Healing Broken Nerves

Combination therapy as the best approach for damaged spinal cords

Join Our Community of Science Lovers!


On supporting science journalism

If you're enjoying this article, consider supporting our award-winning journalism by subscribing. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.


Ever since the 1940s, when researchers discovered that nerves of the spinal column can grow, scientists have tried to devise ways to coax the cells to overcome damaged areas and thereby defeat paralysis, organ degeneration and other problems associated with injury to the central nervous system. Removing scar tissue with drugs, laying down scaffolds and inserting cells have all been tried with varying degrees of success. Recent achievements, such as the restoration of some ability to walk in rodents, and other findings indicate that rather than a single approach, all may be the key. “A combination of drugs and cells gives better results than just any one of the components on their own,” says Naomi Kleitman, a program director at the National Institutes of Health’s National Institute of Neurological Disorders and Stroke.

Injury to nerves produces inflammation, ion imbalance, scar tissue and cysts filled with cerebrospinal fluid, which damage additional neurons and create a barrier against neuron growth. A lesion just one millimeter wide can increase to five to 10 millimeters, too large a gap for neurons to bridge. Surviving neurons often lose myelin, the insulation needed for reliable and quick signal transmission. About 200,000 people in the U.S. live with spinal cord injury.

It’s Time to Stand Up for Science

If you enjoyed this article, I’d like to ask for your support. Scientific American has served as an advocate for science and industry for 180 years, and right now may be the most critical moment in that two-century history.

I’ve been a Scientific American subscriber since I was 12 years old, and it helped shape the way I look at the world. SciAm always educates and delights me, and inspires a sense of awe for our vast, beautiful universe. I hope it does that for you, too.

If you subscribe to Scientific American, you help ensure that our coverage is centered on meaningful research and discovery; that we have the resources to report on the decisions that threaten labs across the U.S.; and that we support both budding and working scientists at a time when the value of science itself too often goes unrecognized.

In return, you get essential news, captivating podcasts, brilliant infographics, can't-miss newsletters, must-watch videos, challenging games, and the science world's best writing and reporting. You can even gift someone a subscription.

There has never been a more important time for us to stand up and show why science matters. I hope you’ll support us in that mission.

Thank you,

David M. Ewalt, Editor in Chief, Scientific American

Subscribe