary greatly depending on the level of the injury. Initially, a diagnosis of the level of the injury may be given by the medical professionals, although, this may change slightly in the first few weeks as the trauma settles. Furthermore, recovery, rehabilitation and aging differ from individual to individual.
There are a number of possible complications in relation to a SCI. These may require specific treatment and include:
- Pressure sores and blood clots: pressure and discomfort cannot be felt in the paralysed areas of the body. Therefore, the person is unable to relieve this themselves. Consequently, the blood supply to the skin decreases and pressure sores/ulcers may occur. To prevent this, the patient must be repositioned by nursing staff every two or three hours. Furthermore, physiotherapy should be carried out on the paralysed limbs in order to prevent the joints from becoming stiff or deformed.
- Bowel incontinence (inability to control bowel movements): bowel sensation is lost, along with the ability to empty it. This will initially be carried out with the assistance of the nursing staff. Long term bowel management will be taught during rehabilitation.
- Chronic pain: phantom pain may be experienced at the level or just below the level of injury.
- Infections in the lungs (pneumonia);
- Muscle spasms: involuntary, uncontrolled movements, actions or contractions may be experienced by people with a level of injury T12 or above within the first few months following a SCI. These muscle contractions may help strengthen and grow the muscles thus enabling them to cause resistance when being moved. Spasms may be controlled by medication.
- Urinary tract infections or urinary incontinence (inability to control the flow of urine): bladder sensation is lost, along with the ability to empty it. This will initially be carried out with the assistance of the nursing staff. Long term bladder management will be taught during rehabilitation.
- Low blood pressure: it is typical and may cause dizziness when getting out of bed into a wheelchair.
- Loss of temperature regulation: the body’s system for temperature regulation may be affected in the following ways:
- In cold weather, the body’s inability to shiver prevents it from regaining temperature naturally and may result in hypothermia (reduction in body temperature);
- In hot weather, the body’s inability to sweat below the level of injury results in it overheating (hyperthermia).
- Autonomic Dysreflexia (AD): a sudden and potentially fatal surge of blood pressure which is typically caused by acute pain or a harmful trigger. This may affect people with a T6 injury or a higher level spinal cord injury. This triggers hypertension (very high blood pressure) and may lead to a stroke and even death. An AD should always be treated as an emergency! Symptoms of an AD include pulsating headache, rosy skin and extreme sweating. These symptoms should subside as soon as the stimulus is removed.
- Sexual dysfunction: men may not be able to get an erection. Although this ability may partly return within a few months, this is typically only possible in the level of injury is at T12 or above. Women may not have their periods for a while, although they will normally reoccur and stabilise within a few months. Loss of vaginal sensation and lubrication is also possible.
Where you were treated following your SCI has a considerable effect on your health and your perception of health.
Typically, a SCI requires substantial physical therapy and rehabilitation, especially if your injury interferes with your day-to-day activities.
Rehabilitation is the process of teaching you to live with your disability in your own environment. This learning experience is a dynamic process which starts at the moment of injury and continues for the rest of your life. Learning to live with a disability may be a lengthy and often frustrating process.
We fully appreciate the importance of rehabilitation and on-going physiotherapy for you or your loved one. The main purpose of rehabilitation is prevention of secondary complications, maximisation of physical functioning, and reintegration into the community. We work with SCI medical experts to ensure correct levels of rehabilitation are undertaken. A rehabilitation programme is most effective when it encompasses multiple disciplines performed by a team of a number of specialists such as: physical therapists, occupational therapists, rehabilitation nurses, psychologists, speech-language pathologists, and case managers. Such a programme covers all aspects of your new needs including personal care, bladder and bowel management, wound care, hydrotherapy, psychological counselling, teaching activities of daily living and treadmill therapy. We will ensure that you are able to play an active part in making informed decisions regarding all aspects of your rehabilitation.
The emotional impact of a spinal cord injury on an individual may vary. People typically experience a range of emotions such as: frustration, anger, guilt, depression, self-doubt, loss of self-worth and confidence. These are only natural reactions to a life-changing injury. You may find it helpful to talk to someone such as another person with a SCI, a medical professional or a legal SCI specialist.
You will probably spend between four and nine months in the hospital. Typically, at least initially, you will be very dependent on others. The main nursing objectives in providing care for people with SCI include:
- Identifying problems and preventing deterioration;
- Preventing secondary complications;
- Facilitating maximal functional recovery;
- Supporting you and your family in learning to adjust to the your changed physical status;
- Awareness of the effect of the injury on your perception of self-worth;
- Empowering you;
- Educating you to take control of your life.
Physiotherapy assessment and treatment should be carried out as soon as possible after your injury. Care of the chest and paralysed limbs is of crucial importance during the early acute stage. A physiotherapy programme may involve the following:
- Respiratory management: you should receive prophylactic chest treatment which may include deep breathing exercises, percussion and coughing, assisted if necessary.
- Passive movements: all paralysed limbs should be moved passively every day to maintain a full range of movement.
- Mobilisation into a wheelchair: relief of pressure at some regions is essential to prevent the development of pressure sores.
- Physical rehabilitation therapy:
- Familiarity with the wheelchair;
- Relearning the ability to balance;
- Strengthening non-paralysed muscles;
- Learning to transfer from wheelchair to bed, toilet, bath, floor, easy chair, and car;
- Learning advanced wheelchair skills;
- Regular standing in order to help preventing contractures, reducing spasticity, and minimising osteoporosis.
- Recreational activities encourage balance, strength, and fitness, and may help with your reintegration into society.
Occupational therapy aims to assist you in reaching the maximum level of functional physical and psychological independence possible. This will depend on the extent of your impairment, your home, personal, and social situation. An occupational therapist’s goal is to help you in overcoming your difficulties. This may often be done by using alternative methods and equipment to assist you with personal care, domestic tasks, and communication. Moreover, your occupational therapist will be able to advise you on home modifications, mobility including wheelchairs, driving and transport, returning to your employment or education, and the pursuit of leisure activities and hobbies.
HOW DOES A SCI AFFECT YOU?
A spinal injury suffered by you or a loved one will have severe consequences on your whole life. Previously routine tasks in your day-to-day life turn out to be extremely difficult and sometimes even impossible. Suffering a spinal injury has a tremendous effect on all aspects of the life of the victim and their family. This affects not only your social life, employment, education, family life and relationships, but, moreover, even previously routine tasks such as showering, eating, going to the toilet, going to the shop. Receiving the necessary help and support in order to adapt your life to the new circumstances may be extremely costly which only increases the stress one suffers from the injury by adding financial hardship to the list of hurdles to overcome.
EXPERT LEGAL REPRESENTATION:
Spinal injury cases are usually extremely complex. Thus, they require a particular expertise and experience from the solicitors who undertake such claims. Compensation Solicitors Online is a well-established specialist in the area of SCI claims and our professionals are fully equipped to lead you all the way to the compensation which you deserve in this difficult time of your life. Furthermore, we understand that you need more than just money: we will advise you and support you all the way through your claim.
We can simplify the complexity of making a spinal injury claim and summarise it in three steps:
ESTABLISHING LIABILITY (WHO WAS RESPONSIBLE FOR THE ACCIDENT):
The first step is to show who was at fault for the accident to take place and to what degree. This is not necessarily straightforward and sometimes contributory negligence may be found (the victim has contributed to some extent to the harm that s/he has suffered). However, this concept only plays a role in calculating the compensation value and does not affect the establishing of liability.
SHOWING CAUSATION (SHOWING THAT THE ACCIDENT CAUSED THE SPINAL INJURY):
Once a degree of liability has been established, it must be demonstrated that the resulting SCI has been caused by the accident, and not by a previous medical condition or another accident, for example.
CALCULATING THE QUANTUM (ESTABLISHING THE APPROPRIATE AMOUNT OF COMPENSATION):
The compensation in such cases will have the purpose of attempting to put the claimant in the position s/he has been in before the accident. It is our specialist solicitors’ job to liaise with medical and other experts in order to prepare a Schedule of Loss, setting out the solutions and costs to all problems which the claimant has or may have in the future, as a result of the accident.
