16/09/2025
⚡️ Why rest alone isn’t enough for healing ⚡️
When our horses or dogs are injured, a wound may look healed in just 10–14 days (if there was a wound to the skin). But deeper tissues like muscle, tendon, ligament and bone all heal at very different rates – and go through predictable stages of healing. In fact, we’d do well to remember that these rules also apply to ourselves! Healing takes time.
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🔄 Stages of Healing
Inflammatory (days): vascular and cellular responses clear debris, form a clot, and initiate repair.
👉 For owners: this is when you’ll often see swelling, heat and pain – it’s the body’s natural “clean-up crew.”
Proliferation (weeks to months): fibroblasts lay down immature type III collagen, with new blood vessels forming. This tissue is weak and disorganised.
👉 For owners: the wound may look better on the outside, but inside the new tissue is fragile and easily damaged.
Remodelling (months to 12+ months): collagen transitions to type I, fibres realign under mechanical stress, and tensile strength increases. Complete restoration to pre-injury strength is rare.
👉 For owners: this is the long-haul stage – the tissue is stronger but still needs careful, guided loading to stop re-injury.
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⏳ Typical Healing Times by Tissue
• Muscle: 2–12 weeks depending on severity. Satellite cells support repair in mild injuries; fibrosis is common in severe tears.
👉 For owners: small strains can heal quickly, but major tears may leave lasting weakness without the right rehab.
• Tendon: 6–9 months. Risk of adhesions and poor fibre alignment if unmanaged.
👉 For owners: even if your horse/dog seems comfortable after a few months, the tendon won’t be anywhere near full strength yet.
• Ligament: 9–12 months or longer. Limited blood supply makes healing slow and often incomplete.
👉 For owners: ligament injuries are frustrating because progress feels so slow – but cutting corners risks re-injury.
• Bone: 6–12 weeks for uncomplicated fractures, but full load-bearing strength takes longer.
👉 For owners: fractures may “knit” quickly, but careful rehab ensures proper strength and prevents future issues.
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🏋️ Why Diagnosis + Rehab Matter
• Vets provide accurate diagnosis so we know which tissue is involved – essential, as each heals differently.
• Physiotherapists prescribe exercise that matches both the tissue type and the healing stage.
• Too much exercise too early = risk of tearing again.
• Too little for too long = weak, haphazard scar tissue.
👉 For owners: it’s all about balance. Correctly timed, progressive exercise helps tissues heal stronger and function better.
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💡 How Modalities Help
Adjunctive therapies such as INDIBA radiofrequency, Class IV laser, PEMFT, and hydrotherapy can:
• Enhance circulation and angiogenesis.
• Reduce inflammation and pain.
• Improve collagen alignment and scar tissue quality.
• Support safe mobility while reducing compensatory strain.
👉 For owners: these tools speed up healing and help the new tissue form in the right way, so recovery is quicker and more robust.
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✅ With the right diagnosis, targeted treatment, and carefully staged exercise, we can accelerate healing, improve long-term tissue integrity, and reduce the risk of re-injury.