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Discover comprehensive care at Select Physical Therapy, serving Northern Virginia with centralized scheduling at 855-345-6300 or via email at SelectUS@selectmedical.com. We accept a wide range of insurances, including Aetna, Cigna, and United Healthcare. Visit our locations in Arlington, Fairfax, Alexandria, and more for expert therapy services tailored to your needs. Your recovery starts here! Select Physical Therapy Centralized Scheduling: SelectUS@selectmedical.com | P:855.345.6300 F: 717.635.4877 Insurances Accepted A Aetna Aetna workers comp access, LLC Align networks, Inc Anthem Blue Cross Blue Shield Anthem Healthkeepers- Specific Centers Only Assurant Health B Beech Street C Carefirst BCBS Care IQ Cigna Coastal Comp Health Coastal Management Comp Management Compservices, Inc Corvel Corporation F Farmers Insurance Group Fidelity Benefits Administrators H Health Payors Organization Health Smart Preferred Heartland Therapy Provider Network Humana I Integrated Health Plan Intergroup Services Corporation Interplan J John Hopkins Healthcare K Key Health L Liberty Mutual M MAMSI Mailhandlers Managed Physical Network (Specific sites only) Med-Eval Medicaid (accepted at various centers, call nearest center to verify) Medicare Medical Mgmt Claims Medrisk Modern Medical, Inc N National Choice Care, Inc O Occucomp P Preferred Health Network Prime Health Procura Qrs Management Progressive Medical, Inc R Rockport Health Group S Sentara Health Plans, Inc Safeway, Inc Select Next Plus Southern Health Services Sterling Life Insurances T The guardian Life Insurance Co. Three Rivers Provider Network, Inc Travelers Tricare Tyson Foods- National Comp U United Healthcare/ Optum Health Care Unival Universal Health Care Universal Smartcomp USA Managed Care US Department of Labor Locations In Northern Virginia Arlington County Army Navy 2445 Army Navy Drive, Suite 200 Arlington, VA 22206 P: 703.769.8442 Fax: 703.892.2143 Arlington Ballston 4601 N Fairfax Dr, Suite 100 Arlington, VA 22203 P: 703.841.0391 F:703.841.0397 Arlington South 611 S. Carlin Springs Rd. Suite 505 Arlington, VA 22204 P: 703.820.5840 F: 703.820.5842 Fairfax County Alexandria 6910 Richmond Highway, Suite 100 Alexandria, VA 22306 P: 703.765.7700 F: 703.765.7712 Alexandria/Edsall 5400 Shawnee Road, Suite 104 Alexandria, VA 22306 P: 703.256.4830 F: 703.256.0279 Alexandria/Hinson Farm 8101 Hinson Farm Rd. Suite 312 Alexandria, VA 22310 P: 703.769.8455 F:703.704.9093 Alexandria/Kingstowne 6166 Fuller Court Alexandria, VA 22310 P: 703.719.6908 F:703.313.0056 Annandale 3299 Woodburn Road, Suite 310 Annandale, VA 22003 P:703.849.8142 F: 703.849.0735 Burke 6035 Burke Centre Parkway , Suite 300 Burke, VA 22105 P:703.978.3300 F:703.978.6216 Burke 9409- K Old Burke Lake Road Burke, VA, 22015 P: 703.425.1800 F:703.425.1803 Chantilly- The fieldhouse 14810 Murdock St. Chantilly, VA 20151 P: 703.955.0235 F: 703.273.0157 Fairfax 4001 Fair Ridge Drive, suite 201 Fairfax, VA 22033 P:703.273.0093 F: 703.273.0157 Fairfax Station 9015 Silverbrook Rd. suites 103-104 Fairfax Station, VA 22039 P: 571.475.0003 F: 571.475.0004 Falls Church 5860 Columbia Pike, suite 104 Falls Church, VA 22041 P:571.461.5040 F: 571.461.5041 Herndon 150 Elden Street, suite 250 Herndon, VA 20170 P: 703.435.0090 F: 703.787.8402 Lorton Station 8986 Lorton Station Boulevard suite 202 Lorton, VA 22079 P: 571.380.4770 F: 571.380.4771 Mclean Curran 6733 Curran Street suite 100 Mclean, VA 22102 P: 703.448.0259 F: 703.448.0258 Mclean Elm 6862 Elm Street Suite 105 Mclean, VA 22101 P: 703.556.7788 F: 703.556.9750 Reston 12005 Sunrise Valley Drive Suite 110 Reston, VA 20191 P: 703.860.2391 F: 703.860.2657 Springfield 6850-B Versar Center Suite 241 Springfield, VA 22151 P: 703.256.3400 F: 703.658.4370 Vienna 601 Church Street North East Suite 105 Vienna, VA 22180 P: 703.938.8585 F: 703.938.8602 Frederick County Winchester 519 W. Jubal Early Dr. Suite 102 Winchester, VA 22601 P: 540. 665.0104 F: 540.665.1681 Loudon County Ashburn 21785 Filigree Court suite 300 Ashburn, VA 20147 P: 703.723.8800 F: 703.723.4143 Ashburn Hand therapy 20925 Professional Plaza, Suite 300 Ashburn, VA 20147 P:703.544.7171 F: 717.635.3227 Leesburg 540 Fort Evans Road, suite 206 Leesburg, VA 20176 P: 703.777.1026 F: 703.777.4341 Purcellville 17430 Pickwick Dr., Suite 120 Purcellville, VA 20132 P: 540.338.0685 F: 540.338.0687 Prince William County Gainesville 7508 Iron Bar Lane Gainesville, VA 20155 P: 571.486.2770 F: 571.486.5502 Manassas 7900 Sudley Road, suite 803 Manassas, VA 20109 P:703.366.3948 F: 703.366.3699 Woodbridge 14524 Potomac Mills Road Woodbridge, VA 22192 P: 703.490.6726 F: 703.494.2171 Spotsylvania Fredericksburg 4932 Southpoint Parkway Fredericksburg, VA 22407 P:540.891.1186 F: 0964