Our expert solicitors have experience in achieving the best results in all the three steps of the process, thus ensuring that you get the best compensation which you deserve.
It is our priority to ensure that you get the right medical/rehabilitative treatment, as well as expert advice on nursing care and disability aids as quickly as possible. This can make a real difference in your life.
It is our goal to obtain interim payments during your claim to cover the cost of early private rehabilitation and support services. Early rehabilitation may make a crucial difference in your long term recovery. These payments can help cover costs such as rehabilitation, specialist equipment and medical treatment. Such payments may only be awarded if liability is accepted by the defendant. Therefore, it is essential that you have our expert team on your side to prove liability by the defendant as early as possible in order for interim payments to be arranged and your immediate care needs to be met.
There are a variety of funding options open to you. We will discuss these options with you in more detail and where appropriate represent you on a no win no fee basis (also known as a Conditional Fee Agreement).
A spinal injury claim can take years rather than months to finalise. The specialist solicitors from Compensation Solicitors Online always aim to establish a balance between the need to allow time for medical experts to examine and evaluate the full extent of the injury, and the client’s interest of concluding the claim and moving on with their life.
Generally, personal injury claims have a three year time limit i.e. court proceedings have to be issued at least one day before the third anniversary of the accident , otherwise they will be time barred and you will no longer be able to pursue your claim. (There are a few exceptions to this rule and the court does have some very limited discretion to extend the various time limits). You can still pursue a claim for personal injury after the third anniversary of the accident, you just have to make sure court proceedings have been issued before that third anniversary in order to do so. We will be happy to discuss this further with you.
If you are a minor at the time of the accident, i.e. under 18 then the 3 year limitation date period starts to run after you have turned 18. Furthermore, there also a complicated set of rules that allows the 3 years limitation date period to run from the date of knowledge of the incident/accident. These rules normally apply to clinical/medical negligence cases or industrial disease claims, where they may be a long latency period between the incident giving rise to your claim and you first suffering any symptoms and becoming aware of it. The rules on this are technical and we will, once again, be happy to discuss this in detail with you.
There are two parts to any compensation claim, consisting of two types of damages:
General damages are calculated as a part of the compensation based on the type of injury and are designed to compensate for pain and suffering and the impact on the claimant’s enjoyment of life.
Special damages are the more variable part of the compensation and depend on individual circumstances. The claimant may be able to recover:
- Expenses relating to the cost of living with any disability;
- Expenses to cover services provided by other people;
- Increased accommodation costs;
- Loss of earnings;
- Medical expenses;
- The cost of buying in care.
Establishing the level of special damages to be paid is a crucial part of a compensation claim. Compensation Solicitors Online have experience in compensation claims in cases of spinal injury.
MAKE A CLAIM
If you would like to speak directly to one of our team you can either call us on 0208 203 5031 or send us your enquiry and we will give you a call back to discuss your claim within 1 business day.
NHS Continuing Healthcare a source of statutory funding of personal care as a result of spinal cord injury.
Please read more about NHS Continuing Healthcare in our Care Home Fees Recovery section.
BENEFIT INFORMATION FOR PEOPLE WITH SCI
Since April 2013 there are some changes affecting people with spinal cord injury.
Personal Independence Payment (PIP): a non-means tested benefit for working age disabled people (aged between 16 and 64). PIP has been put in place to replace the Disability Living Allowance (DLA). This is a timetable for the replacement : https://www.gov.uk/government/publications/timetable-for-pip-replacing-dla. The PIP consists of two parts and awards will be made up of one or both of them:
- Daily living:
- Enhanced rate: £79.15
- Standard rate: £53.00
- Enhanced rate: £55.25
- Standard rate: £21.00
You can qualify for a PIP three months after your SCI. We can provide advice on how the introduction of PIP has affected your personal situation in cases where you already have been in receipt of a DLA, in respect to both the ways in which you can transfer from a DLA to a PIP, and the financial impact of the change.
