The following are some of the preventative measures individuals with SCI can take to reduce the incidence of AD:

  • avoid irritating/noxious stimuli
  • establish regular bowel and bladder care
  • regular pressure relief
  • monitor skin (turn every 2 hrs)
  • nail care


AD Prophylaxis
  • Topical anaesthetic before catheterizing or bowel care (Lidocaine gel)
  • Local anaesthesia prior to diagnostic procedures eg: cystoscopy, gastroscopy
  • Consider using medications before sexual activity, electroejaculation, or other unavoidable triggers such as Nifedipine 10 mg po.


View the testimonial below regarding the prevention of AD.