Transwersalne zapalenie rdzenia
Charakterystyka, pielęgnacja i opieka

Transwersalne zapalenie rdzenia (TZR) to rzadkie, zapalne schorzenie rdzenia kręgowego prowadzące do demielinizacji i bliznowacenia, skutkujące zaburzeniami neurologicznymi takimi jak osłabienie mięśni, zaburzenia czuciowe oraz dysfunkcje pęcherza i jelit. Etiologia obejmuje stany zapalne, infekcje i udary rdzenia, a w niektórych przypadkach TZR może być wczesnym objawem stwardnienia rozsianego. Diagnostyka i opieka kliniczna wymagają szczegółowej oceny neurologicznej i funkcjonalnej, a leczenie opiera się na szybkim wdrożeniu dożylnych glikokortykosteroidów, plazmaferezy lub immunoglobulin dożylnych (IVIG) w celu zahamowania procesu zapalnego. W przypadkach przewlekłych stosuje się leki immunomodulujące, takie jak cyklofosfamid, mykofenolan, rytuksymab czy azatiopryna. Rehabilitacja, obejmująca fizjoterapię i terapię zajęciową, jest kluczowa dla poprawy funkcji motorycznych, kontroli pęcherza i jelit oraz jakości życia pacjenta.

Transwersalne zapalenie rdzenia – definicja i patofizjologia

Transwersalne zapalenie rdzenia (TZR) to rzadkie zaburzenie neurologiczne charakteryzujące się stanem zapalnym rdzenia kręgowego. Stan zapalny prowadzi do uszkodzenia mieliny – osłonki otaczającej włókna nerwowe, co skutkuje bliznowaceniem rdzenia kręgowego i blokowaniem impulsów nerwowych. W konsekwencji pacjenci doświadczają różnorodnych objawów neurologicznych, w tym osłabienia mięśni, zaburzeń czuciowych oraz dysfunkcji pęcherza i jelit.12

Najczęstszymi przyczynami TZR są stany zapalne, infekcje oraz udary rdzenia kręgowego, choć w wielu przypadkach przyczyna pozostaje nieustalona. W niektórych przypadkach TZR może być wczesnym objawem stwardnienia rozsianego, choć zdarza się to stosunkowo rzadko.34

Diagnostyka i ocena kliniczna w opiece pielęgniarskiej

W opiece nad pacjentem z TZR kluczową rolę odgrywa dokładna ocena stanu klinicznego. Objawy mogą się znacznie różnić w zależności od tego, która część rdzenia kręgowego została dotknięta chorobą. Najczęstsze objawy obejmują: drętwienie kończyn, osłabienie nóg lub rąk, utratę kontroli nad pęcherzem i jelitami, niezdolność do chodzenia oraz zaburzenia równowagi.5

W zależności od nasilenia objawów pacjenci mogą wymagać hospitalizacji szczególnie w ostrej fazie choroby. Personel pielęgniarski powinien dokonać kompleksowej oceny funkcjonalnej, aby określić, jak zmaksymalizować funkcje i jakość życia pacjenta.6

Diagnozy i interwencje pielęgniarskie w transwersalnym zapaleniu rdzenia

Opieka pielęgniarska nad pacjentem z TZR koncentruje się na postępowaniu wspierającym, zapobieganiu powikłaniom oraz wspomaganiu rehabilitacji. Poniżej przedstawiono kluczowe diagnozy pielęgniarskie i odpowiadające im interwencje:7

Zaburzona mobilność fizyczna (związana z osłabieniem/spastycznością mięśni)

  • Asystowanie w terapii fizycznej – współpraca z fizjoterapeutą w celu poprawy mobilności8
  • Zapewnienie pomocy do poruszania się, takich jak balkoniki, laski czy wózki inwalidzkie9
  • Zapobieganie przykurczom poprzez wykonywanie ćwiczeń biernych w pełnym zakresie ruchu10
  • Wdrażanie odpowiedniego programu wzmacniającego mięśnie i kondycjonującego układ krążenia11

Ryzyko uszkodzenia skóry (związane z unieruchomieniem i odleżynami)

  • Zmiana pozycji pacjenta co 2 godziny12
  • Stosowanie materacy przeciwodleżynowych i poduszek odciążających1314
  • Utrzymywanie skóry suchej i nawilżonej15
  • Codzienna kontrola skóry, szczególnie w miejscach narażonych na ucisk16
  • Zapewnienie zbilansowanej diety wspomagającej regenerację tkanek17

Zaburzenia funkcji pęcherza i jelit

Zatrzymanie/nietrzymanie moczu:

  • Pomoc przy cewnikowaniu i właściwa pielęgnacja cewnika18
  • Monitorowanie przyjmowanych płynów19
  • Nauka technik treningu pęcherza2021
  • Stosowanie odpowiednich leków w przypadku nadreaktywnego pęcherza22

Nietrzymanie stolca lub zaparcia:

  • Promowanie diety bogatej w błonnik i odpowiedniego nawodnienia23
  • Wspomaganie treningu jelit24
  • W przypadku łagodnych i umiarkowanych zaparć – modyfikacja diety lub stosowanie leków przeczyszczających25

Ból przewlekły (związany z uszkodzeniem nerwów)

  • Podawanie przepisanych leków przeciwbólowych, w tym specyficznych leków na ból neuropatyczny2627
  • Stosowanie ciepłych okładów lub terapii TENS (przezskórna elektryczna stymulacja nerwów)28
  • Współpraca z fizjoterapeutą w zakresie ćwiczeń i poprawy pozycji siedzenia29

Ryzyko infekcji (związane z cewnikowaniem, lekami immunosupresyjnymi)

  • Przestrzeganie technik aseptycznych30
  • Monitorowanie objawów gorączki i oznak infekcji31
  • Właściwa pielęgnacja miejsca założenia cewnika32
  • Zwiększenie podaży płynów33

Leczenie i postępowanie farmakologiczne w opiece nad pacjentem z TZR

Chociaż nie istnieje skuteczne leczenie przyczynowe transwersalnego zapalenia rdzenia, dostępne są terapie mające na celu zapobieganie lub zmniejszanie trwałych problemów neurologicznych. Leczenie koncentruje się na łagodzeniu stanu zapalnego i/lub infekcji wywołującej objawy.34

Leczenie w ostrej fazie choroby

  • Glikokortykosteroidy dożylne – wysokie dawki steroidów stosowane są w celu zahamowania aktywności układu immunologicznego i zmniejszenia obrzęku oraz stanu zapalnego. Jest to leczenie pierwszego rzutu, które powinno być rozpoczęte jak najszybciej.353637
  • Plazmafereza (wymiana osocza) – metoda ta może być skuteczna w leczeniu ostrych demielinizacyjnych chorób układu nerwowego, które nie reagują na terapię glikokortykosteroidami.383940
  • Dożylne immunoglobuliny (IVIG) – składające się z białek krwi (przeciwciał), które pomagają w zwalczaniu infekcji.4142
  • Leki immunomodulujące – w przypadkach przewlekłego nawracającego TZR lub opornego ostrego TZR mogą być korzystne takie leki jak cyklofosfamid, mykofenolan, rytuksymab lub azatiopryna.4344

Leczenie objawowe

  • Leki przeciwbólowe – w tym niesteroidowe leki przeciwzapalne jak ibuprofen czy acetaminofen oraz specyficzne leki na ból neuropatyczny4546
  • Leki na dysfunkcję pęcherza i jelit – w zależności od specyficznych problemów, mogą być stosowane leki na nietrzymanie moczu lub problemy z wypróżnianiem4748
  • Leki na zaburzenia funkcji seksualnych – wspierające pacjentów z problemami w tej sferze49
  • Leki przeciwdepresyjne – mogą być zalecane w przypadku wystąpienia depresji związanej z chorobą50

Rehabilitacja i terapie w transwersalnym zapaleniu rdzenia

Rehabilitacja odgrywa kluczową rolę w leczeniu pacjentów z TZR. W zależności od rodzaju i nasilenia skutków choroby, pacjenci mogą potrzebować krótko- lub długoterminowej terapii fizycznej. W niektórych przypadkach konieczny może być specjalistyczny pobyt w ośrodku rehabilitacyjnym.51

