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Discover ergonomic solutions for your office and home office needs. From reducing strain with ergonomic mice and wrist cushions to enhancing comfort and efficiency in your kitchen with electric scissors and can openers, find tools designed to support your health and ease of use. Upper Extremities Ergonomics Appointments Office & Home Office Ergonomic Mouse Purpose: Reduce strain and discomfort associated with traditional mouse use Examples: Horizontal Ergo Mouse , Vertical Ergo Mouse 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 offers expert, compassionate fracture care, combining personalized treatments like casting, physical therapy, and advanced surgeries to restore your mobility, confidence, and well-being. Start your recovery today! Treatment Options for Fractures At Next Journey Orthopaedics, we understand that a fracture can be a life-altering experience, and we are here to support you every step of the way. Our goal is to provide personalized treatment options that prioritize your comfort, well-being, and a full recovery. Whether your treatment involves non-surgical care or surgery, our compassionate team will guide you through the process with clear communication and expert care. Non-Surgical Treatments When surgery is not necessary, non-surgical treatments can effectively support the healing process and restore function. Our team carefully assesses your condition to determine the best approach for your specific needs. Casting and Splinting A cast or splint is often used to stabilize the fractured bone, allowing it to heal properly over time. Casting provides firm support and immobilization, while splints offer a more flexible option, allowing for swelling and adjustments as needed. Our team ensures a comfortable fit and provides thorough instructions on how to care for your cast or splint to promote optimal healing. Bracing For certain types of fractures, a brace may be the preferred treatment option. Braces provide support while allowing for limited movement, helping to maintain proper alignment as your bone heals. We take the time to explain how to wear and adjust your brace correctly to ensure your recovery is as smooth as possible. Physical Therapy Once your fracture has healed sufficiently, physical therapy plays a crucial role in regaining strength, flexibility, and mobility. Our dedicated therapists work closely with you to develop a personalized rehabilitation plan aimed at restoring your function and confidence in your daily activities. Surgical Treatments In some cases, surgery may be the best option to ensure proper healing and long-term function. Our expert orthopedic surgeons specialize in advanced surgical techniques, offering compassionate care and support throughout your surgical journey. Open Reduction and Internal Fixation (ORIF) ORIF is a surgical procedure used to realign and stabilize complex fractures. It involves the use of metal plates, screws, or rods to hold the bone in place during healing. Our team takes a patient-centered approach, ensuring you are fully informed about the procedure, recovery expectations, and follow-up care. External Fixation External fixation is a technique used when internal support is not feasible or necessary. In this procedure, a frame is placed outside the body, connected to the bone through pins or screws to stabilize the fracture. This approach allows for adjustments and close monitoring while promoting healing in a controlled manner. Bone Grafting In cases where bone loss or delayed healing occurs, bone grafting can be used to encourage new bone growth. This procedure involves transplanting bone tissue, either from your own body or a donor source, to aid in the healing process. Our team will carefully explain the options available to you and support you through every stage of your recovery. Your Journey to Recovery No matter which treatment path is right for you, our compassionate team is dedicated to ensuring that you feel supported, informed, and confident throughout your healing process. We are always here to answer your questions and provide the care you deserve. Together, we'll help you take the next step toward a healthy and active future.

