Thank you for your inquiry.
Inflammation is below the surface of the skin, usually around the injury itself, therefore not visible like swelling. You know you have inflammation by the pain you experience as the by-product of inflammation is pain. You will know that the inflammation has come down and you are ready to start using the bfst when the pain has lessened.
You can also do the coldcure and bfst treatments as a combination therapy. If your wrist is feeling better after a coldcure treatment, wait long enough for the area to come back to room temperature and you can follow it with a bfst treatment.
I hope this was helpful for you. Please let us know if you have any further questions or concerns.
Sandra