Housing Benefit: since April 2003 new rules apply in relation to Housing Benefits, also known as the ‘Bedroom Tax’. Council or Housing Association tenants of working age who are in the receipt of housing benefit and renting a home having ‘spare’ bedrooms may have their housing benefit reduced. The new rules allow you to claim housing benefit for:
- One bedroom for a couple;
- One bedroom for a person aged 16 or over;
- One bedroom for two children aged under 16 of the same sex;
- One bedroom for two children aged under 10;
- One bedroom for any other child;
- One extra bedroom if a person or their partner needs an overnight carer to stay.
The following reductions apply:
- 14% off of the eligible rent for people with one bedroom more than the ‘bedroom tax’ rules allow;
- 25% off of the eligible rent for people with more than one bedroom on top of the ‘bedroom tax’ rules allowance.
As a result of the ‘bedroom tax’ rules people with spinal cord injuries will NOT be able to claim an extra room in the following circumstances:
- Couples who use separate bedrooms because of illness or disability;
- Disabled adults who require an extra room to store medical equipment.
Some disabled adults living in adapted or specially designed properties will have their housing benefit decreased. However, it will not be practical or affordable for them to move.
Discretionary Housing Payments: Grants awarded according to criteria set by local councils which provide people with financial assistance for housing costs. DHP may be applied for annually by people with SCI where their special circumstances or requirements of their disability or medical condition require them to have a room extra to the ‘bedroom tax’ limits (e.g. people living in adapted properties). DHP may be claimed to cover the part of the rent which is no longer covered by the housing benefits.
Council Tax Benefit: abolished in April 2013 and replaced by the Council Tax Reduction Scheme. Criteria and reduction amounts may differ from council to council.
Please, contact Compensation Solicitors Online today for full advice on your benefit options. We will help you make an informed decision and get the best available benefit help.
- Accessible planet: the complete guide to everything wheelchair accessible (http://www.theaccessibleplanet.com/).
- Airport car parking comparison website for FREE (http://www.parkat.co.uk/disabled/).
- Ann Conroy Medical Research Trust: the only organisation in the UK providing educational information about Syringomyelia (http://www.theannconroytrust.org.uk/).
- Association for Continence Advice: bladder and bowel care (http://www.aca.uk.com/).
- Association of Disabled Professionals: drawing on the expertise of disabled professionals to improve the educational and employment opportunities of disabled people (http://www.adp.org.uk/).
- Aspire: practical support (housing, independent living, assistive technology, grants, campaigning, sports development, care home research) for people with spinal cord injuries (http://www.aspire.org.uk/).
- Back Up: transforming lives after spinal cord injury through telephone support, mentoring, wheelchair skills training, courses (http://www.backuptrust.org.uk/home).
- Bladder and Bowel Foundation: for bladder and bowel problems (http://www.bladderandbowelfoundation.org/).
- British Association of Spinal Cord Injury Specialists: an association mainly of clinicians who are dedicated to holistic management of patients with a spinal cord injury. BASCIS works to improve the quality of care for Spinal Cord Injury patients and the training of doctors in the speciality (http://www.bascis.org.uk/).
- Brain &a Spine Foundation: helping people affected by brain and spine conditions by providing information, enabling you to contact a nurse, providing resources for young people and children,, organising fundraising events (http://www.brainandspine.org.uk/).
- British Pain Society: an alliance of professionals advancing the understanding and management of pain for the benefit of patients. BPS patient publications are free to download and aimed specifically at patients. (http://www.britishpainsociety.org/patient_publications.htm).
- Bruce Wake Charitable Trust: canal and river holidays for wheelchair users (http://www.brucewaketrust.co.uk/).
- Canine Partners: training assistance dogs for people with disabilities (http://www.caninepartners.org.uk/).
- Cauda Equina Syndrome Resource Centre (http://www.caudaequina.org/).
- Cauda Equina Syndrome Online Support Network: a secure place for people with Cauda Equina Syndrome to exchange information, opinions or just chat (http://www.caudaequinauk.com/welcome.php).
- Care and Support: NHS’s essential guide to social care (http://www.nhs.uk/carersdirect/Pages/CarersDirectHome.aspx).
- Counselling Directory (http://www.counselling-directory.org.uk/).
- Department for Work & Pensions (http://www.dwp.gov.uk/).
