Soft Tissue Injury Repair
Why Does Healing of a Soft Tissue Injury Take Up to Twelve Months or More?
Recent research done in Australia1 and the U.S.2 indicates that the healing of a soft tissue injury (muscles, ligaments, tendons, etc.) may take up to twelve months or more and occurs in three phases:
PHASE I: INFLAMMATION: This initial phase lasts seventy-two hours or more. The impact of the injury ruptures the tissues, particularly the capillaries, resulting in debris-strewn gaps between the healthy tissues. With the oxygen carrying capillaries damaged, an oxygen poor environment is created. The immediate cellular response is from the cells that require little oxygen such as mast cells, macrophages, and granulocytes. (These are all immune system "clean-up" cells.) Visible signs such as swelling, redness, and pain may or may not be present at this time.
PHASE II: REPAIR or REGENERATION: This phase lasts up to six weeks or more. The early part of this phase is concerned with capillary restoration and the clean up of the debris. Macrophages and granulocytes devour debris (similar to the cleaning crew on a construction site) as the capillary system regenerates and brings oxygen and nutrients back into the injured area. Once there is available oxygen, collagen proteins are necessary to bridge the gaps in the soft tissue created by the injury and clean up. Unfortunately, instead of being a strong flexible criss-cross pattern of the original tissue, this repair tissue is characterized by a weaker, stiffer, and more pain sensitive rope-like pattern.
PHASE III: REMODELING: This final phase of healing lasts up to twelve months or more. In this phase, collagen is remodeled to increase functional capabilities in the healing region. It is important that controlled motion be introduced during this phase. When motion is introduced the collagen fibers will slowly arrange themselves more like the original pre-injury tissue. Motion also minimizes the weakness, stiffness and pain sensitivity of the healing tissue. Each of the three types of motion (active- the patient moves, passive- someone else moves the area and paraphysiological- the end range of motion.) has a role in the remodeling process. The more complete the remodeling process, the less likely the patient will suffer future aggravations or exacerbations of the injured areas.
Recent research done in Australia1 and the U.S.2 indicates that the healing of a soft tissue injury (muscles, ligaments, tendons, etc.) may take up to twelve months or more and occurs in three phases:
PHASE I: INFLAMMATION: This initial phase lasts seventy-two hours or more. The impact of the injury ruptures the tissues, particularly the capillaries, resulting in debris-strewn gaps between the healthy tissues. With the oxygen carrying capillaries damaged, an oxygen poor environment is created. The immediate cellular response is from the cells that require little oxygen such as mast cells, macrophages, and granulocytes. (These are all immune system "clean-up" cells.) Visible signs such as swelling, redness, and pain may or may not be present at this time.
PHASE II: REPAIR or REGENERATION: This phase lasts up to six weeks or more. The early part of this phase is concerned with capillary restoration and the clean up of the debris. Macrophages and granulocytes devour debris (similar to the cleaning crew on a construction site) as the capillary system regenerates and brings oxygen and nutrients back into the injured area. Once there is available oxygen, collagen proteins are necessary to bridge the gaps in the soft tissue created by the injury and clean up. Unfortunately, instead of being a strong flexible criss-cross pattern of the original tissue, this repair tissue is characterized by a weaker, stiffer, and more pain sensitive rope-like pattern.
PHASE III: REMODELING: This final phase of healing lasts up to twelve months or more. In this phase, collagen is remodeled to increase functional capabilities in the healing region. It is important that controlled motion be introduced during this phase. When motion is introduced the collagen fibers will slowly arrange themselves more like the original pre-injury tissue. Motion also minimizes the weakness, stiffness and pain sensitivity of the healing tissue. Each of the three types of motion (active- the patient moves, passive- someone else moves the area and paraphysiological- the end range of motion.) has a role in the remodeling process. The more complete the remodeling process, the less likely the patient will suffer future aggravations or exacerbations of the injured areas.
- Kellet J: Acute soft tissue injuries: A review of the literature. Medicine and Science of Sports and Exercise, American College of Sports Medicine, 1986(5)p.489-500
- Roy S. and Irvin R.: Sports Medicine: Prevention, Evaluation, Management, and Rehabilitation: Prentice-Hall, Inc. 1983,p.46.
Chiropractic Research
Some Case Studies
Chiropractic began in 1895 in Davenport, Iowa USA. Since then they have performed thousands of studies to scientifically validate the positive impact chiropractic has on the preservation and maintenance of health and performance at all levels.