Fizjoterapia

Fizjoterapia jest niezwykle ważnym elementem leczenia pacjentów z zaburzeniami ruchowymi w przebiegu TZR. Specjaliści pracują z pacjentem, aby:52

  • Utrzymać lub zwiększyć siłę mięśniową53
  • Poprawić koordynację54
  • Pomóc zyskać większą kontrolę nad funkcjami pęcherza i jelit55
  • Poprawić mobilność i naukę chodzenia56
  • Pomóc w doborze odpowiednich pomocy do poruszania się57

Terapia zajęciowa

Terapia zajęciowa pomaga pacjentom z TZR nauczyć się nowych sposobów niezależnego wykonywania codziennych czynności, takich jak:58

  • Kąpiel59
  • Ubieranie się60
  • Przygotowywanie posiłków61
  • Ocena potrzeb sprzętowych i dostosowanie otoczenia62

Wsparcie psychologiczne i emocjonalne

Pacjenci z TZR mogą doświadczać lęku, depresji i frustracji spowodowanych utratą mobilności i niezależności. Wsparcie psychologiczne jest istotnym elementem kompleksowej opieki:63

  • Poradnictwo i wsparcie zdrowia psychicznego pomagają radzić sobie z wyzwaniami emocjonalnymi6465
  • Grupy wsparcia umożliwiają pacjentom kontakt z innymi osobami zmagającymi się z podobnymi problemami66
  • Psychoterapia i leki przeciwdepresyjne mogą pomóc w radzeniu sobie z depresją, stresem i szerokim zakresem emocji6768
  • Terapia seksualna może pomóc parom radzić sobie z problemami w sferze intymnej69

Zapobieganie powikłaniom w transwersalnym zapaleniu rdzenia

Powikłania TZR mogą być poważne i zagrażające życiu. Strategie zapobiegawcze obejmują:70

Powikłanie Strategie zapobiegawcze
Odleżyny Regularna zmiana pozycji, ocena stanu skóry, materace przeciwodleżynowe
Zakrzepica żył głębokich (ZŻG) Pończochy uciskowe, leki przeciwzakrzepowe, ćwiczenia nóg
Zakażenia układu moczowego (ZUM) Właściwa pielęgnacja cewnika, zwiększone nawodnienie, trening pęcherza
Niewydolność oddechowa Ćwiczenia oddechowe, w razie potrzeby wentylacja mechaniczna
Ból przewlekły Wczesne leczenie bólu, fizjoterapia, poradnictwo psychologiczne

71

Opieka długoterminowa nad pacjentem z TZR

Po ostrej fazie choroby, opieka rehabilitacyjna mająca na celu poprawę umiejętności funkcjonalnych i zapobieganie wtórnym powikłaniom unieruchomienia obejmuje zarówno aspekty psychologiczne, jak i fizyczne.72

Edukacja rodziny i planowanie opieki

  • Podczas wczesnego okresu zdrowienia, edukacja rodziny jest niezbędna do opracowania strategicznego planu radzenia sobie z wyzwaniami związanymi z powrotem do społeczności73
  • Ocena domu przez doświadczonego specjalistę jest często pomocna w dostosowaniu środowiska74
  • Konsultacja z pracownikiem socjalnym może pomóc w zorganizowaniu odpowiedniego sprzętu medycznego w domu przed wypisem75

Multidyscyplinarny zespół opieki

Pacjenci z TZR wymagają kompleksowej opieki świadczonej przez zespół specjalistów, w tym:7677

  • Neurologów78
  • Specjalistów rehabilitacji medycznej79
  • Fizjoterapeutów i terapeutów zajęciowych80
  • Urologów – zajmujących się strategiami zarządzania objawami ze strony pęcherza i jelit81
  • Psychologów i psychiatrów – pracujących z pacjentami nad zarządzaniem emocjonalnymi i społecznymi skutkami TZR82
  • Pracowników socjalnych – pomagających w nawigowaniu nowych rutyn w domu i szkole83
  • Pielęgniarki kliniczne84
  • Dietetyków85

Koordynacja opieki

Zespół opieki nad pacjentem z TZR powinien ściśle współpracować, aby zapewnić kompleksową opiekę i płynne przejście między usługami. Istotne jest, aby wszyscy członkowie zespołu terapeutycznego regularnie komunikowali się ze sobą, co pozwala pacjentom otrzymywać niezbędne leczenie i opiekę.8687

W niektórych ośrodkach medycznych funkcjonują specjalistyczne kliniki zajmujące się leczeniem TZR, oferujące kompleksową, skoordynowaną opiekę w jednym miejscu. Umożliwia to pacjentom konsultacje ze wszystkimi specjalistami zaangażowanymi w ich opiekę podczas jednej wizyty.8889

Rokowanie i powrót do zdrowia po transwersalnym zapaleniu rdzenia

Rokowanie dla pacjentów z TZR jest zróżnicowane. Większość poprawy następuje w ciągu 3 miesięcy od wystąpienia choroby, z dalszą poprawą możliwą w ciągu kolejnego roku. U 50-70% pacjentów dochodzi do częściowego lub całkowitego ustąpienia objawów.9091

Epizody TZR zwykle mają charakter jednofazowy (nienawaracający), jednak w niektórych przypadkach choroba może mieć charakter przewlekły, wymagający dodatkowej i ciągłej opieki w celu zmniejszenia prawdopodobieństwa przyszłych zaostrzeń.9293

Czynniki wskazujące na gorsze rokowanie obejmują:94

Wczesna, intensywna rehabilitacja ma kluczowe znaczenie dla poprawy funkcji neurologicznych i zwiększa szanse na lepszy powrót do zdrowia. Personel pielęgniarski odgrywa istotną rolę we wczesnym rozpoznawaniu komplikacji i zapewnianiu kompleksowej opieki, która może znacząco wpłynąć na długoterminowe wyniki leczenia.9596

Specjalistyczna opieka pielęgniarska w TZR

Pielęgniarki zajmujące się pacjentami z TZR muszą posiadać specjalistyczną wiedzę i umiejętności w zakresie opieki nad osobami z uszkodzeniem rdzenia kręgowego. Ich rola obejmuje:97

  • Bieżącą ocenę funkcjonalną i neurologiczną pacjenta
  • Monitorowanie efektów leczenia farmakologicznego i rehabilitacyjnego
  • Zapobieganie powikłaniom związanym z unieruchomieniem
  • Edukację pacjenta i rodziny
  • Koordynację opieki między różnymi specjalistami
  • Wsparcie psychologiczne i emocjonalne

Zespół zarządzania opieką w specjalistycznych ośrodkach leczenia TZR często składa się z pielęgniarek i pracowników socjalnych, którzy działają jako zasoby dla rodzin przez cały plan opieki, zapewniając ciągłość i kompleksowość działań terapeutycznych.98

Podsumowanie najlepszych praktyk w opiece pielęgniarskiej nad pacjentem z TZR

Skuteczna opieka pielęgniarska nad pacjentem z transwersalnym zapaleniem rdzenia wymaga holistycznego i zintegrowanego podejścia. Najlepsze praktyki obejmują:99

  • Wczesne rozpoznanie i rozpoczęcie leczenia przeciwzapalnego
  • Kompleksową ocenę funkcjonalną i neurologiczną
  • Zapobieganie powikłaniom poprzez regularną zmianę pozycji, kontrolę skóry, właściwą pielęgnację cewnika i odpowiednie zarządzanie bólem
  • Wczesne włączenie rehabilitacji, w tym fizjoterapii i terapii zajęciowej
  • Wsparcie psychospołeczne dla pacjenta i rodziny
  • Ciągłą edukację pacjenta dotyczącą samoopieki i zarządzania objawami
  • Koordynację opieki między różnymi specjalistami w celu zapewnienia kompleksowego leczenia

Personel pielęgniarski odgrywa kluczową rolę w zespole terapeutycznym, zapewniając holistyczną opiekę, która uwzględnia nie tylko fizyczne, ale także psychologiczne, społeczne i edukacyjne potrzeby pacjenta z TZR.100101

