Whether you have rolled your ankle, broken a rib or torn a ligament, your body goes through the same painful and uncomfortable process to repair itself.
We sat down with Nick Marshall from Surf Life Physio in Miami, QLD earlier this month to get a better understanding of the recovery journey. Nick has over 17 years' experience as a physiotherapist, having practised both privately for his own practice Surf Life Physio and as a senior outpatient physio for Tweed Heads Hospital.
This article starts the first of three interviews on injury recovery. Nick gives his insights on the first 72 hours of an injury and provides tips on how best to manage this stage.
Immediately following hurting yourself you enter the inflammatory stage.
You've injured yourself and now it's time for your body to fix itself by finding the damage, reducing further risk of injury and laying the first foundations for repair.
This is the period of time when the injury is sore all the time no matter what you do or how you try to carry the injured area. It’s the body's pathological protective response.
Trying to describe the recovery process is confusing, jargon-filled and to be frank, a little boring. So, I let's look at the process through a real-world example.
Let's take a house fire and call that our injury. The moment the fire is detected, the emergency services are dispatched. These being Fire, Police and Ambulance.
Like firefighters put out the fire, your body stops any bleeding to limit the extent of the damage caused by the injury. When you injure yourself, it causes blood vessels to break. You will see this when you have a bruise in the area, swelling under the skin or more obviously, when there is blood on your skin. Your body's firefighters, known as platelets, clot your blood and stop any further bleeding.
In a fire, the police will cordon off an area to limit reduce the risk of casualties and further damage. Similarly, our body will relay messages to our brain to tell you the area is painful. In response, your body also floods the area with blood, causing the injures area to swell. This makes the area stiff and uncomfortable. By making an action or activity incredibly painful and uncomfortable it forces you to stop using it and avoids you causing any more damage. The police have successfully kept you safe and out of harm's way.
The ambulance will bring paramedics to help treat the injured and remove those that need further assistance. Much like the ambulance, the injured tissue will release chemicals to attract the right resources to help begin the process of repairing itself, such as white blood cells. Your body will also begin the process of taking away the damaged cells so new ones can grow.
The body’s general response to this inflammatory stage is 72 hours. But largely what you do and how you behave during those initial minutes following the injury will dictate whether it is more or less than 72 hours.
This phase is generally represented by three symptoms:
There are a number of acronyms that can be used for treatment in this early inflammatory stage. But probably the best message is first and foremost ‘do no harm’.
To achieve this most health practitioners will advise the injured person to commence R.I.C.E.
Rest from painful aggravating activities
Ice the injured area, this will reduce the amount of bleeding and swelling and in turn reduce the inflammatory response.
Compress the injured area to further reduce the localised swelling and accumulation of inflammation.
Elevate the injured area to reduce the effect of swelling pooling in the extremities.
It might sound strange given we talk about our immediate treatment being to reduce swelling with the R.I.C.E. method but we actually want to avoid anti-inflammatory medication in the first 72 hours.
Despite what so many people think, we actually need the body's inflammatory response and inflammation to start a healing effect. It’s this inflammation that brings all the building blocks of repair and without inflammation, an injury will not heal properly.
We want to reduce the inflammatory response to make it more comfortable but not remove it completely.
Absolutely, you see it in elite sport when you are watching TV. The first person to an injured player on the field is the physiotherapist. If for no other reason than determine the level and extent of injury and then to make an educated assessment of the ability of the player to continue to play. It’s no different off the field.
Quick and early identification, assessment and diagnosis of a person’s injury can better frame the rehab process as well as fast track a rehabilitation plan and return to work.
Check out the other parts in this series below.
In the meantime, if you have any questions regarding these tips, injury recovery or other health issues please do not hesitate to contact Nick and his team at Surf Life Physio on (07) 5527 7830 or click the button below.