Here are some examples:
_________________________________________________________________
The Triumph of Chiropractic in a Reformatory:The Supervisor report of Chiropractic State of Kentucky in connection with Kentucky's reformatory, Greendale, Marshall LT, Lexington (December 1, 1931).
This report was legally made to 244 children with learning disabilities undoubted and various emotional disorders.
Boys who received chiropractic adjustment (244)
Boys who graduated from college (54)
Boys who were allowed to return to their homes for good behavior (144)
Number of boys at Greendale (Kentucky reformatory) in September 1930, when the chiropractic program started (540)
Number of kids in Greendale in December 1931 (15 months) (335)
The following are extracts from some of the letters he wrote state officials due to their great surprise:
"I have noticed a significant improvement in both mental and physical condition of the boys, as well as behavior and school work. Moreover, during this period, children were sent home more than during any other period in the last 4 years ""We have seen results that go far beyond what everyone expected in the rehabilitation of these children. The teachers voluntarily decided to sign a petition seeking to have a PhD in Chiropractic in the institution constantly. " "Of the teachers," as studies show, those kids who received Chiropractic adjustments, improved incredibly since the first day, not only in terms of health, but also as students, and above all, showed a big difference in their moral life. "
_________________________________________________________
The study of our health care, welfare and quality of life
(Blanks, RHI, Schuster TL.) Journal of Vertebral Subluxation Research 1997, 1 (4): 1
The information was obtained from 156 Chiropractic offices in the United States, Canada, Australia and Puerto Rico. 2818 patients were analyzed.
The results indicated that these patients showed significant changes both in the four levels of health (physical, mental / emotional stress level and recreation) as well as the quality of life in general. All this indicates that personal care is directly related to real health benefits, which are manifested in one to three months under chiropractic care and increasing day by day!
Robert Blanks, head of research, brings together all this information and said that "the more time you get Chiropractic, more intense are the benefits both physically and emotionally. Chiropractic is, in my opinion, the best service to improve our quality of life!
_________________________________________________________
Italian Study :The social importance of chiropractic and how it influences so that fewer and fewer people are hospitalized and fewer people miss work. Professor F. Splendori. In 1987, the study of 17,142 patients (22 clinics) in Italy, led by physicians and Chiropractic, reached the following conclusion:
Studies to 17,000 people for two years, showed that chiropractic decreased from 75% to 55% rates of absenteeism and 87.6% of hospitalizations.
The most important indicator of the effectiveness of chiropractic is the dramatic improvement in the quality of life, especially because of its preventive and rehabilitative functions.
Over 120 years of research re-enact that chiropractic not only helps to maximize the health but also has preventative qualities and the more you use this service, the greater your benefits, so you should receive settings from birth, since it is so sure that anyone can use regardless of age or condition of each.
___________________________________________________________________________
Subluxations and birth trauma.
There have been many studies of trauma in childbirth and subluxations. One of them is named "Blocked Atlanto Nerve Syndrome" by Dr. G. Gutmannn
(Manuelle Medicine 25 [1987] :5-10).
Dr. Gutmann was a study of 1000 infants and children with ear infections revealed that the blocked nerves were the result of a misalignment (subluxation) in the cervical area. These nerves blocked, he concluded,
clinical contributions to problems in the nervous system ("central engine") to the low resistance to infection, and even increases the susceptibility to ear, nose and throat, which he considers the most common consequences in these cervical displacement.
Dr. Gutmann recommended that a screening and monitoring of this area after birth, with adjustments if necessary.
"Power settings opaque any other treatment, particularly of the pharmacist" he says.
Dr. Gutmann, based on the study conducted, concludes that 80% of the "automatic" nervous system of children does not work optimally. It is important to understand that the main function of this system is to repair, cure and control the body parts. Once this is achieved we can say that we enjoy full health. Dr. Gutmann points out that this interference is due to subluxations in the cervical area.
Another study conducted on 316 infants and children with stomach aches, revealed that 94% of the total was significantly improved with chiropractic services.
(Klougart N., N. Nilsson, and J. Jacobsen, and Chiropractors Infantile colic: a study of 316 cases. JMPT (August 1989) Vol.12: 4)
For more information visit: www.ICPA4KIDS.com
AR
Over
Chiropractic began in 1895 in Davenport, Iowa USA. Since then they have performed thousands of studies to scientifically validate the positive impact chiropractic has on the preservation and maintenance of health and performance at all levels.
