In the early healing stages of wounds, which technique should be avoided due to fragility of granulation tissue?

In the early healing stages of wounds, avoiding drag and torque on the tissue is crucial due to the fragility of granulation tissue. Granulation tissue is newly formed tissue that replaces lost tissue during the healing process, and it is delicate and easily damaged. Techniques that apply pulling or twisting forces can disrupt this sensitive tissue, potentially delaying healing or causing further injury.

Percussion methods, while they can be stimulating and invigorating, do not exert prolonged pressure or drag, making them less harmful to fragile granulation tissue. Effleurage techniques, characterized by gentle gliding strokes, are generally safe and can even promote blood circulation and lymphatic drainage in healing tissues. Static stretching is typically not applied directly to the wound site, but even if it were used, it involves lengthening muscles rather than exerting drag on fragile tissues. Therefore, avoiding drag and torque techniques ensures that the healing process is supported without risking damage to new tissue formation.