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Compassionate care for fracture complications starts here. At Next Journey Orthopaedics, we provide expert solutions for delayed unions, malunions, infections, and chronic pain. Let our skilled team guide your recovery with personalized treatments, advanced therapies, and unwavering support to help you heal and thrive. Complications and Management At Next Journey Orthopaedics, we understand that the road to recovery after a fracture can sometimes present unexpected challenges. Our compassionate team is here to support you every step of the way, providing expert care and guidance to help you overcome any obstacles and achieve the best possible outcome. Below, we explore some common complications that can arise during fracture healing and how they can be effectively managed with personalized treatment plans. Delayed Union and Nonunion Healing takes time, but sometimes fractures take longer than expected to mend. When a bone heals more slowly than anticipated, it’s referred to as a delayed union. In cases where the bone does not heal at all, despite medical intervention, it’s called a nonunion. These challenges can occur due to factors such as insufficient blood supply, infection, or underlying medical conditions like diabetes or osteoporosis. How We Help: Personalized treatment plans including bone stimulation therapy to encourage healing. Nutritional guidance to ensure your body has the essential nutrients for bone repair. Surgical options such as bone grafting or fixation techniques to provide additional stability and support. Our team will work closely with you to monitor progress and make adjustments to your care plan, ensuring you feel supported and informed throughout your recovery. Infections Although rare, infections can occur after a fracture, particularly if surgery was required. Symptoms such as redness, swelling, warmth, persistent pain, or drainage from the wound site can indicate an infection that needs prompt attention. How We Help: Comprehensive evaluation to identify the cause and severity of the infection. Antibiotic therapy tailored to your specific needs. In some cases, additional surgical intervention to clean the affected area and promote healing. We are committed to providing timely and effective treatment to prevent complications and help you get back on track safely and comfortably. Malunion A malunion occurs when a fractured bone heals in an incorrect position, which can affect the function and appearance of the affected limb. This can result in pain, limited mobility, or difficulty with daily activities. How We Help: Careful assessment of your symptoms and imaging studies to understand the extent of the malunion. Non-surgical options such as bracing or physical therapy to improve function. Surgical correction, when necessary, to realign the bone and restore proper function. We’ll work with you to develop a personalized approach, focusing on restoring your mobility and quality of life with compassionate, patient-centered care. Chronic Pain Management While most fractures heal successfully, some individuals experience ongoing discomfort long after the initial injury. Chronic pain can stem from nerve involvement, joint stiffness, or changes in muscle function. How We Help: A holistic approach that includes physical therapy to improve strength and flexibility. Pain management strategies such as medications, nerve blocks, or regenerative therapies. Lifestyle modifications, including ergonomic adjustments and low-impact exercises, to help you stay active without aggravating pain. We understand how frustrating persistent pain can be, and our goal is to provide you with effective solutions that empower you to live a fulfilling and active life. At Next Journey Orthopaedics, we are here to reassure, educate, and guide you through any complications that may arise. No matter the challenge, our team is dedicated to delivering compassionate care tailored to your unique needs. If you have any concerns about your recovery, don't hesitate to reach out—we're here to help.

