Blog
Staying safe in the Summer sun with spinal cord injury
As summer is upon us, our SCI specialist therapist Susie Wood offers tips on how to keep safe in the hotter months …
Travelling or enjoying the local environment at this time of year is good for us, both physically and mentally, but it’s important to take measures to keep safe in the sun as we all head outside once again.
Skin inspection
Following a spinal cord injury (SCI) , skin can be more vulnerable and so carrying out regular skin inspections will help to identify any potential problem areas. When bathing, dressing, or completing stretches, take time to check your skin. If you notice skin damage, seek some medical advice. You may also be wearing summer clothes which might fit your body differently – it is worth checking whether seams or buttons may cause pressure on your skin.
Equipment
Think about where you leave or store equipment such as wheelchairs and cushions. The frame, footplates and armrests of a wheelchair can become hot, and these can burn your skin if you have reduced sensation due to your SCI. Splints, orthoses and walking aids can also overheat. Try to store these somewhere cool or cover them with a towel if you are by the beach or pool. If you experience more oedema or spasm in the heat, this can cause skin damage.
Due to the loss of sensation following an SCI it can be more difficult to tell if you are overheating. Look out for the following signs and seek medical help if you need to:
- headaches
- nausea
- redness of the skin
- weakness
- clammy skin
- extreme thirst
- fainting
- excessive sweating
- dizziness
If you know that autonomic dysreflexia could be an issue for you, pay particular attention to warning symptoms and carry information about the condition with you in case you need medical assistance.
The Spinal Injuries Association clinical team can help you to create an Essential Care Passport (ECP) which describes all your SCI health needs:
BOOK AN ECP appointmentcontact the clinical team

Hydration
Limit the amount of caffeine and alcohol you consume in the hot summer sun as they will both increase the likelihood of dehydration. Ice lollies, mocktails and plenty of water are all great options for keeping you properly hydrated throughout the day. Remember that hydration has an impact on your bladder and bowel management. Seek medical support if you need to.
Temperature
Following a spinal cord injury, some people will be unable to regulate their body temperature effectively. Make plans for ensuring you get plenty of access to cooler temperatures throughout the day. Keep the air temperature of your house and car comfortable so that you can escape the heat. If you plan to exercise, do it either earlier or later to avoid the hottest part of the day (often 11am – 3pm).
Sunscreen
Use a sunscreen to protect your skin, even on cloudier days. Remember areas such as hands, feet, ears and the back of the neck. Scar tissue is also more sensitive to burning so apply generously to any scarred areas you may have that are likely to be exposed to the sun. Remember to reapply often, particularly after contact with water.
Holidays and travel
Remember that the SIA has a wealth of information relating to holidays and travel as part of our Travel Hub:
