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

This quick guide for providers outlines essential steps for handling worker’s compensation injuries. Ensure your patients receive the right care by helping them start a claim and gather required information, including insurance details, authorization letters, and identification. For more support, contact us at 571-416-8244 or email questions about their care. Streamline the process for a successful recovery! Worker’s Compensation Injury: Quick Guide for Providers If the patient was injured at work, it's important to get the right care to help them to recover fully. Is Your Patient's Injury a Worker’s Compensation Injury? If your patient's injury is work-related, they may be eligible for worker’s compensation benefits. Here’s what you need to know: To Setup a Work-Related Injury Emergency Room Follow Up: Start a Claim: Instruct the patient to go our website g2n.info or www.nextjourneyortho.com as soon as possible and follow the instruction For Patients for Worker's Compensation. Also We highly recommend they fill out the Virginia Claim Form as soon as possible to avoid delays in being seen. Contact Us: Please text 571-425-5393 or email the patient's name, hospital that they were seen at, and the patient's best contact number. Required Information for Patient’s Visit: Insurance Information: Name of the insurance company managing the worker’s compensation case. Authorization Letter: A letter from the assigned adjuster authorizing medical treatment for Dr. Scott or Next Journey Orthopaedics, including: Claim Number Payer specific address (including P.O. Box) Employer name Employer address State of injury Date of injury Adjuster’s first and last name Adjuster’s email and phone number Injury location on the body Identification: A valid photo ID. Supporting Documents: Any additional documents that may be helpful to the provider. Required Information for Patient’s Visit: Claim Form Injured Guide Virginia Worker's Compensation Glossary Injured Worker FAQ Virginia Worker’s Compensation Contact Information: Email: questions@workcomp.virginia.gov Phone: (877) 664-2566 Mailing Address: Virginia Workers’ Compensation Commission 333 East Franklin Street Richmond, VA 23219 By ensuring your patients have all the necessary information and documentation, you can help facilitate their treatment and the worker’s compensation claim process efficiently.

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

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

Next Journey Orthopaedics offers personalized fracture care with expert trauma specialists, compassionate support, and seamless coordination—empowering your recovery every step of the way Ultrasound Guided Carpal Tunnel Release Carpal Tunnel Relief—Without Hospital Surgery If carpal tunnel syndrome is causing numbness, tingling, or weakness in your hand—and other treatments haven’t helped—surgery may be recommended. Today, many patients can be treated without a hospital visit, general anesthesia, or a large incision. Find out if your a good candidate 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 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.

Rebuild strength, mobility, and confidence after a fracture with Next Journey Orthopaedics. Our expert physical therapy and personalized recovery plans ensure a faster, smoother healing journey. Experience compassionate care tailored to your needs—every step matters. Rehabilitation and Recovery: Your Path to Healing After a Fracture Recovering from a fracture is more than just waiting for the bone to heal; it’s about regaining strength, mobility, and confidence in your body. At Next Journey Orthopaedics, we understand that every patient’s journey is unique, and we’re here to support you with expert care, warmth, and empathy every step of the way. The Importance of Physical Therapy Physical therapy is a vital part of your recovery process. After a fracture, your muscles may become stiff, and your joints may feel weak from lack of use. Physical therapy helps restore movement, improve flexibility, and rebuild strength so that you can return to your daily activities with confidence. Our compassionate physical therapists will work closely with you to create a personalized rehabilitation plan that aligns with your goals and comfort level. They will guide you through gentle, progressive exercises and provide encouragement to help you stay motivated throughout your recovery. Benefits of Physical Therapy: Reduces stiffness and improves flexibility Strengthens muscles to support the healing bone Enhances balance and coordination to prevent future injuries Relieves pain and swelling through targeted exercises and manual therapy Restores function, allowing you to regain independence Exercises to Restore Function Recovering from a fracture often requires a gradual return to movement. Our team will introduce safe and effective exercises to help you regain strength and mobility at a comfortable pace. Examples of Exercises You May Perform: Range of Motion Exercises: Gentle stretches to help regain movement in the affected area Focused movements to prevent stiffness and muscle shortening Strength-Building Exercises: Light resistance training to rebuild muscle strength and endurance Progressive weight-bearing activities to gradually reintroduce stress to the bone Balance and Coordination Drills: Simple balance exercises to restore stability and prevent falls Functional movements to improve coordination and confidence in everyday tasks We understand that each patient's comfort level is different, and our team will adjust the exercises to ensure they are both effective and safe for you. Lifestyle Modifications for a Smooth Recovery Healing from a fracture requires not only physical care but also adjustments to your daily routine to support your recovery. Small changes can make a big difference in helping you heal efficiently and prevent future injuries. Helpful Lifestyle Tips: Nutrition for Bone Health: Eat a balanced diet rich in calcium, vitamin D, and protein to promote strong bones. Hydration: Staying well-hydrated supports overall health and healing. Rest and Sleep: Ensure you get adequate rest to allow your body to repair and rebuild. Mindful Movement: Avoid overexertion and listen to your body to prevent setbacks. Assistive Devices: Use walking aids or braces as recommended to ease strain and ensure proper healing. At Next Journey Orthopaedics, we believe that recovery is a team effort. Our caring and dedicated staff are here to empower you with the knowledge and support you need to take each step forward confidently. Whether you're taking your first steps after an injury or working towards full mobility, we are with you on this journey to better health. Let us guide you through your rehabilitation with expertise and compassion—because every step matters.

