Musculoskeletal Physiotherapy: Tissue healing phases — Inflammation, Proliferation and Remodeling
What happens inside injured tissue from the first hours to the following year, and how rehab should follow each phase.
Try 3 questions
1. What is the usual order of the main phases of soft-tissue healing?
- Proliferation, inflammation, remodeling
- Remodeling, inflammation, proliferation
- Inflammation, proliferation, remodeling
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Answer: Inflammation, proliferation, remodeling
Inflammation clears damage and signals repair, proliferation builds new tissue, and remodeling strengthens and organizes it over months.
2. Roughly how long does the acute inflammatory phase last after a typical soft-tissue injury?
- Six to eight weeks
- A few hours at most
- A few days, up to about a week
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Answer: A few days, up to about a week
Acute inflammation peaks in the first two to three days and usually settles within about a week, overlapping with the start of repair.
3. Which of these is NOT a classic sign of acute inflammation?
- Pallor and coldness
- Swelling
- Heat
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Answer: Pallor and coldness
The classic signs are redness, heat, swelling, pain and loss of function; they come from increased blood flow, not reduced flow.
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