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Signs and symptoms: Decrease in swelling, heat, and pain (changes to ache), increase in active range of motion and strength, color changes to purple/yellow.
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Physiology: Healing begins: decreased number of leukocytes; increased number of fibroblasts; repair tissue formed.
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Treatment goal: Decrease pain, increase edema uptake, increase circulation, increate range of motion, encourage proper fiber alignment.
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Treatment plan: Hydro - contrast, ice massage or cryoknestics (ice + active exercises); Massage - start at periphery with massage, may begin light cross fiber friction at site; Exercise - active stretching progressing to light resistive, avoid sharp pain.
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