Chronic Inflammation, Healing Phases, and How the Body Recovers
- Dr Anupa Dharamsi
- 14 minutes ago
- 5 min read
Inflammation is often talked about as something to “get rid of.”
That framing misses the point.
Inflammation is not a mistake. It is a biological requirement for healing.
Problems arise not when inflammation occurs, but when it fails to resolve.
Chronic inflammation is increasingly recognised as a key factor influencing pain, healing time, and long-term health. While inflammation is a natural and necessary part of the healing process, ongoing low-grade inflammation can prevent the body from fully repairing and adapting.
Understanding how inflammation works—and how healing unfolds in phases—helps explain why some injuries resolve quickly while others linger for months or years.
Inflammation: the starting signal for healing
Every healing process in the body follows a general sequence.
Inflammation is the body’s protective response to injury, infection, or stress. It involves immune cells, chemical messengers, and increased blood flow designed to remove damaged tissue and initiate repair.
In healthy healing, inflammation is temporary. It rises, does its job, and then resolves.
Problems arise when inflammation does not switch off.
Acute vs chronic inflammation
Acute inflammation
Short-term
Occurs after injury or stress
Essential for healing
Chronic low-grade inflammation
Persistent and subtle
Can last months or years
Interferes with tissue repair and nervous system regulation
Chronic inflammation is not always obvious. Many people experience it as ongoing pain, stiffness, fatigue, brain fog, slow recovery, or fluctuating symptoms rather than clear signs of illness.

The phases of healing explained

Healing is not a single event—it occurs in overlapping phases. Each phase must progress appropriately for recovery to be complete.
1. Inflammatory phase (hours to days)
This is the body’s immediate response to injury, stress, or threat.
Increased blood flow
Immune cell activation
Removal of damaged tissue and debris
This phase often comes with pain, swelling, stiffness, or heat. While uncomfortable, it is necessary. Suppressing it too aggressively can delay healing. Without it, the body does not receive the signal to repair.
2. Proliferation phase (days to weeks)
Once the initial inflammatory work is done, the body shifts toward rebuilding.
New tissue and blood vessels form
Collagen is laid down
Stability begins to return
If inflammation remains elevated during this phase, tissue repair is slower and less organised.
3. Remodelling and maturation phase (weeks to months)
This is where true recovery happens. Restoring strength and function.
Tissue adapts to load
Collagen reorganises
Movement efficiency improves
Pain sensitivity should decrease
This phase can last months, even after symptoms feel better.
Many people stop care too early, increasing the risk of recurrence.
Healing does not end when pain disappears.Pain relief is often an early milestone—not the finish line.
Healing time frames: why “it should be healed by now” is misleading
In modern culture, we expect fast recovery. Biologically, healing is slower.
Healing timelines vary depending on tissue type, stress load, sleep quality, and inflammation levels.

Muscle strains: several weeks
Ligaments, tendons, fascia: 8–12+ weeks
Chronic pain or long-standing dysfunction: months or longer
When inflammation remains elevated—due to lifestyle stressors, metabolic load, or nervous system dysregulation—the body may never fully enter the remodelling phase. Leading to repeated flare-ups or incomplete recovery.
This is where many people get stuck: symptoms fluctuate, relief is temporary, and resilience does not return.
How chronic inflammation interferes with healing
Chronic low-grade inflammation is not dramatic. It is quiet, persistent, and often invisible.
Instead of resolving after an injury or stressor, the immune system stays partially activated in its defense state.
Over time, this interferes with healing by:
Keeping tissues in a breakdown-dominant state
Increased pain sensitivity
Nervous system overactivity
Reducing tissue adaptability and repair quality
Increasing fatigue, brain fog, and mood volatility
The issue is rarely the injury alone—it is the healing environment.
Fascia, inflammation, and recovery
Fascia is a connective tissue network that integrates structure, movement, and neurological input. Because it is continuous throughout the body, it is particularly sensitive to systemic inflammation.

In a healthy state, fascia is hydrated, elastic, and responsive.
Under chronic inflammatory load, it can become:
Dense or restricted
More restricted
Less Elastic
More reactive to stress and movement
This contributes to stiffness, recurring tension, and the feeling that the body does not “hold” improvements.The feeling that the body “won’t let go,” even with stretching or exercise.
Improving fascial health requires both mechanical input (movement, load, manual care) and biological support (reducing inflammatory load).
What contributes to chronic inflammation?
Healing improves when the body has enough capacity to complete each phase of repair.
This means reducing ongoing inflammatory triggers while supporting recovery.
Core pillars to increase and support capacity include:
Consistent, appropriate movement to stimulate circulation and tissue adaptation
Sleep quality and regularity, which strongly influence immune regulation
Nourishing food patterns that stabilise blood sugar and reduce metabolic stress
Stress regulation, allowing the nervous system to exit constant threat mode
Targeted care to support alignment, movement efficiency, and neurological regulation
Addressing inflammation requires a whole-system approach, not a single intervention. Supplements can support this process—but they work best when the foundations are in place.
Supplements and inflammation: support, not shortcuts
Supplements do not replace lifestyle or care. They can, however, support healing when used appropriately alongside lifestyle and care.

Omega-3 fatty acids
Omega-3s support inflammatory balance and cell membrane health.
Benefits may include:
Support for joint and tissue health
Assistance with inflammation regulation
Cardiovascular and neurological support
They are best viewed as baseline support, especially for individuals with low dietary intake or higher inflammatory load.
Magnesium
Magnesium is involved in hundreds of enzymatic processes and is critical for nervous system regulation.
Benefits may include:
Better sleep quality
Supports muscle relaxation
Helps regulate stress responses
Supports energy production
Low magnesium status is common in chronically stressed individuals, which can indirectly contribute to ongoing inflammation and delayed recovery.
Vitamin D
Vitamin D plays a regulatory role in immune function, inflammation, and musculoskeletal health.
Benefits may include:
Supports immune balance
Assists bone and muscle health
Influence on inflammatory signalling
Vitamin D status varies widely depending on sun exposure, skin type, and lifestyle. Testing and appropriate dosing are important.
Curcumin (from turmeric)
Curcumin has been studied for its anti-inflammatory effects.
Certain formulations improve absorption, which is critical for effectiveness.
Benefits may include:
Supports reduction of inflammatory markers
Support for joint comfort
Absorption matters, and curcumin should be used thoughtfully—particularly for those on medications. Curcumin is best used as an adjunct, particularly during periods of higher inflammatory load.
Healing requires the right conditions
Healing is not linear. The body is designed to heal, but healing requires:
Reduced inflammatory load
Adequate recovery time
Nervous system regulation
Progressive movement and load
Consistency over time
Chronic inflammation does not mean the body is broken. It means the body has not been given the conditions it needs to complete the healing process.


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