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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!

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 Non-Operative Treatment Fractures Operative Treatment Surgery Experience 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. Surgery is recommended when it offers a greater clinical outcome or there was a failure to resolve symptoms by other methods. Non-operative Fractures Operative Surgery Experience

Discover a comprehensive guide to shoulder, elbow, forearm, wrist, hand, and finger braces. Learn about various types of supports—including compression sleeves, immobilizers, and stabilizing braces—tailored for injuries, recovery, and improving comfort. Find the right solution for your needs today! Shoulder Humerus (Upper Arm) and Elbow Forearm and Wrist Hand and Fingers Upper Extremities Braces Appointments Shoulder Shoulder Compression Sleeves Purpose: Provide mild support and compression to reduce swelling and improve blood flow. Uses: Minor shoulder injuries, mild arthritis, and general shoulder discomfort. Examples: Compression Sleeve Shoulder Immobilizers Purpose: Immobilize the shoulder to prevent movement and allow for healing. Uses: Post-surgery recovery, severe shoulder injuries, dislocations, and fractures. Examples: Sling Shoulder Stabilizing Braces Purpose: Provide moderate to high levels of support to stabilize the shoulder joint. Uses: Shoulder instability, rotator cuff injuries, labral tears, and shoulder subluxations. Examples: Stabilizer Brace Posture Correctors Purpose: Improve posture by pulling the shoulders back and aligning the spine. Uses: Poor posture, shoulder and upper back pain related to posture issues. Example: Posture Correctors Rotator Cuff Braces Purpose: Support the rotator cuff muscles and tendons, often with adjustable compression. Uses: Rotator cuff injuries, tendinitis, and post-surgery recovery. Example: Rotator Cuff Brace Shoulder Slings Purpose: Support the arm and limit shoulder movement. Uses: Post-surgery recovery, fractures, dislocations, and severe sprains. Examples: Sling Shoulder Abduction Braces Purpose: Hold the shoulder in an abducted (away from the body) position to relieve pressure on the rotator cuff or shoulder joint. Uses: Rotator cuff repairs, shoulder arthroscopy, and certain types of fractures. Examples: Shoulder Brace Humerus (Upper Arm) and Elbow Humeral Fracture Brace Purpose: Stabilizes and supports fractures of the humerus. Features: Adjustable straps, padded interior, and lightweight material. Examples: Sarmiento Humeral Fracture Brace Elbow Compression Sleeve Purpose: Provides mild compression and support. Uses: Minor sprains, strains, and tendonitis. Examples: Elbow Sleeve Elbow Immobilizer Purpose: Prevents elbow movement to allow healing. Uses: Post-surgery recovery, severe sprains, and fractures. Examples: Elbow Immobilizer , T-Scope Elbow Brace Tennis Elbow Brace Purpose: Provides targeted compression to the forearm muscles. Uses: Lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow). Examples: Tennis Elbow Brace , Tennis Elbow Support . Forearm and Wrist Forearm Support Brace Purpose: Provides support and reduces strain on forearm muscles and tendons. Uses: Forearm strain, tendinitis, and overuse injuries. Examples: Carpal Tunnel Brace Wrist Compression Sleeve Purpose: Provides mild support and compression. Uses: Minor sprains, strains, and arthritis. Examples: Wrist Support , Copper Compression Wrist Sleeve Wrist Splint Purpose: Stabilizes the wrist and limits movement. Uses: Carpal tunnel syndrome, wrist sprains, and post-surgery recovery. Examples: Wrist Brace . Hand and Fingers Comfort Cool Purpose: Immobilizes the thumb to reduce pain Uses: Thumb sprain, Arthritis Examples: Comfort Cool TKO/ Metacarpal Brace Purpose: used to support, protect, and immobilize the knuckles and fingers Uses: Metacarpal fractures Examples: Hely and Weber TKO , Metacarpal Brace Hand Compression Glove Purpose: Provides mild compression to reduce swelling and pain. Uses: Arthritis, mild sprains, and general hand discomfort. Examples: Arthritis Gloves . Hand Splint Purpose: Immobilizes the hand to allow healing. Uses: Severe sprains, fractures, and post-surgery recovery. Examples: Hand & Wrist Splint. Finger Splint Purpose: Immobilizes the finger to allow healing. Uses: Finger fractures, sprains, and dislocations. Examples: 3-Point Products Oval-8 Finger Splints , Mueller Reversible Thumb Stabilizer, Stack Splint

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

Explore our comprehensive guide on mobility aids and wound care products, including crutches, canes, walkers, and more. Learn about effective treatments for shoulder conditions like labral tears, arthritis, and frozen shoulder. Discover essential items such as gauze, hydrocolloid dressings, and vitamin E for optimal wound healing. Whether you need support for mobility or recovery, find the right solutions for your needs. Miscellaneous Items Appointments Crutches and Canes 4- legged cane Example: Vive Quad Cane Cane Medline Cane Walker Drive Medical Walker Crutches 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. Scooter 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. Wound Care Adaptic 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. Gauze 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. Hydrocolloid dressings 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. Medihoney 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. Vitamin E 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. Mederma 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. Cast Care Accessories Cast Cover 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. Mold Skin 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. Cast Deoderizer 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. Globes and Gadgets MOVA Globe 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. Spinning Light 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. Floating Light 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. Sisyphus Table 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.

