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Explore common orthopedic conditions and injuries, including arthritis, bursitis, fasciitis, fractures, inflammation, sprains, strains, and tendonitis. Learn about their definitions, prevalence, and incidence rates to better understand these issues affecting millions of people. Whether you're seeking information for yourself or a loved one, this guide offers essential insights into orthopedic health and injury management. Conditions and Injuries Appointments Diagnoses Common Orthopaedic Terms Arthritis Definition: Arthritis is when your joints get swollen and hurt, making it hard to move around. It can happen to anyone, not just older people. Prevalence: Around 1 in 4 adults in the U.S. have arthritis, which is about 58 million people. Incidence: About 24% of adults in the U.S. are diagnosed with arthritis. Bursitis Definition: Bursitis is when the little cushions between your bones and muscles get inflamed, causing pain when you move. Prevalence: Bursitis is fairly common, especially in adults over 40. Incidence: Bursitis affects approximately 10 people per 100,000 annually. Fasciitis Definition: Fasciitis is when the thick tissue on the bottom of your foot gets swollen, making your heel hurt a lot, especially in the morning. Prevalence: Plantar fasciitis affects about 1 in 10 people at some point in their lives. Incidence: About 2 million people are treated for plantar fasciitis annually in the U.S. Fracture Definition: A fracture is a fancy word for a broken bone. It can happen if you fall or get hit really hard. Prevalence: Around 6.3 million fractures occur annually in the U.S. Incidence: About 2 million fractures due to osteoporosis occur annually in the U.S. Inflammation Definition: Inflammation is when a part of your body gets red, hot, and swollen because it's trying to heal from an injury or fight off germs. Prevalence: Inflammation is a common response in various conditions, affecting millions worldwide. Incidence: Millions of new cases of inflammation-related conditions are reported annually. Sprain Definition: A sprain happens when the stretchy bands that hold your bones together get stretched or torn. This can make your ankle, wrist, or knee hurt and swell up. Prevalence: Ankle sprains are very common, especially among athletes. Incidence: Ankle sprains alone affect about 2 million people annually in the U.S. Strain Definition: A strain is when your muscles or tendons get stretched too much or torn. It often happens from lifting something heavy or playing sports. Prevalence: Muscle strains are common, particularly among those who are physically active. Incidence: Millions of muscle strains are reported annually, especially among athletes and active individuals. Tendonitis Definition: Tendonitis is when the thick cords that connect your muscles to your bones get irritated and sore from being used too much. Prevalence: Tendonitis affects about 5% of adults at some point in their lives. Incidence: Tendonitis is particularly common in people who perform repetitive activities, with millions of cases diagnosed annually.

Contact Next Journey Orthopaedic Practice in Northern Virginia for exceptional orthopaedic care. Reach us for general inquiries, appointments, financial/billing, surgery line, and medical records. Call (571) 416-8244 or email nextjourneycares@nx-jo.com. Dr. Frederick Scott operates at Inova Fair Oaks Hospital, SurgCenter of the Potomac, and Virginia Hospital Center. We are affiliated with Privia Health for comprehensive care. Contact Us Next Journey Orthopaedic Practice is dedicated to providing exceptional orthopaedic care in Northern Virginia. We are here to assist you with any questions or concerns you may have. Please find our contact information below: General Inquiries For more information or to schedule an appointment, please contact us: Phone Number: (571) 416-8244 Extension for Disability Services: X108 Fax Number: (571) 441-5201 Specific Departments Financial/Billing Inquiries: Phone: (571) 425-5406 Surgery Line: Phone: (571) 425-5390 Mobile Contact: Phone: (571) 425-5393 Medical Records For medical records, please fax in a request at 571-441-5201 or email at nextjourneycares@nx-jo.com Hospital Affiliations Dr. Frederick Scott operates at: Inova Fair Oaks Hospital SurgCenter of the Potomac Virginia Hospital Center We are proud to be associated with Privia Health to ensure comprehensive care and seamless medical records management. Feel free to reach out to us through any of the above channels. We look forward to assisting you with your orthopaedic needs. Họ Họ E-mail Thông điệp Điện thoại Chỉnh hình Hành trình Tiếp theo 8251 Greensboro Dr. Ste. 200 Tysons, VA 22102 Điện thoại: (571) -425-5393 NextJourneyCares@nextjourneyortho.com Cảm ơn bạn đã gửi! Nộp NextJourneyCares@nextjourneyortho.com