If you've been injured at work, understanding workers' compensation is essential for accessing medical care and wage replacement. This guide outlines how to start a claim, gather required documentation, and navigate the process efficiently. Get the support you need to focus on recovery—contact us for assistance today! Work Related Injuries Work-related injuries can have a significant impact on patients. The surprise impact of such injuries can be confusing on what to do for the next steps. Workers' compensation is a crucial system designed to protect employees who suffer injuries or illnesses in the workplace. It provides financial assistance and medical benefits to injured workers, regardless of who was at fault for the accident. This system aims to ensure that injured workers receive prompt medical treatment and compensation for any lost wages, enabling them to recover and return to work as quickly and safely as possible. Submit Paperwork Is your work related injury a worker compensation injury? Report the injury to your employer immediately or as soon as possible, providing details of how and when the injury occurred. - Your employer should file a report with the Virginia Workers’ Compensation Commission  within 10 days. -You should also file this Claim for Benefits Form  directly with the commission to let them know about your accident. -The insurance company will investigate your claim, including reviewing your medical records and confirming the injury with your employer. Once you file your claim you will receive a JCN and PIN number for online access to your WebFile Account. What you need to schedule your appointment 1. Name of the insurance that is managing the workers compensation case 2. Letter authorizing medical treatment from assigned adjuster specifically for Dr. Scott or Next Journey Orthopaedics a. Claim Number b. Payer specific address (including P.O. box) c. Employer name d. Address of the employer e. State of injury f. Date of injury g. Adjustors first and last name h. Email and phone number i. Injury location on the body 3. Photo ID 4. Any documents that may be helpful to the provider Worker's Compensation Resources 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 Click Here to Submit Paperwork

8251 Greensboro Drive, Suite 200, McLean, VA 22102

Injured at work? This quick guide for patients from Next Journey Orthopaedics outlines essential steps for navigating worker’s compensation claims. Learn how to start a claim, gather required documents, and schedule your appointment for effective orthopedic care. Our expert team specializes in treating injuries from fractures to repetitive stress. Ensure your recovery is seamless—contact us today! Worker’s Compensation Injury: Quick Guide for Patients If you've been injured at work, it's important to get the right care to help you recover fully. At Next Journey Orthopaedics, we specialize in treating a wide range of orthopedic conditions to get you back on your feet. Our expert team handles everything from fractures, sprains, and strains to lacerations, tears, and repetitive stress injuries. We provide comprehensive care for your bones, joints, muscles, ligaments, tendons, arteries, and nerves. Trust us to help you heal and get back to your daily activities. Is Your Injury a Worker’s Compensation Injury? If you've been injured at work, it's important to get the right care to help you recover fully. At Next Journey Orthopaedics, we specialize in treating a wide range of orthopedic conditions to get you back on your feet. Our expert team handles everything from fractures, sprains, and strains to lacerations, tears, and repetitive stress injuries. We provide comprehensive care for your bones, joints, muscles, ligaments, tendons, arteries, and nerves. Trust us to help you heal and get back to your daily activities. To Schedule a Work-Related Injury Appointment: Before You Schedule an Appointment Start a Claim: Call your supervisor, manager, or HR to start a claim, provide details of how and when the injury occurred. Your employer should file a report with the Virginia Workers’ Compensation Commission   within 10 days. Complete the Virginia Claim Form : Failing to do so promptly could delay your ability to be seen. The insurance company will investigate your claim, including reviewing your medical records and confirming the injury with your employer. Once you file your claim, you will receive a JCN and PIN number for online access to your WebFile Account. Submit Paperwok For successful Workers' Compensation coverage, it's vital to seek your initial medical evaluation at an Urgent Care or Emergency Room. Skipping these facilities puts your claim at high risk of being denied. We highly recommend visiting an Emergency Room or Urgent Care for your first medical assessment to ensure your claim is covered. To Make an Appointment You already have a Privia Account Log into your Patient Portal Make sure the Home button on left page is selected and on the right side select the Schedule Now button. Email any necessary documents. Please include the name, position and best contact information for the patient and the adjuster You do NOT have a Privia Account Call 571-416-8244 Appointments 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. Resources 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. Submit Paperwok

Visit Next Journey Orthopaedics during our convenient office hours for personalized orthopedic care. Schedule appointments online for Privia patients or call us directly for assistance. Be prepared for your visit by bringing necessary documents, including insurance cards and referral letters. Find us at 8255 Greensboro Drive, McLean, VA Gumawa ng appointment 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. Oras ng Opisina: _cc781905-5cde-3194-bb_bad3b-158 Lunes 8 am - 8 pm Martes 8 am - 5 pm Miyerkules 8 am - 8 pm Huwebes 8 am - 5 pm Biyernes 10 am - 3 pm Sabado 9 am - 1 pm Tuwing weekday ang aming opisina ay sarado mula 12 pm - 1 pm. Oras ng Opisina: _cc781905-5cde-3194-bb_bad3b-158 Lunes 8 am - 8 pm Martes 8 am - 5 pm Miyerkules 8 am - 8 pm Huwebes 8 am - 5 pm Biyernes 10 am - 3 pm Sabado 9 am - 1 pm Tuwing weekday ang aming opisina ay sarado mula 12 pm - 1 pm. 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.

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.