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  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Transverse Myelitis | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/transverse-myelitis
    Transverse myelitis is a neurological condition. It happens when the spinal cord becomes inflamed. This inflammation can damage myelin, the insulating material that covers your nerves. Loss of myelin often leads to spinal cord scarring that blocks nerve impulses and results in physical problems. […] No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. Some people might need to be hospitalized at first if the symptoms are bad enough. High doses of steroids are used to suppress the activity of the immune system and to decrease swelling and inflammation. Your healthcare provider may also recommend pain-relieving medicines like ibuprofen or acetaminophen, immune-suppressing medicines, and specific medicines that target nerve pain.
  • #2 Transverse myelitis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007766.htm
    Transverse myelitis is a condition caused by inflammation of the spinal cord. As a result, the covering (myelin sheath) around the nerve cells is damaged. This disturbs the signals between spinal nerves and rest of the body. […] Transverse myelitis can cause pain, muscle weakness, paralysis, and bladder or bowel problems. […] Treatment for transverse myelitis helps to: […] You may be given: […] Your provider may recommend: […] Counseling to help you cope with the stress and emotional issues from having transverse myelitis. […] The outlook for people with transverse myelitis varies. Most recovery occurs within 3 months after the condition occurs. […] Those who may have poor chance of recovery are: […] Ongoing health problems from transverse myelitis may include: […] Contact your provider if:
  • #3 Only 2 Clinics in the World for Transverse Myelitis, Until Now
    https://www.medscape.org/viewarticle/856037
    The most common causes of transverse myelitis are inflammation, infection, and stroke, although in many cases the cause is never determined. […] Symptoms can vary greatly, depending on which portions of the spinal cord are affected. The most common symptoms include numbness in the extremities, weakness of the legs or arms, loss of bladder and bowel control, inability to walk, and impaired balance.
  • #4 Transverse Myelitis
    https://healthlibrary.baycare.org/Library/DiseasesConditions/Adult/Infectious/134,24
    Transverse myelitis can also be a warning sign of multiple sclerosis. But this is rare. […] No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. […] Depending on the type and severity of the effects of transverse myelitis, you may need short- or long-term physical therapy. A period of specialized in-patient care in a rehabilitation facility may be necessary. […] If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions.
  • #5 Only 2 Clinics in the World for Transverse Myelitis, Until Now
    https://www.medscape.org/viewarticle/856037
    The most common causes of transverse myelitis are inflammation, infection, and stroke, although in many cases the cause is never determined. […] Symptoms can vary greatly, depending on which portions of the spinal cord are affected. The most common symptoms include numbness in the extremities, weakness of the legs or arms, loss of bladder and bowel control, inability to walk, and impaired balance.
  • #6 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    The care of patients with NTSCI requires functional assessment to determine how to maximise function and quality of life. Ideally, assessment and treatment should be provided at a specialist spinal rehabilitation centre. Patients in acute care settings who have been diagnosed with NTSCI should be referred to a specialist rehabilitation consultant for assessment. Referral to specialist centres can be made via the National Spinal Cord Injury Database. […] Nursing staff also need to give their attention to: […] Pressure-ulcer prevention; […] Bladder and bowel management; […] Pain management; […] Psychological wellbeing. […] Pressure ulcer prevention is a lifelong requirement and should start at the time of the start at the time the NTSCI occurs. Prevention strategies include: […] Daily skin inspection;
  • #7 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #8 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #9 Transverse myelitis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/transverse-myelitis/
    Transverse myelitis requires no treatment as it will improve on its own. […] Sometimes patients may require treatment for their symptoms, the swelling, or the underlying cause. […] Physiotherapy can help improve strength, and the muscle spasms and stiffness that may sometimes develop. […] If you have problems with mobility, your healthcare professional might suggest: an exercise programme supervised by a physiotherapist, mobility aids, such as a walking stick, or a wheelchair, home adaptations such as stair lifts or railings. […] Sometimes your neurologist might offer treatment with steroids. […] Medication might help if you have an overactive bladder or need to pee frequently during the night. […] If you find it difficult to empty your bladder, advice from a continence nurse or physiotherapist can help.
  • #10 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #11 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #12 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #13 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #14 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    Pressure-relieving techniques; […] Use of specialist equipment (mattresses, cushions); […] A well-balanced diet. […] Bladder dysfunction is a common side-effect of NTSCI and results in the loss of voluntary bladder control due to central neurological damage. If not managed effectively, this can lead to: […] Incontinence; […] Urinary tract infections (UTIs); […] High bladder pressure, which in turn can cause reflux and damage to the kidneys. […] The foremost objective of bladder management is to achieve sufficient emptying, and low-pressure urine storage and drainage. […] Adequate bowel management is key to reduce physical complications and psychological distress. Its goal is to establish a regular and predictable pattern of emptying so patients have some control over the evacuation of stools.
  • #15 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #16 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    The care of patients with NTSCI requires functional assessment to determine how to maximise function and quality of life. Ideally, assessment and treatment should be provided at a specialist spinal rehabilitation centre. Patients in acute care settings who have been diagnosed with NTSCI should be referred to a specialist rehabilitation consultant for assessment. Referral to specialist centres can be made via the National Spinal Cord Injury Database. […] Nursing staff also need to give their attention to: […] Pressure-ulcer prevention; […] Bladder and bowel management; […] Pain management; […] Psychological wellbeing. […] Pressure ulcer prevention is a lifelong requirement and should start at the time of the start at the time the NTSCI occurs. Prevention strategies include: […] Daily skin inspection;
  • #17 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    Pressure-relieving techniques; […] Use of specialist equipment (mattresses, cushions); […] A well-balanced diet. […] Bladder dysfunction is a common side-effect of NTSCI and results in the loss of voluntary bladder control due to central neurological damage. If not managed effectively, this can lead to: […] Incontinence; […] Urinary tract infections (UTIs); […] High bladder pressure, which in turn can cause reflux and damage to the kidneys. […] The foremost objective of bladder management is to achieve sufficient emptying, and low-pressure urine storage and drainage. […] Adequate bowel management is key to reduce physical complications and psychological distress. Its goal is to establish a regular and predictable pattern of emptying so patients have some control over the evacuation of stools.
  • #18 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #19 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #20 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    3. Nursing Management of Transverse Myelitis […] Nursing care focuses on supportive management, preventing complications, and assisting with rehabilitation. […] A. Nursing Diagnoses and Interventions […] Nursing Diagnosis […] Interventions […] Impaired physical mobility (related to muscle weakness/spasticity) […] Assist with physical therapy. […] Provide mobility aids. […] Prevent contractures with passive ROM exercises. […] Risk for skin breakdown (due to immobility and pressure ulcers) […] Reposition every 2 hours. […] Use pressure-relieving mattresses. […] Keep skin dry and moisturized. […] Urinary retention/incontinence […] Assist with catheterization. […] Monitor fluid intake. […] Teach bladder training techniques. […] Bowel incontinence or constipation
  • #21 Transverse myelitis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/transverse-myelitis/
    Transverse myelitis requires no treatment as it will improve on its own. […] Sometimes patients may require treatment for their symptoms, the swelling, or the underlying cause. […] Physiotherapy can help improve strength, and the muscle spasms and stiffness that may sometimes develop. […] If you have problems with mobility, your healthcare professional might suggest: an exercise programme supervised by a physiotherapist, mobility aids, such as a walking stick, or a wheelchair, home adaptations such as stair lifts or railings. […] Sometimes your neurologist might offer treatment with steroids. […] Medication might help if you have an overactive bladder or need to pee frequently during the night. […] If you find it difficult to empty your bladder, advice from a continence nurse or physiotherapist can help.
  • #22 Transverse myelitis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/transverse-myelitis/
