Late Subacute Phase of SOI - Maturation /Remodeling Phase
Pain in the sub-acute stages of inflammation is less widespread than acute pain. There are two stages of sub-acute inflammation;
During this phase, the scar begins to modify into its mature form with steady increases in tensile strength and a decrease in capillaries. Additional collagen fibers are laid down and realigned according to tensions placed on the tissues by normal pressure and movement At this stage, massage and joint mobilization can align scars to allow for optimal range of motion and functionality. Although scar tissue gradually approximates normal appearance and function, typically the tensile strength of a scar is less than 80% of a functional tissue. Besides vascularity, it lacks elastin, and appears stiff compared to normal, noninjured tissue. After approximately 3, weeks a firm, strong, nonvascular scar exists but the entire maturation phase can take several years to complete.
The goals of Late Sub -acute inflammation are:
Physiology - In order to reinforce the damaged area with collagen, the following physiological processes happen:
The Symptom Picture is :
Treatment Plan works to decrease the symptoms. Therefore
Treatment follows directly from the Plan, So in addition to treatments for Acute and Early Subacute SOI, add in:
Self Care Recommendations follow the Plan too, so good recommendations include
Hydrotherapy : Mild contrast, beginning and ending with Heat
Marian Wolfe Dixon
MA, LMT (OR #3902)
NCTMB Approved Provider
Continuing Education for Massage Therapists, CHt, TCMBB.