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Signs and symptoms: Light swelling and pain only after activity, normal temperature, Moderate decrease of active range of motion and painful at end of range, resistive painful
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Physiology: Collagen remodeling – collagen fibers gradually replace granulation tissue, collagen starts to thicken.
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Treatment goal: Mobilize – decrease adhesion and spasm, return to pain free and full range of motion, support strong pliable scar tissue, begin strengthening.
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Treatment plan: Hydro – heat before activity or treatment and ice after; Massage – deep direct friction and myofascial release at site; Exercise – full stretching progressing to light resistive, avoid sharp pain.
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