- Disabilitynet: online community for people with disabilities (http://www.disabilinet.com/).
- Disability Horizons: a positive, interesting and useful disability related magazine with articles and resources to helping disabled people achieve whatever they wish (http://www.disabilityhorizons.com/).
- Disabled Go: an award-winning disability organisation which produces online access guides in a great deal of detail to a huge range of venues (http://www.disabledgo.com/).
- DLF: a national charity providing impartial advice, information and training on independent living (http://www.dlf.org.uk/).
- Disabled Workers Co-operative: a registered charity which aims to raise the independence of disabled people by enabling them to take an active role in the economy and achieve a greater sense of self-worth and also to raise awareness of the contribution that disabled people can make to society (http://www.disabledworkers.org.uk/).
- Diseases Conditions: medical resource for all diseases and conditions information (http://www.diseasesconditions.com/).
- Disabled Gear: a free website for sale and purchase of second-hand disability equipment (http://disabledgear.com/).
- Employ a Personal Assistant (http://www.employ-a-pa.co.uk/home).
- English Federation of Disability Sport: the national body for disabled people in sport and physical activity throughout England (http://www.efds.co.uk/).
- Forum of Mobility Centres: a network of 17 independent organisations covering England, Scotland, Wales and Northern Ireland, who offer professional, high quality information, advice and assessment to individuals who have a medical condition or are recovering from an accident or injury which may affect their ability to drive, access or egress a motor vehicle (http://www.mobility-centres.org.uk/).
- FES Centre (http://www.salisburyfes.com/).
- GOV UK: government services and information (http://www.gov.uk/).
- Hypnotherapy Directory (http://www.hypnotherapy-directory.org.uk/).
- Inclusion Scotland: online Directory of Disability and Equality Groups and Prganisations (http://www.inclusionscotland.org/dir/).
- Inclusive Fitness Initiative: a network of 400 IFI Mark accredited gym facilities (http://www.efds.co.uk/inclusive_fitness).
- Inspire Foundation: funds research projects which are designed to lead to an improvement in the quality of life of people with SCI (http://www.inspire-foundation.org.uk/).
- International Spinal Cord Society (ISCoS): an international impartial, non-political and non-profit making association whose purpose is to study all problems relating to traumatic and non-traumatic lesions of the spinal cord (http://www.iscos.org.uk/).
- Life Coach Directory: allows you to search for a life coach or NLP practitioner near you (http://www.lifecoach-directory.org.uk/).
- DLF: clear, practical advice on daily living equipment (http://www.livingmadeeasy.org.uk/).
- MASCIP: association with prime objective to provide a national professional forum to promote standards in clinical practice, foster research and encourage the development of health and social care services for people with spinal cord injuries (http://www.mascip.co.uk/Home.aspx).
- Never Alone: a charity providing support site for all supporters and carers (http://www.neveralone.org.uk/).
- NHS Choices: information on conditions, treatments, local services and healthy living (http://www.nhs.uk/Pages/HomePage.aspx).
- Nutritionist Resource: a search directory allowing you to find a nutritionist near you (http://www.nutritionist-resource.org.uk/).
- PEI Council of People with Disabilities: dedicated to promoting the full participation and inclusion of people with disabilities in Island society (http://www.peicod.pe.ca/).
- Disability Rights UK: disabled people organisation which works to create a society where everyone with lived experience of disability or health conditions can participate equally as full citizens (http://disabilityrightsuk.org/).
- Royal Air Force Benevolent Fund: support for RAF personnel, past, present and future, their partners and children (http://www.rafbf.org/).
- Royal Air Force Disabled Holiday Trust: helping serving and ex-RAF people and their dependants with a severe holiday to take holidays in the UK and abroad (http://www.rafbf.org/2443/raf-disabled-holiday-trust.html).
- Rica: consumer research for older and disabled people (http://www.ricability.org.uk/index.aspx).
- Rough Riderz Downhill Club: devoted to both disabled and able-bodied off-road mountain bike riders who would like to participate in the UK’s newest downhill MTB scene (http://www.roughriderz.co.uk/).
