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

Next Journey Orthopaedics offers personalized fracture care with expert trauma specialists, compassionate support, and seamless coordination—empowering your recovery every step of the way PRICE Education Heat Therapy Personalized Care When To See An Specialist Prevention Tips Call to Action FAQs Treat Injuries Effectively with PRICE: Prevention, Rest, Ice, Compression, Elevation, and Heat Healing Made Simple with Expert Guidance Injuries can be challenging, but with the right care and approach, recovery becomes smoother. At Next Journey Orthopaedics, we focus on proven treatment methods like PRICE—Prevention, Rest, Ice, Compression, Elevation, and Heat—to ensure effective healing and long-term wellness. Whether you’re dealing with a sprain, strain, or another injury, our patient-first approach combines expertise with compassionate care. What Is PRICE and Why Is It Effective? PRICE is a simple yet highly effective method for managing and treating injuries, including sprains, strains, and minor joint injuries. Here's what it entails: Prevention: Avoid further injury by using protective gear, warming up before activities, and maintaining proper technique. Rest: Allow the injured area to heal by minimizing movement and avoiding strain. Ice: Reduce swelling and pain with ice packs for 15–20 minutes every few hours. Compression: Support the injured area with an elastic bandage to minimize swelling and provide stability. Elevation: Keep the injured area elevated above heart level to improve blood flow and reduce swelling. Heat: After the swelling subsides, use heat therapy to relax muscles and promote circulation for faster healing. Heat Therapy Heat therapy is most effective during later stages of recovery, helping to improve circulation and relax stiff muscles. Use a heating pad or warm towel for 15-20 minutes, but avoid direct application to injuries with active swelling. Personalized Care At Next Journey Orthopaedics, we understand that no two injuries are the same. That’s why we tailor every treatment plan to your specific needs. Our team of specialists works closely with you to create a recovery plan that includes: Customized PRICE protocols for your injury. Guidance on transitioning from ice to heat therapy. Exercises to restore strength and flexibility. Lifestyle recommendations to prevent future injuries. When to See an Orthopaedic Specialist While PRICE is highly effective for many injuries, some conditions require professional care. Contact Next Journey Orthopaedics if you experience: Severe pain or swelling that doesn’t improve with PRICE. Difficulty moving or bearing weight on the injured area. Signs of infection, such as redness or warmth around the injury. Our team will assess your injury and recommend advanced treatments, if needed, including imaging, physical therapy, or minimally invasive procedures. Empowering you with Injury Prevention Tips Prevention is the key to staying active and injury-free. Here are some tips from our experts: Warm up and stretch before physical activities. Use proper footwear and protective gear. Avoid overtraining and allow time for recovery. Focus on strength and balance exercises to reduce injury risk. Take the First Step Toward Recovery Today At Next Journey Orthopaedics, we’re here to support your journey to recovery and beyond. Schedule an appointment with our expert team to receive personalized care and guidance. Call us at 571-416-8244 or visit nextjourneyortho.com to learn more about PRICE and other injury treatments. Schedule your Appointment Today FAQs How long should I use ice after an injury? You should use ice for the first 24 to 72 hours after an injury to reduce swelling and pain. Apply an ice pack for 15–20 minutes every 2–3 hours, ensuring there is a barrier (like a towel) between the ice and your skin to prevent frostbite. Once the swelling subsides, you can switch to heat therapy to relax muscles and improve circulation When is it safe to switch from ice to heat? It’s safe to switch to heat therapy after the acute swelling has gone down, usually 48–72 hours after the injury. Heat therapy is ideal for loosening stiff muscles, improving circulation, and promoting healing in the later stages of recovery. However, if there’s still visible swelling or inflammation, stick to ice. Can I use PRICE for chronic injuries? Yes, parts of PRICE, like heat, rest, and compression, can be used for chronic injuries. Heat therapy can help with stiffness and muscle relaxation, while rest and compression may support healing. However, chronic injuries often require additional treatment like physical therapy, and you should consult a specialist for a personalized recovery plan.