Same-day fracture care that gets you back to life faster! Next Journey Orthopaedics offers expert treatment, on-site X-rays, and personalized care for all fractures. Skip the ER and enjoy fast, affordable orthopedic care near Tysons Mall. Call now or book online! Same-Day Fracture Care - Get Back to Life Faster! Casting Care Instructions At Next Journey Orthopaedics, we provide expert, personalized care for fractures of all types. Whether it’s a minor break or a complex injury, our experienced orthopedic team is here to help you heal quickly and comfortably. If you've suffered a fracture, don't wait! Next Journey Orthopaedics offers expert fracture care with same-day appointments and on-site X-ray services. Skip the ER and receive specialized orthopedic treatment today. Call Now - 571-416-8244 Book an Appointment Expert urgent orthopedic care for broken bones and fractures, without the long ER wait. Open Late Hours/Weekdays Same Days/Walk-Ins Welcomed Location Near Tysons Mall At Next Journey Orthopaedics, we provide expert, personalized care for fractures of all types. Whether it’s a minor break or a complex injury, our experienced orthopedic team is here to help you heal quickly and comfortably. If you've suffered a fracture, don't wait! Next Journey Orthopaedics offers expert fracture care with same-day appointments and on-site X-ray services. Skip the ER and receive specialized orthopedic treatment today. Common Breaks/Fractures We Treat: ✔ Shoulder & Clavicle Breaks & Fractures ✔ Elbow & Forearm Breaks & Fractures ✔ Wrist & Hand Breaks & Fractures ✔ Hip & Pelvic Breaks & Fractures ✔ Knee/Leg Breaks & Fractures ✔ Ankle & Foot Breaks & Fractures ✔ Pediatric Breaks & Fractures Why Choose Us for Fracture Care? Same-Day Appointments: Call us now or book online for same-day fracture treatment. Skip the ER, get direct care and a treatment plan now. Board-Certified Orthopedic Specialists: Our expert team provides personalized care for fractures, from minor breaks to complex injuries. On-Site X-Ray Services: No need to visit multiple locations. The evaluation, diagnosis, and ultimate treatment plan all in one visit. Splinting/Casting/Bracing: No need to visit multiple locations. We diagnose and treat fractures in one visit. Emergency & Urgent Care Referrals Accepted: We work closely with local emergency rooms and primary care providers. Most Insurances Accepted : We’ll work with your insurance to ensure seamless coverage. Affordable Care – Lower costs than ER visits, most insurance plans accepted. Your recovery journey starts with the right care – and we’re here to help. Symptoms of a Fracture Signs You May Have a Fracture: Sudden pain and swelling Difficulty moving the affected area Visible deformity or bruising Inability to put weight on that extremity If you suspect a fracture, don’t wait. Our team specializes in treating minor to complex injuries . Why Skip the ER? 🏥 Faster Treatment : No long hospital wait times. 💰 Lower Costs : Avoid expensive ER bills. 👨⚕️ Specialized Care: Direct access to orthopedic specialists. 📅 Book Your Same-Day Appointment Now! 📞 571-416-8244 | 📍 8255 Greensboro Drive, Ste 150, McLean, VA 22102 Schedule Your Appointment Now Steps of Treatment Process At Next Journey Orthopaedics, we provide urgent orthopedic care for fractures, offering same-day appointments to ensure fast treatment for broken bones. Your Treatment Journey: Initial Assessment: We’ll review your symptoms and perform an on-site X-ray. Diagnosis: Our specialists will confirm your fracture and recommend treatment. Treatment Plan: Casting, splinting, or surgery based on your needs. Follow-Up Care: Ongoing support to ensure a full recovery. Insurance and Payment Options Insurance We Accept: We accept most major insurance plans and offer affordable self-pay options. Contact us to verify your coverage. 📞 571- 416-8244 | Verify Your Insurance

