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Optimal Health

You are over your rehab and are reaching a level of health that you feel good about. How do you keep healthy? What does being healthy mean, considering your spinal cord injury? Here are some ideas about what optimal health means and what you can do to keep healthy for a long, long time.

What Is Optimal Health?

If we asked a group of people this question, their responses would be quite different. Some would say physical health is the key. To them, athletic skills or physical abilities might be what matter most.

Others might view good health in terms of relationships and maintaining social interactions. Still others believe that emotional health and intellectual challenges are most important.

We are all very different and complex persons. We grow and change as different challenges, problems or needs become a part of our lives. But how do we continue to grow-and keep in good health- in the presence of a disability like spinal cord injury?

In recent years, health-care professionals agree that health is not merely "freedom from disease" or disability, but that it includes life's physical, emotional, social, spiritual, and intellectual aspects as well.

It's not just medical self-care and treatment of health problems that promote optimal health; it's increasing potential as well. Here then are five areas that make up your overall health:

Five Areas of Health:

Physical health relates to your body, and includes eating habits, exercise, medical self-care and treatment of health problems. Smoking, drugs, and alcohol use have potential negative affects on your health.

Emotional health refers to your state of mind. It is how you react to day-to-day stresses, your sense of worth, and your ability to relax and enjoy leisure.

Social health is the ability to keep healthy interactions with friends, family, neighbors or co-workers.

Spiritual health includes having a sense of purpose in life, the ability to give and receive love and the ability to feel goodwill toward others.

Intellectual health results from the mental stimulation and development we get through our work, school, community service, hobbies or cultural pursuits.

How to Promote Optimal Health:

Promoting optimal health in any or all of these areas may mean changing your life-style. Yet, choosing and sticking with healthy behaviors is tricky. With a spinal cord injury, even more roadblocks may impede the journey. Coping issues, wheelchair inaccessibility, inadequate health coverage for general and disability-related health care needs, and trouble staying physically fit with paralysis are just a few of the challenges people with spinal cord injuries face.

What Can You Do?

Despite these potential roadblocks, the following recommendations from A Practical Guide to Health Promotion after Spinal Cord Injury provides useful suggestions.

Physical Health

If you have a high level SCI, you might consider:

Intellectual Health

Spiritual Health

Emotional Health

Social Health

Good News!

The good news is that health care providers are getting better at supporting you in your journey to optimal health. Find a provider who is experienced in working with spinal cord injury survivors and in whom you have confidence. Seek out the information that you need to improve your health in all five areas of life.


Persons with SCI - and everyone else - can develop a healthy life by learning to:


Lanig, IS. Ed. A Practical Guide to Health and Promotion After Spinal Cord Injury. Gaithersburg, MD: Aspen Publishers, Inc. 1996

Barasch, MI The Healing Path: A Soul Approach to Illness. New York, NY: GP Putnam's Sons, 1993

This is one of more than 20 educational brochures developed by Craig Hospital while it was a federally-funded Rehabilitation Research & Training Center on Aging with Spinal Cord Injury. The opinions expressed here are not necessarily those of the funding agency, the National Institute on Disability and Rehabilitation Research of the US Department of Education.

For a hard copy of a METS brochure, click on your selection above and hit the "print" button on your browser. If you'd like to ask for one directly from Craig Hospital, please contact Irene VanCleave in writing, by calling 303-789-8202, or e-mail Irene at irene@craig-hospital.org.

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