Explore our comprehensive range of orthopedic supports designed for the pelvis, hip, knee, ankle, and foot. From neoprene sleeves and hip braces to cam boots and plantar fasciitis braces, our products provide targeted support, stability, and pain relief for various injuries and conditions. Discover the right solutions to enhance your recovery and mobility today! 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. Hip pain and stiffness with weight bearing; decreased internal rotation on exam; radiographic joint‘space narrowing. 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. Tenderness over greater trochanter; pain when lying on the affected side; pain with hip abduction. Hip Labral 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. Clicking/catching with hip movement; positive FADIR or FABER impingement tests; decreased range of motion. Femoroacetabular Impingement (FAI) 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. Pain with hip flexion and internal rotation; positive FADIR test; limited hip range of motion. 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. Pain with active hip flexion and stretching; tenderness over hip flexor; muscle weakness or spasms. 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. Progressive hip pain, limited range of motion, imaging showing femoral head collapse. 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. Crepitus on movement; reduced range of motion; joint‘space narrowing on X-ray. ACL 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. Positive Lachman and pivot shift tests; rapid joint effusion; inability to continue activity. 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. Tenderness at the inferior pole of the patella; pain with jumping or squatting; positive decline squat test. 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. Pain with patellar compression or squatting; positive Clarke's test; maltracking of the patella. MCL/LCL 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. Pain along the inner or outer knee; laxity on valgus or varus stress tests; swelling and bruising. 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. Swelling and bruising around the ankle; pain with inversion or eversion; positive anterior drawer test. 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. Tenderness along the Achilles tendon; pain with dorsiflexion and plantarflexion; thickened tendon. Shin Splints 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. Pain along the tibia during running or jumping; tenderness to touch; history of increased activity. 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. Pain on the inside of the foot/ankle; swelling; flattening of the arch; inability to perform single‑leg heel raise. Stress Fracture (Leg/Foot) 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. Point tenderness over the bone; pain worsening with activity; imaging (MRI/bone scan) confirming fracture. 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. Heel pain with first steps in the morning or after sitting; tenderness at medial calcaneal tubercle; positive Windlass test. 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. Pain at the second metatarsophalangeal joint; dorsal swelling; positive toe drawer test for instability. 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. Limited dorsiflexion of the big toe; palpable dorsal bone spurs; pain with dorsiflexion. 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. Knee pain with twisting or squatting; catching or locking sensation; tenderness along the joint line; positive McMurray test. 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. 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) 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. Lateral ankle pain and swelling; Tenderness behind the fibula aggravated by resisted eversion and dorsiflexion; Pain during sid-to-side ankle movements Bunion (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. 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 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. 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 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. Hip pain and stiffness with weight bearing; decreased internal rotation on exam; radiographic joint‘space narrowing. 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. Tenderness over greater trochanter; pain when lying on the affected side; pain with hip abduction. Hip Labral 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. Clicking/catching with hip movement; positive FADIR or FABER impingement tests; decreased range of motion. Femoroacetabular Impingement (FAI) 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. Pain with hip flexion and internal rotation; positive FADIR test; limited hip range of motion. 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. Pain with active hip flexion and stretching; tenderness over hip flexor; muscle weakness or spasms. 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. Progressive hip pain, limited range of motion, imaging showing femoral head collapse. 