Fractures don’t have to be overwhelming. Learn about types, causes, symptoms, and treatments with compassionate, expert guidance to support your confident healing journey. Understanding Fractures Fractures can be a challenging and sometimes overwhelming experience, but understanding them can help you feel more confident about your journey to healing. Our goal is to provide clear, compassionate guidance to help you or your loved ones navigate this process with confidence and support. Definition and Types of Fractures A fracture, commonly known as a broken bone, occurs when the force applied to a bone is greater than it can withstand. Fractures can vary in severity and complexity, ranging from minor hairline cracks to complete breaks. Understanding the type of fracture you have is essential in determining the best course of treatment. The most common types of fractures include: Closed (Simple) Fracture: The bone breaks but does not pierce the skin. Open (Compound) Fracture: The bone breaks and protrudes through the skin, increasing the risk of infection. Displaced Fracture: The broken bone ends are out of alignment and may require surgery to reposition. Non-Displaced Fracture: The bone breaks but remains properly aligned. Stress Fracture: A small crack in the bone caused by repetitive stress, often seen in athletes. Greenstick Fracture: A partial fracture where the bone bends and cracks, more common in children. Comminuted Fracture: The bone shatters into multiple pieces, often requiring surgical intervention. Causes and Risk Factors Fractures can happen unexpectedly, and understanding the causes and risk factors can help prevent future injuries. Some of the most common causes include: Trauma or Injury: Falls, car accidents, or sports injuries can place excessive force on bones, leading to fractures. Overuse: Repetitive activities, such as running or jumping, can cause stress fractures over time. Osteoporosis: This condition weakens bones, making them more susceptible to fractures, especially in older adults. Nutritional Deficiencies: A lack of calcium and vitamin D can weaken bones and increase the likelihood of fractures. Medical Conditions: Certain conditions, such as cancer or diabetes, can weaken bones and make fractures more likely. Aging: As we age, our bones naturally become less dense and more fragile, increasing the risk of fractures. Symptoms and Diagnosis Recognizing the symptoms of a fracture early can lead to prompt treatment and better outcomes. Some of the most common signs include: Pain: Immediate and intense pain at the site of injury, which may worsen with movement. Swelling and Bruising: The injured area may become swollen, tender, and discolored. Deformity: In severe cases, the bone may appear out of place or misaligned. Limited Mobility: Difficulty moving the affected area or bearing weight. Numbness or Tingling: This can indicate nerve involvement and requires immediate medical attention. If you suspect a fracture, seeking medical care is crucial. Diagnosis typically involves: Physical Examination: A healthcare provider will assess the injury and check for signs of a fracture. X-rays: The most common imaging technique to confirm a fracture and determine its severity. CT Scan or MRI: In complex cases, these advanced imaging methods provide a more detailed view of the injury. At our practice, we understand that experiencing a fracture can be difficult. Our compassionate team is here to provide expert care and support every step of the way. Whether you're seeking information or treatment, we're dedicated to helping you get back to doing the things you love.

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

Discover patient-centric orthopedic care at Next Journey Orthopaedics. Our dedicated team focuses on delivering the optimal experience for each patient, ensuring personalized treatment plans and compassionate support. Let's work together to figure the best solutions for your musculoskeletal care." Top of Page Common Conditions Surgery Treatment Appointments Diagnoses Before surgery is recommended, the risk and benefits of alternative treatments is considered for each condition. Non operative and the least invasive measures like prevention, rest, heat, ice compression, therapy, NSAIDS, Tylenol, muscle relaxants, and pain alleviating devices are considered. The following is not medical advice. Surgery is recommended when it offers a greater clinical outcome or there was a failure to resolve symptoms by other methods. Operative Treatment of Common Conditions Proximal Humerus Fracture ORIF: Your Journey from Preparation to Full Recovery Pediatric Supracondylar Humerus Fracture Surgery: Your Journey from Preparation to Full Recovery Metacarpal Screw Fixation: Your Journey from Preparation to Full Recovery Complex Ankle Fracture with Syndesmotic Injury ORIF: Your Journey from Preparation to Full Recovery Trigger Finger Release: Your Journey from Preparation to Full Recovery Ankle Fracture Plates and Screws: Your Journey from Injury to Recovery Reverse Shoulder Arthroplasty: Your Journey from Preparation to Full Recovery Pediatric Both Bone Forearm Flexible Intramedullary Nail: Your Journey from Preparation to Full Recovery Quadriceps Tendon Repair: Your Journey from Preparation to Full Recovery Total Knee Replacement: Your Journey from Preparation to Full Recovery Hand Tendon Repair: Your Journey from Preparation to Full Recovery Zone 2 Flexor Tendon Repair: Your Journey from Surgery to Recovery Humeral Shaft Fracture ORIF: Your Journey from Preparation to Full Recovery Distal Radius Fracture ORIF: Your Journey from Preparation to Full Recovery Finger Pinning: Your Journey from Preparation to Full Recovery Total Hip Replacement: Your Journey from Preparation to Full Recovery Cubital Tunnel Release: Your Journey from Preparation to Full Recovery First Dorsal Compartment Release: Your Journey from De Quervain's to Recovery Olecranon Fracture ORIF: Your Journey from Preparation to Full Recovery Scaphoid Screw Fixation: Your Journey from Preparation to Full Recovery Simple Ankle Fracture ORIF: Your Journey from Preparation to Full Recovery Endoscopic Carpal Tunnel Release: Your Journey from Preparation to Full Recovery Achilles Tendon Repair: Your Journey from Injury to Recovery Hand Soft Tissue Mass Excision: Your Journey from Diagnosis to Recovery

