A spinal cord injury can change how you move, breathe, work and live, and the costs last for decades. Gary Huggins is an Atlanta spinal cord injury lawyer, and his firm, Huggins Accident Injury Lawyer, works from Perimeter Center. He helps people hurt in crashes, falls and job-site incidents across metro Atlanta build claims that count the whole future.
That means rehabilitation, equipment, changes to your home and vehicle, and the income you may never earn. Here is what to know about your injury, your care in Atlanta and your rights under Georgia law.
What is the difference between a complete and an incomplete spinal cord injury?
The spinal cord carries messages between your brain and your body. According to the National Institute of Neurological Disorders and Stroke (NINDS), a complete injury means no nerve messages get through below the injury, so feeling and movement below it are lost. An incomplete injury means the cord can still carry some messages, so some feeling or muscle control may remain.
The level of the injury matters just as much. Damage in the neck can affect all four limbs, called tetraplegia or quadriplegia. Damage lower in the back affects the legs and lower body, called paraplegia.
Doctors grade injuries on the ASIA Impairment Scale, from A (complete) to E (normal function). Incomplete injuries are common: the National Spinal Cord Injury Statistical Center (NSCISC) reported in its 2024 data sheet that incomplete tetraplegia was the most frequent category at hospital discharge, at 47.4%.
An incomplete injury may improve with rehab, sometimes a great deal and sometimes very little. The first months set the direction, so settling before your doctors understand the long-term picture can leave you paying for care your claim never counted. If an insurer is pressing you to settle early, call (240) 421-5511 before you sign.
Many people with spinal cord injuries also hit their heads. If you're noticing memory or mood changes too, read about brain injury claims.
Is a herniated disc a spinal cord injury?
Usually not. People call both a “back injury,” but they are different injuries:
- A herniated disc happens when the cushion between two vertebrae bulges or ruptures. It can press on a nerve root and cause pain, numbness or weakness down an arm or leg. Many people improve with therapy, injections or surgery.
- A spinal cord injury is damage to the cord itself, from a fracture, dislocation, bleeding or severe compression. It can cause paralysis and affect breathing, bladder, bowel and blood pressure.
The two can overlap. A large herniation can squeeze the cord, and one crash can break vertebrae and damage discs at the same time. New loss of bladder or bowel control, numbness in the groin or inner thighs, or weakness in both legs is an emergency, so go to the ER.
NINDS notes that MRI can show spinal trauma and herniated discs, while CT can detect fractures, bleeding and narrowing of the spinal canal. In disc cases, insurers often point to “degenerative changes” on the MRI, and many adults do have some wear in their spines by middle age.
If a crash made an old problem worse, that worsening can be part of your claim. Comparing older and newer images, along with your doctors' opinions, helps show what the crash caused.
Told your MRI shows “degeneration,” so your claim is small? Call (240) 421-5511 and let Gary review the records with you.
What does a spinal cord injury cost over a lifetime?
The costs are large, and they start right away. The NSCISC's 2024 Facts and Figures at a Glance estimated these average costs, in 2023 dollars:
| Injury (NSCISC category) | First year | Each year after |
|---|---|---|
| High tetraplegia (C1–C4), AIS A–C | $1,369,755 | $237,862 |
| Low tetraplegia (C5–C8), AIS A–C | $989,768 | $145,918 |
| Paraplegia, AIS A–C | $667,569 | $88,433 |
| Motor functional at any level, AIS D | $447,037 | $54,298 |
For a person injured at age 25, the same source estimated lifetime costs, discounted to present value, of about $6.08 million for high tetraplegia and about $2.97 million for paraplegia. Those figures leave out lost wages, fringe benefits and productivity, which the NSCISC estimated at an average of $92,578 a year in 2023 dollars.
Averages are a starting point, not your number. Your claim should be built on your own needs, priced where you live and backed by your doctors.
Rehabilitation in Atlanta, from the trauma center to Shepherd Center
Serious spinal injuries from metro crashes usually start at a trauma center: Grady Memorial Hospital downtown, a Level I trauma center, or another such as Wellstar Kennestone in Marietta or Northside Hospital Gwinnett in Lawrenceville. Doctors protect breathing, stabilize the spine and may operate to relieve pressure on the cord.
Then comes rehab. Shepherd Center, on Peachtree Road in Buckhead, is a rehabilitation hospital that treats people with spinal cord and brain injuries. Inpatient rehab teaches the skills of a new life: transfers, wheelchair use, bladder and bowel programs, skin care and, when possible, walking.
Outpatient therapy can continue for months or years. Health plans often limit rehab days, therapy visits or equipment. If a plan denies care your doctors recommend, keep the denial letter, because it helps document care your claim needs to cover.
Gary meets families where they are: at a hospital or rehab bedside, at home, by phone or by video. Call (240) 421-5511 and he can meet your family wherever you're spending your days right now.