At Next Journey Orthopaedics, we prioritize a superior patient experience through value-based care. Our holistic approach empowers you to take control of your health while focusing on quality outcomes, patient satisfaction, and cost efficiency. Discover how we can help you achieve your health goals today! Quadruple Aim là gì? _cc781905-5cde-3194b_Những trải nghiệm chăm sóc dựa trên giá trị của bệnh nhân chỉnh hình. Chúng tôi tập trung vào toàn bộ con người chứ không chỉ tình trạng cơ xương của họ. Đó là việc trao quyền cho bạn với tư cách là bệnh nhân kiểm soát sức khỏe của chính họ và cung cấp cho bạn các công cụ cần thiết để duy trì sức khỏe. Ngành chăm sóc sức khỏe tiếp tục hướng tới mục tiêu tăng gấp 4 lần và các nguyên tắc chăm sóc dựa trên giá trị. Mục tiêu bốn phương là cách tiếp cận để cải thiện đồng thời kết quả của bệnh nhân, trải nghiệm của bệnh nhân, giảm chi phí và hỗ trợ đội ngũ nhân viên chăm sóc bạn. Chăm sóc dựa trên giá trị là cách tiếp cận mà các nhà cung cấp tập trung vào chất lượng chứ không phải số lượng chăm sóc. Nó khuyến khích các nhà cung cấp tập trung vào việc cung cấp dịch vụ chăm sóc tốt nhất có thể cho bệnh nhân của họ, thay vì chỉ đơn giản là cung cấp nhiều dịch vụ hơn. Tại Next Journey Orthopedics, chúng tôi tin rằng mục tiêu bốn phương hướng và chăm sóc dựa trên giá trị không chỉ tương thích với nhau mà còn cần thiết để cung cấp dịch vụ chăm sóc tốt nhất có thể cho bệnh nhân của chúng tôi. _cc781905-5cde-3158bad _ bbc78b-1365-5cde-3158dad-bb3bcf1905 hành trình tiếp theo chúng tôi tin rằng trải nghiệm của bệnh nhân phải là trung tâm của mọi việc chúng tôi làm. Chúng tôi cố gắng cung cấp cho bạn chất lượng chăm sóc cao nhất và kết quả tốt nhất có thể. Chúng tôi cũng làm việc chăm chỉ để đảm bảo rằng bạn có trải nghiệm tích cực trong suốt hành trình của bạn với chúng tôi. Nếu bạn đang tìm kiếm một cơ sở thực hành chỉnh hình tập trung vào việc mang lại trải nghiệm tuyệt vời cho bệnh nhân, vui lòng liên hệ với chúng tôi ngay hôm nay. Chúng tôi rất vui được thảo luận về cách chúng tôi có thể giúp bạn đạt được mục tiêu của mình. _cc781905-5cde-3194bad _ccc781905 3158bad-bbc78f905 315895 3158bad _cccf1905 3158bad -bb3b-136bad5cf58d_ Chúng tôi tập trung vào trải nghiệm của bệnh nhân bằng cách đảm bảo rằng bạn tham gia vào quá trình chăm sóc của chính mình từ đầu đến cuối. Chúng tôi thảo luận về mục tiêu của bạn và những gì bạn muốn đạt được. Chúng tôi làm việc với bạn để tạo ra một kế hoạch điều trị đáp ứng nhu cầu của bạn và phù hợp với lối sống của bạn. Và chúng tôi cung cấp khả năng truy cập tuyệt vời để đảm bảo làm tốt và trả lời bất kỳ câu hỏi nào bạn có thể có. TIẾP THEO HÀNH TRÌNH HỮU CƠ