Testamonials "La experiencia de tu viaje importa". Next Journey Orthopaedics brinda una experiencia superior al paciente con atención basada en el valor. La atención se centra en la persona en su totalidad, no solo en su condición musculoesquelética. Queremos capacitar a los pacientes para que tomen el control de su propia salud y brindarles las herramientas que necesitan para mantenerse saludables. Dr. Frederick D. Scott Jr., MD ¿Listo para encontrar más? El personal de Next Journey Orthopaedics está listo para responder sus preguntas y ayudar a satisfacer sus necesidades ortopédicas. Nuestra oficina tiene una ubicación central en uno de los lugares más accesibles del norte de Virginia en Tyson's Corner. Venga a ver de qué se trata en Next Journey Orthopaedics. Empezar Contact

Stronger bones, safer life! Next Journey Orthopaedics shares expert tips on nutrition, fall prevention, and protective gear to keep you active and injury-free. Start your journey to lifelong bone health—visit us today!" Prevention Tips for Stronger Bones and a Safer Lifestyle Taking proactive steps to care for your bones and prevent injuries is essential for staying active and independent. At Next Journey Orthopaedics, we understand that preventing fractures starts with small, meaningful changes in your daily routine. Our team is here to guide you with practical, easy-to-follow advice to help you stay safe and keep your bones healthy for years to come. Bone Health and Nutrition: Fueling Your Bones for Strength Your bones need the right nutrients to stay strong and resilient throughout your life. Eating a well-balanced diet rich in essential vitamins and minerals can make a big difference in your bone health. Here’s how you can nourish your bones every day: Calcium is Key: Aim for calcium-rich foods like dairy products (milk, yogurt, cheese), leafy greens (kale, spinach), and fortified foods (almond milk, cereals). If you’re not getting enough calcium from your diet, supplements can help fill the gap. Vitamin D for Absorption: Your body needs vitamin D to effectively absorb calcium. Spending time in the sun, eating foods like salmon and eggs, or taking a vitamin D supplement can support your bone health. Protein Matters: Lean protein sources such as chicken, fish, tofu, and legumes help maintain muscle mass, which in turn supports and protects your bones. Stay Hydrated: Drinking plenty of water helps maintain bone density and supports overall joint health. Limit Bone-Depleting Foods: Reduce your intake of caffeine, alcohol, and processed foods, which can weaken bones over time. Our Tip : A simple way to support your bone health is by including a variety of colorful fruits and vegetables in your meals, offering a range of vitamins that contribute to bone strength. Fall Prevention Strategies: Keeping You Safe and Steady Falls are a common cause of fractures, especially as we age. Taking steps to improve your balance, strength, and home environment can help prevent falls and keep you feeling confident in your daily activities. Stay Active: Regular exercise, such as walking, yoga, or strength training, helps improve balance, flexibility, and coordination, reducing your risk of falls. Footwear Matters: Choose shoes with good support and non-slip soles to provide stability and reduce the risk of slipping. Home Safety Checks: Keep your living space free from trip hazards such as loose rugs, clutter, and poor lighting. Adding grab bars in bathrooms and railings along stairs can provide extra support. Vision and Hearing: Regular check-ups with your eye and ear specialists ensure you can see and hear clearly, helping to prevent accidental falls. Assistive Devices: Don’t hesitate to use mobility aids like canes or walkers if they provide added confidence and security when moving around. Our Tip : Take a few minutes each day to practice simple balance exercises, such as standing on one foot or heel-to-toe walking, to improve your stability over time. Protective Gear for Activities: Stay Active, Stay Safe Whether you're an athlete, enjoy outdoor activities, or simply love staying active, wearing the right protective gear can help prevent fractures and injuries. It’s all about finding the right fit and protection for your lifestyle. Sports Safety: Always wear protective gear suited for your activity, such as helmets for biking, wrist guards for skating, and knee pads for high-impact sports. Proper Fit Matters: Ill-fitting gear can do more harm than good. Make sure helmets, braces, and pads fit snugly and comfortably for optimal protection. Shoes for Every Activity: Invest in the right footwear for different activities—running shoes for jogging, hiking boots for trails, and cushioned shoes for everyday walking. Listen to Your Body: If you're feeling fatigued or in pain, take a break to avoid overuse injuries that can lead to stress fractures. Warm Up and Cool Down: Gentle stretching and warm-up exercises can prepare your body for movement and reduce the risk of injury. Our Tip : Safety doesn’t mean compromising on fun! Find stylish and comfortable protective gear that suits your needs and allows you to enjoy your favorite activities without worry. Taking care of your bones is a lifelong commitment, and we’re here to support you every step of the way. Whether you're looking to prevent fractures, recover from an injury, or simply stay informed, Next Journey Orthopaedics is your trusted partner in orthopedic health. If you have any questions or concerns about your bone health and safety, reach out to us today at [571-425-5390] or visit www.nextjourneyortho.com for more tips and expert guidance. Stay strong, stay safe, and enjoy life to the fullest!

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.

