The Healing Process

Chapter 10

Phases of Healing Inflammatory

Fibroblastic Repair

Maturation- Remodeling

Inflammatory Process Inflammation

Brings in blood

Cleans-up area (takes out the bad, brings in the good)

Signs & Symptoms

Redness

Swelling

Pain

Fibroblastic Repair Scar formation (fibroplasia)

Inflammatory S&S settle

Maturation- Remodeling Phase

Realignment

Remodeling

Wolff’s Law/SAID principle

ROM can be aggressively introduced

Impedance Factors Extent of injury

Edema

Hemorrhage

Poor Vascular Supply

Separation of Tissue

Muscle spasm

Atrophy

Corticosteroids

Keloids/hypertrophic scars

Infection

Health, age, and nutrition

Modifying the Healing Process

NSAID’s

Therapeutic Modalities

Therapeutic Exercise

Complimentary Alternative Medicine (CAM)

Pain Acute Vs. Chronic

Referred

Myofascial

Nociceptors

Assessing Pain

Treating Pain