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Enhance comfort and productivity with our ergonomics guide! Discover essential items like ergonomic chairs, keyboards, wrist supports, standing desks, monitor risers, and more to improve posture and ease daily tasks at work and home. General Ergonomics Appointments Office & Home Office Heating Pad Purpose: Reduce strain and discomfort with injured area. Examples: Wrist Cushion Purpose: To enhance comfort, supports wrist to reduce the risk of strain or injury during computer use, and encourages a more ergonomic typing or mousing posture. Examples: Mouse Cushion , Keyboard Cushion Home and Kitchen Tools Cordless Electric Scissors Purpose: To help minimize hand and wrist strain while promoting comfortable and efficient cutting for users across various tasks and applications. Examples: Electric Scissors Electric Can Opener Purpose: To provide a more comfortable, accessible, and user-friendly alternative to manual can openers, reducing strain and making the task of opening cans easier and safer Examples: Kitchen Electric Can Opener Ergonomic Jar Opener Purpose: To help people with weak hands or mobility issues open jars easily and safely, without causing strain or discomfort. Examples: Jar Opener , Multi-function Can and Jar Opener, Electric Jar Opener

Total knee replacement treatment available. Walk-ins welcome at Next Journey Orthopaedics. Book now! Total Knee Arthroplasty - Get Back to Life! Welcome to your Knee Recovery Journey Understanding Knee Replacement Surgery Knee replacement surgery involves replacing damaged parts of the knee joint with artificial components to alleviate pain and restore function. This procedure is commonly recommended for individuals suffering from severe arthritis or significant knee injuries. Welcome to your recovery journey. We understand that undergoing knee replacement surgery is a significant step, and we're here to support you every step of the way. Our goal is to provide you with the information and resources you need to heal comfortably and confidently. Immediate Post-Surgery Expectations The First Few Weeks at Home As you transition home, it's important to follow your care plan diligently. Use assistive devices as recommended, and gradually increase your activity level. Attending all follow-up appointments ensures your recovery is on track After surgery, it's normal to experience some discomfort and swelling. Our medical team will work closely with you to manage pain effectively. You'll begin gentle movements soon after the procedure to promote healing and prevent stiffness. Physical Therapy and Rehabilitation Long-Term Recovery and Lifestyle Adjustments Recovery is a gradual process, and patience is key. Most patients return to their regular activities within a few months. Maintaining a healthy weight and staying active with low-impact exercises can prolong the benefits of your new knee. Engaging in physical therapy is crucial for regaining strength and mobility. Exercises such as supported knee bends and walking with assistance will be introduced to help you restore function. Your therapist will tailor a program to meet your specific needs. Protocols Phase 1: Immediate Post-operative Phase (Day 0 - Hospital Discharge) Goals: Control pain and swelling Protect healing tissue Begin restoring range of motion (ROM) Establish lower extremity muscle activation Restore independent functional mobility Precautions: Weight-bearing as tolerated (WBAT) with crutches or walker Monitor for signs of deep vein thrombosis (DVT) Recommended Exercises: Passive and active-assisted knee flexion and extension Heel slides Quad sets, glute sets, hamstring sets Straight leg raises (emphasizing no lag) Ankle pumps Functional Mobility: Bed mobility training Transfer training Gait training on level surfaces Stair training (if appropriate) Phase 2: Early Post-operative Phase (Hospital Discharge - 8 Weeks) Goals: Improve ROM (target: 0-110 degrees) Restore muscle strength, especially quadriceps Initiate proprioceptive training Normalize functional mobility Wean from assistive devices Precautions: Progress weight-bearing as tolerated Monitor wound healing and signs of infection Recommended Exercises: Continue Phase 1 exercises Heel slides with towel Prone knee flexion Stationary biking (starting with partial revolutions) Patellofemoral and tibiofemoral joint mobilizations Hamstring, gastrocnemius/soleus, and quadriceps stretching Closed chain exercises (mini-squats, step-ups) by end of phase Functional Mobility: Gait training emphasizing normal gait pattern Progress to cane, then no assistive device as appropriate Phase 3: Intermediate Phase (8-12 Weeks) Goals: Maximize knee ROM Restore normal lower extremity strength Return to baseline functional activities Precautions: Avoid high-impact activities Avoid activities requiring repeated pivoting/twisting Recommended Exercises: Continue previous exercises, increasing resistance Add resistance machines (leg press, hamstring curl, hip exercises) Single-leg stance and balance exercises Gentle agility exercises (tandem walk, side-stepping) Progress biking program, adding mild to moderate resistance Begin walking program Phase 4: Advanced Phase (12 Weeks and Beyond ) Goals: Continue improving strength and endurance Return to recreational activities as appropriate Precautions: Avoid high-impact and contact sports Avoid repetitive heavy lifting Recommended Exercises: Progress strengthening exercises Advance proprioceptive and balance training Increase intensity and duration of cardiovascular exercises Key Milestones: By 8 weeks: ROM should be 0-110 degrees By 12 weeks: Patients should be able to walk on uneven surfaces with minimal assistance Additional Recovery Tips: Apply ice after exercising to manage swelling. Follow your healthcare provider's advice before advancing activities. Individual progress may vary; always listen to your body. This protocol serves as a general guide, and individual progress may vary based on specific patient factors and surgical outcomes. Driving Left knee replacement: As early as 2-4 weeks if driving an automatic transmission and off narcotic pain medication Right knee replacement: Generally 6-8 weeks, depending on regaining reflexes and muscle strength Overall range: Most patients can resume driving between 2-8 weeks after surgery Light Sports (e.g., Golf) Hitting balls off a mat: Around 6 weeks post-surgery Full round of golf: Some patients may be able to play a full round, even without a cart, by the 3-6 months Exercising 0-4 weeks: Focus on gentle exercises to regain movement and prevent blood clots 4-12 weeks: Transition to moderate activities like walking and cycling 3-6 months: Begin low-impact activities such as swimming, cycling, and walking on flat surfaces 6-12 months: Start moderate-impact exercises like elliptical training, golfing, and light jogging 12+ months: High-impact activities are generally discouraged, but consult with your surgeon for personalized recommendations It's important to note that these timelines are general guidelines, and individual recovery can vary. Always consult with your healthcare provider before starting new activities or exercises after knee replacement surgery. Medications Celecoxib Aspirin 81 mg twice a day Steroids Neurontin Tylenol Frequently Asked Questions Contact Information Remember, you're not alone. If you have any questions or need additional support, please don't hesitate to contact our office at (571) 416-8244. We're here to assist you You might have questions about your recovery process. For instance, 'When can I drive again?' or 'How do I manage swelling?' Our FAQ section provides answers to these common concerns.