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

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

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

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.

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.

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 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

Schedule your appointment at Next Journey Orthopaedics today! Privia patients can easily book online or call 571-416-8244 during office hours. Be sure to check your Privia Patient Portal, and bring your photo ID, insurance card, and relevant medical records, including MRI and X-ray discs. Visit us at 8255 Greensboro Drive, Suite 150, McLean, VA 22102, and find directions and parking details on our website. CẦN LÀM GÌ TRƯỚC KHI BẠN ĐỂ LẠI LỖI: Insurances Accepted Self Pay Options Submit Paperwok 1 Schedule an appointment Privia Patients Book On-Line During office hours call 571-416-8244 After office hours call or text 571-425-5393 Fill out a website contact us form Please leave us your best contact number when registering. You may get a call before your appointment to pre-register/confirm information. 2 Before your appointment Check your status on Privia Patient Portal Read Credit Card policy Update preferred pharmacy Update medications on your patient portal 3 What to have for your appointment Photo Id Insurance Card Credit Card to be kept on file List of medications Disc of studies (MRI, CAT Scan, X-Rays) related to issue 4 How to get to your appointment - 8255 Greensboro Drive, STE 150, McLean, VA 22102. Click here for directions. - Parking - Office Entrance

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

Join the Next Journey Orthopaedics team and contribute to exceptional patient care in a supportive environment. Explore our current career opportunities, from clinical roles to administrative positions, and discover how you can make a difference in the lives of our patients while advancing your professional journey. Apply today! Recruiting Announcement: Next Journey Orthopaedics _cc781905-5cde-3194bad _ccc781905 3158bad-bbc78f905 315895 3158bad _cccf1905 3158bad -bb3b-136bad5cf58d_ Next Journey Orthopedics là một phương pháp chỉnh hình tích cực tìm cách tích hợp công nghệ và cải tiến mới để giúp cải thiện hệ thống chăm sóc sức khỏe. Chúng tôi tập trung vào những dự án hỗ trợ tư duy nhắm mục tiêu bốn lần. Chúng tôi xác định tư duy nhắm mục tiêu bốn là những dự án sẽ cải thiện trải nghiệm của bệnh nhân, cải thiện kết quả của bệnh nhân, giảm chi phí cho bệnh nhân và cải thiện trải nghiệm người dùng tại nơi làm việc. Chúng tôi hiện có nhu cầu trong việc cung cấp dịch vụ chăm sóc bệnh nhân, quản trị, phân tích dữ liệu, trực quan hóa dữ liệu, đồ họa / in 3D, tiếp thị truyền thông xã hội và phát triển dự án. _cc781905-5cde-3194bad _ccc781905 3158bad-bbc78f905 315895 3158bad _cccf1905 3158bad -bb3b-136bad5cf58d_ Chúng tôi đang tìm kiếm những cá nhân muốn phát triển kinh nghiệm của họ liên quan đến việc tích hợp chăm sóc sức khỏe với công nghệ và đổi mới hiện tại. Vui lòng liên hệ với chúng tôi tại Careers@nextjourneyortho.net . Tại Next Journey Orthopedics, chúng tôi tin tưởng vào "thời gian của con người" cho nhân viên của mình và cung cấp một số không gian cho thời gian nghỉ ngơi của bạn. Điều này bao gồm một phòng tập thể dục ở tầng hầm, khu vực giải lao trên sân thượng, các sân bóng rổ địa phương và một phòng chờ trong tòa nhà. Chúng tôi cũng nằm trong khoảng cách đi bộ đến khu phức hợp sức khỏe thể thao cũng như Boro nằm ở Tysons, Virginia. Boro bao gồm các nhà hàng (Tasty Kabob, Fish Taco, Flower Child, v.v.) cũng như Whole Foods (có một trung tâm Amazon). Chúng tôi cũng nằm trong khoảng cách đi bộ đến Tysons Galleria.