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How to get better faster

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By Michael Hall,

Injured? In Pain? Here’s How to Get the Best, Fastest Result, 100% Guaranteed!

Let’s face it, who has got time to be injured? Not you that’s for sure. You have home commitments, work pressures and a life to live. The costs of missed moments and lost opportunities can be devastating. If you want to achieve the best, fastest recovery and perform at your best, read on.

What’s the secret to getting the fastest healing and the best repair?

The secret to getting the fastest healing and best repair is to understand that your body will generally go through the same stages of healing (which overlap considerably), no matter how a physical problem has occurred. Once you know what these stages are, the secret to getting the best result is simply a matter of knowing how to optimize each stage of the healing process. It means knowing the source, cause and healing stage of the “injury” and then applying the correct amounts of the right stimulus (or no stimulus), rest/recovery combined with the ideal nutritional, psychological and social surroundings to enhance cellular growth and repair. From a physical standpoint, it means minimizing bleeding and tissue destruction and then stimulating cellular healing and tissue remodeling, whilst preventing re-injury. From a psychological standpoint, it means feeling secure and relaxed knowing that you are in the best hands. From a nutritional standpoint, it means having optimal nutrients in your diet to minimize inflammation and to support the building of new tissue.

Stage 1 – The Bleeding Phase

The first stage of healing is a bleeding phase which can last from the onset of injury to 4-6 hours), where bleeding occurs into the tissue around a lesion or physical defect. Blood in the surrounding areas of an injury slows down healing as it reduces blood flow and therefore the delivery of oxygen and nutrients to damaged cells. This bleeding phase is therefore optimized by reducing bleeding which is best achieved by CRIE, that is Compression, Rest (protection from re-injury with bracing, taping, splints or slings) Ice (10-15 minutes every one to two hours) and Elevation.

Stage 2 – The Inflammatory Phase

Inflammation is characterized by pain, heat, redness, swelling, constant and night pain. It is essential for healing in that it defends the body against infection and also like a demolition company; it clears the construction site, ready for the laying down of new tissue. The problem with inflammation is that the body tends to overshoot and starts to affect healthy tissue. As inflammation is about breaking down and removing damaged tissue, healing or the laying down of new tissue will be limited whilst this process is occurring. Like the bleeding phase the other major problem of the inflammatory stage is hypoxia or the lack of delivery of oxygen due to excessive swelling. And again like the bleeding phase, the way to optimize the effectiveness of this stage is through CRIE, (or Compression, Rest (protection from re-injury) Ice and Elevation) for at least the first 48 hours and up to five days. Additionally, at Bodywise Health, we use Bodyflow, an electrical stimulation machine that facilitates circulation by removing swelling. The beauty of this therapy is that there is a portable machine which a patient can take home to apply home treatment, further accelerating healing and optimizing the repair.

Stage 3 – The Proliferation Phase

As the inflammatory phase recedes (i.e. no heat, redness, swelling and / or constant / night pain) heat can be applied to promote healing. The proliferation stage or the laying down of new tissue tends to begins to increase after day 5. The fibers of this tissue are soluble and therefore any tension applied to these fibers can easily break or reinjure them. Therefore, along with heat, easy pain free movement within tension limits is encouraged to promote blood flow and the delivery of oxygen and nutrients.

At around day 14, these fibers become progressively more insoluble and tension becomes progressively more important in aligning the fibers along the directions of force so that they can better withstand stresses. Consequently, middle to inner range isolated isometric to isotonic strengthening in the opposite direction to the injuring force, is safest and is most effective addressing the specific stabilisation deficits.

Healing, or the laying down of new tissue, actually peaks at three weeks and from there maturation of the repair continues to take place over the next 6 months and beyond. This is accompanied by progressive and more demanding functional activities and automation of control. At the same time, the functional cause or physical deficits that lead to the injury must be addressed not only to prevent re-injury but also to optimize movement performance so that wear and tear is minimized, and better results are achieved in everyday activities.

Clinical pilates, swiss ball, bosu ball, duradisc exercises and activities that make you unstable, so that you have to stabilize without thinking, are ideal for improving the automation of control as well as the efficiency, grace and effectiveness of movement. And with greater efficiency and the effectiveness of movement come more energy and an increased feeling of health and wellbeing. This is also the way to you saving on your medical bills and to living a happier, more fulfilling life.

Are you sabotaging your efforts to get better?

It is important to understand that applying the right stimulus at the wrong time as well as wrong stimulus at the right time will delay and even impede healing. For example, just today, I have had a client who applied a warm pack and “Dencorub” to an acute injury causing massive bleeding and putting back her recovery weeks if not months. Additionally, exercising at the wrong intensity at the wrong time can be just as detrimental to healing. Other factors that delay healing can be divided into two main categories:

1. General: Age, Protein deficiency, Low Vitamin C levels, Steroids & NSAID's (inhibitory effect), Temperature (lower rate when colder)

2. Local: Poor blood supply / ischemia, Adhesion to bone or other underlying tissue, Continued inflammation, Drying of the wound, Excessive movement (restarts inflammation)

How to cut weeks, if not months off the time of your treatment

In summary, weeks and months can be cut from your healing time by applying the appropriate stimulus, to the appropriate tissue, at the appropriate time. It is clinically proven that you can:

• Minimize bleeding through the use of compression / splinting, rest and elevation;

• Limit inflammation using cold packs, anti-inflammatory creams and medication;

• Optimize circulation and cellular healing with Bodyflow;

• Stimulate bone and connective tissue repair with Lipus Ultrasound;

• Promote healing with the use of heat and other electromagnetic, sonic and mechanical stimuli;

• Relax tissue tension with soft tissue massage, joint mobilization / manipulation, dry needling, acupuncture, stretching and taping / bracing support;

• Correct biomechanical stresses through specific targeted exercises;

• Increase your physical capacity with functional strengthening programs and clinical pilates;

• Prevent re-injury by correcting posture and movement patterns;

• Experience permanent relief by changing body mechanics through the use of orthotics.

Have you received all this care?

So the question is, if you have an injury, have you received all this care, packaged together so that you get the maximum benefits and, if not why not? By combining and sequencing these different modalities you can:

• Enjoy an immediate reduction in your pain;

• Cut weeks and months off your healing time;

• Save time and money having less treatment for greater effect;

• Get back to living the life you want to live without pain or limitation.

• Sleep better, look better, feel better and live better.

The choice is yours. This is what we offer you at Bodywise Health.

For more information or for an appointment, please call Bodywise Health on 1 300 263 994.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

 

References and Resources

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Egozi E et al 2003; Mast cells modulate the inflammatory but not the proliferative response in healing wounds. Wound Repair & Regeneration 11(1):46-54

Evans N and Stanish W. (2000) The basic science of tendon injuries. Current Orthopaedics 14:403-412

Forrest, L. (1983). "Current concepts in soft connective tissue wound healing." Br J Surgery 70: 133- 140.

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Niinikoski, J. (1979). Current concepts in wound nutrition. Symposium on Wound Healing, Helsinki, Finland, A Lindgren & Soner.

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Reddy G et al (1999); Matrix remodelling in healing rabbit Achilles tendon. Wound Repair & Regeneration 7(6):518-27

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Vanable, J. (1989). Integumentary potentials and wound healing. Electric Fields in Vertebrate Repair. New York, Alan Liss Inc. 171-224.

Vernon Roberts, B. (1988). "Inflammation 1987; An overview." Agents Actions Suppl 24: 1-18.

Bodywise Health

364 Hampton St,

Hampton

Victoria. Australia 3188

03 9533 4257

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