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Access your medical records easily with Next Journey Orthopaedics. Learn how to request records via the Privia Patient Portal or email, with clear steps and FAQs. Requests processed within 7-10 business days. Contact us at (571) 425-5393 or nextjourneycares@nx-jo.com for assistance! About Us Medical Records Request Liên hệ với chúng tôi để biết thêm thông tin Số điện thoại: (571) 425-5393 Số fax: (301) 235-1612

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.

"Next Journey Orthopaedics: Expert Shoulder Care for AC Joint Sprain, Arthritis, Deltoid Strain, Dislocation, Biceps Tendonitis, Frozen Shoulder, Labral Tear, Impingement Syndrome, Shoulder Instability, Proximal Humerus Fracture, Rotator Cuff Tear, and more. Personalized treatments include non-operative care, physical therapy, and advanced surgical options to ensure optimal recovery. Book your appointment today to regain shoulder mobility and comfort. Contact us at 571-425-5390." Upper Extremities Shoulder Arthritis Progressive pain, stiffness and crepitus with reduced motion. Start with NSAIDs/heat, activity changes, injections and PT. Deep aching pain; crepitus; progressive stiffness; functional loss; X‑ray changes support diagnosis. Pain control; maintain ROM/strength; pacing; consider corticosteroid injections for flares. Shoulder Heating Pad Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Proximal Humerus Fracture Pain, swelling and bruising after trauma; confirmed on X‑ray. Many treated with sling and early ROM; surgery for displaced patterns. Trauma; focal tenderness; swelling/bruising; X‑ray confirmation. Sling; edema control; early elbow/hand motion; gentle shoulder ROM as healing allows; later strengthening. Adjustable Arm Sling Reusable Ice Pack Set Elevation Wedge Pillow Shower Sling Protector Grabber/Reacher Tool Deltoid Strain Pain/tenderness over the deltoid after overuse or sudden load. Usually resolves with rest, NSAIDs, ice and short PT. Pain with resisted shoulder abduction; focal tenderness; mild swelling/bruising. Relative rest; gentle stretching; progressive strengthening of deltoid and scapular stabilizers. Reusable Cold Pack Shoulder Compression Sleeve Kinesiology Tape Light Dumbbell Pair Massage Ball Rotator Cuff Tear Pain with overhead activity and at night, weakness on ER/abduction. Start with PT; injections considered; repair for persistent/large tears. Night pain; painful arc; weakness on ER; positive Jobe; traumatic or degenerative onset. Rotator‑cuff & scapular strengthening; posterior capsule mobility; graded overhead return. Abduction Pillow Sling Cold Therapy Shoulder Wrap Over‑Door Pulley TheraBand Set Side‑Sleeper Shoulder Pillow Shoulder Dislocation Acute pain and deformity after trauma; requires reduction and immobilization then rehab. Positive apprehension test; sense of shoulder out of place; traumatic mechanism; instability on exam. Reduction; sling; controlled ROM; rotator‑cuff & scapular strengthening; return‑to‑sport protocol. Shoulder Immobilizer Sling Cold Therapy Shoulder Wrap Wedge Pillow for Elevation Resistance Bands Set Reusable Cold Gel AC Joint Sprain Pain/swelling over the AC joint; pain on cross‑body motion. Most improve with rest, ice, NSAIDs, short sling and progressive PT. Focal AC tenderness; pain with cross‑body adduction test; swelling; pain with overhead or horizontal adduction. Short sling for comfort; early ROM as tolerated; scapular & rotator‑cuff strengthening; posture & activity modification. Shoulder Sling Cold Therapy Shoulder Wrap Kinesiology Tape Posture Brace Resistance Bands Set Shoulder Instability Sensation of slipping/giving way with pain and weakness; often after dislocation or with laxity. Rehab first; surgery if recurrent. Positive apprehension/relocation tests; history of dislocation/subluxation; instability signs. Strengthen rotator‑cuff & scapular stabilizers; neuromuscular control; activity modification; consider bracing. Stabilizing Shoulder Brace Cold Wrap Resistance Bands Wedge Pillow Kinesiology Tape Shoulder Labral Pain with clicking/locking and possible instability from labral injury; start with rest/NSAIDs and stability‑focused PT. Positive O’Brien’s; mechanical click/catch; instability signs; overhead/traction injury history. Rotator‑cuff & scapular stabilizers; posterior capsule mobility; graded sport‑specific progression. Adjustable Shoulder Sling Cold Therapy Wrap Wedge Pillow Resistance Bands Over‑Door Pulley Shoulder Strain Overuse or acute load causing micro‑injury and pain with limited motion; usually recovers quickly with guided care. Pain with resisted movements; localized tenderness; mild swelling; no instability. Relative rest, ice/heat, stretching, progressive strengthening, graded return to activity. Reusable Cold Pack Shoulder Compression Sleeve Resistance Bands Massage Ball Topical Analgesic Biceps Tendonitis Anterior shoulder pain/tenderness over bicipital groove, worse with resisted supination. Improves with rest, NSAIDs, PT. Pain with Speed’s or