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. Crepitus on movement; reduced range of motion; joint‘space narrowing on X-ray. ACL 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. Positive Lachman and pivot shift tests; rapid joint effusion; inability to continue activity. 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. Tenderness at the inferior pole of the patella; pain with jumping or squatting; positive decline squat test. 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. Pain with patellar compression or squatting; positive Clarke's test; maltracking of the patella. MCL/LCL 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. Pain along the inner or outer knee; laxity on valgus or varus stress tests; swelling and bruising. 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. Swelling and bruising around the ankle; pain with inversion or eversion; positive anterior drawer test. 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. Tenderness along the Achilles tendon; pain with dorsiflexion and plantarflexion; thickened tendon. Shin Splints 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. Pain along the tibia during running or jumping; tenderness to touch; history of increased activity. 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. Pain on the inside of the foot/ankle; swelling; flattening of the arch; inability to perform single‑leg heel raise. Stress Fracture (Leg/Foot) 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. Point tenderness over the bone; pain worsening with activity; imaging (MRI/bone scan) confirming fracture. 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. Heel pain with first steps in the morning or after sitting; tenderness at medial calcaneal tubercle; positive Windlass test. 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. Pain at the second metatarsophalangeal joint; dorsal swelling; positive toe drawer test for instability. 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. Limited dorsiflexion of the big toe; palpable dorsal bone spurs; pain with dorsiflexion. 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. Knee pain with twisting or squatting; catching or locking sensation; tenderness along the joint line; positive McMurray test. 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. 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) 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. Lateral ankle pain and swelling; Tenderness behind the fibula aggravated by resisted eversion and dorsiflexion; Pain during sid-to-side ankle movements Bunion (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. 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 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. 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 Pelvis and Hip Joint 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. Fracture 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. Hip Replacement 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. Labral Tear 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. Sacroiliac Joint Dysfunction 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. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Femur (Thigh Region) and Knee Joint Knee 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. Thigh Strain 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. Knee Bursitis 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. Thigh Muscle Strain 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. Patellar Tendinitis 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. Meniscus Tear 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. Leg (Tibia and fibula) and Ankle Joint Ankle fracture 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. Ankle Sprain 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. Achilles Tendonitis 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. Calf Strain 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. Foot and Toes Plantar Fasciitis 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. Ingrown Toenail 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. Bunions 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. Hammer Toe 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. Morton's Neuroma 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. Athlete's Foot 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. Foot Cramps 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. Toe Numbness Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Foot Swelling Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion

