Nancy E. Greenwald MD


Self-Assisted Cough

If your cough is weak and if it is difficult to bring up mucus or you know you have lots of mucus, you need an assisted cough. In an assisted cough, another person pushes on your chest to help you cough. An assisted cough is done while you are sitting up in a bed or chair. If you are in a wheelchair, be sure to put the…

Spinal Cord Injury: Safe Transfers To or From a Wheelchair

After your spinal cord injury (SCI), you may need a wheelchair. Moving from your wheelchair to other locations is known as a transfer. If you have enough upper body strength, you may be able to do this yourself. Your injury and strength will determine what type of transfer you do. But there are general things that are…

Spinal Cord Injury: Assisted Cough

People who have had a spinal cord injury (SCI) don’t always have the ability to cough forcefully. A forceful cough is important, because it will help you bring up mucus in the lungs, which can help prevent some lung complications, such as pneumonia. But some people shouldn’t try assisted cough. Don’t use an assisted…

Spinal Cord Injury: Autonomic Dysreflexia

Autonomic dysreflexia is a syndrome in which there is a sudden onset of excessively high blood pressure. It is more common in people with spinal cord injuries that involve the thoracic nerves of the spine or above (T6 or above). Be prepared to call your spinal cord injury therapist, , or other emergency services if you…

Chronic Myofascial Pain

What is chronic myofascial pain? Most people have muscle pain from time to time. But chronic myofascial pain is a kind of ongoing or longer-lasting pain that can affect the connective tissue (fascia) of a muscle or group of muscles. With myofascial pain, there are areas called trigger points. Trigger points are usually…