Haga una cita I'm a New Patient I was seen in the ER I am a Follow Up Patient I had a Work Related Injury Same‑week availability. Compassionate orthopaedics and primary care in McLean, VA—organized around your life and goals. Horario de oficina: Lunes 8 am - 8 pm Martes 8 am - 8 pm Miércoles 8 am - 8 pm Jueves 8 am - 5 pm Viernes 8 am - 3 pm Sábado 9 am - 1 pm Todos los días de la semana nuestra oficina está cerrada desde 12 p. m. - 1:30 p. m. Horario de oficina: Lunes 8 am - 8 pm Martes 8 am - 8 pm Miércoles 8 am - 8 pm Jueves 8 am - 5 pm Viernes 8 am - 3 pm Sábado 9 am - 1 pm Todos los días de la semana nuestra oficina está cerrada desde 12 p. m. - 1:30 p. m. Privia Patients — Book Online Log in to your Privia account to book or manage your visit. Patient Portal Schedule an Appointment Not a Privia Patient Yet? We’ll help you get set up. During office hours: (571) 416‑8244 Schedule an Appointment Self‑Pay Rates We offer transparent cash‑pay options. HealthMe makes it simple to see prices up front. During office hours: (571) 416‑8244 Learn about self‑pay Before You Visit Make Sure you have your Referral/Authorization Letter if needed Bring a valid Photo ID Bring all your Insurance Card(s) Bring your Credit Card. We have a Credit Card on file Policy Log into your Privia patient Portal Account Update preferred pharmacy Update medications Collect Discs of studies (MRI, CAT Scan, X-Rays) related to the issue that your are being seen for Safety note: For emergencies, call 911. Please don’t send personal medical information via unsecured email. How to Get Here Address: 8255 Greensboro Drive, Suite 150 McLean, VA 22102 Directions: Near Tysons, just off VA‑7/Leesburg Pike. Use building signage for “8255 Greensboro Drive.” Parking: On‑site garage and limited surface parking. Accessible parking and elevator access available. Entrance: Enter through the main lobby and follow signage to Suite 150. Appointment FAQs Can I book online? Yes—Privia patients can book online in minutes. New patients can call and we’ll guide you through setup. What should I bring? Photo ID, insurance card(s), a credit card (kept on file), a current medication list, and any imaging discs related to your visit.

Discover 100+ orthopedic terms explained simply, from fractures and arthritis to advanced surgeries like arthroscopy and spinal fusion. A trusted resource for patients and professionals alike Glossary Terms Abduction – Movement of a limb away from the body’s midline. Adduction – Movement of a limb toward the body’s midline. Arthritis – Inflammation of the joints that can cause pain and stiffness. Arthrodesis – Surgical fusion of a joint to relieve pain and provide stability. Arthroscopy – A minimally invasive procedure using a camera to diagnose and treat joint problems. Avulsion Fracture – When a small piece of bone is pulled off by a tendon or ligament. Baker’s Cyst – A fluid-filled swelling behind the knee. Bone Density Scan – A test to measure bone strength and risk of fractures. Bone Grafting – A procedure that uses bone tissue to help repair severe fractures. Bone Marrow – The soft tissue inside bones that produces blood cells. Bone Scan – A diagnostic test to detect bone disorders or fractures. Bursa – A small fluid-filled sac that reduces friction between tissues. Bursitis – Inflammation of a bursa, often causing joint pain. Calcification – The buildup of calcium in soft tissues or bones. Callus Formation – The body’s natural process of forming new bone during healing. Cartilage – A flexible tissue that cushions joints and bones. Casting – Applying a rigid material to immobilize a fracture during healing. Closed Fracture – A break in the bone that does not puncture the skin. Closed Reduction – Non-surgical realignment of a broken bone. Clubfoot – A birth defect causing a foot to be twisted out of position. Compartment Syndrome – A condition causing pressure buildup in muscles. Corticosteroids – Medications used to reduce inflammation and pain. CT Scan (Computed Tomography) – A detailed imaging technique to view bones and tissues. Degenerative Disc Disease – Age-related changes causing spinal disc deterioration. Dislocation – When a bone moves out of its normal position in a joint. Dorsiflexion – Bending the foot upward toward the shin. Dupuytren’s Contracture – A hand condition causing fingers to bend inward. External Fixation – A treatment using an external frame to stabilize fractures. Femur – The thigh bone, the longest bone in the body. Fibula – The smaller of the two bones in the lower leg. Fracture – A break or crack in a bone. Frozen Shoulder – Stiffness and pain in the shoulder joint. Hallux Valgus – The medical term for bunions. Hemiarthroplasty – Partial joint replacement surgery. Herniated Disc – A condition where the soft center of a spinal disc pushes out. Hip Dysplasia – A condition where the hip joint is abnormally formed. Hyaline Cartilage – Smooth cartilage that covers the ends of bones. Impingement Syndrome – Shoulder pain due to repetitive overhead activities. Internal Fixation – A surgical procedure using plates or screws to hold bones together. Joint – The point where two or more bones meet. Joint Aspiration – Removing fluid from a joint for diagnosis or treatment. Kinesiology Tape – A tape used to support injured muscles and joints. Labrum – A ring of cartilage that supports and stabilizes joints. Lateral Collateral Ligament (LCL) – The ligament on the outer side of the knee. Ligaments – Strong bands of tissue connecting bones to each other. Limb Length Discrepancy – When one limb is shorter than the