When does spinal shock typically occur after an injury?

Spinal shock is characterized by the temporary loss of all reflex function below the level of injury, resulting in flaccid paralysis and loss of sensation. It typically occurs immediately following a spinal cord injury or within the first two hours. The onset can be rapid due to the sudden disruption of the neural pathways. This condition can last from a few days to several weeks, but its initial appearance generally falls within that immediate window after the trauma. Understanding this timing is crucial for effective assessment and management of patients with spinal cord injuries, as it informs the expected clinical presentation and helps in the planning of care.