Yergason’s; focal groove tenderness; anterior shoulder pain with lifting. Stretch anterior shoulder; eccentric strengthening; scapular mechanics; gradual load; consider injections. Counterforce Brace Reusable Cold Pack TheraBand Set Topical Analgesic Gel Posture Corrector Brace Impingement Syndrome Compression/irritation of rotator cuff with pain on elevation and night pain; responds to targeted PT and activity changes. Painful arc; positive Hawkins‑Kennedy; overhead and night pain; tenderness over cuff/subacromial space. Rotator‑cuff & scapular strengthening; posterior capsule stretches; posture/ergonomics; graded exposure. Posture Corrector TheraBand Set Foam Roller Hot/Cold Pack Shoulder Pulley Frozen Shoulder Gradual global stiffness and pain limiting motion in all directions; managed with meds, stretching‑focused PT and sometimes injections. Pain and stiffness in all planes; night pain; capsular pattern; gradual onset. Gentle frequent stretching; mobilization; pain control; home pulley; sustained program. Over‑Door Shoulder Pulley Electric Heating Pad Reusable Ice Packs Door Anchor + Band Kit Topical Analgesic Cream Radial Head Fracture Lateral elbow pain after fall on outstretched hand; many are treated non‑operatively. Lateral tenderness; painful rotation; swelling; X‑ray/CT if needed. Sling briefly; early motion as pain allows; avoid heavy load early; PT for ROM. Elbow Compression Sleeve Cold Pack Counterforce Forearm Strap Resistance Bands Vertical Ergonomic Mouse Lateral Epicondylitis Outer elbow pain with gripping/lifting; overuse of wrist extensors. Tender at lateral epicondyle; pain with resisted wrist extension/supination; decreased grip. Relative rest; counterforce strap; eccentric loading (extensors); manual therapy; ergonomics. Counterforce Elbow Strap Cold Pack TheraBand FlexBar Elbow Compression Sleeve Keyboard Wrist Rest Olecranon Fracture Posterior elbow pain/swelling after fall or blow; often surgery if displaced. Posterior swelling; loss of extension; tenderness over olecranon; X‑ray. Posterior splint; pain control; ortho evaluation; early finger/shoulder motion. Elbow Immobilizer Reusable Cold Pack Waterproof Cast/Cover Adjustable Sling Therapy Putty Medial Epicondylitis Pain at inner elbow worsened by gripping or wrist flexion; often overuse. Tender at medial epicondyle; pain with resisted wrist flexion/pronation; decreased grip strength. Relative rest; counterforce strap; eccentric forearm strengthening; stretching; activity modification. Counterforce Elbow Strap Reusable Ice Pack TheraBand FlexBar Wrist Brace Vertical Ergonomic Mouse Humerus Shaft Fracture Pain, swelling and deformity after trauma; often managed in a functional brace; watch radial nerve. Trauma; focal tenderness; crepitus; X‑ray confirmation; radial nerve exam. Functional humeral fracture brace (Sarmiento); shoulder/elbow ROM as allowed; edema control. Sarmiento Humeral Fracture Brace Adjustable Sling Ice Pack Set Wedge Pillow Grabber/Reacher Tool Elbow Arthritis Pain, stiffness, grinding with reduced motion; osteoarthritis or inflammatory. Deep aching pain; crepitus; morning stiffness; X‑ray changes support diagnosis. NSAIDs/heat; activity pacing; maintain ROM/strength; consider injections; ergonomic changes. Reusable Hot/Cold Pack Elbow Compression Sleeve TheraBand Set Ergonomic Vertical Mouse Topical Analgesic Gel Distal Biceps Tendinopathy Anterior elbow pain or sudden pop with weakness in supination; tendinopathy vs acute tear. Tender distal biceps; pain with resisted supination; hook test abnormal in tears. Relative rest; eccentric loading; activity modification; brace; evaluate for tear if acute. Counterforce Strap Reusable Cold Pack Pron/Supination Bar TheraBand Set Topical Analgesic Gel Elbow Dislocation Acute deformity and severe pain after trauma; urgent reduction then immobilization and rehab. Obvious deformity; inability to move joint; swelling; neurovascular check essential. Closed reduction; short immobilization; early protected ROM; strengthen around joint. Elbow Immobilizer Reusable Cold Pack Adjustable Arm Sling Resistance Bands Ergonomic Pillow Scaphoid Fracture Small wrist bone fracture that may be occult on early X‑ray; needs close follow‑up. Snuffbox tenderness; pain with thumb/wrist motion; often after fall. Thumb‑spica cast/splint; repeat imaging or MRI/CT; protect with brace post‑cast. Thumb‑Spica Brace Waterproof Cast Cover – Hand Reusable Cold Pack Therapy Putty Wrist Support Brace De Quervains Tenosynovitis Pain at radial wrist with thumb motion/lifting; tendon sheath irritation. Pain at first dorsal compartment; positive Finkelstein test. Thumb‑spica brace; activity modification; stretches; possible injection. Thumb‑Spica Brace Cold Pack Ergonomic Phone Grip Therapy Putty Kinesiology Tape Distal Radius Fracture Common wrist fracture after a fall; many treated with reduction and casting/boot. Pain/swelling deformity; decreased motion; X‑ray confirmation. Reduction if needed; cast/splint 4–6 weeks; elevation/ice; early finger motion; PT after