"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

Skip the ER! Next Journey Orthopaedics offers expert care for traumatic orthopedic emergencies with after-hours availability and transparent pricing. Reduce wait times and get the treatment you need, when you need it. Tại sao nên chọn Chỉnh hình Hành trình Tiếp theo? 01 cái. Tại Next Journey Orthopedics, chúng tôi cung cấp khả năng tiếp cận nhanh chóng với các nhà cung cấp cấp chuyên gia để giải quyết các trường hợp khẩn cấp chỉnh hình do chấn thương của bạn có thể được xử lý bên ngoài phòng cấp cứu. 02. Dịch vụ của chúng tôi giúp giảm thời gian chờ đợi của khoa cấp cứu và chăm sóc khẩn cấp đối với một số điều kiện nhất định. 03. Tính khả dụng ngoài giờ của chúng tôi đáp ứng bạn ở nơi bạn cần nhất ... ngoài giờ làm việc truyền thống. 04. Chúng tôi đặt giá trở lại tay bệnh nhân bằng cách đưa ra các gói giá toàn diện và được lựa chọn cẩn thận để tạo điều kiện thuận lợi cho quá trình thanh toán. Meet Dr. Scott For Patients Schedule an Appointment

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

Compassionate care for fracture complications starts here. At Next Journey Orthopaedics, we provide expert solutions for delayed unions, malunions, infections, and chronic pain. Let our skilled team guide your recovery with personalized treatments, advanced therapies, and unwavering support to help you heal and thrive. Complications and Management At Next Journey Orthopaedics, we understand that the road to recovery after a fracture can sometimes present unexpected challenges. Our compassionate team is here to support you every step of the way, providing expert care and guidance to help you overcome any obstacles and achieve the best possible outcome. Below, we explore some common complications that can arise during fracture healing and how they can be effectively managed with personalized treatment plans. Delayed Union and Nonunion Healing takes time, but sometimes fractures take longer than expected to mend. When a bone heals more slowly than anticipated, it’s referred to as a delayed union. In cases where the bone does not heal at all, despite medical intervention, it’s called a nonunion. These challenges can occur due to factors such as insufficient blood supply, infection, or underlying medical conditions like diabetes or osteoporosis. How We Help: Personalized treatment plans including bone stimulation therapy to encourage healing. Nutritional guidance to ensure your body has the essential nutrients for bone repair. Surgical options such as bone grafting or fixation techniques to provide additional stability and support. Our team will work closely with you to monitor progress and make adjustments to your care plan, ensuring you feel supported and informed throughout your recovery. Infections Although rare, infections can occur after a fracture, particularly if surgery was required. Symptoms such as redness, swelling, warmth, persistent pain, or drainage from the wound site can indicate an infection that needs prompt attention. How We Help: Comprehensive evaluation to identify the cause and severity of the infection. Antibiotic therapy tailored to your specific needs. In some cases, additional surgical intervention to clean the affected area and promote healing. We are committed to providing timely and effective treatment to prevent complications and help you get back on track safely and comfortably. Malunion A malunion occurs when a fractured bone heals in an incorrect position, which can affect the function and appearance of the affected limb. This can result in pain, limited mobility, or difficulty with daily activities. How We Help: Careful assessment of your symptoms and imaging studies to understand the extent of the malunion. Non-surgical options such as bracing or physical therapy to improve function. Surgical correction, when necessary, to realign the bone and restore proper function. We’ll work with you to develop a personalized approach, focusing on restoring your mobility and quality of life with compassionate, patient-centered care. Chronic Pain Management While most fractures heal successfully, some individuals experience ongoing discomfort long after the initial injury. Chronic pain can stem from nerve involvement, joint stiffness, or changes in muscle function. How We Help: A holistic approach that includes physical therapy to improve strength and flexibility. Pain management strategies such as medications, nerve blocks, or regenerative therapies. Lifestyle modifications, including ergonomic adjustments and low-impact exercises, to help you stay active without aggravating pain. We understand how frustrating persistent pain can be, and our goal is to provide you with effective solutions that empower you to live a fulfilling and active life. At Next Journey Orthopaedics, we are here to reassure, educate, and guide you through any complications that may arise. No matter the challenge, our team is dedicated to delivering compassionate care tailored to your unique needs. If you have any concerns about your recovery, don't hesitate to reach out—we're here to help.