other. Malunion – Improper healing of a fractured bone. Medial Collateral Ligament (MCL) – A ligament in the knee that provides stability. Meniscus – A piece of cartilage in the knee that cushions and stabilizes. MRI (Magnetic Resonance Imaging) – Imaging to view soft tissues and bones. Nonunion – Failure of a fractured bone to heal properly. Osteoarthritis – The most common form of arthritis, caused by wear and tear. Osteoblasts – Cells that build new bone tissue. Osteoclasts – Cells that break down bone tissue. Osteomyelitis – A serious infection in the bone. Osteopenia – Low bone density that may lead to osteoporosis. Osteoporosis – A condition that weakens bones and makes them prone to fractures. Orthotics – Custom devices used to support and align feet. Patella – The kneecap, which protects the knee joint. Pelvic Fracture – A break in the bones of the pelvis. Plantar Fasciitis – Inflammation of the tissue on the bottom of the foot. Prosthesis – An artificial device to replace a missing body part. Pseudarthrosis – A false joint that forms when a bone does not heal properly. Radial Head Fracture – A fracture of the elbow joint. Radius – One of the two bones in the forearm. Rehabilitation – Exercises and therapies to restore function after an injury. Rheumatoid Arthritis – An autoimmune disease affecting joints. Rotator Cuff – A group of muscles and tendons stabilizing the shoulder. Sacroiliac Joint Dysfunction – Pain caused by improper movement in the sacroiliac joints. Scaphoid Fracture – A common wrist fracture. Sciatica – Pain radiating along the sciatic nerve from the lower back. Soft Tissue – Muscles, ligaments, and tendons supporting bones. Spinal Fusion – A surgical procedure to permanently join two or more vertebrae. Spinal Stenosis – Narrowing of spaces in the spine, causing nerve pressure. Sprain – Stretching or tearing of ligaments. Stress Fracture – A small crack in a bone caused by repetitive force. Subluxation – A partial dislocation of a joint. Synovitis – Inflammation of the synovial membrane in joints. Tendinitis – Inflammation of a tendon. Tendon – A tissue that connects muscle to bone. Tenotomy – Surgical cutting of a tendon. Tibia – The larger of the two bones in the lower leg. Total Joint Replacement – Surgery to replace a damaged joint with an artificial one. Traction – A treatment to realign bones using weights or pulleys. Trigger Finger – A condition where a finger gets stuck in a bent position. Ulna – The longer bone of the forearm. X-ray – A common imaging technique to view bones. Z-plasty – A surgical technique to improve the function of scarred skin.

our questions about fracture care, answered! From symptoms to recovery, Next Journey Orthopaedics provides expert advice, tips, and resources to support your healing journey. Explore our FAQs and feel confident every step of the way! Frequently Asked Questions (FAQs) We understand that you may have a lot of questions about your fracture care. Below are some of the most common questions our patients ask, answered with your well-being in mind. How do I know if I have a fracture? If you're experiencing severe pain, swelling, bruising, or difficulty using the injured area, you may have a fracture. It's important to seek medical attention for an accurate diagnosis. What should I do immediately after an injury? Try to keep the injured area still and apply ice to reduce swelling. Elevate the limb if possible and seek medical care as soon as possible. Will I need surgery for my fracture? Not all fractures require surgery. Some can heal with casting, splinting, or bracing. Your treatment plan will depend on the type and severity of the fracture. How long does it take for a fracture to heal? Healing time varies depending on the location and severity of the fracture, as well as your overall health. On average, most fractures take 6-12 weeks to heal. What can I do to speed up my recovery? Following your doctor’s advice, maintaining a healthy diet rich in calcium and vitamin D, staying hydrated, and avoiding smoking can all support faster healing. Will I need physical therapy? Physical therapy is often recommended to help restore strength, flexibility, and function after a fracture. Can I return to my regular activities after a fracture? With time and proper rehabilitation, most patients can return to their daily activities. Your doctor will provide guidance based on your progress. What should I do if I experience pain after my cast is removed? Some discomfort is normal, but persistent or severe pain should be discussed with your healthcare provider. External Links to Support Groups and Organizations You're not alone in your recovery. Below are some trusted resources that provide additional support, education, and community for individuals dealing with fractures and orthopedic conditions. American Academy of Orthopaedic Surgeons (AAOS) Comprehensive information on fracture care, recovery tips, and patient education. National Osteoporosis Foundation Resources for improving bone health and preventing future fractures. OrthoInfo by AAOS Trusted source for orthopedic conditions, treatments, and recovery advice. Bone Health & Osteoporosis Foundation Support for individuals with osteoporosis and fracture prevention tips. Fracture Healing Support Group (Facebook) An online community where patients share experiences, ask questions, and offer encouragement. If you have any additional questions or need further assistance, please don’t hesitate to reach out to our compassionate team at Next Journey Orthopaedics. We're here to support you every step of the way.

