Use of Various Therapeutic Modalities in Treatment of Acute Injury

Phase   Initial acute Inflammatory  Response Fibroblastic Repair Maturation Remodeling

Approximate Time Frame Injury-day 3 Day 1-day 6 Day 4 - day 10 Day 7 - recovery

Clinical Picture Swelling  Pain to touch Pain on motion Swelling subsides Warm to touch Discoloration Pain to touch Pain on motion Pain to touch  Pain on motion Swollen Swollen No more pain toTouch ?pain on motion

Possible Modalities Used CRYO  ESC  IC  LPL  ULTRA CRYO  ESC  IC  LPL  ULTRA Range of motion THERMO ESC  LPL  IC  ULTRA  Range of motion Strengthening ULTRA  ESC LPL  SWD  MWD Range of motion Strengthening Functional activities

Rationale for Use ? Swelling, ?pain ? Pain ? Swelling ? Pain Nonthermal effects to ? healing ? Swelling, ?pain ? Pain ? Swelling ? Pain Nonthermal effects to ? healing Mildly heating to ? circulation ? Pain-muscle pumping ? Pain Facilitate lymphatic flow Nonthermal effects to ? healing Deep heating to ? circulation ? ROM, ? Strength ? Pain ? Pain Deep heating to ? circulation Deep heating to ? circulation

Continue to Rehabilitation!!