Studies upon Spinal Cord Injuries

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Abstract
471 patients with spinal cord injuries were observed. They exhibited 3 types of pain: root; visceral; and a diffuse, poorly localized, burning, or tingling variety. Mechanism and treatment of the first 2 are well understood; the 3d, not following the pattern of any peripheral nerve or dermatome, was not relieved bv nerve blocks or cordotomy. Widespread entry into the cord via autonomic afferents may be responsible. Over 90% of the patients complained of the 3d type of pain at some time; in all but 126, however, it disappeared or was minimized without specific treatment.

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