Recover faster and stronger with Next Journey Orthopaedics. Uncover expert insights on bone healing stages, nutrition for recovery, and personalized care to regain your mobility. Healing Process Recovering from a fracture is a journey that requires patience, care, and the right support. At Next Journey Orthopaedics, we’re here to guide you every step of the way with expert insights and compassionate care. Understanding how your body heals can provide reassurance and help you take the necessary steps to support your recovery. Stages of Bone Healing Bone healing is a natural process that occurs in distinct stages, each playing a crucial role in restoring strength and function: Inflammation Phase (First Few Days): Immediately after a fracture, the body responds by sending blood to the injury site, forming a clot that protects the area and initiates healing. Soft Callus Formation (1-2 Weeks): Special cells called fibroblasts produce a soft callus made of collagen that bridges the broken bone ends, providing initial stability. Hard Callus Formation (4-6 Weeks): The soft callus gradually hardens as minerals like calcium and phosphorus are deposited, strengthening the bone. Bone Remodeling (Several Months to a Year): The bone continues to reshape and strengthen, gradually restoring its normal structure and function. Every stage is essential, and it's important to follow your treatment plan carefully to support your body's healing process. Factors Affecting Healing Several factors can influence how quickly and effectively your bone heals: Age: Younger individuals generally heal faster due to a more robust bone regeneration process. Overall Health: Conditions such as diabetes, osteoporosis, and poor circulation can slow healing. Nutrition: A balanced diet rich in essential vitamins and minerals supports the healing process. Activity Level: Following your doctor's recommendations for rest and gradual activity helps avoid complications. Smoking and Alcohol Use: These can impair blood flow and delay healing, so it's best to avoid them during your recovery. Taking a proactive approach by maintaining a healthy lifestyle can make a significant difference in your recovery. Diet to Help Bone Healing and Avoid Inflammation Nutrition plays a critical role in bone healing. Eating the right foods can help speed up recovery and reduce inflammation: Protein-Rich Foods: Lean meats, fish, beans, and nuts provide the building blocks your body needs to repair bone tissue. Leafy Greens: Spinach, kale, and broccoli are rich in vitamins and minerals essential for bone strength. Omega-3 Fatty Acids: Found in foods like salmon, walnuts, and flaxseeds, these can help reduce inflammation and promote healing. Anti-Inflammatory Foods: Turmeric, ginger, and berries contain antioxidants that help combat inflammation. Hydration: Staying well-hydrated supports overall cellular function and nutrient transport. Avoid processed foods, sugary drinks, and excessive caffeine, as they can contribute to inflammation and slow healing. Calcium and Vitamin D Recommendations Based on Age and Gender Calcium and Vitamin D are essential for bone health, and your needs change based on your age and gender: Children (Ages 4-8): 1,000 mg of calcium and 600 IU of vitamin D daily. Teens (Ages 9-18): 1,300 mg of calcium and 600 IU of vitamin D daily. Adults (Ages 19-50): 1,000 mg of calcium and 600 IU of vitamin D daily. Women Over 50 and Men Over 70: 1,200 mg of calcium and 800 IU of vitamin D daily. Good sources of calcium include dairy products, fortified plant milks, and leafy greens, while vitamin D can be obtained through sunlight, fatty fish, and supplements if necessary. Expected Recovery Timelines While every fracture is unique, general recovery timelines can provide an idea of what to expect: Small Bone Fractures (Fingers, Toes): 3-6 weeks Upper Limb Fractures (Arm, Wrist, Shoulder): 6-12 weeks Lower Limb Fractures (Leg, Ankle, Foot): 12-16 weeks Complex or Severe Fractures: Several months to a year Your personal healing journey may vary depending on the type of fracture, your overall health, and how well you follow your recovery plan. Our team is here to support you, answer your questions, and adjust your treatment as needed to ensure the best possible outcome. Remember, healing takes time, but with the right care and support, you can regain strength and get back to doing the things you love. If you have any questions or concerns about your recovery, don't hesitate to reach out to us. We're in this together!

If you've been injured at work, understanding your rights and the workers' compensation system is crucial. At Next Journey Orthopaedics, we guide you through the process, from starting a claim to obtaining medical treatment. Learn how to navigate your workers' compensation benefits and ensure you receive the support you need for recovery. Contact us for assistance today! Injured at Work? We're Here to Help You Recover Expert orthopaedic care and guidance through the workers' compensation process. Schedule Your Appointment Submit Paperwork Understanding Workers' Compensation What is Workers' Compensation? Workers' compensation is a system designed to provide financial assistance and medical benefits to employees who suffer work-related injuries or illnesses. It ensures prompt medical treatment and compensation for lost wages, facilitating a safe and efficient return to work. Your Rights and Responsibilities Report Promptly: Inform your employer about the injury as soon as possible, detailing how and when it occurred. File a Claim: Submit a Claim for Benefits Form with the Virginia Workers' Compensation Commission to initiate the process. Seek Authorized Medical Care: Ensure that the medical treatment is authorized and keep detailed records of all related documentation. Why Choose Next Journey Orthopaedics? Specialized Expertise: Our team is experienced in treating work-related injuries, providing personalized care plans tailored to each patient's needs. Streamlined Process: We assist with the necessary paperwork and guide you through the workers' compensation process, ensuring a hassle-free experience. Comprehensive Services: From diagnosis to rehabilitation, we offer a full spectrum of orthopaedic services under one roof. Navigating the Workers' Compensation Process Step 1: Report the Injury Notify your employer immediately, providing specific details about the incident. Step 2: File a Claim Complete and submit the Claim for Benefits Form to the Virginia Workers' Compensation Commission. Step 3: Seek Medical Treatment Obtain authorization for medical treatment from your employer's insurance provider and schedule an appointment with our specialists. Step 4: Follow Through Attend all medical appointments, follow prescribed treatments, and maintain open communication with your employer and healthcare provider. Required Information for Patient’s Visit: Insurance Information: Name of the insurance company managing the worker’s compensation case. Authorization Letter: A letter from the assigned adjuster authorizing medical treatment for Dr. Scott or Next Journey Orthopaedics, including: Claim Number Payer specific address (including P.O. Box) Employer name Employer address State of injury Date of injury Adjuster’s first and last name Adjuster’s email and phone number Injury location on the body Identification: A valid photo ID. Supporting Documents: Any additional documents that may be helpful to the provider. What to Expect During Your Visit Your Path to Recovery Initial Consultation: Assessment of your injury by our orthopaedic specialists. Diagnostic Testing: Utilization of on-site imaging services, such as X-rays, to accurately diagnose your condition. Treatment Plan: Development of a personalized treatment strategy, which may include physical therapy, medication, or surgical interventions if necessary. Follow-Up Care: Regular appointments to monitor your progress and adjust the treatment plan as needed. Our Commitment to Your Recovery Experienced Professionals: Our board-certified orthopaedic surgeons and medical staff are dedicated to providing the highest standard of care. Patient-Centered Approach: We prioritize your well-being, ensuring that all treatments are tailored to your specific needs and circumstances. Accessible Care: With flexible scheduling and a convenient location, we make it easy for you to receive the care you need when you need it. Important Workers' Compensation Resources At Next Journey Orthopaedics, we are committed to providing not only expert medical care but also guidance through the workers' compensation process. Below, you’ll find essential resources to help you navigate your claim, understand your rights, and take the necessary steps for a smooth recovery. Claim Form To receive workers’ compensation benefits, you must file an official claim with the Virginia Workers’ Compensation Commission. Use the link below to access the required form. Download the Claim for Benefits Form Injured Worker Guide This comprehensive guide provides step-by-step instructions on what to do after a work-related injury, including how to report the incident, seek medical care, and file a claim. Read the Injured Worker Guide Virginia Workers' Compensation Glossary Understanding legal and medical terms related to workers’ compensation can be overwhelming. This glossary explains common terms and definitions used in the process. View the Workers' Compensation Glossary Injured Worker FAQ Got questions? This FAQ section answers the most frequently asked questions about workers’ compensation benefits, medical treatment, and legal rights. Explore the Injured Worker FAQ Virginia Worker’s Compensation Contact Information: Email: questions@workcomp.virginia.gov Phone: (877) 664-2566 Address 333 East Franklin Street Virginia Workers’ Compensation Commission Richmond, VA 23219 By ensuring your patients have all the necessary information and documentation, you can help facilitate their treatment and the worker’s compensation claim process efficiently.

At Next Journey Orthopaedics, we provide essential guidance on cast care to ensure a smooth recovery. Learn how to keep your cast dry, manage discomfort, and recognize signs of complications. Explore our tips and resources for a safe and comfortable healing process, along with recommended products to support your recovery. Caring for Your Cast Made Simple and Safe Appointments Contact Us for Cast Issues Top of Page Essentials Daily Living with a Cast Cast Appearance and Maintenance Cast Complications Preparing for Cast Removal Castcare Contact Us Cast Items Follow our expert guidelines to protect your recovery and avoid complications Cast Care Guide The Essentials of Casting Care At Next Journey Orthopaedics, we understand that wearing a cast can be a new and sometimes challenging experience. Proper cast care is crucial to ensure a smooth recovery and avoid complications. Below, we’ve answered some of the most common questions patients have about cast care, providing you with the information you need to stay comfortable and safe. Keep Your Cast Dry How do I keep my cast dry while bathing or showering? It’s essential to keep your cast dry to prevent skin irritation or infection. Use a waterproof cast cover, available at most pharmacies, to protect your cast during showers or baths. Alternatively, you can wrap your cast in plastic bags and secure them with rubber bands. Avoid submerging your cast in water. W hat should I do if my cast gets wet? If your cast gets wet, contact our office immediately. A wet cast can lead to skin irritation or infection. We may need to replace your cast or provide additional care instructions. Managing Discomfort How can I relieve itching inside the cast? Itching is a common issue. Avoid inserting objects like hangers into the cast, as this can damage the skin or the cast. Instead, try gently tapping on the cast or using a hairdryer on a cool setting to blow air into it. How do I reduce swelling around the cast? Elevate the affected limb above heart level as much as possible, especially during the first few days. Applying ice to the area around the cast can also help, but be sure to keep the cast dry. Is it normal for my fingers or toes to feel numb or tingly? Numbness or tingling could indicate that your cast is too tight, if you elevate the limb and it does not resolve, please contact us to potentially come in to have the cast adjusted. Ensuring Cast Integrity What should I do if my cast feels too tight or too loose? A cast that’s too tight can restrict blood flow, while a loose cast won’t provide proper support. If you notice your cast no longer provides the support you need, please reach out to us for an evaluation. What should I do if the cast cracks or breaks? A damaged cast cannot provide the support you need. If your cast cracks or breaks, contact our office right away. We’ll assess the situation and replace the cast if necessary. Essentials Daily Living with a Cast Can I walk on my cast, and if so, when? Walking on your cast depends on the type of injury and the cast itself. If your cast is a weight-bearing type, we’ll let you know when it’s safe to start walking. Always follow our instructions closely to avoid injury. Can I drive or operate machinery while wearing a cast? Driving or operating machinery can be risky while wearing a cast, especially if it affects your mobility or reaction time. We recommend not driving while wearing a cast. What activities should I avoid while wearing a cast? Avoid activities that could damage your cast or put you at risk of injury, such as contact sports, lifting heavy objects, or exposing the cast to water. Focus on keeping the cast clean, dry, and intact. How can I prevent pressure sores or skin irritation under the cast? Keep the cast clean and dry, and avoid inserting objects to scratch your skin. If you notice any unusual discomfort or sores, contact us immediately for an assessment. Cast Appearance and Maintenance Can I walk on my cast, and if so, when? Walking on your cast depends on the type of injury and the cast itself. If your cast is a weight-bearing type, we’ll let you know when it’s safe to start walking. Always follow our instructions closely