Inflammatory Response Phase

injury results in altered cellular metabolism and chemical mediators. Swelling, tenderness, redness, increased temp, crepitus and loss of function occur. This initial inflammatory response is critical to the entire healing process. This phase usually lasts between 2-4 days. If this response does not accomplish what it is supposed to or if it does not subside normal healing cannot take place. Inflammation is a process through which leukocytes and other phagocytic cells are delivered to the injured tissue. This cellular reaction is usually protected tending to dispose of injury by-products through phagocytosis. During this stage the athlete should RICE, with some light ROM exercises, eventually returning to weight bearing. Immobilization in the first 24-48 hours is a must. NSAIDS may also be utilized.

Exercises:

Active ROM: The athlete puts themselves through wrist flexion and extension, thumb flexion, extension, abduction and opposition 2x50 for each

Passive ROM: The Athletic Trainer should put the athlete through wrist flexion, extension, thumb flexion, extension, abduction, opposition 3X30secs for each

Goals:

Short Term Goals: decrease swelling, decrease inflammation, decrease pain

Long Term Goals: increase to pain free ROM, increase flexibility by 10-15 degrees

Isometric Holds: The athlete should hold a contraction against the AT for wrist flexion, extension, thumb flexion, extension, abduction; the athlete should hold the contraction for 10 seconds 3x10.