![]() The body does this primarily through the process of clotting. If, for example, an injury results in bleeding, the body stops the bleeding in an effort to preserve the tissue and save energy for possible fight or flight. Just after an injury, the body is in a default mode to protect and survive. The four phases of healing are hemostasis, inflammation, proliferation and remodeling. The human body uses a four-step process that reliably achieves these goals if the environment is right. When connective tissue is injured, the collagen must be reformed and the structure of the material (skin, tendon, ligament, etc.) must be re-formed. The basic building material for connective tissues is often collagen this is a sort-of woven protein structure. Its universality throughout the structures of the body serves as a reminder for the interconnectedness of the healing cycle. Connective tissue can be bone, ligament, nerves, muscles, tendons and the matrix (surrounding gel/fluid) that holds the cells in place. Each phase needs to function flawlessly and this also can be a source of problems.Ĭonnective tissue is the stuff that puts a human together and makes the body “stick” together – not just tendons and ligaments. Diabetics, for example, have differences in timing between the four phases of healing, which makes their wounds heal slower or become chronic. If there is variation, that is when there are problems. There are four main phases of healing that are universal and generally follow the same pattern and timing no matter what. I’d like to share a little bit of what I know about the physical process of healing with you today: Surgery is simply a means to the end – and the goal of each procedure is healing and the promotion of better form and function. As an orthopedic surgeon, I not only specialize in surgical procedures – but also have to be an expert in the process of healing.
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