If you've been injured at work, understanding your rights and the workers' compensation system is crucial. At Next Journey Orthopaedics, we guide you through the process, from starting a claim to obtaining medical treatment. Learn how to navigate your workers' compensation benefits and ensure you receive the support you need for recovery. Contact us for assistance today! Injured at Work? We're Here to Help You Recover Expert orthopaedic care and guidance through the workers' compensation process. Schedule Your Appointment Submit Paperwork Understanding Workers' Compensation What is Workers' Compensation? Workers' compensation is a system designed to provide financial assistance and medical benefits to employees who suffer work-related injuries or illnesses. It ensures prompt medical treatment and compensation for lost wages, facilitating a safe and efficient return to work. Your Rights and Responsibilities Report Promptly: Inform your employer about the injury as soon as possible, detailing how and when it occurred. File a Claim: Submit a Claim for Benefits Form with the Virginia Workers' Compensation Commission to initiate the process. Seek Authorized Medical Care: Ensure that the medical treatment is authorized and keep detailed records of all related documentation. Why Choose Next Journey Orthopaedics? Specialized Expertise: Our team is experienced in treating work-related injuries, providing personalized care plans tailored to each patient's needs. Streamlined Process: We assist with the necessary paperwork and guide you through the workers' compensation process, ensuring a hassle-free experience. Comprehensive Services: From diagnosis to rehabilitation, we offer a full spectrum of orthopaedic services under one roof. Navigating the Workers' Compensation Process Step 1: Report the Injury Notify your employer immediately, providing specific details about the incident. Step 2: File a Claim Complete and submit the Claim for Benefits Form to the Virginia Workers' Compensation Commission. Step 3: Seek Medical Treatment Obtain authorization for medical treatment from your employer's insurance provider and schedule an appointment with our specialists. Step 4: Follow Through Attend all medical appointments, follow prescribed treatments, and maintain open communication with your employer and healthcare provider. 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. What to Expect During Your Visit Your Path to Recovery Initial Consultation: Assessment of your injury by our orthopaedic specialists. Diagnostic Testing: Utilization of on-site imaging services, such as X-rays, to accurately diagnose your condition. Treatment Plan: Development of a personalized treatment strategy, which may include physical therapy, medication, or surgical interventions if necessary. Follow-Up Care: Regular appointments to monitor your progress and adjust the treatment plan as needed. Our Commitment to Your Recovery Experienced Professionals: Our board-certified orthopaedic surgeons and medical staff are dedicated to providing the highest standard of care. Patient-Centered Approach: We prioritize your well-being, ensuring that all treatments are tailored to your specific needs and circumstances. Accessible Care: With flexible scheduling and a convenient location, we make it easy for you to receive the care you need when you need it. Important Workers' Compensation Resources At Next Journey Orthopaedics, we are committed to providing not only expert medical care but also guidance through the workers' compensation process. Below, you’ll find essential resources to help you navigate your claim, understand your rights, and take the necessary steps for a smooth recovery. Claim Form To receive workers’ compensation benefits, you must file an official claim with the Virginia Workers’ Compensation Commission. Use the link below to access the required form. Download the Claim for Benefits Form Injured Worker Guide This comprehensive guide provides step-by-step instructions on what to do after a work-related injury, including how to report the incident, seek medical care, and file a claim. Read the Injured Worker Guide Virginia Workers' Compensation Glossary Understanding legal and medical terms related to workers’ compensation can be overwhelming. This glossary explains common terms and definitions used in the process. View the Workers' Compensation Glossary Injured Worker FAQ Got questions? This FAQ section answers the most frequently asked questions about workers’ compensation benefits, medical treatment, and legal rights. Explore the Injured Worker FAQ Virginia Worker’s Compensation Contact Information: Email: questions@workcomp.virginia.gov Phone: (877) 664-2566 Address 333 East Franklin Street Virginia Workers’ Compensation Commission 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.