immobilization. Waterproof Cast Cover – Arm Reusable Ice Pack Elevation Wedge Pillow Finger Exerciser/Grip Strengthener Wrist Support Brace TFCC Injury Ulnar‑sided wrist pain with rotation/grip; triangular fibrocartilage complex injury. Ulnar fovea tenderness; pain with pronation/supination; click. Wrist/forearm brace; activity modification; progressive strengthening; consider injection. Wrist Support Brace Reusable Cold Pack Forearm Strap Resistance Bands Keyboard Wrist Rest Forearm Strain Overuse or sudden load to forearm muscles/tendons causing pain and tightness. Pain with resisted wrist/finger motions; tenderness along muscle bellies. Relative rest; stretching; eccentric strengthening; ergonomic review; gradual return. Forearm Compression Sleeve Reusable Cold Pack TheraBand FlexBar Wrist Brace Massage Ball Hand Fracture Pain, swelling, deformity or rotation; many treated with splints/casts; therapy for motion. Malrotation on making a fist; focal tenderness; swelling; X‑ray confirmation. Splint/cast; edema control; early motion of uninvolved joints; hand therapy. Ulnar Gutter Splint Waterproof Cast Cover – Hand Reusable Cold Pack Oval‑8 Finger Splints Therapy Putty Hand Cramps Sudden painful muscle contractions in hand due to fatigue, dehydration, or nerve/ electrolyte issues. Visible spasm; transient stiffness; normal imaging. Hydration; gentle stretching; heat; ergonomic breaks; address triggers with PCP if recurrent. Heated Hand Pack Massage Ball Arthritis Compression Gloves Electrolyte Packets Ergonomic Jar Opener Wrist Strain/Sprain Overstretch or ligament strain causing wrist pain and swelling. Tenderness; pain with gripping and motion; no fracture on X‑ray. Rest; wrist brace/splint; ice; gradual ROM and strengthening. Cock‑Up Wrist Splint Reusable Cold Pack Therapy Putty Vertical Ergonomic Mouse Kinesiology Tape Flexor Tendon Injury Cut/rupture to flexor tendon causing loss of finger flexion; urgent specialist care. Open wound; cannot flex finger; loss of finger cascade; neurovascular check. Protective splint; urgent hand surgery evaluation; post‑op therapy protocol. Hand & Finger Splint Waterproof Dressing Cover Therapy Putty (rehab phase) Silicone Scar Gel Silicone Finger Sleeves Hand Stiffness Reduced range after injury/immobilization or arthritis. Limited flexion/extension; capsular tightness; tendon adhesions possible. Hand therapy; heat; stretching; edema control; splinting. Therapy Putty Heated Hand Pack Edema Gloves Dynamic Finger Extension Splint Massage Tool Hand Tendonitis Overuse irritation of hand tendons with pain and swelling. Pain with resisted motion of involved tendon; crepitus sometimes. Rest; activity modification; splinting as needed; gradual strengthening. Arthritis Compression Gloves Wrist Support Splint Therapy Putty Vertical Ergonomic Mouse Topical Analgesic Gel Hand Numbness Numbness/tingling from nerve compression or systemic causes; evaluate pattern. Median/ulnar distribution; nocturnal symptoms; provocative tests variable. Night splints (if median); nerve‑glides; ergonomics; see provider for evaluation. Night Wrist Splint Ergonomic Keyboard Vertical Mouse Elbow Pad Sleeve Topical Analgesic Gel Trigger Finger Finger catches or locks with flexion; thickened tendon sheath. Tender A1 pulley; catching/locking; worse in morning. Activity modification; splint; stretches; consider corticosteroid injection. Oval‑8 Finger Splint Microwave Heat Pack Therapy Putty Arthritis Gloves Topical Analgesic Gel Hand Arthritis Pain, stiffness and swelling in hand joints; worse in morning or after use. Joint tenderness; bony enlargements; reduced range; X‑ray changes support. NSAIDs/heat; activity pacing; hand therapy; splints for painful joints; consider injections. Arthritis Compression Gloves Paraffin Wax Bath Kit Hand & Wrist Splint Therapy Putty Ergonomic Jar Opener Carpal Tunnel Syndrome Numbness/tingling in thumb, index/middle fingers; worse at night; median nerve compression. Positive Phalen/Tinel; hand weakness/clumsiness; thenar atrophy later. Wrist neutral splint (night); activity modification; nerve‑gliding; consider injection. Night Wrist Splint (Neutral) Ergonomic Keyboard Therapy Putty Arthritis Compression Gloves Topical Analgesic Gel

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

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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 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. Before your appointment Check your status on Privia Patient Portal Read Credit Card policy Update preferred pharmacy Update medications on your patient portal 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 How to get to your appointment - 8255 Greensboro Drive, STE 150, McLean, VA 22102. Click here for directions. - Parking - Office Entrance

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

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