"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." Upper Extremities Shoulder Arthritis Progressive pain, stiffness and crepitus with reduced motion. Start with NSAIDs/heat, activity changes, injections and PT. Deep aching pain; crepitus; progressive stiffness; functional loss; X‑ray changes support diagnosis. Pain control; maintain ROM/strength; pacing; consider corticosteroid injections for flares. Shoulder Heating Pad Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Proximal Humerus Fracture Pain, swelling and bruising after trauma; confirmed on X‑ray. Many treated with sling and early ROM; surgery for displaced patterns. Trauma; focal tenderness; swelling/bruising; X‑ray confirmation. Sling; edema control; early elbow/hand motion; gentle shoulder ROM as healing allows; later strengthening. Adjustable Arm Sling Reusable Ice Pack Set Elevation Wedge Pillow Shower Sling Protector Grabber/Reacher Tool Deltoid Strain Pain/tenderness over the deltoid after overuse or sudden load. Usually resolves with rest, NSAIDs, ice and short PT. Pain with resisted shoulder abduction; focal tenderness; mild swelling/bruising. Relative rest; gentle stretching; progressive strengthening of deltoid and scapular stabilizers. Reusable Cold Pack Shoulder Compression Sleeve Kinesiology Tape Light Dumbbell Pair Massage Ball Rotator Cuff Tear Pain with overhead activity and at night, weakness on ER/abduction. Start with PT; injections considered; repair for persistent/large tears. Night pain; painful arc; weakness on ER; positive Jobe; traumatic or degenerative onset. Rotator‑cuff & scapular strengthening; posterior capsule mobility; graded overhead return. Abduction Pillow Sling Cold Therapy Shoulder Wrap Over‑Door Pulley TheraBand Set Side‑Sleeper Shoulder Pillow Shoulder Dislocation Acute pain and deformity after trauma; requires reduction and immobilization then rehab. Positive apprehension test; sense of shoulder out of place; traumatic mechanism; instability on exam. Reduction; sling; controlled ROM; rotator‑cuff & scapular strengthening; return‑to‑sport protocol. Shoulder Immobilizer Sling Cold Therapy Shoulder Wrap Wedge Pillow for Elevation Resistance Bands Set Reusable Cold Gel AC Joint Sprain Pain/swelling over the AC joint; pain on cross‑body motion. Most improve with rest, ice, NSAIDs, short sling and progressive PT. Focal AC tenderness; pain with cross‑body adduction test; swelling; pain with overhead or horizontal adduction. Short sling for comfort; early ROM as tolerated; scapular & rotator‑cuff strengthening; posture & activity modification. Shoulder Sling Cold Therapy Shoulder Wrap Kinesiology Tape Posture Brace Resistance Bands Set Shoulder Instability Sensation of slipping/giving way with pain and weakness; often after dislocation or with laxity. Rehab first; surgery if recurrent. Positive apprehension/relocation tests; history of dislocation/subluxation; instability signs. Strengthen rotator‑cuff & scapular stabilizers; neuromuscular control; activity modification; consider bracing. Stabilizing Shoulder Brace Cold Wrap Resistance Bands Wedge Pillow Kinesiology Tape Shoulder Labral Pain with clicking/locking and possible instability from labral injury; start with rest/NSAIDs and stability‑focused PT. Positive O’Brien’s; mechanical click/catch; instability signs; overhead/traction injury history. Rotator‑cuff & scapular stabilizers; posterior capsule mobility; graded sport‑specific progression. Adjustable Shoulder Sling Cold Therapy Wrap Wedge Pillow Resistance Bands Over‑Door Pulley Shoulder Strain Overuse or acute load causing micro‑injury and pain with limited motion; usually recovers quickly with guided care. Pain with resisted movements; localized tenderness; mild swelling; no instability. Relative rest, ice/heat, stretching, progressive strengthening, graded return to activity. Reusable Cold Pack Shoulder Compression Sleeve Resistance Bands Massage Ball Topical Analgesic Biceps Tendonitis Anterior shoulder pain/tenderness over bicipital groove, worse with resisted supination. Improves with rest, NSAIDs, PT. Pain with Speed’s or Yergason’s; focal groove tenderness; anterior shoulder pain with lifting. Stretch anterior shoulder; eccentric strengthening; scapular mechanics; gradual load; consider injections. Counterforce Brace Reusable Cold Pack TheraBand Set Topical Analgesic Gel Posture Corrector Brace Impingement Syndrome Compression/irritation of rotator cuff with pain on elevation and night pain; responds to targeted PT and activity changes. Painful arc; positive Hawkins‑Kennedy; overhead and night pain; tenderness over cuff/subacromial space. Rotator‑cuff & scapular strengthening; posterior capsule stretches; posture/ergonomics; graded exposure. Posture Corrector TheraBand Set Foam Roller Hot/Cold Pack Shoulder Pulley Frozen Shoulder Gradual global stiffness and pain limiting motion in all directions; managed with meds, stretching‑focused PT and sometimes injections. Pain and stiffness in all planes; night pain; capsular pattern; gradual onset. Gentle frequent stretching; mobilization; pain control; home pulley; sustained program. Over‑Door Shoulder Pulley Electric Heating Pad Reusable Ice Packs Door Anchor + Band Kit Topical Analgesic Cream Radial Head Fracture Lateral elbow pain after fall on outstretched hand; many are treated non‑operatively. Lateral tenderness; painful rotation; swelling; X‑ray/CT if needed. Sling briefly; early motion as pain allows; avoid heavy load early; PT for ROM. Elbow Compression Sleeve Cold Pack Counterforce Forearm Strap Resistance Bands Vertical Ergonomic Mouse Lateral Epicondylitis Outer elbow pain with gripping/lifting; overuse of wrist extensors. Tender at lateral epicondyle; pain with resisted wrist extension/supination; decreased grip. Relative rest; counterforce strap; eccentric loading (extensors); manual therapy; ergonomics. Counterforce