to avoid injury. Can I drive or operate machinery while wearing a cast? Driving or operating machinery can be risky while wearing a cast, especially if it affects your mobility or reaction time. We do not recommend attempting to drive. What activities should I avoid while wearing a cast? Avoid activities that could damage your cast or put you at risk of injury, such as contact sports, lifting heavy objects, or exposing the cast to water. Focus on keeping the cast clean, dry, and intact. How can I prevent pressure sores or skin irritation under the cast? Keep the cast clean and dry, and avoid inserting objects to scratch your skin. If you notice any unusual discomfort or sores, contact us immediately for an assessment. Monitoring for Complications What signs of infection or complications should I look for? Watch for increased pain, excessive swelling, foul odor, drainage from under the cast, or a fever. These could be signs of an infection. If you notice any of these symptoms, contact us immediately. When should I contact my doctor about my cast? You should reach out to us if you experience any of the following: Severe pain not relieved by elevation or pain medication. Numbness or tingling in the extremities. A wet or damaged cast. Signs of infection, such as redness, warmth, or unusual odors. Preparing for Cast Removal How is the cast removed, and will it hurt? Cast removal is a straightforward procedure done with a special cast saw that won’t harm your skin. While it may feel a bit uncomfortable due to vibrations, it shouldn’t hurt. Once removed, your skin may be dry or flaky, and your limb may feel stiff. We’ll guide you through the next steps in your recovery. Can I exercise or do physical therapy with the cast on? In some cases, we may recommend specific exercises to maintain strength and mobility. Always follow our instructions to avoid injury. Once the cast is removed, physical therapy may be recommended to restore full function. Trust Your Care to Next Journey Orthopaedics At Next Journey Orthopaedics, we’re committed to ensuring that you have the best possible experience during your recovery. Our team is always here to answer your questions and provide the support you need. If you have any concerns about your cast or your recovery, don’t hesitate to reach out to us. Contact Us Phone: 571-416-8244 Address: 8255 Greensboro Drive, Ste 150, McLean, VA 22102 Additional Items Cast Scratcher Relieve itching with our convenient Cast Scratcher. Perfect for reaching those hard-to-access spots under your cast without causing damage. Ideal for patients recovering from fractures or surgeries. Cast Socks Keep your cast clean and comfortable with our premium Cast Socks. Designed to fit snugly over any cast, they protect against dirt and add an extra layer of warmth. Available in various sizes and colors. Comfort Itching and Odor Spray Experience instant relief with our Comfort Itching and Odor Spray. Specially formulated to soothe itchiness and eliminate odors under casts and braces. A must-have for a more comfortable recovery. Cool Air Hairdryer Stay cool and comfortable with our Cool Air Hairdryer. Perfect for drying the inside of your cast and reducing itchiness. Safe to use on all types of casts and bandages. Crutch Cushions Enhance your crutch experience with our ergonomic Crutch Cushions. Providing superior comfort and support, these cushions help prevent soreness and fatigue. Easy to attach and washable. Knee Scooter Move around effortlessly with our durable Knee Scooter. An excellent alternative to crutches, it offers stability and ease of use during your recovery from foot or ankle injuries. Knee Walker Navigate your recovery with ease using our Knee Walker. Designed for patients with lower leg injuries, it provides a smooth ride and maximum comfort. Adjustable and foldable for convenience. Leg Elevation Pillows Promote faster healing with our Leg Elevation Pillows. Ideal for reducing swelling and improving circulation post-surgery or injury. Made from high-density foam for ultimate support. Long Arm Cast Covers Protect your long arm cast with our waterproof Long Arm Cast Covers. Perfect for showering and bathing, these covers ensure your cast stays dry and secure. Available in multiple sizes. Moleskin Prevent blisters and irritation with our high-quality Moleskin. Perfect for padding rough edges of casts or braces, ensuring maximum comfort during your recovery. Post-Op Shoes Ensure stability and comfort with our Post-Op Shoes. Designed for post-surgical recovery, these shoes provide support and protection for your feet. Adjustable and available in various sizes. Shoe Lift Balance your steps with our adjustable Shoe Lift. Ideal for compensating height differences caused by casts or orthopedic conditions, ensuring a more natural walking experience. Short Arm Cast Covers Keep your short arm cast dry and protected with our waterproof Short Arm Cast Covers. Perfect for showering and bathing, these covers are easy to use and come in multiple sizes. 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Join the Next Journey Orthopaedics team and contribute to exceptional patient care in a supportive environment. Explore our current career opportunities, from clinical roles to administrative positions, and discover how you can make a difference in the lives of our patients while advancing your professional journey. Apply today! Recruiting Announcement: Next Journey Orthopaedics _cc781905-5cde-3194 -bb3b-136bad5cf58d_ Next Journey La ortopedia es una práctica ortopédica que busca activamente formas de integrar nuevas tecnologías e innovaciones para ayudar a mejorar el sistema de atención médica. Nos enfocamos en aquellos proyectos que apoyan una mentalidad de objetivo cuádruple. Definimos la mentalidad de objetivo cuádruple como aquellos proyectos que mejorarán la experiencia del paciente, mejorarán los resultados del paciente, disminuirán los costos para los pacientes y mejorarán la experiencia del usuario en el lugar de trabajo. Actualmente tenemos necesidades en la prestación de atención al paciente, administración, análisis de datos, visualización de datos, gráficos/impresión 3D, marketing en redes sociales y desarrollo de proyectos. _cc781905-5cde-3194 -bb3b-136bad5cf58d_ Estamos buscando personas a las que les guste aumentar su experiencia con respecto a la integración de la atención médica con la tecnología y las innovaciones actuales. Póngase en contacto con nosotros en Careers@nextjourneyortho.net . En Next Journey Orthopaedics, creemos en el "tiempo humano" para nuestros empleados y ofrecemos varios espacios para sus tiempos de descanso. Esto incluye una sala de ejercicios en el sótano, un área de descanso en la azotea, canchas de baloncesto locales y un salón en el edificio. También estamos ubicados a una corta distancia a pie del complejo deportivo y de salud, así como del Boro ubicado en Tysons, Virginia. The Boro consta de restaurantes (Tasty Kabob, Fish Taco, Flower Child, etc.), así como Whole Foods (contiene un centro de Amazon). También estamos ubicados a una caminata de distancia de Tysons Galleria.