Enhance comfort and productivity with our ergonomics guide! Discover essential items like ergonomic chairs, keyboards, wrist supports, standing desks, monitor risers, and more to improve posture and ease daily tasks at work and home. General Ergonomics Appointments Office & Home Office Heating Pad Purpose: Reduce strain and discomfort with injured area. Examples: Wrist Cushion Purpose: To enhance comfort, supports wrist to reduce the risk of strain or injury during computer use, and encourages a more ergonomic typing or mousing posture. Examples: Mouse Cushion , Keyboard Cushion Home and Kitchen Tools Cordless Electric Scissors Purpose: To help minimize hand and wrist strain while promoting comfortable and efficient cutting for users across various tasks and applications. Examples: Electric Scissors Electric Can Opener Purpose: To provide a more comfortable, accessible, and user-friendly alternative to manual can openers, reducing strain and making the task of opening cans easier and safer Examples: Kitchen Electric Can Opener Ergonomic Jar Opener Purpose: To help people with weak hands or mobility issues open jars easily and safely, without causing strain or discomfort. Examples: Jar Opener , Multi-function Can and Jar Opener, Electric Jar Opener

At Next Journey Orthopaedics, we provide essential guidance on cast care to ensure a smooth recovery. Learn how to keep your cast dry, manage discomfort, and recognize signs of complications. Explore our tips and resources for a safe and comfortable healing process, along with recommended products to support your recovery. Caring for Your Cast Made Simple and Safe Appointments Contact Us for Cast Issues Top of Page Essentials Daily Living with a Cast Cast Appearance and Maintenance Cast Complications Preparing for Cast Removal Castcare Contact Us Cast Items Follow our expert guidelines to protect your recovery and avoid complications Cast Care Guide The Essentials of Casting Care At Next Journey Orthopaedics, we understand that wearing a cast can be a new and sometimes challenging experience. Proper cast care is crucial to ensure a smooth recovery and avoid complications. Below, we’ve answered some of the most common questions patients have about cast care, providing you with the information you need to stay comfortable and safe. Keep Your Cast Dry How do I keep my cast dry while bathing or showering? It’s essential to keep your cast dry to prevent skin irritation or infection. Use a waterproof cast cover, available at most pharmacies, to protect your cast during showers or baths. Alternatively, you can wrap your cast in plastic bags and secure them with rubber bands. Avoid submerging your cast in water. W hat should I do if my cast gets wet? If your cast gets wet, contact our office immediately. A wet cast can lead to skin irritation or infection. We may need to replace your cast or provide additional care instructions. Managing Discomfort How can I relieve itching inside the cast? Itching is a common issue. Avoid inserting objects like hangers into the cast, as this can damage the skin or the cast. Instead, try gently tapping on the cast or using a hairdryer on a cool setting to blow air into it. How do I reduce swelling around the cast? Elevate the affected limb above heart level as much as possible, especially during the first few days. Applying ice to the area around the cast can also help, but be sure to keep the cast dry. Is it normal for my fingers or toes to feel numb or tingly? Numbness or tingling could indicate that your cast is too tight, if you elevate the limb and it does not resolve, please contact us to potentially come in to have the cast adjusted. Ensuring Cast Integrity What should I do if my cast feels too tight or too loose? A cast that’s too tight can restrict blood flow, while a loose cast won’t provide proper support. If you notice your cast no longer provides the support you need, please reach out to us for an evaluation. What should I do if the cast cracks or breaks? A damaged cast cannot provide the support you need. If your cast cracks or breaks, contact our office right away. We’ll assess the situation and replace the cast if necessary. Essentials Daily Living with a Cast Can I walk on my cast, and if so, when? Walking on your cast depends on the type of injury and the cast itself. If your cast is a weight-bearing type, we’ll let you know when it’s safe to start walking. Always follow our instructions closely to avoid injury. Can I drive or operate machinery while wearing a cast? Driving or operating machinery can be risky while wearing a cast, especially if it affects your mobility or reaction time. We recommend not driving while wearing a cast. What activities should I avoid while wearing a cast? Avoid activities that could damage your cast or put you at risk of injury, such as contact sports, lifting heavy objects, or exposing the cast to water. Focus on keeping the cast clean, dry, and intact. How can I prevent pressure sores or skin irritation under the cast? Keep the cast clean and dry, and avoid inserting objects to scratch your skin. If you notice any unusual discomfort or sores, contact us immediately for an assessment. Cast Appearance and