Understand Next Journey Orthopaedics' financial policies, including credit card on file, insurance exemptions, pre-visit eligibility checks, and billing practices. Serving Northern Virginia, DC, and Maryland near Tysons Corner 2025 Financial Policy | Next Journey Orthopaedics Bill Pay Located near Tysons Corner in Fairfax County serving the Northern Virginia, DC, and Maryland area. We are a short walk and located near Tyson's Galleria & Silver Line Metro ✅ Key Features - Same-day billing support - HIPAA-compliant payments 💳 Credit Card Policy - Same-day billing support - VA state law compliance - HIPAA-compliant payments Accepted Cards 🛡️ Exemptions ( You don't need a card if you have ) - Worker's Comp 📞 *Call (571) 416-8244 to verify exemption status* Credit Card on File Policy To streamline the billing process and enhance patient convenience, we securely store your credit card information using our payment processor's platform. This card will be charged only after your insurance claim has been processed. You will receive an email notification detailing your financial responsibility, and you have 48 hours to review or dispute the charge before payment is processed. Your card may be charged for payments not collected at the time of service, no-show or late cancellation fees, unresolved insurance discrepancies after 90 days, and outstanding balances over 90 days. Credit Card on File Exemptions Certain patients are exempt from providing a credit card on file. These exemptions include individuals with active Worker’s Compensation related policies. Pre-Visit Eligibility and Financial Responsibility To prevent any issues related to eligibility and financial responsibility, we conduct eligibility checks at least 24 hours before your appointment. Our staff will proactively communicate with you to ensure you understand our payment policies and have clear expectations regarding the billing process. For Walk-Ins, we will perform the eligibility check before your visit. If there is a delay, please consider visiting local area sites like Tysons Corner Mall or The Boro while we resolve registration concerns. Upfront Authorization and Payment Information We collect authorization and payment information before providing services. This practice helps us ensure accurate billing and reduces the potential for confusion or delayed statements. Co-Pay Collection Before the Visit For a smoother experience, we encourage the collection of co-pays before your visit, while you are in the waiting room. This allows our staff to address any questions or concerns you might have about our payment policies on the spot. Patient Portal Efficient and Simplified Billing Statements We strive to make billing as straightforward as possible. In the event of an outstanding balance, we will send you monthly billing statements through both paper mail and electronic delivery. Our statements are designed to be clear and easy to understand, with prominently displayed payment options, including online and phone payments. Empathetic Debt Collection Approach We strive to make billing as straightforward as possible. In the event of an outstanding balance, we will send you monthly billing statements through both paper mail and electronic delivery. Our statements are designed to be clear and easy to understand, with prominently displayed payment options, including online and phone payments. If you have an active Privia patient portal, you have the option to pay online. Click the link below. You will be rerouted to a secure site where you will be asked to provide your account and credit card information. Please allow up to three business days for your payment to be posted to your Next Journey Orthopaedics account. Please email any questions to financial@nextjourneyortho.net Bill Pay

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! Common CPT codes Appointments Diagnoses Cervical/Neck Shoulder Humerus/Elbow Forearm/Wrist Hand/Fingers Thoracic/Mid-Back Lumbar/Lower Back Hip Thigh/Knee Leg/Ankle Foot/Toes

Discover the differences between NSAIDs like Advil, Motrin, and Ibuprofen, and pain relievers like Tylenol. Learn how these medications reduce inflammation, relieve pain, and manage fevers, with dosing guidelines included. Click to explore more! NSAID'S NSAID là thuốc chống viêm không steroid được sử dụng để giảm đau do viêm. Advil, Motrin và Ibuprofen là những ví dụ về NSAID's Uống 1-3 viên (200mg) mỗi 6 giờ khi cần thiết. của nsaid & Thuốc giảm đau hướng dẫn Thêm chi tiết Thuốc giảm đau Tylenol (Acetaminophen) là một ví dụ thuốc giảm đau và hạ sốt. Tylenol thường được sử dụng để giảm đau do viêm khớp, đau đầu và sốt. Uống 1-2 viên (500mg) mỗi 6 giờ khi cần thiết.