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

Learn about the types of fractures, from closed and open to displaced and non-displaced, and how Next Journey Orthopaedics delivers compassionate, expert care tailored to your recovery. Discover treatment options for hip, wrist, ankle, spinal, and stress fractures with a focus on personalized healing, mobility restoration, and pain management. Let us support your journey to recovery. Types of Fractures At Next Journey Orthopaedics, we understand that experiencing a fracture can be overwhelming and challenging. Our goal is to provide you with clear, compassionate guidance to help you navigate your journey to recovery. Understanding the different types of fractures can empower you with the knowledge needed to make informed decisions about your care. Closed vs. Open Fractures Closed Fractures: A closed fracture occurs when the bone is broken but does not pierce the skin. While the injury may not be visible externally, it can still cause significant pain, swelling, and bruising. Prompt medical attention ensures proper alignment and healing, helping to prevent complications. Open Fractures: An open fracture, also known as a compound fracture, occurs when the broken bone punctures through the skin. This type of fracture carries a higher risk of infection and requires immediate medical intervention to clean the wound and stabilize the bone. Our team is here to provide expert care and support through every step of the healing process. Displaced vs. Non-Displaced Fractures Non-Displaced Fractures: In a non-displaced fracture, the bone cracks or breaks but remains aligned. These fractures often heal well with immobilization using a cast, splint, or brace. While the bone position may appear normal, it's crucial to follow medical advice to ensure optimal healing. Displaced Fractures: A displaced fracture means that the broken bone ends have moved out of alignment. These fractures may require more advanced treatment, such as realignment through casting, traction, or surgery. Our compassionate team will guide you through the treatment options best suited for your specific needs. Common Specific Fractures Hip Fractures Hip fractures are most commonly seen in older adults, often resulting from falls or weakened bones due to osteoporosis. Symptoms may include severe hip pain, difficulty bearing weight, and limited range of motion. Early treatment is essential to restore mobility and prevent complications. Wrist Fractures Wrist fractures, including distal radius fractures, are common injuries resulting from falls onto an outstretched hand. Symptoms include swelling, tenderness, and difficulty moving the wrist. Our team provides personalized care to ensure proper healing and return to daily activities. Ankle Fractures Ankle fractures can occur from twists, falls, or high-impact activities. Pain, swelling, and difficulty walking are common symptoms. Whether your treatment involves casting or surgery, we are committed to helping you regain stability and strength. Spinal Fractures Spinal fractures can range from minor compression fractures to more severe injuries affecting the vertebrae. These injuries may result from trauma, osteoporosis, or degenerative conditions. Our specialized approach focuses on pain management and restoring spinal health with compassionate care. Stress Fractures Stress fractures are tiny cracks in the bone caused by repetitive stress or overuse, commonly seen in athletes and active individuals. Symptoms often include localized pain that worsens with activity. Our team offers guidance on rest, rehabilitation, and prevention strategies to keep you moving safely. At Next Journey Orthopaedics, we are dedicated to providing comprehensive, patient-centered care tailored to your unique needs. Whether you're recovering from a minor stress fracture or a more complex injury, we're here to support you every step of the way with empathy and expertise. If you have any questions or concerns, please don't hesitate to reach out to our team.