Building a life-care plan
A life-care plan is an itemized forecast of the care you'll need for the rest of your life, with a price for each item. It's usually prepared by a credentialed life-care planner working from your records and your treating doctors' recommendations. Typical items include:
- Follow-up visits with a physiatrist, urologist and other doctors
- Medications, catheters, and bladder and bowel supplies
- Manual and power wheelchairs, cushions and replacement schedules
- Pressure-relief mattresses, lifts and transfer equipment
- Attendant care or home health aides, priced by the hour
- Physical and occupational therapy, and mental health care
- Treatment for complications
Complications drive long-term costs. NINDS notes that about one-third of people with neck injuries need temporary or permanent help breathing, and that lost skin sensation brings a risk of pressure sores. It also describes catheters and bowel programs, autonomic dysreflexia (a life-threatening reflex reaction that mainly affects people with neck or upper-back injuries), chronic nerve pain and depression.
An economist then converts the plan into today's dollars. The insurer will hire its own planner to argue for less, so every item should trace back to a doctor's recommendation. Our page on catastrophic injury claims explains how liens and structured settlements fit in.
Home and vehicle modifications
Many people can't go home to the house they left without major changes. Common work includes ramps, wider doorways, a roll-in shower, grab bars, lowered counters and sometimes a home elevator or lift. For some families, moving to a single-level home costs less than remodeling.
Transportation matters too. Many wheelchair users need an accessible van with a ramp or lift, plus a driver rehabilitation evaluation for hand controls. Vans, lifts and chairs wear out, so the plan should include replacements over a lifetime.
Georgia's Brain and Spinal Injury Trust Fund Commission offers grants to eligible Georgians with traumatic spinal cord or brain injuries. According to the commission, it is a payer of last resort with a lifetime cap of $12,000 for applications submitted after July 1, 2023. It can help, but it can't replace a full claim.
Want to know which home or vehicle changes belong in your claim? Call (240) 421-5511 and talk it through with Gary.
Lost earning capacity: the income you would have earned
Lost wages cover the paychecks you've already missed. Lost earning capacity covers the gap between what you would have earned over your working life and what you can earn now. After a spinal cord injury, it can be the largest piece of the economic claim.
Proving it usually takes:
- Tax returns, pay records and benefits information
- A vocational rehabilitation counselor's assessment of the work you can still do
- An economist's projection, including raises, retirement contributions and health benefits
Students, young workers and the self-employed have real claims too; theirs just need more careful proof. Before law school, Gary worked in banking, commercial real estate and business development, and he brings that background to the tax returns, business records and projections behind this part of a case.
Hurt on the job? Workers' comp and third-party claims
If you were hurt while working, workers' compensation is usually your only claim against your employer (O.C.G.A. § 34-9-11). But you may also have a separate claim against a negligent third party, such as another driver, a property owner, a contractor you don't work for, or the maker of a defective product.
That matters because workers' comp pays for medical care and part of your lost wages, but nothing for pain and suffering. Georgia's comp law lists a spinal cord injury involving severe paralysis of an arm, a leg or the trunk as a “catastrophic injury” (O.C.G.A. § 34-9-200.1(g)), which can mean rehabilitation services and longer-lasting income benefits.
If you recover from a third party, your employer or its comp insurer may claim a lien. Under O.C.G.A. § 34-9-11.1, that lien is limited to the disability, death and medical benefits paid, and it applies only if you've been fully and completely compensated for all your economic and non-economic losses. The two claims need to be handled together.
Hurt at work in a crash or fall? Call (240) 421-5511 so Gary can look at the comp claim and any claim against whoever caused the injury.
Fault, seat belts and insurance in a Georgia spinal cord injury claim
Georgia is an at-fault state, so the at-fault driver's liability insurer pays. The required minimums are only $25,000 per person, $50,000 per accident and $25,000 for property damage, so your own uninsured/underinsured motorist (UM) coverage often matters most. Added-on UM pays on top of the other driver's limits, while reduced-by UM is reduced by them, and there are technical steps to keep a UM claim alive.
Truck crashes can involve far more coverage, since federal rules require at least $750,000 for interstate for-hire carriers of general freight. Here's more on Atlanta truck accident claims.
Fault is split under O.C.G.A. § 51-12-33. At 50% or more at fault, you recover nothing; below that, your award shrinks by your share. Since April 21, 2025, SB 68 allows seat-belt evidence in pending and future cases, unless a judge finds it unfairly prejudicial.
In spine cases, insurers may use that rule to argue a belt would have prevented the injury. That's a question for medicine and crash science, not the adjuster. Read more about seat-belt evidence under SB 68.
SB 68 also changed medical-bill evidence for claims arising on or after April 21, 2025. Juries may hear what your health insurer actually paid, recovery is limited to the reasonable value of necessary care, and letters of protection are discoverable.
If the crash report or an adjuster has already raised your seat belt, call (240) 421-5511 and Gary will explain what that could mean for your claim.
How long do you have to file a spinal cord injury claim in Georgia?
Most claims must be filed within two years of the injury (O.C.G.A. § 9-3-33). A spouse's loss of consortium claim has four years.
If a city bus, county truck or road defect was involved, written ante litem notice comes first: six months for a city (O.C.G.A. § 36-33-5) and 12 months for a county (O.C.G.A. § 36-11-1) or the State (O.C.G.A. § 50-21-26). Claims against the State fall under the Georgia Tort Claims Act, which caps damages at $1 million per person and $3 million per occurrence (O.C.G.A. § 50-21-29). Claims involving MARTA can carry special notice rules and shorter deadlines, so call right away.
