I'm going to go out on a limb and suggest people look at it from a different angle. If we can accept, as I think we all can, that hit point damage does not necessarily equate to the presence of stab wounds, contusions, and other direct physical injuries, why must we assume that being at full hit points equates to being free of those injuries?
Consider the finest heroic action movie of the last 25 years, Die Hard. John McClane gets the ever-loving crap beaten out of him on several occasions, and yet he always manages to shake it off and get back into the fight. In 4E terms, he takes a "short rest," blows a few healing surges, and gets himself back up to full hit points. He's still battered all to hell and back, still suffering from cracked ribs, slashed-up feet, concussions and God knows what else, but he's such a big damn hero (and now I'm mixing metaphors) that he just refuses to let those injuries slow him down.
So yeah, that's my take on it. Heroes don't heal preternaturally fast in the D&D world. If your ranger gets knocked to 0 hp by an ogre's club that the DM describes as cracking his collarbone, your ranger still has that cracked collarbone, and it's going to take some months to properly heal. He's going to be carrying that injury for the rest of the adventure--it's there, and it hurts, and he probably really wants a good long recouperative period. But he's a hero, and that Cult of Gortholgax the Ravager isn't going to root itself out, so he mans up, soldiers on, and refuses to let that injury slow him down. Mechanically, he's at full hit points and in full fighting trim, but within the physics of the gameworld he's battered and busted up and running on pure guts.
(Obviously magical healing doesn't enter in to this--a paladin's lay on hands is magic, it can heal that broken bone in seconds--but as far as innate healing surges or healing from a martial leader, restoring hp doesn't mean wiping away actual, physical injury.)
Tangent Edit: Holy cow, it's been a long time since I used this account....
Consider the finest heroic action movie of the last 25 years, Die Hard. John McClane gets the ever-loving crap beaten out of him on several occasions, and yet he always manages to shake it off and get back into the fight. In 4E terms, he takes a "short rest," blows a few healing surges, and gets himself back up to full hit points. He's still battered all to hell and back, still suffering from cracked ribs, slashed-up feet, concussions and God knows what else, but he's such a big damn hero (and now I'm mixing metaphors) that he just refuses to let those injuries slow him down.
So yeah, that's my take on it. Heroes don't heal preternaturally fast in the D&D world. If your ranger gets knocked to 0 hp by an ogre's club that the DM describes as cracking his collarbone, your ranger still has that cracked collarbone, and it's going to take some months to properly heal. He's going to be carrying that injury for the rest of the adventure--it's there, and it hurts, and he probably really wants a good long recouperative period. But he's a hero, and that Cult of Gortholgax the Ravager isn't going to root itself out, so he mans up, soldiers on, and refuses to let that injury slow him down. Mechanically, he's at full hit points and in full fighting trim, but within the physics of the gameworld he's battered and busted up and running on pure guts.
(Obviously magical healing doesn't enter in to this--a paladin's lay on hands is magic, it can heal that broken bone in seconds--but as far as innate healing surges or healing from a martial leader, restoring hp doesn't mean wiping away actual, physical injury.)
Tangent Edit: Holy cow, it's been a long time since I used this account....
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