    Transverse myelitis requires no treatment as it will improve on its own. […] Sometimes patients may require treatment for their symptoms, the swelling, or the underlying cause. […] Physiotherapy can help improve strength, and the muscle spasms and stiffness that may sometimes develop. […] If you have problems with mobility, your healthcare professional might suggest: an exercise programme supervised by a physiotherapist, mobility aids, such as a walking stick, or a wheelchair, home adaptations such as stair lifts or railings. […] Sometimes your neurologist might offer treatment with steroids. […] Medication might help if you have an overactive bladder or need to pee frequently during the night. […] If you find it difficult to empty your bladder, advice from a continence nurse or physiotherapist can help.
  • #23 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #24 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #25 Transverse myelitis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/transverse-myelitis/
    It might be possible to treat mild to moderate constipation by changing your diet or taking laxatives. […] If you experience problems with less interest in sex or difficulty reaching orgasm, relationship counselling or seeing a sex therapist might help. […] A physiotherapist might be able to help with this pain by suggesting exercises or better seating positions. […] This type of pain can be treated using neuropathic painkillers.
  • #26 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #27 Transverse Myelitis | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/transverse-myelitis
    Transverse myelitis is a neurological condition. It happens when the spinal cord becomes inflamed. This inflammation can damage myelin, the insulating material that covers your nerves. Loss of myelin often leads to spinal cord scarring that blocks nerve impulses and results in physical problems. […] No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. Some people might need to be hospitalized at first if the symptoms are bad enough. High doses of steroids are used to suppress the activity of the immune system and to decrease swelling and inflammation. Your healthcare provider may also recommend pain-relieving medicines like ibuprofen or acetaminophen, immune-suppressing medicines, and specific medicines that target nerve pain.
  • #28 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #29 Transverse myelitis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/transverse-myelitis/
    It might be possible to treat mild to moderate constipation by changing your diet or taking laxatives. […] If you experience problems with less interest in sex or difficulty reaching orgasm, relationship counselling or seeing a sex therapist might help. […] A physiotherapist might be able to help with this pain by suggesting exercises or better seating positions. […] This type of pain can be treated using neuropathic painkillers.
  • #30 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #31 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #32 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Complication […] Prevention Strategies […] Pressure ulcers […] Regular repositioning, skin assessments, pressure-relieving mattresses. […] Deep vein thrombosis (DVT) […] Compression stockings, anticoagulants, leg exercises. […] Urinary tract infections (UTIs) […] Proper catheter care, increased hydration, bladder training. […] Respiratory failure […] Respiratory exercises, mechanical ventilation if needed. […] Chronic pain […] Early pain management, physiotherapy, psychological counseling.
  • #33 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Complication […] Prevention Strategies […] Pressure ulcers […] Regular repositioning, skin assessments, pressure-relieving mattresses. […] Deep vein thrombosis (DVT) […] Compression stockings, anticoagulants, leg exercises. […] Urinary tract infections (UTIs) […] Proper catheter care, increased hydration, bladder training. […] Respiratory failure […] Respiratory exercises, mechanical ventilation if needed. […] Chronic pain […] Early pain management, physiotherapy, psychological counseling.
  • #34 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. Some people might need to be hospitalized at first if the symptoms are bad enough. High doses of steroids are used to suppress the activity of the immune system and to decrease swelling and inflammation. Your healthcare provider may also recommend pain-relieving medicines like ibuprofen or acetaminophen, immune-suppressing medicines, and specific medicines that target nerve pain. […] Depending on the type and severity of the effects of transverse myelitis, you may need short- or long-term physical therapy. A period of specialized in-patient care in a rehabilitation facility may be necessary.
  • #35 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. Some people might need to be hospitalized at first if the symptoms are bad enough. High doses of steroids are used to suppress the activity of the immune system and to decrease swelling and inflammation. Your healthcare provider may also recommend pain-relieving medicines like ibuprofen or acetaminophen, immune-suppressing medicines, and specific medicines that target nerve pain. […] Depending on the type and severity of the effects of transverse myelitis, you may need short- or long-term physical therapy. A period of specialized in-patient care in a rehabilitation facility may be necessary.
  • #36
    https://www.aurorahealthcare.org/services/neuroscience/neurology/neurological-conditions/neuromuscular-disorders/transverse-myelitis
    When symptoms come on suddenly often within a few hours its called acute transverse myelitis. […] Its possible to make a full recovery from transverse myelitis with or without treatment. Short-term and long-term treatment plans focus on finding the cause of TM, managing symptoms and avoiding life-long complications. […] Your doctor will work with you to develop a personalized short-term or long-term treatment plan based on the severity of your symptoms. Theyll also consider the known causes of TM and any underlying health conditions. […] Glucocorticoids are often the first choice in treating acute cases of TM. The high dose IV (intravenous) medication is a type of steroid hormone that will help reduce the inflammation in your spine. […] Long-term TM treatments include methods to regain functional skills and manage any complications.
  • #37 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    The standard of care and the first-line therapy for the treatment of TM is intravenous glucocorticoids. High-dose intravenous glucocorticoids should be initiated as soon as possible. There should not be a delay in treatment while waiting for test results. There are few contraindications to glucocorticoid therapy. Potential regimens would include methylprednisolone or dexamethasone for 3 to 5 days. Further duration of therapy should be directed as the clinical case progresses. Plasma exchange may be efficacious for acute central nervous system demyelinating disease, which fails to respond to glucocorticoid therapy. Additionally, as knowledge expands regarding TM, immunomodulatory therapy such as cyclophosphamide, mycophenolate, or rituximab might benefit chronic recurrent TM or resistant acute TM. Treatment modalities that should also be utilized in the management of TM include pain management, intravenous immunoglobulin, and antivirals.(A1)
  • #38 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    The standard of care and the first-line therapy for the treatment of TM is intravenous glucocorticoids. High-dose intravenous glucocorticoids should be initiated as soon as possible. There should not be a delay in treatment while waiting for test results. There are few contraindications to glucocorticoid therapy. Potential regimens would include methylprednisolone or dexamethasone for 3 to 5 days. Further duration of therapy should be directed as the clinical case progresses. Plasma exchange may be efficacious for acute central nervous system demyelinating disease, which fails to respond to glucocorticoid therapy. Additionally, as knowledge expands regarding TM, immunomodulatory therapy such as cyclophosphamide, mycophenolate, or rituximab might benefit chronic recurrent TM or resistant acute TM. Treatment modalities that should also be utilized in the management of TM include pain management, intravenous immunoglobulin, and antivirals.(A1)
  • #39 Transverse myelitis // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/transverse-myelitis
    Treatment for transverse myelitis includes medications and rehabilitative therapy. […] Several therapies target the acute signs and symptoms of transverse myelitis: […] Intravenous steroids. You’ll probably receive steroids through a vein in your arm over the course of several days. Steroids help reduce the inflammation in your spinal column. […] Plasma exchange therapy. People who don’t respond to intravenous steroids may need plasma exchange therapy. This involves removing the straw-colored fluid in which blood cells are suspended (plasma) and replacing the plasma with special fluids. […] Pain medication. Chronic pain is a common complication of transverse myelitis. Medications that may lessen muscle pain include common pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve.)
  • #40 Transverse Myelitis Clinic at Northwestern Memorial Hospital | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/neurosciences/transverse-myelitis-clinic-at-northwestern-memorial-hospital
    Northwestern Medicine provides world-class, comprehensive care for the full range of injuries and diseases of the brain and spine, including transverse myelitis. […] Early diagnosis and treatment of the underlying condition may help prevent recurrence of transverse myelitis. It may also reduce the risk of other neurological issues. In the acute stage of inflammation, patients typically receive intravenous steroids and may or may not need a second line therapy such as plasma exchange (plasmapheresis) or intravenous immunoglobulins infusions (IVIG). Some cases may require the use of other immunosuppressive treatments such as rituximab, mycophenolate mofetil, azathioprine or cyclophosphamide. […] Northwestern Medicine expert care teams use a comprehensive and multidisciplinary approach to make sure patients’ unique treatment needs are met.
  • #41 Transverse myelitis (TM) in children – Children’s Health Neurology
    https://www.childrens.com/specialties-services/conditions/transverse-myelitis
