1. Injury-Induced Bleeding (0 - 10 Hours Post Injury)
- Trauma induces damage to the surrounding blood vessels and capillaries.
- Gravity may lead to blood pooling distal to the injury.
2. Inflammatory Phase (0 - 3 Days Post Injury)
- Signs and Symptoms: Pain, swelling, redness, increased local temperature, and loss of function.
- Stiffness of injured area due to peripheral muscle contraction or
muscle guarding. This prevents further injury from excessive movement.
3. Proliferation Phase (2 Days - 6 Weeks Post Injury)
- Proliferation of new collagen fibers (scar tissues) along the site of injury
or line of stress.
- Formation of new blood vessels.
- Phagocytosis: Absorption of oedema and swelling (associated
with decreased pain).
4. The Remodelling Phase (3 Weeks - 12 Months Post Injury)
- Collagen fibers become more organized and dense along the site of injury.
- 1 Year Post Injury: Injured tissue regained 80% of original strength.
- Precaution: Injured tissue has a greater risk of re-injury. Physiotherapy
is necessary for full recovery and injury prevention.
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- Inflammation Phase of Injury: Massage helps to decrease swelling
- Proliferation and Remodelling Phase of Injury: Massage helps to
re-organize and re-align the newly proliferated collagen fibers.
Steveston Medi Spa offers various massage services to help you
facilitate healing and reduce pain.
1. Magee DJ, Zachazewski JE, Quillen WS. Scientific Foundations
and Principles of Practice in Musculoskeletal Rehabilitation. St. Louis,
Mo: Saunders Elsevier; 2007.
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