Maintenance Can I walk on my cast, and if so, when? Walking on your cast depends on the type of injury and the cast itself. If your cast is a weight-bearing type, we’ll let you know when it’s safe to start walking. Always follow our instructions closely to avoid injury. Can I drive or operate machinery while wearing a cast? Driving or operating machinery can be risky while wearing a cast, especially if it affects your mobility or reaction time. We do not recommend attempting to drive. What activities should I avoid while wearing a cast? Avoid activities that could damage your cast or put you at risk of injury, such as contact sports, lifting heavy objects, or exposing the cast to water. Focus on keeping the cast clean, dry, and intact. How can I prevent pressure sores or skin irritation under the cast? Keep the cast clean and dry, and avoid inserting objects to scratch your skin. If you notice any unusual discomfort or sores, contact us immediately for an assessment. Monitoring for Complications What signs of infection or complications should I look for? Watch for increased pain, excessive swelling, foul odor, drainage from under the cast, or a fever. These could be signs of an infection. If you notice any of these symptoms, contact us immediately. When should I contact my doctor about my cast? You should reach out to us if you experience any of the following: Severe pain not relieved by elevation or pain medication. Numbness or tingling in the extremities. A wet or damaged cast. Signs of infection, such as redness, warmth, or unusual odors. Preparing for Cast Removal How is the cast removed, and will it hurt? Cast removal is a straightforward procedure done with a special cast saw that won’t harm your skin. While it may feel a bit uncomfortable due to vibrations, it shouldn’t hurt. Once removed, your skin may be dry or flaky, and your limb may feel stiff. We’ll guide you through the next steps in your recovery. Can I exercise or do physical therapy with the cast on? In some cases, we may recommend specific exercises to maintain strength and mobility. Always follow our instructions to avoid injury. Once the cast is removed, physical therapy may be recommended to restore full function. Trust Your Care to Next Journey Orthopaedics At Next Journey Orthopaedics, we’re committed to ensuring that you have the best possible experience during your recovery. Our team is always here to answer your questions and provide the support you need. If you have any concerns about your cast or your recovery, don’t hesitate to reach out to us. Contact Us Phone: 571-416-8244 Address: 8255 Greensboro Drive, Ste 150, McLean, VA 22102 Additional Items Cast Scratcher Relieve itching with our convenient Cast Scratcher. Perfect for reaching those hard-to-access spots under your cast without causing damage. Ideal for patients recovering from fractures or surgeries. Cast Socks Keep your cast clean and comfortable with our premium Cast Socks. Designed to fit snugly over any cast, they protect against dirt and add an extra layer of warmth. Available in various sizes and colors. Comfort Itching and Odor Spray Experience instant relief with our Comfort Itching and Odor Spray. Specially formulated to soothe itchiness and eliminate odors under casts and braces. A must-have for a more comfortable recovery. Cool Air Hairdryer Stay cool and comfortable with our Cool Air Hairdryer. Perfect for drying the inside of your cast and reducing itchiness. Safe to use on all types of casts and bandages. Crutch Cushions Enhance your crutch experience with our ergonomic Crutch Cushions. Providing superior comfort and support, these cushions help prevent soreness and fatigue. Easy to attach and washable. Knee Scooter Move around effortlessly with our durable Knee Scooter. An excellent alternative to crutches, it offers stability and ease of use during your recovery from foot or ankle injuries. Knee Walker Navigate your recovery with ease using our Knee Walker. Designed for patients with lower leg injuries, it provides a smooth ride and maximum comfort. Adjustable and foldable for convenience. Leg Elevation Pillows Promote faster healing with our Leg Elevation Pillows. Ideal for reducing swelling and improving circulation post-surgery or injury. Made from high-density foam for ultimate support. Long Arm Cast Covers Protect your long arm cast with our waterproof Long Arm Cast Covers. Perfect for showering and bathing, these covers ensure your cast stays dry and secure. Available in multiple sizes. Moleskin Prevent blisters and irritation with our high-quality Moleskin. Perfect for padding rough edges of casts or braces, ensuring maximum comfort during your recovery. Post-Op Shoes Ensure stability and comfort with our Post-Op Shoes. Designed for post-surgical recovery, these shoes provide support and protection for your feet. Adjustable and available in various sizes. Shoe Lift Balance your steps with our adjustable Shoe Lift. Ideal for compensating height differences caused by casts or orthopedic conditions, ensuring a more natural walking experience. Short Arm Cast Covers Keep your short arm cast dry and protected with our waterproof Short Arm Cast Covers. Perfect for showering and bathing, these covers are easy to use and come in multiple sizes. 