    Steroids – If your child has transverse myelitis, we will first treat them to limit the inflammation in their spinal cord, such as with high doses of steroids. […] Plasma exchange therapy – We may also use plasma exchange therapy (plasmapheresis or PLEX), which replaces the plasma in the blood with other fluids. […] Intravenous immune globulin (IVIG) – We may use intravenous immune globulin (IVIG), which is made up of blood proteins (antibodies) that help fight infections. […] Managing symptoms – Next, we will work with them to manage their symptoms, which can mean helping manage nerve pain, problems with urinary or bowel function, or other complications. […] Rehabiliation – Finally, we do rehabilitation to help with long-term care and recovery. […] Physical therapy (PT) – Your child may benefit from physical therapy (PT), to help them improve their coordination and strength. […] Occupational therapy (OT) – An occupational therapist (OT) can also work with your child if they need to learn new ways to do daily activities, such as bathing or getting dressed. […] Its important to start these therapies early.
  • #42 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    The standard of care and the first-line therapy for the treatment of TM is intravenous glucocorticoids. High-dose intravenous glucocorticoids should be initiated as soon as possible. There should not be a delay in treatment while waiting for test results. There are few contraindications to glucocorticoid therapy. Potential regimens would include methylprednisolone or dexamethasone for 3 to 5 days. Further duration of therapy should be directed as the clinical case progresses. Plasma exchange may be efficacious for acute central nervous system demyelinating disease, which fails to respond to glucocorticoid therapy. Additionally, as knowledge expands regarding TM, immunomodulatory therapy such as cyclophosphamide, mycophenolate, or rituximab might benefit chronic recurrent TM or resistant acute TM. Treatment modalities that should also be utilized in the management of TM include pain management, intravenous immunoglobulin, and antivirals.(A1)
  • #43 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    The standard of care and the first-line therapy for the treatment of TM is intravenous glucocorticoids. High-dose intravenous glucocorticoids should be initiated as soon as possible. There should not be a delay in treatment while waiting for test results. There are few contraindications to glucocorticoid therapy. Potential regimens would include methylprednisolone or dexamethasone for 3 to 5 days. Further duration of therapy should be directed as the clinical case progresses. Plasma exchange may be efficacious for acute central nervous system demyelinating disease, which fails to respond to glucocorticoid therapy. Additionally, as knowledge expands regarding TM, immunomodulatory therapy such as cyclophosphamide, mycophenolate, or rituximab might benefit chronic recurrent TM or resistant acute TM. Treatment modalities that should also be utilized in the management of TM include pain management, intravenous immunoglobulin, and antivirals.(A1)
  • #44 Transverse Myelitis Clinic at Northwestern Memorial Hospital | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/neurosciences/transverse-myelitis-clinic-at-northwestern-memorial-hospital
    Northwestern Medicine provides world-class, comprehensive care for the full range of injuries and diseases of the brain and spine, including transverse myelitis. […] Early diagnosis and treatment of the underlying condition may help prevent recurrence of transverse myelitis. It may also reduce the risk of other neurological issues. In the acute stage of inflammation, patients typically receive intravenous steroids and may or may not need a second line therapy such as plasma exchange (plasmapheresis) or intravenous immunoglobulins infusions (IVIG). Some cases may require the use of other immunosuppressive treatments such as rituximab, mycophenolate mofetil, azathioprine or cyclophosphamide. […] Northwestern Medicine expert care teams use a comprehensive and multidisciplinary approach to make sure patients’ unique treatment needs are met.
  • #45 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. Some people might need to be hospitalized at first if the symptoms are bad enough. High doses of steroids are used to suppress the activity of the immune system and to decrease swelling and inflammation. Your healthcare provider may also recommend pain-relieving medicines like ibuprofen or acetaminophen, immune-suppressing medicines, and specific medicines that target nerve pain. […] Depending on the type and severity of the effects of transverse myelitis, you may need short- or long-term physical therapy. A period of specialized in-patient care in a rehabilitation facility may be necessary.
  • #46 Transverse myelitis // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/transverse-myelitis
    Treatment for transverse myelitis includes medications and rehabilitative therapy. […] Several therapies target the acute signs and symptoms of transverse myelitis: […] Intravenous steroids. You’ll probably receive steroids through a vein in your arm over the course of several days. Steroids help reduce the inflammation in your spinal column. […] Plasma exchange therapy. People who don’t respond to intravenous steroids may need plasma exchange therapy. This involves removing the straw-colored fluid in which blood cells are suspended (plasma) and replacing the plasma with special fluids. […] Pain medication. Chronic pain is a common complication of transverse myelitis. Medications that may lessen muscle pain include common pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve.)
  • #47 Transverse myelitis // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/transverse-myelitis
    Medications to treat other complications. Your doctor may prescribe other medications as needed to treat problems such as muscle spasticity, urinary or bowel dysfunction, depression, or other complications associated with transverse myelitis. […] Physical therapy. This helps improve strength and coordination. Your physical therapist can teach you how to use any needed assistive devices, such as a wheelchair, canes or braces. […] Occupational therapy. This helps people with transverse myelitis learn new ways of performing day-to-day activities, such as bathing, preparing a meal and housecleaning. […] Psychotherapy. A psychotherapist can use talk therapy to treat anxiety, depression, sexual dysfunction, and other emotional or behavioral issues from coping with transverse myelitis.
  • #48
    https://www.advocatehealth.com/health-services/brain-spine-institute/brain-care-center/conditions-treatments/neuromuscular-disorders/transverse-myelitis
    Transverse myelitis treatment focuses on relieving your symptoms and reducing the inflammation in your spine. This will help avoid long-term complications. […] Your doctor will work with you to develop a personalized treatment plan based on the severity of your symptoms, known causes of TM and any underlying health conditions. Treatment plans may be short-term or long-term. […] Often, the first choice in treating acute cases of TM includes a high dose of IV (intravenous) glucocorticoids. Glucocorticoids are a type of steroid hormone that will help reduce the inflammation in your spine. […] Long-term transverse myelitis treatments may include a combination of methods to improve functional skills and manage any complications. […] Long-term treatments include: Pain management medications, Urinary or bowel function medications, Sexual dysfunction medications, Occupational therapy or physical therapy.
  • #49
    https://www.advocatehealth.com/health-services/brain-spine-institute/brain-care-center/conditions-treatments/neuromuscular-disorders/transverse-myelitis
    Transverse myelitis treatment focuses on relieving your symptoms and reducing the inflammation in your spine. This will help avoid long-term complications. […] Your doctor will work with you to develop a personalized treatment plan based on the severity of your symptoms, known causes of TM and any underlying health conditions. Treatment plans may be short-term or long-term. […] Often, the first choice in treating acute cases of TM includes a high dose of IV (intravenous) glucocorticoids. Glucocorticoids are a type of steroid hormone that will help reduce the inflammation in your spine. […] Long-term transverse myelitis treatments may include a combination of methods to improve functional skills and manage any complications. […] Long-term treatments include: Pain management medications, Urinary or bowel function medications, Sexual dysfunction medications, Occupational therapy or physical therapy.
  • #50 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #51 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    No effective cure currently exists for transverse myelitis. But there are treatments to prevent or reduce permanent neurological problems. Treatments focus on relieving the inflammation and or infection that causes the symptoms. Some people might need to be hospitalized at first if the symptoms are bad enough. High doses of steroids are used to suppress the activity of the immune system and to decrease swelling and inflammation. Your healthcare provider may also recommend pain-relieving medicines like ibuprofen or acetaminophen, immune-suppressing medicines, and specific medicines that target nerve pain. […] Depending on the type and severity of the effects of transverse myelitis, you may need short- or long-term physical therapy. A period of specialized in-patient care in a rehabilitation facility may be necessary.
  • #52 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #53 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #54 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #55 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #56 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #57 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #58 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #59 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #60 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #61 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #62 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #63 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #64 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #65 Transverse myelitis – UF Health
    https://ufhealth.org/conditions-and-treatments/transverse-myelitis