This quick guide for providers outlines essential steps for handling worker’s compensation injuries. Ensure your patients receive the right care by helping them start a claim and gather required information, including insurance details, authorization letters, and identification. For more support, contact us at 571-416-8244 or email questions about their care. Streamline the process for a successful recovery! Worker’s Compensation Injury: Quick Guide for Providers If the patient was injured at work, it's important to get the right care to help them to recover fully. Is Your Patient's Injury a Worker’s Compensation Injury? If your patient's injury is work-related, they may be eligible for worker’s compensation benefits. Here’s what you need to know: To Setup a Work-Related Injury Emergency Room Follow Up: Start a Claim: Instruct the patient to go our website g2n.info or www.nextjourneyortho.com as soon as possible and follow the instruction For Patients for Worker's Compensation. Also We highly recommend they fill out the Virginia Claim Form as soon as possible to avoid delays in being seen. Contact Us: Please text 571-425-5393 or email the patient's name, hospital that they were seen at, and the patient's best contact number. Required Information for Patient’s Visit: Insurance Information: Name of the insurance company managing the worker’s compensation case. Authorization Letter: A letter from the assigned adjuster authorizing medical treatment for Dr. Scott or Next Journey Orthopaedics, including: Claim Number Payer specific address (including P.O. Box) Employer name Employer address State of injury Date of injury Adjuster’s first and last name Adjuster’s email and phone number Injury location on the body Identification: A valid photo ID. Supporting Documents: Any additional documents that may be helpful to the provider. Required Information for Patient’s Visit: Claim Form Injured Guide Virginia Worker's Compensation Glossary Injured Worker FAQ Virginia Worker’s Compensation Contact Information: Email: questions@workcomp.virginia.gov Phone: (877) 664-2566 Mailing Address: Virginia Workers’ Compensation Commission 333 East Franklin Street Richmond, VA 23219 By ensuring your patients have all the necessary information and documentation, you can help facilitate their treatment and the worker’s compensation claim process efficiently.

Discover a range of lower extremity braces designed to support and stabilize injuries from the pelvis to the toes. Explore options including hip and knee braces, ankle supports, and specialized footwear for effective recovery from conditions like arthritis, tendonitis, sprains, and post-surgery needs. Whether you need a cam boot for fractures or a plantar fasciitis brace for foot pain, find the right solution to aid your healing and enhance mobility. Lower Extremity Braces Appointments Pelvis and Hip Neoprene Sleeve Purpose: To provide extra support and help ease pain. They're great for healing from hamstring injuries or protecting your muscles during activities. Use: Hamstring strain Example: Thigh Brace Hip Brace Purpose: To provide support, stability, and compression to the hip joint. Use: hip arthritis, hip dislocation, hip labral tear, hip bursitis, or hip tendonitis Example: Hip Brace Four Legged Cane Purpose: To provide support and stability when walking when there is a hip injury. Use: hip arthritis, hip dislocation, hip labral tear, hip bursitis, or hip tendonitis Example: Four Legged Cane, Four Legged Cane Tip SI Joint Belt Purpose: To provide stabilization and support to the sacroiliac joint, reducing pain and discomfort associated with SI joint dysfunction. Use: SI joint dysfunction, pelvic instability. Example: Serola Sacroiliac Belt Hip Flexor Brace Purpose: To provide support and stability to the hip flexor muscles, reducing strain and discomfort. Use: Hip flexor strain, hip flexor tendonitis. Example: Mueller Hip Flexor Brace Thigh and Knee Knee Hinge Brace Purpose: To provide support, stability, and protection to the knee joint, particularly after injury or surgery Use: Patellofemoral Syndrome, Arthritis, ALC injuries, MCL injuries, LCL injuries Example: Sparthos Knee Hinge Brace, Body Prox Knee Hinge Brace Knee Immobilizer Purpose: To restrict movement of the knee joint entirely or to a limited range to provide stability. Use: Patellar Dislocations, Meniscus Tears Example: Knee Immobilizer Knee T-Scope Brace Purpose: To provide postoperative support, stability, and controlled range of motion following knee surgery, particularly procedures involving ligament reconstruction or repair Use: Post-Operative Knee Surgery Example: Breg T-Scope Knee Brace J-Brace Purpose: To provide support and stability to the knee joint Use: Patellofemoral Syndrome Example: BraceAbility J-Brace Patella Strap Purpose: To alleviate pain and discomfort associated with patellar tendonitis or runner's knee by providing targeted compression to the patellar tendon. Use: Patellar tendonitis, runner's knee. Example: Cho-Pat Dual Action Patella Strap Knee Compression Sleeve Purpose: To support, stabilize, and provide pain relief for the knee joint Use: Arthritis, Iliotibial Band Syndrome, Patellar Tendonitis Example: Copper Knee Compression Sleeve IT Band Strap Purpose: To alleviate pain and friction along the iliotibial (IT) band, reducing symptoms of IT band syndrome. Use: IT band syndrome, runner's knee. Example: Mueller IT Band Strap Patellar Stabilizer Brace Purpose: To provide additional support and stability to the patella (kneecap), reducing patellar instability and improving knee function. Use: Patellar instability, chondromalacia patellae. Example: DonJoy Tru-Pull Lite Patella Stabilizing Knee Brace Leg and Ankle Short Cam Boot Purpose: To provide support and immobilization for foot and ankle injuries Use: Foot sprains, Ankle sprains, Foot fractures Example: United Short Cam Boot Tall Cam Boot Purpose: To offer support, stability, and immobilization for more severe foot and ankle injuries, typically extending higher up the leg Use: Ankle fracture, tibia fracture, post-op recovery Example: United Tall Cam Boot Ankle Lace Up Purpose: to provide support, stability, and compression to the ankle joint, helping to prevent or alleviate injuries such as sprains, strains, and instability Use: Ankle sprains, ankle instability Example: Sparthos Ankle Lace Up Fracture