Elbow Strap Cold Pack TheraBand FlexBar Elbow Compression Sleeve Keyboard Wrist Rest Olecranon Fracture Posterior elbow pain/swelling after fall or blow; often surgery if displaced. Posterior swelling; loss of extension; tenderness over olecranon; X‑ray. Posterior splint; pain control; ortho evaluation; early finger/shoulder motion. Elbow Immobilizer Reusable Cold Pack Waterproof Cast/Cover Adjustable Sling Therapy Putty Medial Epicondylitis Pain at inner elbow worsened by gripping or wrist flexion; often overuse. Tender at medial epicondyle; pain with resisted wrist flexion/pronation; decreased grip strength. Relative rest; counterforce strap; eccentric forearm strengthening; stretching; activity modification. Counterforce Elbow Strap Reusable Ice Pack TheraBand FlexBar Wrist Brace Vertical Ergonomic Mouse Humerus Shaft Fracture Pain, swelling and deformity after trauma; often managed in a functional brace; watch radial nerve. Trauma; focal tenderness; crepitus; X‑ray confirmation; radial nerve exam. Functional humeral fracture brace (Sarmiento); shoulder/elbow ROM as allowed; edema control. Sarmiento Humeral Fracture Brace Adjustable Sling Ice Pack Set Wedge Pillow Grabber/Reacher Tool Elbow Arthritis Pain, stiffness, grinding with reduced motion; osteoarthritis or inflammatory. Deep aching pain; crepitus; morning stiffness; X‑ray changes support diagnosis. NSAIDs/heat; activity pacing; maintain ROM/strength; consider injections; ergonomic changes. Reusable Hot/Cold Pack Elbow Compression Sleeve TheraBand Set Ergonomic Vertical Mouse Topical Analgesic Gel Distal Biceps Tendinopathy Anterior elbow pain or sudden pop with weakness in supination; tendinopathy vs acute tear. Tender distal biceps; pain with resisted supination; hook test abnormal in tears. Relative rest; eccentric loading; activity modification; brace; evaluate for tear if acute. Counterforce Strap Reusable Cold Pack Pron/Supination Bar TheraBand Set Topical Analgesic Gel Elbow Dislocation Acute deformity and severe pain after trauma; urgent reduction then immobilization and rehab. Obvious deformity; inability to move joint; swelling; neurovascular check essential. Closed reduction; short immobilization; early protected ROM; strengthen around joint. Elbow Immobilizer Reusable Cold Pack Adjustable Arm Sling Resistance Bands Ergonomic Pillow Scaphoid Fracture Small wrist bone fracture that may be occult on early X‑ray; needs close follow‑up. Snuffbox tenderness; pain with thumb/wrist motion; often after fall. Thumb‑spica cast/splint; repeat imaging or MRI/CT; protect with brace post‑cast. Thumb‑Spica Brace Waterproof Cast Cover – Hand Reusable Cold Pack Therapy Putty Wrist Support Brace De Quervains Tenosynovitis Pain at radial wrist with thumb motion/lifting; tendon sheath irritation. Pain at first dorsal compartment; positive Finkelstein test. Thumb‑spica brace; activity modification; stretches; possible injection. Thumb‑Spica Brace Cold Pack Ergonomic Phone Grip Therapy Putty Kinesiology Tape Distal Radius Fracture Common wrist fracture after a fall; many treated with reduction and casting/boot. Pain/swelling deformity; decreased motion; X‑ray confirmation. Reduction if needed; cast/splint 4–6 weeks; elevation/ice; early finger motion; PT after immobilization. Waterproof Cast Cover – Arm Reusable Ice Pack Elevation Wedge Pillow Finger Exerciser/Grip Strengthener Wrist Support Brace TFCC Injury Ulnar‑sided wrist pain with rotation/grip; triangular fibrocartilage complex injury. Ulnar fovea tenderness; pain with pronation/supination; click. Wrist/forearm brace; activity modification; progressive strengthening; consider injection. Wrist Support Brace Reusable Cold Pack Forearm Strap Resistance Bands Keyboard Wrist Rest Forearm Strain Overuse or sudden load to forearm muscles/tendons causing pain and tightness. Pain with resisted wrist/finger motions; tenderness along muscle bellies. Relative rest; stretching; eccentric strengthening; ergonomic review; gradual return. Forearm Compression Sleeve Reusable Cold Pack TheraBand FlexBar Wrist Brace Massage Ball Hand Fracture Pain, swelling, deformity or rotation; many treated with splints/casts; therapy for motion. Malrotation on making a fist; focal tenderness; swelling; X‑ray confirmation. Splint/cast; edema control; early motion of uninvolved joints; hand therapy. Ulnar Gutter Splint Waterproof Cast Cover – Hand Reusable Cold Pack Oval‑8 Finger Splints Therapy Putty Hand Cramps Sudden painful muscle contractions in hand due to fatigue, dehydration, or nerve/ electrolyte issues. Visible spasm; transient stiffness; normal imaging. Hydration; gentle stretching; heat; ergonomic breaks; address triggers with PCP if recurrent. Heated Hand Pack Massage Ball Arthritis Compression Gloves Electrolyte Packets Ergonomic Jar Opener Wrist Strain/Sprain Overstretch or ligament strain causing wrist pain and swelling. Tenderness; pain with gripping and motion; no fracture on X‑ray. Rest; wrist brace/splint; ice; gradual ROM and strengthening. Cock‑Up Wrist Splint Reusable Cold Pack Therapy Putty Vertical Ergonomic Mouse Kinesiology Tape Flexor Tendon Injury Cut/rupture to flexor tendon causing loss of finger flexion; urgent