Objective To conduct a scoping review on the application of virtual reality (VR) for managing neuropathic pain in individuals with spinal cord injury, aiming to provide a reference for future research and clinical practice. Methods Guided by the Joanna Briggs Institutes (JBI) Scoping Review Methodology, articles were searched in CNKI, Wanfang Data, VIP, PubMed, Cochrane Library, Embase, and Web of Science, from inception to June 11, 2024. Two researchers independently screened the literature and extracted data. Results A total of 13 articles were included.The VR devices employed were 2D screens, 3D screens, and 3D head-mounted displays. Interventions included virtual walking, VR-augmented training,and virtual multisensory stimulation.Session durations ranged from 6 to 90 minutes, and the total intervention periods varied from a single session to 12 weeks. All 13 studies assessed neuropathic pain post-intervention, with 10 reporting significant reductions in pain intensity following VR therapy. Conclusion VR technology is a feasible and potentially beneficial intervention for neuropathic pain after SCI. However, the current evidence is limited by small sample sizes, short-term interventions, and a lack of long-term efficacy evaluation. Future studies should focus on optimizing VR protocols and rigorously investigating their long-term effects to establish more effective and stan-dardized pain management strategies.