Next Journey Orthopaedics offers expert diagnosis and treatment for a wide range of orthopedic conditions, including shoulder, knee, hip, and spinal injuries. Our specialized services include surgical and non-surgical options tailored to each patient’s needs. Schedule your appointment today! Emergency Room Splinting Guide | Next Journey Orthopaedics Appointments Diagnoses Quick Instructions for ER providers At Next Journey Orthopaedics, we understand the urgency of stabilizing orthopedic injuries in the emergency room. This page provides concise, step-by-step instructions for correctly applying the most commonly used splints, ensuring proper immobilization before definitive orthopedic care. Shoulder and Arm Elbow Forearm Wrist Thumb Hand (Ulnar Gutter) Hand (Radial Gutter) Humeral Shaft Fracture Position - Elbow flexed at 90 degrees if patient allows it. Material - Cut 2-to-4-inch wide orthoglass. Measure from the axilla or armpit, looping below or around the inside part of the elbow and up the lateral or outside the upper arm and ending over top of the shoulder. Apply Padding – Cover the entire humerus with soft padding. Apply Splint – Wrap around the humerus, ensuring immobilization. Secure with Bandages – Avoid over-tightening near the axilla. Assess Fit – Ensure adequate immobilization without restricting blood flow 22612 - Lumbar spine fusion, posterior/posterolateral technique, single level 22614 - Lumbar spine fusion, posterior/posterolateral technique, each additional level 22630 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single level 22632 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace 22633 - Lumbar spine fusion, combined with decompression, single level 22634 - Lumbar spine fusion, combined with decompression, each additional level 22857 - Total disc arthroplasty (artificial disc), anterior approach, lumbar 22859 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar 22862 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar, each additional level 22865 - Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar 22867 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, lumbar 63030 - Laminotomy (decompression) 63047 - Laminectomy, facetectomy and foraminotomy, single vertebral segment 63048 - Laminectomy, facetectomy and foraminotomy, each additional segment 63056 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment 63057 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), each additional segment 22612 - Lumbar spine fusion, posterior/posterolateral technique, single level 22614 - Lumbar spine fusion, posterior/posterolateral technique, each additional level 22630 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single level 22632 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace 22633 - Lumbar spine fusion, combined with decompression, single level 22634 - Lumbar spine fusion, combined with decompression, each additional level 22857 - Total disc arthroplasty (artificial disc), anterior approach, lumbar 22859 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar 22862 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar, each additional level 22865 - Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar 22867 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, lumbar 63030 - Laminotomy (decompression) 63047 - Laminectomy, facetectomy and foraminotomy, single vertebral segment 63048 - Laminectomy, facetectomy and foraminotomy, each additional segment 63056 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment 63057 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), each additional segment Posterior Long Arm Splint (For Supracondylar Fractures, Elbow Dislocations, Olecranon Fractures) Position - Dependent on injury. Material - Cut 2-to-4-inch wide orthoglass. Measure 2 inches distal from axilla or armpit down the back of the elbow and down the forearm until the palmar crease of the hand. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap to the back of the elbow, ensuring immobilization. Secure with Bandages – Avoid over-tightening near the axilla. Assess Fit – Ensure adequate immobilization without restricting blood flow Sugar Tong Splint (For Distal Radius/Ulna Fractures, Displaced Colles’ Fractures) Position - Depends on injury but elbow is usually 90 degrees of flexion and the wrist is usually in neutral. Material - Cut 2 to 3 inch wide orthoglass. Measure from metacarpal head dorsally (back of the knuckles) and then up the forearm loop around the elbow and then down then forearm stopping at palmar crease of hand. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to above the elbow to the level of the biceps making. Secure with Bandages – Avoid over-tightening near the elbow. Assess Fit – Ensure adequate immobilization without restricting blood flow Volar Wrist Splint (For Wrist Sprains, Carpal Fractures, Distal Radius Fractures) Position - Depends on injury but wrist is usually in neutral. Material - Cut 2 to 3 inch wide orthoglass. Measure from 2 inches distal from the antecubital (elbow) crease to the palmar crease of hand. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to 1 inch below the antecubital (elbow) crease Secure with Bandages – Avoid over-tightening near the elbow. Assess Fit – Ensure adequate immobilization without restricting blood flow Thumb Spica Splint (For Scaphoid Fractures, UCL Injuries, Thumb Metacarpal Fractures) Position - Depends on injury but wrist is usually 10 to 20 degrees of extension Material - Cut 2 to 3 inch wide orthoglass. Measure from thumb (below or distal to injury) up to the antecubital (elbow) crease for scaphoid and carpal fractures OR to the mid forearm for UCL and thumb metacarpal injuries. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to measured level. Apply in a U shaped fashion at the thumb. Secure with Bandages – Avoid over-tightening near the wrist. Assess Fit – Ensure adequate immobilization without restricting blood flow Forearm Based Thumb Spica Splint Hand-Based Thumb Spica Splint Ulnar Gutter Splint (For Boxer’s Fractures, 4th & 5th Metacarpal Fractures) Position - Depends on injury but wrist is usually 20 to 30 degrees of extension, 4th and 5th digits in intrinsic plus (70-90 degrees of MCP joint or hand knuckles flexion and 0-10 degrees of PIP joint or finger knuckles flexion) Material - Cut 4 to 6 inch wide orthoglass. Measure from mid forearm to just beyond the 5th fingertip. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to measure level. Apply in a U shaped fashion at the 5th finger. Secure with Bandages – Avoid over-tightening near the wrist. Assess Fit – Ensure adequate immobilization without restricting blood flow Radial Gutter Splint (For 2nd & 3rd Metacarpal Fractures, Radial-Sided Hand Injuries) Position - Depends on injury but wrist is usually 20 to 30 degrees of extension, 2nd and 3rd digits in positions of comfort Material - Cut 4 to 6 inch wide orthoglass. Measure from mid forearm to just beyond the 2nd fingertip. Cut the orthoglass longitudinally leaving a bridge of about 1-2 inches remaining. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to measure level. Apply in a U shaped fashion at the 2nd finger. Secure with Bandages – Avoid over-tightening near the wrist. Assess Fit – Ensure adequate immobilization without restricting blood flow

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

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

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 Treatments Treatment 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. NonOperativeTreatments NonOperativeTreatments More Info Hyaluronic Acid (Viscosupplement) More Info Bracing & Splints More Info Medications (NSAIDs & Pain Control) More Info Corticosteroid Injections More Info

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