    Treatment for transverse myelitis helps to: […] You may be given: […] Your provider may recommend: […] Counseling to help you cope with the stress and emotional issues from having transverse myelitis.
  • #66 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #67 Transverse Myelitis
    https://healthlibrary.methodisthealthsystem.org/Library/DiseasesConditions/Pediatric/Oncology/134,24
    If you have any of these impairments, physical therapy will likely be a very important part of your treatment. In this treatment, specialists will work with you to maintain or increase your strength, improve your coordination, and help you gain more control over bladder and bowel functions. […] Another type of therapy is occupational therapy. This helps you learn new ways of independently doing everyday tasks, like bathing, dressing, and preparing meals in spite of your new physical limitations. […] If this happens to you, your provider may recommend that you see a mental health provider. Antidepressants and psychotherapy, or talk therapy, can help in dealing with depression, stress, and a wide range of emotions.
  • #68 Transverse myelitis // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/transverse-myelitis
    Medications to treat other complications. Your doctor may prescribe other medications as needed to treat problems such as muscle spasticity, urinary or bowel dysfunction, depression, or other complications associated with transverse myelitis. […] Physical therapy. This helps improve strength and coordination. Your physical therapist can teach you how to use any needed assistive devices, such as a wheelchair, canes or braces. […] Occupational therapy. This helps people with transverse myelitis learn new ways of performing day-to-day activities, such as bathing, preparing a meal and housecleaning. […] Psychotherapy. A psychotherapist can use talk therapy to treat anxiety, depression, sexual dysfunction, and other emotional or behavioral issues from coping with transverse myelitis.
  • #69 Transverse myelitis | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/transverse-myelitis/
    It might be possible to treat mild to moderate constipation by changing your diet or taking laxatives. […] If you experience problems with less interest in sex or difficulty reaching orgasm, relationship counselling or seeing a sex therapist might help. […] A physiotherapist might be able to help with this pain by suggesting exercises or better seating positions. […] This type of pain can be treated using neuropathic painkillers.
  • #70 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Encourage high-fiber diet and hydration. […] Assist with bowel training. […] Chronic pain (related to nerve damage) […] Administer prescribed analgesics. […] Provide warm compresses or TENS therapy. […] Risk for infection (due to catheterization, immunosuppressants) […] Follow aseptic techniques. […] Monitor for fever and signs of infection. […] B. Psychological and Emotional Support […] Patients with TM may experience anxiety, depression, and frustration due to mobility loss. […] Counseling and mental health support can help cope with emotional challenges. […] Support groups allow patients to connect with others facing similar challenges. […] 4. Preventing Complications […] Complications of transverse myelitis can be serious and life-threatening. Preventative strategies include:
  • #71 Transverse Myelitis – Nurses Revision
    https://nursesrevisionuganda.com/transverse-myelitis/
    Complication […] Prevention Strategies […] Pressure ulcers […] Regular repositioning, skin assessments, pressure-relieving mattresses. […] Deep vein thrombosis (DVT) […] Compression stockings, anticoagulants, leg exercises. […] Urinary tract infections (UTIs) […] Proper catheter care, increased hydration, bladder training. […] Respiratory failure […] Respiratory exercises, mechanical ventilation if needed. […] Chronic pain […] Early pain management, physiotherapy, psychological counseling.
  • #72 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #73 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #74 Transverse Myelitis (TM) | Long-Term Care | SRNA
    https://wearesrna.org/living-with-myelitis/disease-information/transverse-myelitis/long-term-care/
    After the acute phase, rehabilitative care to improve functional skills and prevent secondary complications of immobility involves both psychological and physical accommodations. […] The long-term management of TM requires attention to a number of issues. These are the residual effects of any spinal cord injury, including TM. […] During the early recovery period, family education is essential to develop a strategic plan for dealing with the challenges to independence following return to the community. […] An appropriate strengthening program and an aerobic conditioning regimen are recommended. […] Physical therapists assist with mobility. Besides teaching people to walk and transfer more easily, they can recommend mobility aids. […] Occupational therapists are specialists in assessing equipment needs and helping people with limited function perform activities of daily living. A home assessment by an experienced professional is often helpful.
  • #75 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    An interprofessional team that provides a holistic and integrated approach to acute and post-acute care of patients with TM can help achieve the best possible outcomes. Physical therapy and occupational therapy are essential to good outcomes in TM. Early integration of therapies in acute inpatient stay and continuation during rehabilitation can help improve outcomes. In patients who make a meaningful recovery, independence is best achieved with intensive physical and occupational therapy to regain lost function. Coordination of care from in-hospital to out-of-hospital services allows for a smooth transition of care. Consultation with a social worker can help arrange appropriate durable medical equipment at home before discharge. Pharmacists can help with counseling about medication side effects and reviewing drug interactions.
  • #76 Transverse Myelitis Clinic at Northwestern Memorial Hospital | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/neurosciences/transverse-myelitis-clinic-at-northwestern-memorial-hospital
    Northwestern Memorial Hospital is the only Illinois hospital on the national Honor Roll for 13 straight years, and is ranked No. 11 in the nation for neurology and neurosurgery by U.S. News World Report, 20242025. Our multidisciplinary transverse myelitis team provides comprehensive, coordinated care for patients with transverse myelitis. This is a rare inflammatory condition that affects the spinal cord. […] Experts at the Northwestern Medicine Transverse Myelitis Clinic specialize in the diagnosis and comprehensive treatment of transverse myelitis, a rare inflammatory condition that affects the spinal cord. […] These experts strive to provide the most comprehensive care to patients with transverse myelitis. Your care team will work with you to create a treatment plan designed to meet your needs.
  • #77 Transverse Myelitis | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/transverse-myelitis/
    UT Southwestern Medical Center has established an international reputation for providing care for transverse myelitis (TM), which is an inflammatory condition of the spinal cord that causes varying degrees of weakness, sensory alterations, and autonomic dysfunction. […] UT Southwesterns Transverse Myelitis Program addresses the wide range of symptoms that can make TM difficult to treat. Patients have access to experts in virtually every discipline related to the diagnosis and treatment of the disease; these specialists craft individualized strategies to give patients improved function and greater control. […] UT Southwestern specialists provide individualized, multidisciplinary treatment plans to maximize each persons abilities and minimize disabilities. A patients care team might include: Clinical nurses, Neurologists, Advanced practice providers (physician assistants and nurse practitioners), Neuro-ophthalmologists, Neuropsychologists and psychiatrists, Neuroradiologists, Occupational therapists, Physical therapists, Rehabilitation specialists, Social workers, Registered dietitians, Urologists.
  • #78 Transverse Myelitis | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/transverse-myelitis/
    UT Southwestern Medical Center has established an international reputation for providing care for transverse myelitis (TM), which is an inflammatory condition of the spinal cord that causes varying degrees of weakness, sensory alterations, and autonomic dysfunction. […] UT Southwesterns Transverse Myelitis Program addresses the wide range of symptoms that can make TM difficult to treat. Patients have access to experts in virtually every discipline related to the diagnosis and treatment of the disease; these specialists craft individualized strategies to give patients improved function and greater control. […] UT Southwestern specialists provide individualized, multidisciplinary treatment plans to maximize each persons abilities and minimize disabilities. A patients care team might include: Clinical nurses, Neurologists, Advanced practice providers (physician assistants and nurse practitioners), Neuro-ophthalmologists, Neuropsychologists and psychiatrists, Neuroradiologists, Occupational therapists, Physical therapists, Rehabilitation specialists, Social workers, Registered dietitians, Urologists.
  • #79 Transverse Myelitis | OHSU
    https://www.ohsu.edu/brain-institute/transverse-myelitis
    At the OHSU Multiple Sclerosis Center, youll find the expertise you need for transverse myelitis. Our specialists work in teams to diagnose and treat this complex condition. […] We offer: […] Rehabilitation experts to help you recover from a transverse myelitis attack. […] At OHSU, your team will include expert neurologists, radiologists and rehabilitation specialists, among others. Our team-based approach means you can expect a precise diagnosis and a treatment plan tailored to your needs. […] There is no cure for transverse myelitis, but treatments can address infections, reduce inflammation and manage symptoms. At OHSU, our treatments include: […] Rehabilitation therapy: We offer rehabilitation experts who are specially trained in treating patients with nerve disorders. Options include: […] Pain management: The OHSU Comprehensive Pain Center offers treatment for short- and long-term pain. Our team can also help you address the physical, mental and behavioral issues that can result from ongoing pain.