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"Next Journey Orthopaedics: Expert Shoulder Care for AC Joint Sprain, Arthritis, Deltoid Strain, Dislocation, Biceps Tendonitis, Frozen Shoulder, Labral Tear, Impingement Syndrome, Shoulder Instability, Proximal Humerus Fracture, Rotator Cuff Tear, and more. Personalized treatments include non-operative care, physical therapy, and advanced surgical options to ensure optimal recovery. Book your appointment today to regain shoulder mobility and comfort. Contact us at 571-425-5390." Lower Extremities Hip osteoarthritis Degenerative wear-and-tear of the hip joint cartilage causing pain, stiffness and reduced range of motion, typically affecting older adults and those with risk factors like obesity or prior injury. Hip pain and stiffness with weight bearing; decreased internal rotation on exam; radiographic joint‘space narrowing. Lifestyle modification, weight loss, physical therapy, NSAIDs, heat/ice and assistive devices. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Greater trochanteric bursitis Inflammation of the bursa over the greater trochanter causing lateral hip, thigh and buttock pain, often worsened by lying on the affected side or climbing stairs. Tenderness over greater trochanter; pain when lying on the affected side; pain with hip abduction. Rest, activity modification, NSAIDs, use of cane or crutches, physical therapy and corticosteroid injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Acetabular labrum tear A tear of the hip's labrum causing hip pain, stiffness, clicking or popping and instability; often associated with femoroacetabular impingement or trauma. Clicking/catching with hip movement; positive FADIR or FABER impingement tests; decreased range of motion. NSAIDs, activity modification, physical therapy to strengthen hip muscles, corticosteroid injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Femoroacetabular impingement A condition where abnormal bone shape causes the hip bones to rub together, leading to pain, stiffness and limping; may progress to labral tears and cartilage damage. Pain with hip flexion and internal rotation; positive FADIR test; limited hip range of motion. Activity modification, NSAIDs, corticosteroid injections, physical therapy and hip‘strengthening exercises. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Hip flexor strain Tear or overstretching of the hip flexor muscles resulting in pain at the front of the hip, tightness, bruising and difficulty walking. Pain with active hip flexion and stretching; tenderness over hip flexor; muscle weakness or spasms. RICE (rest, ice, compression, elevation), NSAIDs, gentle stretching and progressive strengthening with physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Avascular necrosis of the hip Bone death due to loss of blood supply to the femoral head, leading to hip pain, stiffness and eventual joint collapse; associated with trauma, steroid use and alcoholism. Progressive hip pain, limited range of motion, imaging showing femoral head collapse. Early stages: rest, walking aids, NSAIDs, physical therapy and treating underlying cause. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Knee osteoarthritis Degenerative loss of knee cartilage leading to pain, swelling, stiffness and instability; risk factors include age, obesity, prior injury and repetitive stress. Crepitus on movement; reduced range of motion; joint‘space narrowing on X-ray. Weight management, activity modification, physical therapy, NSAIDs, bracing and injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Anterior cruciate ligament tear A rupture of the anterior cruciate ligament often due to sports injury, causing a popping sound, swelling, pain and knee instability. Positive Lachman and pivot shift tests; rapid joint effusion; inability to continue activity. RICE, knee bracing, NSAIDs and physical therapy to restore range of motion; long-term bracing for non-athletes. ACL Brace Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Patellar tendinitis Inflammation of the patellar tendon from repetitive stress, causing pain below the kneecap, tenderness and stiffness. Tenderness at the inferior pole of the patella; pain with jumping or squatting; positive decline squat test. Rest, ice, elevation, NSAIDs, knee brace/strap and gradual strengthening of quadriceps and hamstrings. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Patellofemoral pain syndrome Anterior knee pain around the kneecap due to malalignment, overuse, weak muscles or tight hamstrings; symptoms include pain during activity, pain after prolonged sitting and grinding sensation. Pain with patellar compression or squatting; positive Clarke's test; maltracking of the patella. Rest from aggravating activity, strengthening of quadriceps and hip abductors, stretching of hamstrings and calves, use of orthotics or taping. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Medial and lateral collateral ligament sprain Sprain of the knee's medial or lateral collateral ligaments caused by a force pushing the knee sideways; symptoms include pain, swelling and instability; injuries are graded I-III. Pain along the inner or outer knee; laxity on valgus or varus stress tests; swelling and bruising. RICE, bracing to limit sideways stress, NSAIDs and physical therapy; grade I/II injuries heal without surgery. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Ankle sprain Injury to the ankle ligaments, usually on the lateral side, caused by twisting the foot; symptoms include pain, swelling, tenderness and difficulty walking. Swelling and bruising around the ankle; pain with inversion or eversion; positive anterior drawer test. Protection, rest, ice, compression, elevation (PRICE), NSAIDs and early mobilization with physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Achilles tendinitis Overuse injury causing inflammation and degeneration of the Achilles tendon, resulting in heel and ankle pain, stiffness, swelling and weakness. Tenderness along the Achilles tendon; pain with dorsiflexion and plantarflexion; thickened tendon. Rest, ice, NSAIDs, calf stretching and eccentric strengthening exercises, supportive shoes or orthotics. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Medial tibial stress syndrome Inflammation of muscles and tissues along the shin bone from overuse, causing pain and tenderness along the inner lower leg with possible mild swelling. Pain along the tibia during running or jumping; tenderness to touch; history of increased activity. Rest, ice, NSAIDs, reducing training intensity, proper footwear, orthotics, calf stretching and gradual return to activity. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Posterior tibial tendonitis/dysfunction Inflammation and degeneration of the posterior tibial tendon that supports the foot arch; early symptoms include pain and swelling along the inside of the foot and ankle and later lead to a flattened arch. Pain on the inside of the foot/ankle; swelling; flattening of the arch; inability to perform single‑leg heel raise. Rest, immobilization with brace or cast, orthotics, NSAIDs, physical therapy and weight management. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Stress fracture Small cracks in the bones of the lower leg or foot caused by repetitive stress; symptoms include focal pain, tenderness and swelling that worsen with activity. Point tenderness over the bone; pain worsening with activity; imaging (MRI/bone scan) confirming fracture. Rest from weight‑bearing activities, protective footwear or boot, low‑impact cross‑training, adequate nutrition and physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Plantar fasciitis Inflammation of the plantar fascia, causing heel pain often worst with the first steps in the morning; may take months to a year to heal due to limited blood supply. Heel pain with first steps in the morning or after sitting; tenderness at medial calcaneal tubercle; positive Windlass test. Rest, stretching of the plantar fascia and calf muscles, icing, supportive footwear and orthotics, night splints and gradual return to activity. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Plantar plate tear / metatarsalgia Tear or attenuation of the plantar plate at the ball of the foot causing metatarsalgia; symptoms include forefoot pain, swelling and the sensation of walking on a pebble; healing often takes several months. Pain at the second metatarsophalangeal joint; dorsal swelling; positive toe drawer test for instability. Taping or splinting the toe, stiff‑soled shoes, orthotics with metatarsal pads, rest, ice, NSAIDs and physical therapy. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Hallux limitus/rigidus Progressive stiffness and pain in the big toe joint due to osteoarthritis; symptoms include difficulty bending the toe, swelling and bone spurs; advanced cases are called hallux rigidus. Limited dorsiflexion of the big toe; palpable dorsal bone spurs; pain with dorsiflexion. Proper fitting shoes with wide toe box and rigid sole, rest, ice, orthotics, physical therapy, NSAIDs and corticosteroid injections. Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Meniscus tear A meniscus tear is a tear of the C-shaped cartilage between the femur and tibia. It causes knee pain, swelling, and a feeling that the knee locks or gives way, often after a twisting injury or degenerative wear. Meniscus tears are common in athletes and older adults. Knee pain with twisting or squatting; catching or locking sensation; tenderness along the joint line; positive McMurray test. Follow the RICE protocol (rest, ice for 15–20 min every few hours, compression with a bandage or knee sleeve, elevation); take NSAIDs for pain and swelling; use a knee brace or sleeve for support; work with a physical therapist to restore range of motion and strengthen the quadriceps and hamstrings; avoid impact activities and twisting motions; consider platelet-rich plasma injections or cortisone if symptoms persist. Adjustable knee brace Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Achilles tendon rupture An Achilles tendon rupture is a complete tear of the large tendon connecting the calf muscles to the heel bone. It often occurs during sudden, forceful movements, such as sprinting or jumping, and causes sudden pain and swelling at the back of the ankle. Many people hear a pop and feel like they were kicked in the leg and have difficulty pushing off or pointing the foot downward Sudden posterior ankle pain and swelling, audible pop, inability to plantarflex/push off or stand on tiptoe, positive Thompson test (no foot movement when calf is squeezed) Initial management follows the RICE protocol-rest, ice, compression and elevation-”followed by immobilization in a cast or walking boot with the foot pointed downward for 8-10 weeks. Physical therapy is essential and typically lasts 4-6 months, focusing on progressive weight-bearing, strengthening and range-of-motion exercises. Nonoperative care is reserved for less active individuals when the rupture is recognized early. CAM walking boot Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Peroneal tendinitis Peroneal tendinitis is inflammation of the peroneal tendons that run along the outer ankle and foot. It causes pain and swelling on the outside of the ankle, tenderness behind the fibula, and a warm, thickened tendon. The condition usually results from overuse or repetitive ankle motions and is common in runners, people with high arches, or those wearing unsupportive shoes. Lateral ankle pain and swelling; Tenderness behind the fibula aggravated by resisted eversion and dorsiflexion; Pain during sid-to-side ankle movements Rest and protect the ankle by avoiding activities that trigger pain. Use the RICE protocol-rest, ice applied for 20 minutes every 2 hours, compression with a wrap or brace, and elevation to reduce swelling. Non-steroidal anti-inflammatory drugs relieve pain. A walking boot or ankle brace may be used for immobilization followed by physical therapy to strengthen the peroneal and calf muscles and correct biomechanics. Supportive shoes, orthotics, and gradual return to activity are recommended. Ankle brace Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Hallux valgus A bunion is a bony bump that forms at the base of the big toe when the toe deviates toward the other toes. This deformity gradually widens the front of the foot and can cause pain, redness, swelling and calluses, especially when wearing tight shoes. Risk factors include inherited foot structure, weak tendons and ligaments, rheumatoid arthritis and wearing narrow, high-heeled shoes Visible bump at the base of the big toe; Big toe angled toward the second toe; Pain and swelling at the metatarsophalangeal joint exacerbated by narrow shoes; Limited motion of the big toe Wear flat, well fitting shoes with a wide toe box and avoid high heels. Use bunion pads, toe spacers or splints at night to reduce pressure and slow progression apply NSAID gels or take short courses of anti-inflammatory tablets for pain relief Custom orthotics or shoe inserts can redistribute pressure and walking barefoot on soft surfaces may improve comfort. Seek physical therapy for gait training. Bunion corrector or toe separator Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream Morton's neuroma Morton's neuroma is a thickening of the tissue around a digital nerve between the toes, most commonly between the third and fourth metatarsals. It causes burning or sharp pain in the ball of the foot that may radiate into the toes, often described as feeling like walking on a pebble. High-heeled or tight, narrow shoes and repetitive stress can aggravate the condition Persistent burning or sharp pain in the ball of the foot radiating to the toes; Sensation of a pebble or marble under the foot while walking; Numbness or tingling in the toes that worsens with weightbearing or tight footwear Change footwear to wide, low‑heeled shoes with cushioned soles and avoid high heels. Use custom orthoses or metatarsal pads to separate the metatarsals and reduce pressure on the nervehttps://orthoinfo.aaos.org/en/diseases--conditions/mortons-neuroma#:~:text=,the%20pressure%20on%20the%20neuroma. NSAIDs or other anti‑inflammatory medications can relieve painhttps://orthoinfo.aaos.org/en/diseases--conditions/mortons-neuroma#:~:text=Studies%20have%20shown%20that%20many,and%2For%20corticosteroid%20injections. Corticosteroid injections may reduce swelling and inflammation of the nervehttps://orthoinfo.aaos.org/en/diseases--conditions/mortons-neuroma#:~:text=,from%20sending%20out%20pain%20signals; nerve ablation or shockwave therapy can be considered. Activity modification and physical therapy to stretch and strengthen the foot can also help. Metatarsal pad Over‑Door Shoulder Pulley TheraBand Resistance Bands Ergonomic Side‑Sleeper Pillow Topical Analgesic Cream