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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

"Next Journey Orthopaedics: Expert Shoulder Care for AC Joint Sprain, Arthritis, Deltoid Strain, Dislocation, Biceps Tendonitis, Frozen Shoulder, Labral Tear, Impingement Syndrome, Shoulder Instability, Proximal Humerus Fracture, Rotator Cuff Tear, and more. Personalized treatments include non-operative care, physical therapy, and advanced surgical options to ensure optimal recovery. Book your appointment today to regain shoulder mobility and comfort. Contact us at 571-425-5390." Lower Extremities Hip osteoarthritis Degenerative wear-and-tear of the hip joint cartilage causing pain, stiffness and reduced range of motion, typically affecting older adults and those with risk factors like obesity or prior injury. Hip pain and stiffness with weight bearing; decreased internal rotation on exam; radiographic joint‘space narrowing. Lifestyle modification, weight loss, physical therapy, NSAIDs, heat/ice and assistive devices. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Greater trochanteric bursitis Inflammation of the bursa over the greater trochanter causing lateral hip, thigh and buttock pain, often worsened by lying on the affected side or climbing stairs. Tenderness over greater trochanter; pain when lying on the affected side; pain with hip abduction. Rest, activity modification, NSAIDs, use of cane or crutches, physical therapy and corticosteroid injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Acetabular labrum tear A tear of the hip's labrum causing hip pain, stiffness, clicking or popping and instability; often associated with femoroacetabular impingement or trauma. Clicking/catching with hip movement; positive FADIR or FABER impingement tests; decreased range of motion. NSAIDs, activity modification, physical therapy to strengthen hip muscles, corticosteroid injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Femoroacetabular impingement A condition where abnormal bone shape causes the hip bones to rub together, leading to pain, stiffness and limping; may progress to labral tears and cartilage damage. Pain with hip flexion and internal rotation; positive FADIR test; limited hip range of motion. Activity modification, NSAIDs, corticosteroid injections, physical therapy and hip‘strengthening exercises. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Hip flexor strain Tear or overstretching of the hip flexor muscles resulting in pain at the front of the hip, tightness, bruising and difficulty walking. Pain with active hip flexion and stretching; tenderness over hip flexor; muscle weakness or spasms. RICE (rest, ice, compression, elevation), NSAIDs, gentle stretching and progressive strengthening with physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Avascular necrosis of the hip Bone death due to loss of blood supply to the femoral head, leading to hip pain, stiffness and eventual joint collapse; associated with trauma, steroid use and alcoholism. Progressive hip pain, limited range of motion, imaging showing femoral head collapse. Early stages: rest, walking aids, NSAIDs, physical therapy and treating underlying cause. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Knee osteoarthritis Degenerative loss of knee cartilage leading to pain, swelling, stiffness and instability; risk factors include age, obesity, prior injury and repetitive stress. Crepitus on movement; reduced range of motion; joint‘space narrowing on X-ray. Weight management, activity modification, physical therapy, NSAIDs, bracing and injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Anterior cruciate ligament tear A rupture of the anterior cruciate ligament often due to sports injury, causing a popping sound, swelling, pain and knee instability. Positive Lachman and pivot shift tests; rapid joint effusion; inability to continue activity. RICE, knee bracing, NSAIDs and physical therapy to restore range of motion; long-term bracing for non-athletes. ACL Brace Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Patellar tendinitis Inflammation of the patellar tendon from repetitive stress, causing pain below the kneecap, tenderness and stiffness. Tenderness at the inferior pole of the patella; pain with jumping or squatting; positive decline squat test. Rest, ice, elevation, NSAIDs, knee brace/strap and gradual strengthening of quadriceps and hamstrings. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Patellofemoral pain syndrome Anterior knee pain around the kneecap due to malalignment, overuse, weak muscles or tight hamstrings; symptoms include pain during activity, pain after prolonged sitting and grinding sensation. Pain with patellar compression or squatting; positive Clarke's test; maltracking of the patella. Rest from aggravating activity, strengthening of quadriceps and hip abductors, stretching of hamstrings and calves, use of orthotics or taping. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Medial and lateral collateral ligament sprain Sprain of the knee's medial or lateral collateral ligaments caused by a force pushing the knee sideways; symptoms include pain, swelling and instability; injuries are graded I-III. Pain along the inner or outer knee; laxity on valgus or varus stress tests; swelling and bruising. RICE, bracing to limit sideways stress, NSAIDs and physical therapy; grade I/II injuries heal without surgery. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Ankle sprain Injury to the ankle ligaments, usually on the lateral side, caused by twisting the foot; symptoms include pain, swelling, tenderness and difficulty walking. Swelling and bruising around the ankle; pain with inversion or eversion; positive anterior drawer test. Protection, rest, ice, compression, elevation (PRICE), NSAIDs and early mobilization with physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Achilles tendinitis Overuse injury causing inflammation and degeneration of the Achilles tendon, resulting in heel and ankle pain, stiffness, swelling and weakness. Tenderness along the Achilles tendon; pain with dorsiflexion and plantarflexion; thickened tendon. Rest, ice, NSAIDs, calf stretching and eccentric strengthening exercises, supportive shoes or orthotics. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Medial tibial stress syndrome Inflammation of muscles and tissues along the shin bone from overuse, causing pain and tenderness along the inner lower leg with possible mild swelling. Pain along the tibia during running or jumping; tenderness to touch; history of increased activity. Rest, ice, NSAIDs, reducing training intensity, proper footwear, orthotics, calf stretching and gradual return to activity. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Posterior tibial tendonitis/dysfunction Inflammation and degeneration of the posterior tibial tendon that supports the foot arch; early symptoms include pain and swelling along the inside of the foot and ankle and later lead to a flattened arch. Pain on the inside of the foot/ankle; swelling; flattening of the arch; inability to perform single‑leg heel raise. Rest, immobilization with brace or cast, orthotics, NSAIDs, physical therapy and weight management. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Stress fracture Small cracks in the bones of the lower leg or foot caused by repetitive stress; symptoms include focal pain, tenderness and swelling that worsen with activity. Point tenderness over the bone; pain worsening with activity; imaging (MRI/bone scan) confirming fracture. Rest from weight‑bearing activities, protective footwear or boot, low‑impact cross‑training, adequate nutrition and physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Plantar fasciitis Inflammation of the plantar fascia, causing heel pain often worst with the first steps in the morning; may take months to a year to heal due to limited blood supply. Heel pain with first steps in the morning or after sitting; tenderness at medial calcaneal tubercle; positive Windlass test. Rest, stretching of the plantar fascia and calf muscles, icing, supportive footwear and orthotics, night splints and gradual return to activity. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Plantar plate tear / metatarsalgia Tear or attenuation of the plantar plate at the ball of the foot causing metatarsalgia; symptoms include forefoot pain, swelling and the sensation of walking on a pebble; healing often takes several months. Pain at the second metatarsophalangeal joint; dorsal swelling; positive toe drawer test for instability. Taping or splinting the toe, stiff‑soled shoes, orthotics with metatarsal pads, rest, ice, NSAIDs and physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Hallux limitus/rigidus Progressive stiffness and pain in the big toe joint due to osteoarthritis; symptoms include difficulty bending the toe, swelling and bone spurs; advanced cases are called hallux rigidus. Limited dorsiflexion of the big toe; palpable dorsal bone spurs; pain with dorsiflexion. Proper fitting shoes with wide toe box and rigid sole, rest, ice, orthotics, physical therapy, NSAIDs and corticosteroid injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Meniscus tear A meniscus tear is a tear of the C-shaped cartilage between the femur and tibia. It causes knee pain, swelling, and a feeling that the knee locks or gives way, often after a twisting injury or degenerative wear. Meniscus tears are common in athletes and older adults. Knee pain with twisting or squatting; catching or locking sensation; tenderness along the joint line; positive McMurray test. Follow the RICE protocol (rest, ice for 15–20 min every few hours, compression with a bandage or knee sleeve, elevation); take NSAIDs for pain and swelling; use a knee brace or sleeve for support; work with a physical therapist to restore range of motion and strengthen the quadriceps and hamstrings; avoid impact activities and twisting