  • #80 Transverse Myelitis | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/transverse-myelitis/
    UT Southwestern Medical Center has established an international reputation for providing care for transverse myelitis (TM), which is an inflammatory condition of the spinal cord that causes varying degrees of weakness, sensory alterations, and autonomic dysfunction. […] UT Southwesterns Transverse Myelitis Program addresses the wide range of symptoms that can make TM difficult to treat. Patients have access to experts in virtually every discipline related to the diagnosis and treatment of the disease; these specialists craft individualized strategies to give patients improved function and greater control. […] UT Southwestern specialists provide individualized, multidisciplinary treatment plans to maximize each persons abilities and minimize disabilities. A patients care team might include: Clinical nurses, Neurologists, Advanced practice providers (physician assistants and nurse practitioners), Neuro-ophthalmologists, Neuropsychologists and psychiatrists, Neuroradiologists, Occupational therapists, Physical therapists, Rehabilitation specialists, Social workers, Registered dietitians, Urologists.
  • #81 Transverse myelitis: When inflammation damages the spinal cord ‘wiring’ | Back and Spine | Brain | Rehabilitation | UT Southwestern Medical Center
    https://utswmed.org/medblog/transverse-myelitis-treatment/
    Our expert urology colleagues, such as Gary Lemack, M.D., provide strategies to manage bowel and bladder symptoms. […] Psychologists and psychiatrists work with our patients to manage the emotional and social tolls of TM, such as isolation, anxiety, and depression. […] Social workers and school liaisons join the team to help pediatric patients and families navigate new routines at home and school. […] UT Southwestern researchers play a major role in informing our care plans with the latest TM advancements. Our patients have access to the most advanced therapy and rehab options, including access to participate in clinical trials that lead to new and refined treatments.
  • #82 Transverse myelitis: When inflammation damages the spinal cord ‘wiring’ | Back and Spine | Brain | Rehabilitation | UT Southwestern Medical Center
    https://utswmed.org/medblog/transverse-myelitis-treatment/
    Our expert urology colleagues, such as Gary Lemack, M.D., provide strategies to manage bowel and bladder symptoms. […] Psychologists and psychiatrists work with our patients to manage the emotional and social tolls of TM, such as isolation, anxiety, and depression. […] Social workers and school liaisons join the team to help pediatric patients and families navigate new routines at home and school. […] UT Southwestern researchers play a major role in informing our care plans with the latest TM advancements. Our patients have access to the most advanced therapy and rehab options, including access to participate in clinical trials that lead to new and refined treatments.
  • #83 Transverse myelitis: When inflammation damages the spinal cord ‘wiring’ | Back and Spine | Brain | Rehabilitation | UT Southwestern Medical Center
    https://utswmed.org/medblog/transverse-myelitis-treatment/
    Our expert urology colleagues, such as Gary Lemack, M.D., provide strategies to manage bowel and bladder symptoms. […] Psychologists and psychiatrists work with our patients to manage the emotional and social tolls of TM, such as isolation, anxiety, and depression. […] Social workers and school liaisons join the team to help pediatric patients and families navigate new routines at home and school. […] UT Southwestern researchers play a major role in informing our care plans with the latest TM advancements. Our patients have access to the most advanced therapy and rehab options, including access to participate in clinical trials that lead to new and refined treatments.
  • #84 Transverse Myelitis | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/transverse-myelitis/
    UT Southwestern Medical Center has established an international reputation for providing care for transverse myelitis (TM), which is an inflammatory condition of the spinal cord that causes varying degrees of weakness, sensory alterations, and autonomic dysfunction. […] UT Southwesterns Transverse Myelitis Program addresses the wide range of symptoms that can make TM difficult to treat. Patients have access to experts in virtually every discipline related to the diagnosis and treatment of the disease; these specialists craft individualized strategies to give patients improved function and greater control. […] UT Southwestern specialists provide individualized, multidisciplinary treatment plans to maximize each persons abilities and minimize disabilities. A patients care team might include: Clinical nurses, Neurologists, Advanced practice providers (physician assistants and nurse practitioners), Neuro-ophthalmologists, Neuropsychologists and psychiatrists, Neuroradiologists, Occupational therapists, Physical therapists, Rehabilitation specialists, Social workers, Registered dietitians, Urologists.
  • #85 Transverse Myelitis | Peter O’Donnell Jr. Brain Institute | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/transverse-myelitis/
    UT Southwestern Medical Center has established an international reputation for providing care for transverse myelitis (TM), which is an inflammatory condition of the spinal cord that causes varying degrees of weakness, sensory alterations, and autonomic dysfunction. […] UT Southwesterns Transverse Myelitis Program addresses the wide range of symptoms that can make TM difficult to treat. Patients have access to experts in virtually every discipline related to the diagnosis and treatment of the disease; these specialists craft individualized strategies to give patients improved function and greater control. […] UT Southwestern specialists provide individualized, multidisciplinary treatment plans to maximize each persons abilities and minimize disabilities. A patients care team might include: Clinical nurses, Neurologists, Advanced practice providers (physician assistants and nurse practitioners), Neuro-ophthalmologists, Neuropsychologists and psychiatrists, Neuroradiologists, Occupational therapists, Physical therapists, Rehabilitation specialists, Social workers, Registered dietitians, Urologists.
  • #86 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    Pain is another common complication and can be costly in terms of impeding return to work and social reintegration. […] The physical changes caused by spinal cord damage often mean patients become dependent on others, even for simple tasks, and may experience an array of psychological effects, including loss of self-esteem and self-worth. […] Good communication between health professionals, including nurses, is vital for patients to receive the treatments and care they need and ensure the transitions between services are smooth.
  • #87 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    An interprofessional team that provides a holistic and integrated approach to acute and post-acute care of patients with TM can help achieve the best possible outcomes. Physical therapy and occupational therapy are essential to good outcomes in TM. Early integration of therapies in acute inpatient stay and continuation during rehabilitation can help improve outcomes. In patients who make a meaningful recovery, independence is best achieved with intensive physical and occupational therapy to regain lost function. Coordination of care from in-hospital to out-of-hospital services allows for a smooth transition of care. Consultation with a social worker can help arrange appropriate durable medical equipment at home before discharge. Pharmacists can help with counseling about medication side effects and reviewing drug interactions.
  • #88 Only 2 Clinics in the World for Transverse Myelitis, Until Now
    https://www.medscape.org/viewarticle/856037
    Those patients require a multifaceted approach, and the comprehensive nature of our clinic creates a synergy among the diverse branches of medicine involved, leading to outstanding medical care, Dr McClain said. […] The UAB transverse myelitis clinic provides one-stop shopping, so each patient can see all the medical professionals who have a role in their care at one time and in one place. […] We are blessed in Alabama to have an academic medical center such as UAB with the expertise and knowledge to provide the depth of care needed by patients with transverse myelitis, Mr Jezdimir said. […] This is only the third clinic of its kind in the world, and the combination of outstanding patient care with UAB’s robust research efforts gives me hope that new therapies, or even a cure, can someday be found.
  • #89 UAB opens the third clinic in the world for patients with transverse myelitis – Multiple Sclerosis Center
    https://www.uab.edu/mscenter/about/news/uab-opens-the-third-clinic-in-the-world-for-patients-with-transverse-myelitis
    UAB opens the third clinic in the world for patients with transverse myelitis. Physical therapist Melissa Daniel works with Mike Jezdimir, a transverse myelitis patient at UAB. There were only two comprehensive clinics in the world for TM until the University of Alabama at Birmingham recently opened the third multidisciplinary, comprehensive clinic for transverse myelitis at UABs Spain Rehabilitation Center. The clinic will combine physicians and other medical professionals from multiple disciplines, including physical medicine and rehabilitation, neurology, neurosurgery, urology, and pain management, in caring for patients with TM, which can cause loss of motor function or paralysis. The mission of our multidisciplinary clinic is to provide the best care possible to patients living with transverse myelitis. The clinic offers immediate access to a number of rehabilitation specialists, such as physical, occupational and speech therapists, orthotic specialists, and many others. The UAB TM clinic provides one-stop shopping, so each patient can see all the medical professionals who have a role in their care at one time and in one place. We are blessed in Alabama to have an academic medical center such as UAB with the expertise and knowledge to provide the depth of care needed by patients with TM. The transverse myelitis clinic is held the third Thursday of each month at the Spain Rehabilitation Center, 1717 Sixth Ave. South. Appointments can be made at 205-934-4179.