- Spinal Cord Injury: new and emerging therapies: Icelandic Health Authorities and the World health Organisation (WHO) with the support of the Council of Europe have launched an international effort to accumulate information on various therapies and procedures that have the potential to restore function in people who have sustained a spinal cord injury (http://www.sci-therapies.info/).
- Shaw Trust: support for disabled and disadvantaged people towards employment through either Work Choice or the Work Programme in preparing for work, employment and managing disability (http://www.shaw-trust.org.uk/).
- Simon Paul Foundation: charity providing up-to-date information and expert advice both to individuals who have newly acquired disabilities after hospitalisation and need help with rehabilitation and also to those who need to maintain their independence in the community (http://www.simonpaulfoundation.co.uk/).
- Shropshire Disability Network: the place for disability information in Shropshire (http://shropshire-disability.net/).
- Southern Spinal Injuries Trust: a regional charity set up to support the Duke of Cornwall Spinal Treatment Centre and people with spinal cord injury in the South and South West of England (http://www.ssit.org.uk/).
- Spinal Cord Injuries Australia: support for people with disabilities (http://scia.org.au/).
- Spinal Cord Tumour Forum: a website for people in the UK who have had, or whose lives have been affected by, benign spinal cord tumours (http://www.spinalcordtumour.org.uk/index.php?option=com_content&view=frontpage&Itemid=4).
- Spinal Injuries Association (SIA): the leading national charity for spinal cord injured people (http://www.spinal.co.uk/index.php).
- Spinal Injuries Scotland: the national voluntary organisation concerned with new and long-temr spinal cord injured people, their relatives and friends, along with those involved in the management, care and rehabilitation of the injury (http://www.sisonline.org/).
- Spinal Injury Northern Ireland (Sp.I.N.I.): a new and exciting charity which specialises in ‘post hospitalisation’ rehabilitation for all ages (http://www.spini.co.uk/).
- Spinal Research: the UK’s leading charity funding medical research around the world to develop reliable treatments for paralysis caused by a broken back or neck (http://www.spinal-research.org/).
- Spinal Unit Action Group (SUAG): a UK based charitable organisation working for past and present patients of the North West Regional Spinal Injuries Centre based in Southport (http://www.suag.co.uk/).
- Sportability: a registered charity which provides sport and challenging pursuits for people with paralysis around the UK (http://www.sportability.org.uk/).
- Tees Wheelyboats Club: wheelyboats that have been specially designed with a bow door that is hinged and lowers to forma ramp enabling ‘roll-on, roll-off’ access, to accommodate disabled people and wheelchair users in particular, easily and safely (http://www.tees-wheelyboats.org.uk/).
- Spinal Cord Injury Zone: not-for-profit Spinal Cord Injury educational Knowledge Base (http://www.thescizone.com/).
- Therapy Directory: database helping you to find a professional therapist near you (http://www.therapy-directory.org.uk/).
- Tourism for All: a national charity dedicated to making tourism welcoming to all: the UK voice for accessible tourism (https://www.tourismforall.org.uk/).
- Transhouse: a registered charity for people with spinal cord injuries providing short-term accommodation and advocacy support for their clients, while helping them to find and adapt suitable long-term accommodation in their chosen area (http://transhouse.info/wp/).
- Transverse Myelitis (TM) Society: a small UK based charity with over 1,000 members whose main aim is to offer support to those who may have, or know someone with, Transverse Myelitis and its associated conditions such as ADEM, Neuro Myelitis Optica (NMO) and others (http://www.myelitis.org.uk/).
- UK Spinal Cord Injury Research Network: promotes and organises multi-centre clinical research with spinal cord injured people to improve their health care and well being (http://www.spinalresearchnetwork.org/).
- Wheel Power: support for people in wheelchairs wishing to take part in competitive sport (http://www.wheelpower.org.uk/WPower/).
- Wheelyboat Trust: a registered charity dedicated to providing disabled people with the opportunity and freedom to enjoy waters large and small all over the UK. Their role is to help encourage venues open to the public to acquire Wheelyboats for their disabled visitors and to help groups and organisations acquire Wheelyboats for their own use (http://www.wheelyboats.org/).