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

Schedule your surgery with confidence at Next Journey Orthopaedics. Our comprehensive guide covers pre-surgery consultations, instructions, and what to expect on the day of your procedure. Get tips for preparation, recovery, and follow-up care to ensure a smooth surgical experience. For surgeries, please scan QR code How to Schedule Your Surgery At Next Journey Orthopaedics, we know surgery can feel scary. We are here to help and make things easy for you. Our focus is always on you and your needs. Preparing for Surgery Preparing for surgery is a crucial step to ensure a smooth and successful procedure. At Next Journey Orthopaedics, we guide you through each step of the preparation process to make sure you are well-informed and comfortable. Here’s what you need to know: Pre-Surgery Consultation Initial Evaluation: During your initial consultation, your orthopedic surgeon will assess your condition, discuss the surgical procedure, and answer any questions you may have. Medical History and Tests: You may need to undergo certain medical tests, such as blood work, EKG, or imaging studies, to ensure you are in good health for surgery. Set Up Your Surgery After you decide on surgery, we will schedule it at one of our locations: Inova Fair Oaks Hospita l Address: 3600 Joseph Siewick Dr,, 2nd Floor, Fairfax, VA 22033 Phone: (703) 391-3500 Visit Inova Fair Oaks Hospital Website All surgeries here will require anesthesiologist . Surgical Center of the Potomac Address: 6500 Rockledge Dr, Suite 100, Bethesda, MD 20817 Phone: (240) 483-0282 Visit Surgical Center of the Potomac Website You can choose Local Anesthesia Only/Wideawake Anesthesia for surgeries here. Medical History and Tests: You may need to undergo certain medical tests, such as blood work, EKG, or imaging studies, to ensure you are in good health for surgery. Pre-Operative Instructions Diet and Medication: Your surgeon will provide specific instructions regarding your diet and medications. You may be asked to stop certain medications and to fast for a specific period before the surgery. Stop eating or drinking 8 hours before your surgical time. Health and Lifestyle: Maintain a healthy lifestyle leading up to your surgery. Avoid smoking and limit alcohol consumption. Engage in light exercise if approved by your doctor to keep your body in good shape. Day Before Surgery Checklist: Prepare a checklist of items to bring to the hospital, including identification, insurance information, and any necessary medical documents. Personal Arrangements: Arrange for transportation to and from the surgical center. Make sure you have someone to assist you at home during the initial recovery period. Day of Surgery Day: Please keep your day flexible. Sometimes due to last minute cancellations, your case start time could be changed even on the day of arrival. Arrival: Arrive at the surgical center or hospital 1-2 hours before your surgical time at the specified time. Wear comfortable clothing and leave valuables at home. Pre-Op Preparation: You will be prepped for surgery by the medical staff. This may include changing into a surgical gown, having an IV line placed, and meeting with the anesthesiologist. Relaxation Techniques: Practice relaxation techniques such as deep breathing or visualization to stay calm before the procedure. Surgical Procedure: Your surgeon will perform the procedure as planned, with the support of a skilled medical team. You will be monitored closely throughout the surgery. Post-Surgery Recovery: After the surgery, you will be taken to a recovery area where your vital signs will be monitored. Your surgeon will discuss the outcome of the surgery and provide initial post-operative care instructions. Help After Surgery: Please ask a friend or family member to drive you home after surgery. You won't be able to drive because of the anesthesia. Post-Operative Care Follow-Up Appointments: Schedule and attend all follow-up appointments to ensure proper healing and recovery. Rehabilitation: Follow the prescribed rehabilitation and physical therapy programs to regain strength and mobility. Physical or Occupational therapy: Therapy may need to be schedule within a week of surgery for the following cases: flexor tendon repair, tenolysis, contracture release. Preparing for surgery can be a daunting experience, but with careful planning and support from our dedicated team at Next Journey Orthopaedics, you can approach your surgery with confidence and peace of mind. If you have any questions or concerns, please do not hesitate to contact us. We are here to make sure everything goes smoothly for you. If you have any questions, please call us. We are happy to help. Next Journey Orthopaedics Phone: (571) 425-5390 Thank you for choosing us. Your health and comfort are our top priorities. Inova Fair Oaks Preparing for Your Procedure Instructions - Please click read more if your surgery is at Inova Fair Oaks Hospital SurgCenter of the Potomac Day of Instructions - Please click read more if your surgery is at SurgCenter of the Potomac

Spine Appointments Shoulder Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Biceps Tendonitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Labral Tear The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Instability of Shoulder This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Impingement Syndrome This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Rotator Cuff Tear This is a common shoulder injury involving damage to the muscles and tendons that stabilize the shoulder joint. Symptoms include shoulder pain, weakness, limited range of motion, and difficulty with overhead activities. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion

Discover the importance of ergonomics at Next Journey Orthopaedics. Learn how personalizing your workspace can enhance comfort and prevent repetitive strain injuries. Explore practical tips and strategies to create a healthier, more efficient work environment tailored to your needs. Ergonomics Ergonomics is the concept of personalizing the workplace for the needs of that worker to create comfort and avoid repetitive activity injuries. About Us Continue Your Journey Get to Know Us Life can be complicated, our company was created in an effort to help make life less confusing and take the next steps to improving your life. Welcome Making the madness better. This is a place where we help your journey outside of our office. Workplace Describe one of your services Home Describe one of your services Dynamic Art Describe one of your services