motions; consider platelet-rich plasma injections or cortisone if symptoms persist. Adjustable knee brace Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Achilles tendon rupture An Achilles tendon rupture is a complete tear of the large tendon connecting the calf muscles to the heel bone. It often occurs during sudden, forceful movements, such as sprinting or jumping, and causes sudden pain and swelling at the back of the ankle. Many people hear a pop and feel like they were kicked in the leg and have difficulty pushing off or pointing the foot downward Sudden posterior ankle pain and swelling, audible pop, inability to plantarflex/push off or stand on tiptoe, positive Thompson test (no foot movement when calf is squeezed) Initial management follows the RICE protocol-rest, ice, compression and elevation-”followed by immobilization in a cast or walking boot with the foot pointed downward for 8-10 weeks. Physical therapy is essential and typically lasts 4-6 months, focusing on progressive weight-bearing, strengthening and range-of-motion exercises. Nonoperative care is reserved for less active individuals when the rupture is recognized early. CAM walking boot Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Peroneal tendinitis Peroneal tendinitis is inflammation of the peroneal tendons that run along the outer ankle and foot. It causes pain and swelling on the outside of the ankle, tenderness behind the fibula, and a warm, thickened tendon. The condition usually results from overuse or repetitive ankle motions and is common in runners, people with high arches, or those wearing unsupportive shoes. Lateral ankle pain and swelling; Tenderness behind the fibula aggravated by resisted eversion and dorsiflexion; Pain during sid-to-side ankle movements Rest and protect the ankle by avoiding activities that trigger pain. Use the RICE protocol-rest, ice applied for 20 minutes every 2 hours, compression with a wrap or brace, and elevation to reduce swelling. Non-steroidal anti-inflammatory drugs relieve pain. A walking boot or ankle brace may be used for immobilization followed by physical therapy to strengthen the peroneal and calf muscles and correct biomechanics. Supportive shoes, orthotics, and gradual return to activity are recommended. Ankle brace Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Hallux valgus A bunion is a bony bump that forms at the base of the big toe when the toe deviates toward the other toes. This deformity gradually widens the front of the foot and can cause pain, redness, swelling and calluses, especially when wearing tight shoes. Risk factors include inherited foot structure, weak tendons and ligaments, rheumatoid arthritis and wearing narrow, high-heeled shoes Visible bump at the base of the big toe; Big toe angled toward the second toe; Pain and swelling at the metatarsophalangeal joint exacerbated by narrow shoes; Limited motion of the big toe Wear flat, well fitting shoes with a wide toe box and avoid high heels. Use bunion pads, toe spacers or splints at night to reduce pressure and slow progression apply NSAID gels or take short courses of anti-inflammatory tablets for pain relief Custom orthotics or shoe inserts can redistribute pressure and walking barefoot on soft surfaces may improve comfort. Seek physical therapy for gait training. Bunion corrector or toe separator Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Morton's neuroma Morton's neuroma is a thickening of the tissue around a digital nerve between the toes, most commonly between the third and fourth metatarsals. It causes burning or sharp pain in the ball of the foot that may radiate into the toes, often described as feeling like walking on a pebble. High-heeled or tight, narrow shoes and repetitive stress can aggravate the condition Persistent burning or sharp pain in the ball of the foot radiating to the toes; Sensation of a pebble or marble under the foot while walking; Numbness or tingling in the toes that worsens with weightbearing or tight footwear Change footwear to wide, low‑heeled shoes with cushioned soles and avoid high heels. Use custom orthoses or metatarsal pads to separate the metatarsals and reduce pressure on the nervehttps://orthoinfo.aaos.org/en/diseases--conditions/mortons-neuroma#:~:text=,the%20pressure%20on%20the%20neuroma. NSAIDs or other anti‑inflammatory medications can relieve painhttps://orthoinfo.aaos.org/en/diseases--conditions/mortons-neuroma#:~:text=Studies%20have%20shown%20that%20many,and%2For%20corticosteroid%20injections. Corticosteroid injections may reduce swelling and inflammation of the nervehttps://orthoinfo.aaos.org/en/diseases--conditions/mortons-neuroma#:~:text=,from%20sending%20out%20pain%20signals; nerve ablation or shockwave therapy can be considered. Activity modification and physical therapy to stretch and strengthen the foot can also help. Metatarsal pad Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream

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.