specialist care. Open wound; cannot flex finger; loss of finger cascade; neurovascular check. Protective splint; urgent hand surgery evaluation; post‑op therapy protocol. Hand & Finger Splint Waterproof Dressing Cover Therapy Putty (rehab phase) Silicone Scar Gel Silicone Finger Sleeves Hand Stiffness Reduced range after injury/immobilization or arthritis. Limited flexion/extension; capsular tightness; tendon adhesions possible. Hand therapy; heat; stretching; edema control; splinting. Therapy Putty Heated Hand Pack Edema Gloves Dynamic Finger Extension Splint Massage Tool Hand Tendonitis Overuse irritation of hand tendons with pain and swelling. Pain with resisted motion of involved tendon; crepitus sometimes. Rest; activity modification; splinting as needed; gradual strengthening. Arthritis Compression Gloves Wrist Support Splint Therapy Putty Vertical Ergonomic Mouse Topical Analgesic Gel Hand Numbness Numbness/tingling from nerve compression or systemic causes; evaluate pattern. Median/ulnar distribution; nocturnal symptoms; provocative tests variable. Night splints (if median); nerve‑glides; ergonomics; see provider for evaluation. Night Wrist Splint Ergonomic Keyboard Vertical Mouse Elbow Pad Sleeve Topical Analgesic Gel Trigger Finger Finger catches or locks with flexion; thickened tendon sheath. Tender A1 pulley; catching/locking; worse in morning. Activity modification; splint; stretches; consider corticosteroid injection. Oval‑8 Finger Splint Microwave Heat Pack Therapy Putty Arthritis Gloves Topical Analgesic Gel Hand Arthritis Pain, stiffness and swelling in hand joints; worse in morning or after use. Joint tenderness; bony enlargements; reduced range; X‑ray changes support. NSAIDs/heat; activity pacing; hand therapy; splints for painful joints; consider injections. Arthritis Compression Gloves Paraffin Wax Bath Kit Hand & Wrist Splint Therapy Putty Ergonomic Jar Opener Carpal Tunnel Syndrome Numbness/tingling in thumb, index/middle fingers; worse at night; median nerve compression. Positive Phalen/Tinel; hand weakness/clumsiness; thenar atrophy later. Wrist neutral splint (night); activity modification; nerve‑gliding; consider injection. Night Wrist Splint (Neutral) Ergonomic Keyboard Therapy Putty Arthritis Compression Gloves Topical Analgesic Gel

Lower Extremities Appointments Pelvis and Hip Joint 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. Fracture 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. Hip Replacement 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. Labral Tear 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. Sacroiliac Joint Dysfunction 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. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Femur (Thigh Region) and Knee Joint Knee 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. Thigh Strain 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. Knee Bursitis 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. Thigh Muscle Strain 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. Patellar Tendinitis 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. Meniscus Tear 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. Leg (Tibia and fibula) and Ankle Joint Ankle fracture 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. Ankle Sprain 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. Achilles Tendonitis 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. Calf Strain 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. Foot and Toes Plantar Fasciitis 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. Ingrown Toenail 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. Bunions 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. Hammer Toe 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. Morton's Neuroma 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. Athlete's Foot 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. Foot Cramps 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. Toe Numbness Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Foot Swelling Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion

Skip the ER! Next Journey Orthopaedics offers expert care for traumatic orthopedic emergencies with after-hours availability and transparent pricing. Reduce wait times and get the treatment you need, when you need it. Bakit Pumili ng Susunod na Paglalakbay Orthopedics? 01. Sa Next Journey Orthopedics, nagbibigay kami ng mabilis na access sa mga tagapagbigay ng antas ng eksperto upang tugunan ang iyong mga traumatikong orthopaedic na emergency na maaaring pangasiwaan sa labas ng isang emergency room. 02. Nakakatulong ang aming serbisyo na bawasan ang emergency department at mga oras ng paghihintay ng agarang pangangalaga para sa ilang partikular na kundisyon. 03. Ang aming pagiging available pagkatapos ng oras ay nakakatugon sa iyo kung saan mo ito pinaka kailangan...sa labas ng tradisyonal na oras ng negosyo. 04. Ibinabalik namin ang pagpepresyo sa mga kamay ng mga pasyente sa pamamagitan ng pag-aalok ng maingat na na-curate at komprehensibong mga bundle ng pagpepresyo upang mapadali ang proseso ng pagbabayad. Meet Dr. Scott For Patients Schedule an Appointment