  • #90 Transverse myelitis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007766.htm
    Transverse myelitis is a condition caused by inflammation of the spinal cord. As a result, the covering (myelin sheath) around the nerve cells is damaged. This disturbs the signals between spinal nerves and rest of the body. […] Transverse myelitis can cause pain, muscle weakness, paralysis, and bladder or bowel problems. […] Treatment for transverse myelitis helps to: […] You may be given: […] Your provider may recommend: […] Counseling to help you cope with the stress and emotional issues from having transverse myelitis. […] The outlook for people with transverse myelitis varies. Most recovery occurs within 3 months after the condition occurs. […] Those who may have poor chance of recovery are: […] Ongoing health problems from transverse myelitis may include: […] Contact your provider if:
  • #91
    https://fpnotebook.com/Neuro/ID/Mylts.htm
    Supportive Care […] Admit patients […] ABC Management […] Keep patient NPO if Dysarthria or Dysphagia […] Consider Advanced Airway indications […] Significant Urinary Retention may require urine catheterization […] […] Condition specific management […] Consult neurology early […] Consider infectious disease Consultation if infectious Myelitis is suspected (12% of cases) […] […] High dose Corticosteroids […] Consult neurology for indications based on presentation and findings […] Methylprednisolone 1000 mg IV daily in divided doses for 3 to 5 days […] […] Plasma exchange […] Indications […] Corticosteroids contraindicated […] Not effective if not Corticosteroid responsive […] Life threatening complications (e.g. respiratory compromise)
  • #92
    https://fpnotebook.com/Neuro/ID/Mylts.htm
    Consider as adjunctive therapy (per neurology recommendations) […] […] Intravenous Immunoglobulin (IVIG) […] Indications […] Adjunct to Corticosteroids (consult neurology for indications) […] […] Compressive neureopathy causes of acute Myelitis are surgical emergencies […] Emergent Consultation with Spine Surgery or neurosurgery […] […] Idiopathic Transverse Myelitis […] Gradual improvement over 3 months (and often further improvement over the next year) […] Partial or complete resolution in 50 to 70% of patients […] Episodes tend to be monophasic (non-recurring) […] […] Overall poor prognostic signs […] Severe weakness […] Hypotonia […] Areflexia […] Spinal Shock
  • #93 Transverse Myelitis | UK Healthcare
    https://ukhealthcare.uky.edu/kentucky-neuroscience-institute/conditions/multiple-sclerosis-neuroimmunology/transverse-myelitis
    Treatment for transverse myelitis is designed to address the underlying infection that caused the disorder, reduce inflammation around the spinal cord and alleviate individual symptoms. […] In the majority of cases, transverse myelitis is considered monophasic, meaning it only occurs once. In that event, your provider will recommend a care plan, which will include how quickly you can begin normal activities and when you should seek follow-up care. […] Patients who experience chronic transverse myelitis may need additional and ongoing care to lessen the likelihood of future flare-ups. This may include treatment of underlying medical disorders, such as multiple sclerosis. […] For those who experience loss of function after transverse myelitis, a medical provider may recommend physical or occupational therapies to help regain abilities and maintain quality of life. Assistive devices and equipment may also be needed to help overcome temporary or permanent disabilities.
  • #94
    https://fpnotebook.com/Neuro/ID/Mylts.htm
    Consider as adjunctive therapy (per neurology recommendations) […] […] Intravenous Immunoglobulin (IVIG) […] Indications […] Adjunct to Corticosteroids (consult neurology for indications) […] […] Compressive neureopathy causes of acute Myelitis are surgical emergencies […] Emergent Consultation with Spine Surgery or neurosurgery […] […] Idiopathic Transverse Myelitis […] Gradual improvement over 3 months (and often further improvement over the next year) […] Partial or complete resolution in 50 to 70% of patients […] Episodes tend to be monophasic (non-recurring) […] […] Overall poor prognostic signs […] Severe weakness […] Hypotonia […] Areflexia […] Spinal Shock
  • #95
    https://www.shrinerschildrens.org/en/pediatric-care/transverse-myelitis
    The multidisciplinary team at Shriners Children’s works together to create a care plan for patients affected by TM. Your child will initially see our pediatric neurologist and pediatric intensive care unit doctors who will stabilize and treat the symptoms […] Once they begin to improve, patients benefit greatly from the early initiation of physical therapy and occupational therapy. The ability to recoup from weakness varies with every child, but at Shriners Childrens we believe that with therapy the ability to recover improves significantly. Our trusted team of professionals will work together to design a unique care plan for each child that will lead to their highest level of independence and activity. […] The care provided by Shriners Childrens for my sons transverse myelitis far exceeds care we have received anywhere else. The physicians and support staff are knowledgeable and caring.
  • #96 Transverse myelitis: When inflammation damages the spinal cord ‘wiring’ | Back and Spine | Brain | Rehabilitation | UT Southwestern Medical Center
    https://utswmed.org/medblog/transverse-myelitis-treatment/
    The UT Southwestern Transverse Myelitis Program has served as the epicenter of research, discovery, and highly specialized patient care for the rare disease since 2009. […] Aggressive, early treatment and focused rehabilitation from our team of specialists are yielding dramatic results, preserving and in some cases restoring sensation and mobility for our patients. […] With swift and specialized treatment, there is often significant improvement in symptoms. Recovery from TM can take several months to years and requires a team of experts who can personalize a care plan for each patient’s situation. […] Patients in our TM rehabilitation program get the full support of a team of specialists who work closely with our neurologists: From the very early stages of TM, physical medicine and rehabilitation (PMR) doctors and therapists help patients learn new ways to move, walk, and care for themselves.
  • #97 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    The care of patients with NTSCI requires functional assessment to determine how to maximise function and quality of life. Ideally, assessment and treatment should be provided at a specialist spinal rehabilitation centre. Patients in acute care settings who have been diagnosed with NTSCI should be referred to a specialist rehabilitation consultant for assessment. Referral to specialist centres can be made via the National Spinal Cord Injury Database. […] Nursing staff also need to give their attention to: […] Pressure-ulcer prevention; […] Bladder and bowel management; […] Pain management; […] Psychological wellbeing. […] Pressure ulcer prevention is a lifelong requirement and should start at the time of the start at the time the NTSCI occurs. Prevention strategies include: […] Daily skin inspection;
  • #98
    https://www.shrinerschildrens.org/en/pediatric-care/transverse-myelitis
    We understand that every childs needs are unique during the healing process. Our pediatric rehabilitation services team designs plans to meet your childs physical, emotional, social, developmental and educational needs. […] The care management team at Shriners Children’s consists of registered nurses and social workers who act as resources for families throughout their plan of care.
  • #99 Transverse Myelitis | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/30525
    An interprofessional team that provides a holistic and integrated approach to acute and post-acute care of patients with TM can help achieve the best possible outcomes. Physical therapy and occupational therapy are essential to good outcomes in TM. Early integration of therapies in acute inpatient stay and continuation during rehabilitation can help improve outcomes. In patients who make a meaningful recovery, independence is best achieved with intensive physical and occupational therapy to regain lost function. Coordination of care from in-hospital to out-of-hospital services allows for a smooth transition of care. Consultation with a social worker can help arrange appropriate durable medical equipment at home before discharge. Pharmacists can help with counseling about medication side effects and reviewing drug interactions.
  • #100 Management of patients with non-traumatic spinal cord injury | Nursing Times
    https://www.nursingtimes.net/neurology/management-of-patients-with-non-traumatic-spinal-cord-injury-25-02-2019/
    The care of patients with NTSCI requires functional assessment to determine how to maximise function and quality of life. Ideally, assessment and treatment should be provided at a specialist spinal rehabilitation centre. Patients in acute care settings who have been diagnosed with NTSCI should be referred to a specialist rehabilitation consultant for assessment. Referral to specialist centres can be made via the National Spinal Cord Injury Database. […] Nursing staff also need to give their attention to: […] Pressure-ulcer prevention; […] Bladder and bowel management; […] Pain management; […] Psychological wellbeing. […] Pressure ulcer prevention is a lifelong requirement and should start at the time of the start at the time the NTSCI occurs. Prevention strategies include: […] Daily skin inspection;
  • #101
    https://www.shrinerschildrens.org/en/pediatric-care/transverse-myelitis
    We understand that every childs needs are unique during the healing process. Our pediatric rehabilitation services team designs plans to meet your childs physical, emotional, social, developmental and educational needs. […] The care management team at Shriners Children’s consists of registered nurses and social workers who act as resources for families throughout their plan of care.