Boot Sock Purpose: To provide comfort, padding, and moisture-wicking properties while wearing a fracture boot Use: with short cam boot, tall cam boot, or ankle lace up Example: BraceAbility Cam Boot Sock Ankle Stirrup Brace Purpose: To provide rigid support and protection to the ankle joint, preventing excessive inversion or eversion movements. Use: Ankle sprains, ankle instability. Example: Aircast A60 Ankle Brace Ankle Support Socks Purpose: To provide compression and support to the ankle joint while also offering the benefits of a sock for comfort and moisture-wicking. Use: Ankle stability, prevention of ankle injuries. Example: McDavid Ankle Support Compression Socks Achilles Tendon Brace Purpose: To provide support and compression to the Achilles tendon, aiding in the treatment and prevention of Achilles tendonitis or Achilles tendon strains. Use: Achilles tendonitis, Achilles tendon strains. Example: Achilles Tendon Brace Foot and Toes Plantar Fasciitis Brace Purpose: reducing tension on the plantar fascia, the brace can alleviate pain, inflammation, and discomfort associated with plantar fasciitis Use: Plantar fascia Example: Plantar Fascitiis Brace Toe Gel Caps Purpose: to provide cushioning, protection, and support for toes Use: Corns, calluses, blisters, or ingrown toenails Example: Zentoes Toe Gel Cap Post-Op Shoe Purpose: Help to minimize movement of the foot or toes. Provides a cushioned and stable platform to reduce pressure on the affected area Use: post-operative surgery, foot fractures, soft tissue injuries Example: BraceAbility Post-Op Shoe Metatarsal Pads Purpose: To alleviate pressure and discomfort on the metatarsal heads, reducing pain associated with conditions such as metatarsalgia or Morton's neuroma. Use: Metatarsalgia, Morton's neuroma. Example: Dr. Frederick's Original Metatarsal Pads Bunion Splint Purpose: To alleviate pain and discomfort associated with bunions by gently realigning the big toe and reducing pressure on the affected area. Use: Bunion pain, bunion correction. Example: Bunion Corrector and Toe Straightener

Common CPT code Appointments Shoulder Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Biceps Tendonitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Labral Tear The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Instability of Shoulder This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Impingement Syndrome This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Use a sling for rest or pain relief. Rotator Cuff Tear This is a common shoulder injury involving damage to the muscles and tendons that stabilize the shoulder joint. Symptoms include shoulder pain, weakness, limited range of motion, and difficulty with overhead activities. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Humerus (Upper Arm) and Elbow Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Bursitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Dislocation Elbow dislocation is when the joint becomes unhinged and is characterized by joint stiffness and instability often resulting from inflammation and tightening of the elbow. Golfer's Elbow This condition involves repetitive use or trauma that injures the inside of the elbow where the origin of the muscles that control the wrist start. Use a golfers elbow brace for rest or pain relief. Humerus Fracture This condition occurs when the bone breaks. The bone needs time to heal. Olecranon Fracture This condition occurs when the one of the bones that make up the elbow breaks. Radial Head Fracture This condition occurs when the one of the bones that make up the elbow breaks. Tennis Elbow Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Forearm and Wrist Forearm Strains Forearm strain refers to an injury to the muscles or tendons in the forearm, typically caused by overstretching, overuse, or sudden force. This condition can lead to pain, swelling, and reduced function in the forearm. Forearm/Wrist Fracture Wrist and forearm tendonitis refers to the inflammation or irritation of the tendons in these areas. Tendons are the fibrous tissues that connect muscles to bones, and inflammation can cause pain, swelling, and difficulty moving the affected area. Tendonitis in the wrist and forearm is often caused by repetitive strain, overuse, or injury. Forearm/Wrist Tendonitis The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Use a a extended wrist brace for rest or pain relief. Wrist Strains Wrist strain refers to an injury to the muscles or tendons surrounding the wrist. It typically occurs when these tissues are overstretched or torn due to excessive force, repetitive movements, or sudden impacts. Wrist strain can result in pain, swelling, and limited wrist movement. Hand and Fingers Hand Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) is a medical condition resulting from the compression of the median nerve as it travels through the carpal tunnel, a narrow passageway on the palm side of the wrist. This nerve controls sensation and movement in parts of the hand, including the thumb, index finger, middle finger, and part of the ring finger. Hand Cramps Hand cramps are involuntary muscle contractions or spasms in the muscles of the hand, causing pain, stiffness, and temporary loss of function. These cramps can affect any part of the hand, including the fingers, palm, and the base of the hand. They can be sudden and intense, and their duration can vary from a few seconds to several minutes. Hand Fracture A hand fracture refers to a break or crack in one or more of the bones in the hand. The human hand consists of 27 bones, including the phalanges (finger bones), metacarpal bones (bones of the hand), and the carpal bones (wrist bones). Hand Numbness This condition refers to a loss of sensation or feeling in the hand or fingers. It can be accompanied by tingling, a "pins and needles" sensation, or a feeling of weakness Hand Stiffness This condition occurs when the is a lack of function or movement in the hand. The hand feels rigid, inflexible, or difficult to move. Hand Tendonitis This is inflammation of the tendon in the hand. Symptoms include pain, weakness, limited range of motion, and difficulty with overhead activities. Use thumb neoprene brace for pain relief. Trigger Finger Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion. Use finger splint or finger sleeve for pain relief.