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.

Durable Medical Equipment (DME) Policy Our Commitment to Transparency & Quality Care At Next Journey Orthopaedics, we strive to provide our patients with high-quality Durable Medical Equipment (DME), including braces, supports, mobility aids, and post-surgical devices. To ensure a smooth process and clear understanding, we have outlined our DME policies regarding financial responsibility, insurance claims, and returns. No Refunds or Exchanges on Durable Medical Equipment Due to the nature of medical equipment and healthcare regulations, we do not offer refunds, returns, or exchanges on any DME items once they have been dispensed, fitted, or used. This policy ensures: Patient Safety & Hygiene – Once issued, DME cannot be resold or re-used due to health standards. Manufacturer Guidelines – All DME is new and dispensed directly to each patient. Proper Functionality & Fit – Our trained team ensures each item is fitted correctly before it is dispensed. Please ensure you discuss fit, function, and comfort with our staff before taking possession of your equipment. Patient Financial Responsibility – Deductibles & Co-Insurance If your DME is billed through insurance, you are financially responsible for any deductible, co-pay, or co-insurance as determined by your insurance provider. Key Points to Understand: ✔ Coverage Varies by Insurance Plan – DME benefits depend on your specific insurance policy. ✔ Out-of-Pocket Costs May Apply – If your insurance does not cover the full cost of the equipment, you are responsible for the remaining balance. ✔ Verification & Payment Requirements – We will verify your benefits, but it is ultimately your responsibility to confirm your coverage. 🛍️ HealthMe DME Purchases – Not Submitted to Insurance For patients who prefer to purchase DME items directly at a fixed price without having to go through insurance, we offer an easy-to-use link through HealthMe: Important Notice: HealthMe purchases are direct-pay only. These purchases will NOT be billed to insurance. No reimbursement will be available through your insurance provider. This option is ideal for patients who prefer to purchase DME independently or do not wish to involve their insurance provider. HealthMe Questions? We’re Here to Help! We encourage all patients to discuss insurance coverage, out-of-pocket costs, and fitment concerns before purchasing DME. Next Journey Orthopaedics Call us at: 571-416-8244 Schedule an Appointment to Discuss Your DME Needs Schedule an Appointment HealthMe

Learn how Next Journey Orthopaedics & Wellness collects, uses, and protects information on this site. HIPAA-safe website. Virginia & U.S. privacy rights. Contact (571) 416-8244 Last updated: October 5, 2025 Accessibility Statement Our Commitment Next Journey Orthopaedics & Wellness is committed to providing an accessible website for all users, including people with disabilities. Our goal is to conform to WCAG 2.2 Level AA and to continuously improve usability, inclusivity, and compatibility with assistive technology. Measures We Take Design & content checks during page creation and updates Keyboard navigability and visible focus indicators Alt text for meaningful images; descriptive link text Color contrast targets ≥ 4.5:1 Headings in logical order; ARIA landmarks where appropriate Captions/transcripts for time‑based media where provided Ongoing monitoring and staff training Compatibility & Assistive Technology Desktop browsers: Chrome, Edge, Firefox, Safari (latest 2 versions) Mobile: iOS Safari, Android Chrome (latest 2 versions) Assistive tech: NVDA, JAWS, VoiceOver, screen magnifiers, speech recognition, keyboard-only navigation Known Limitations Legacy images missing descriptive alt text—remediation in progress Third‑party widgets (maps, scheduling, social embeds)—we provide alternatives when possible Feedback & Requests for Accommodation Email nextjourneycares@nextjourneyortho.com or call (571) 416‑8244 . For TTY, dial 711 (Virginia Relay). Include the page URL, assistive tech used (if any), and a brief description of the issue. We aim to respond within 2 business days. Third‑Party Content Some linked or embedded content is outside our control. We work with vendors and provide accessible alternatives where feasible. Continuous Improvement We review this statement at least annually and after significant site updates. © 2025 Next Journey Orthopaedics Health & Wellness · Privacy · Legal

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