Learn how Next Journey Orthopaedics & Wellness collects, uses, and protects information on this site. HIPAA-safe website. Virginia & U.S. privacy rights. Contact (571) 416-8244 Last updated: October 5, 2025 This Privacy Policy explains how Next Journey Orthopaedics & Wellness (“we,” “us,” or “our”) collects, uses, and protects information when you use our website nextjourneyortho.com . This policy applies to website visitors and online interactions. It is separate from our HIPAA Notice of Privacy Practices that explains how we handle protected health information (PHI) in our medical practice. Privacy Policy Who We Are Next Journey Orthopaedics & Wellness 8255 Greensboro Drive, Suite 150, McLean, VA 22102 Phone: (571) 416‑8244 · Email: nextjourneycares@nextjourneyortho.com Scope & Relationship to HIPAA This website policy covers information collected through our public site and online tools embedded on it. For PHI created or received in our role as a healthcare provider, please see our HIPAA Notice of Privacy Practices . Do not submit PHI via general contact forms or email. Information We Collect Information you provide (contact details you submit in forms, preferences). Information collected automatically (device/usage data, cookies, analytics if enabled). How We Use Information Operate, maintain, and improve the site and its security. Respond to inquiries and scheduling requests (without PHI in public forms). Measure site performance and understand what content helps patients. Comply with legal obligations and enforce site terms. Legal Bases (EU/UK visitors) Where applicable: consent (analytics cookies), performance of a request, and legitimate interests (security, quality improvement) balanced with your rights. Cookies & Analytics Essential cookies support site operation. With your consent, we may use analytics (e.g., Google Analytics). Manage preferences via our cookie banner or browser settings; see vendor opt-outs. Advertising & Third‑Party Tools We do not sell personal information. Some tools (maps, fonts, call‑tracking) may receive limited technical data to provide their service. Third‑party sites have their own policies. Sharing We share data with service providers under contracts requiring confidentiality and limited use (hosting, email, security, analytics), or as legally required. Your Privacy Choices & Rights Virginia (CDPA) & U.S. Rights to access, correct, delete certain personal data; opt‑out of targeted advertising (if used). Submit requests to privacy@nextjourneyortho.com . We will verify and respond per law. EU/UK GDPR Access, rectification, erasure, restriction, portability, objection; withdraw consent where applicable. Do Not Track We currently do not respond to DNT signals. Use cookie controls and vendor opt‑outs. Data Retention We retain website data only as long as necessary for the purposes described or as required by law. Aggregated, de‑identified data may be retained for analytics. Security We implement reasonable administrative, technical, and physical safeguards appropriate for a website environment. Children’s Privacy This website is not directed to children under 13, and we do not knowingly collect personal information from children under 13 online. International Transfers Your information may be processed in the U.S., where laws may differ from those in your jurisdiction. Do Not Track We currently do not respond to DNT signals. Use cookie controls and vendor opt‑outs. Do Not Track We currently do not respond to DNT signals. Use cookie controls and vendor opt‑outs. Contact Email privacy@nextjourneyortho.com or write to our McLean address above. This template is informational and not legal advice. Please consult counsel to tailor it and your HIPAA Notice of Privacy Practices.