Here are some examples:
_________________________________________________________________
The Triumph of Chiropractic in a Reformatory:The Supervisor report of Chiropractic State of Kentucky in connection with Kentucky's reformatory, Greendale, Marshall LT, Lexington (December 1, 1931).
This report was legally made to 244 children with learning disabilities undoubted and various emotional disorders.
Boys who received chiropractic adjustment (244)
Boys who graduated from college (54)
Boys who were allowed to return to their homes for good behavior (144)
Number of boys at Greendale (Kentucky reformatory) in September 1930, when the chiropractic program started (540)
Number of kids in Greendale in December 1931 (15 months) (335)
The following are extracts from some of the letters he wrote state officials due to their great surprise:
"I have noticed a significant improvement in both mental and physical condition of the boys, as well as behavior and school work. Moreover, during this period, children were sent home more than during any other period in the last 4 years ""We have seen results that go far beyond what everyone expected in the rehabilitation of these children. The teachers voluntarily decided to sign a petition seeking to have a PhD in Chiropractic in the institution constantly. " "Of the teachers," as studies show, those kids who received Chiropractic adjustments, improved incredibly since the first day, not only in terms of health, but also as students, and above all, showed a big difference in their moral life. "
_________________________________________________________
The study of our health care, welfare and quality of life
(Blanks, RHI, Schuster TL.) Journal of Vertebral Subluxation Research 1997, 1 (4): 1
The information was obtained from 156 Chiropractic offices in the United States, Canada, Australia and Puerto Rico. 2818 patients were analyzed.
The results indicated that these patients showed significant changes both in the four levels of health (physical, mental / emotional stress level and recreation) as well as the quality of life in general. All this indicates that personal care is directly related to real health benefits, which are manifested in one to three months under chiropractic care and increasing day by day!
Robert Blanks, head of research, brings together all this information and said that "the more time you get Chiropractic, more intense are the benefits both physically and emotionally. Chiropractic is, in my opinion, the best service to improve our quality of life!
_________________________________________________________
Italian Study :The social importance of chiropractic and how it influences so that fewer and fewer people are hospitalized and fewer people miss work. Professor F. Splendori. In 1987, the study of 17,142 patients (22 clinics) in Italy, led by physicians and Chiropractic, reached the following conclusion:
Studies to 17,000 people for two years, showed that chiropractic decreased from 75% to 55% rates of absenteeism and 87.6% of hospitalizations.
The most important indicator of the effectiveness of chiropractic is the dramatic improvement in the quality of life, especially because of its preventive and rehabilitative functions.
Over 120 years of research re-enact that chiropractic not only helps to maximize the health but also has preventative qualities and the more you use this service, the greater your benefits, so you should receive settings from birth, since it is so sure that anyone can use regardless of age or condition of each.
___________________________________________________________________________
Subluxations and birth trauma.
There have been many studies of trauma in childbirth and subluxations. One of them is named "Blocked Atlanto Nerve Syndrome" by Dr. G. Gutmannn
(Manuelle Medicine 25 [1987] :5-10).
Dr. Gutmann was a study of 1000 infants and children with ear infections revealed that the blocked nerves were the result of a misalignment (subluxation) in the cervical area. These nerves blocked, he concluded,
clinical contributions to problems in the nervous system ("central engine") to the low resistance to infection, and even increases the susceptibility to ear, nose and throat, which he considers the most common consequences in these cervical displacement.
Dr. Gutmann recommended that a screening and monitoring of this area after birth, with adjustments if necessary.
"Power settings opaque any other treatment, particularly of the pharmacist" he says.
Dr. Gutmann, based on the study conducted, concludes that 80% of the "automatic" nervous system of children does not work optimally. It is important to understand that the main function of this system is to repair, cure and control the body parts. Once this is achieved we can say that we enjoy full health. Dr. Gutmann points out that this interference is due to subluxations in the cervical area.
Another study conducted on 316 infants and children with stomach aches, revealed that 94% of the total was significantly improved with chiropractic services.
(Klougart N., N. Nilsson, and J. Jacobsen, and Chiropractors Infantile colic: a study of 316 cases. JMPT (August 1989) Vol.12: 4)
For more information visit: www.ICPA4KIDS.com
AR
Over
