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inflammatory phase
About days 0-5; protect, rest, control edema; no stress to tissue
Proliferative (fibroplasia) phase
About day 5 to week 3; collagen is weak, so gentle protected motion only
during this phase the body creates collagen to fill in the open space of the wound
Remodeling (maturation) phase
About week 3 to 12-24 months; scar maturation, scar management, progressive loading
Scar massage and silicone
Begin after wound closure and suture removal, usually about 2-3 weeks
Edema control
Elevation, retrograde massage, compression wrap or garment, active ROM
Typical fracture bone healing (adult hand and wrist)
About 6-8 weeks for union