Rebuild strength, mobility, and confidence after a fracture with Next Journey Orthopaedics. Our expert physical therapy and personalized recovery plans ensure a faster, smoother healing journey. Experience compassionate care tailored to your needs—every step matters. Rehabilitation and Recovery: Your Path to Healing After a Fracture Recovering from a fracture is more than just waiting for the bone to heal; it’s about regaining strength, mobility, and confidence in your body. At Next Journey Orthopaedics, we understand that every patient’s journey is unique, and we’re here to support you with expert care, warmth, and empathy every step of the way. The Importance of Physical Therapy Physical therapy is a vital part of your recovery process. After a fracture, your muscles may become stiff, and your joints may feel weak from lack of use. Physical therapy helps restore movement, improve flexibility, and rebuild strength so that you can return to your daily activities with confidence. Our compassionate physical therapists will work closely with you to create a personalized rehabilitation plan that aligns with your goals and comfort level. They will guide you through gentle, progressive exercises and provide encouragement to help you stay motivated throughout your recovery. Benefits of Physical Therapy: Reduces stiffness and improves flexibility Strengthens muscles to support the healing bone Enhances balance and coordination to prevent future injuries Relieves pain and swelling through targeted exercises and manual therapy Restores function, allowing you to regain independence Exercises to Restore Function Recovering from a fracture often requires a gradual return to movement. Our team will introduce safe and effective exercises to help you regain strength and mobility at a comfortable pace. Examples of Exercises You May Perform: Range of Motion Exercises: Gentle stretches to help regain movement in the affected area Focused movements to prevent stiffness and muscle shortening Strength-Building Exercises: Light resistance training to rebuild muscle strength and endurance Progressive weight-bearing activities to gradually reintroduce stress to the bone Balance and Coordination Drills: Simple balance exercises to restore stability and prevent falls Functional movements to improve coordination and confidence in everyday tasks We understand that each patient's comfort level is different, and our team will adjust the exercises to ensure they are both effective and safe for you. Lifestyle Modifications for a Smooth Recovery Healing from a fracture requires not only physical care but also adjustments to your daily routine to support your recovery. Small changes can make a big difference in helping you heal efficiently and prevent future injuries. Helpful Lifestyle Tips: Nutrition for Bone Health: Eat a balanced diet rich in calcium, vitamin D, and protein to promote strong bones. Hydration: Staying well-hydrated supports overall health and healing. Rest and Sleep: Ensure you get adequate rest to allow your body to repair and rebuild. Mindful Movement: Avoid overexertion and listen to your body to prevent setbacks. Assistive Devices: Use walking aids or braces as recommended to ease strain and ensure proper healing. At Next Journey Orthopaedics, we believe that recovery is a team effort. Our caring and dedicated staff are here to empower you with the knowledge and support you need to take each step forward confidently. Whether you're taking your first steps after an injury or working towards full mobility, we are with you on this journey to better health. Let us guide you through your rehabilitation with expertise and compassion—because every step matters.

Injured and leaving the ER? Learn how to gather imaging, book your follow‑up and prepare for your appointment at Next Journey Orthopaedics in McLean. QUÉ HACER ANTES DE SALIR DE LA URGENCIA: Is This a Work Injury? Self-Pay Options If you’ve visited an emergency room or urgent care for an orthopedic injury, following these steps will help ensure a smooth transition to your follow‑up care with Next Journey Orthopaedics . QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA: QUÉ HACER ANTES DE SALIR DE LA URGENCIA:

Our Services We offer an array of services to suit your orthopaedic needs. Orthopaedic Evaluation and Treatment Describe your service here. What makes it great? Use short catchy text to tell people what you offer, and the benefits they will receive. A great description gets readers in the mood, and makes them more likely to go ahead and book. More Info Walk-Ins and Quick Access Appointments Describe your service here. What makes it great? Use short catchy text to tell people what you offer, and the benefits they will receive. A great description gets readers in the mood, and makes them more likely to go ahead and book. More Info 3 Fracture Care Casting/Splinting Describe your service here. What makes it great? Use short catchy text to tell people what you offer, and the benefits they will receive. A great description gets readers in the mood, and makes them more likely to go ahead and book. More Info 4 Referrals for Physical Therapy Describe your service here. What makes it great? Use short catchy text to tell people what you offer, and the benefits they will receive. A great description gets readers in the mood, and makes them more likely to go ahead and book. More Info 5 On-Site X-rays Describe your service here. What makes it great? Use short catchy text to tell people what you offer, and the benefits they will receive. A great description gets readers in the mood, and makes them more likely to go ahead and book. More Info 5 On-Site Reduction Describe your service here. What makes it great? Use short catchy text to tell people what you offer, and the benefits they will receive. A great description gets readers in the mood, and makes them more likely to go ahead and book. More Info Next Journey Orthopaedics values the experience as well as the result. At the time of injury, there can be a lot of questions about what are the best options for you. We really focus on giving accessible, personalized, and affordable care. It is also important that we do our best to decrease the stress and anxiety as you travel through your steps of recovery. Self-pay? No Problem; Next Journey Orthopaedics offers carefully curated patient care packages for your convenience. Review our care packages by clicking HealthMe. Service Name This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Service Name This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Service Name This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Service Name This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Service Name This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Service Name This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors. Contact Like what you see? Get in touch to learn more. First Name Last Name Email Message Send Thanks for submitting!