Joint Ventures' Blog

There are 3 main stages of healing that occur after an acute sprain/strain injury:
 
The first stage is the inflammatory phase, where the body sends inflammatory cells to the injured site to help clot the wound and remove debris.  This phase usually lasts the first 4 days after injury.  The best treatment during this phase of injury is RICE: Rest, Ice, Compression and Elevation.  Physical therapy can assist at this phase to help reduce the swelling and provide gentle range of motion exercises.
 
The second stage is the scar formation phase, where the body lays down collagen tissue to repair the injured site and form a scar.  This phase usually lasts from Day 4 to Day 15 after injury.  Physical therapy is most effective at this stage to help promote regular tissue growth and minimize scar tissue development.  Treatment might consist of modalities, manual therapy, deep tendon frictions, stage to promote proper strengthening without re-injury to the healing tissues. massage, stretches, and gentle strengthening exercises.  At this stage the repairing collagen tissue is still weak and can be susceptible to re-injury if over-stressed.  Physical therapy can help guide exercises at this
 
The last stage of healing is the remodelling phase, where the body remodels and increases the tensile strength of the newly repaired tissue.  This phase lasts from approximately Day 15 and continues for up to 1-2 years after injury.  During this phase, physical therapy aims to minimize scar tissue build-up, encourage optimal orientation and alignment of the newly formed tissue, correct muscle imbalances, retain and maintain mobility of the joint, increase the stability of the joint, strengthen the repaired tissue with more difficult and challenging exercises, and prepare for return to sports or leisure activities.
 
If you have suffered an acute sprain/strain please consult your doctor or physical therapist to determine the appropriate treatment plan for you.

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