For a child, the clock on the child's own claim generally doesn't run until 18 (O.C.G.A. § 9-3-90); a parent's claim for the child's medical expenses follows its own rules. If a spinal cord injury leads to death, the family's wrongful death claim generally must be filed within two years of the death.
Talk to an Atlanta spinal cord injury lawyer today
A spinal cord injury is a long road, and your claim should plan for all of it. Gary Huggins brings 20 years of law practice to your case, and he speaks Spanish. He meets clients at 1050 Crown Pointe Parkway, Suite 500, Atlanta, GA 30338, in Perimeter Center near the I-285 and GA-400 interchange, or at the hospital, in rehab or at home.
Your consultation is free. If you hire Gary, there is no attorney's fee unless we recover compensation for you. Call (240) 421-5511 any hour of any day, and start with your questions.
Free consultation. Call (240) 421-5511 any time, or send the form and Gary’s office will call you back.
Spinal cord injury cases across metro Atlanta
We handle spinal cord injury claims across metro Atlanta. Pick your community for local roads, hospitals and crash-report details:
- Spinal cord injury lawyer in Dunwoody
- Spinal cord injury lawyer in Sandy Springs
- Spinal cord injury lawyer in Brookhaven
- Spinal cord injury lawyer in Chamblee
- Spinal cord injury lawyer in Doraville
- Spinal cord injury lawyer in Peachtree Corners
- Spinal cord injury lawyer in Norcross
- Spinal cord injury lawyer in Tucker
- Spinal cord injury lawyer in Buckhead
- Spinal cord injury lawyer in Midtown
- Spinal cord injury lawyer in Decatur
- Spinal cord injury lawyer in Roswell
- Spinal cord injury lawyer in Alpharetta
- Spinal cord injury lawyer in Johns Creek
- Spinal cord injury lawyer in Duluth
- Spinal cord injury lawyer in Lawrenceville
- Spinal cord injury lawyer in Marietta
- Spinal cord injury lawyer in Smyrna
Questions people ask about spinal cord injury claims
What is the difference between a complete and an incomplete spinal cord injury?
In a complete injury, no nerve signals pass below the injury site, so feeling and movement below it are lost. In an incomplete injury, some signals still get through, so some feeling or movement remains. Doctors grade injuries on the ASIA Impairment Scale from A, complete, to E, normal. Incomplete injuries may improve with rehabilitation, which is one reason a Georgia claim usually shouldn't settle until your doctors understand your long-term outlook.
Is a herniated disc considered a spinal cord injury?
Usually not. A herniated disc is damage to the cushion between two vertebrae, which can press on a nerve root and cause pain, numbness or weakness in an arm or leg. A spinal cord injury is damage to the cord itself. A severe herniation can compress the cord, though, and one crash can cause both. Either injury can support a claim in Georgia. Insurers often blame disc problems on age, so your doctors' opinions and imaging matter.
How much does a spinal cord injury cost over a lifetime?
It depends on the level and severity of the injury and your age. The National Spinal Cord Injury Statistical Center's 2024 data sheet estimated average lifetime costs, discounted to present value, of about $2.97 million for paraplegia and about $6.08 million for high tetraplegia for someone injured at 25. Those figures leave out lost wages and benefits. Your own claim should be built from a life-care plan based on your needs.
Can I sue if I suffered a spinal cord injury at work?
Usually not your employer, because workers' compensation is generally the only remedy against an employer in Georgia (O.C.G.A. § 34-9-11). But if someone else caused the injury, such as another driver, a property owner, a contractor you don't work for or a product maker, you may have a separate injury claim against them. That claim can include pain and suffering, which workers' comp doesn't pay. The comp insurer may have a limited lien on that recovery.
How long do I have to file a spinal cord injury lawsuit in Georgia?
Most claims must be filed within two years of the injury under O.C.G.A. § 9-3-33, and a spouse's loss of consortium claim has four years. If a city, county or the State is involved, written notice is due much sooner: six months for a city and 12 months for a county or the State. A child's own claim generally doesn't run until 18. Start early, because building a life-care plan takes time.
Does Georgia cap damages in spinal cord injury cases?
Georgia has no cap on non-economic damages, such as pain and suffering, in ordinary injury cases. Punitive damages, which require clear and convincing evidence of conduct like willful misconduct or conscious indifference, are generally capped at $250,000, with no cap for impaired drivers or intentional harm. Claims against the State are capped at $1 million per person. The practical limit is often the insurance available, which is why UM coverage matters.
Who pays for a wheelchair van or home changes after a spinal cord injury?
In a Georgia injury claim, accessible vans, ramps, roll-in showers and other changes your doctors and planners recommend can be part of your economic damages, paid by the at-fault party's insurer or your UM coverage. Health insurance often covers little of this. Georgia's Brain and Spinal Injury Trust Fund Commission offers limited grants as a payer of last resort. A life-care plan should list each change and when it will need replacing.
