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Phlebotomy At Next Journey Orthopaedics, we’re dedicated to providing a full spectrum of care that extends beyond orthopedic services. Our in-house phlebotomy services are available to all patients, including those not receiving orthopedic care, offering a convenient option for blood draws and various lab work. With on-site convenience, fast and accurate results to support timely diagnostics, and a reduced need for multiple appointments, we help streamline your healthcare needs in one place. Our team ensures a comfortable and professional experience for everyone seeking efficient lab services, partnering with trusted professionals to provide high-quality care. What is phlebotomy? Phlebotomy is the specialized practice of drawing blood from a patient’s vein, performed by skilled healthcare professionals known as phlebotomists. This procedure is invaluable for diagnosing, monitoring, and managing a wide range of health conditions. Through precise blood collection, phlebotomists enable doctors to assess essential health markers, such as cholesterol, glucose, and iron levels, and to identify infections or monitor chronic conditions. Carefully conducted to ensure patient comfort and safety, phlebotomy is a routine yet essential part of both preventive and ongoing medical care across multiple fields, including orthopedics. Its role in providing critical insights makes it a cornerstone of effective healthcare. Comprehensive Lab Services for Orthopedic and General Health Needs Our comprehensive lab services are designed to meet a wide range of orthopedic and general health needs, providing convenient, reliable testing all in one place. Our skilled phlebotomists are trained to handle each procedure with precision and care, ensuring a comfortable experience and timely results. With our commitment to high-quality lab services, we aim to make managing your health easier and more efficient. Some services that we provide are: Hematology and Coagulation – Blood samples are used to evaluate blood cell health, hemoglobin, hematocrit, and clotting factors, assessing for anemia, bleeding disorders, and other blood-related conditions. Chemistry – Blood chemistry panels (such as Basic Metabolic Panel or Comprehensive Metabolic Panel) assess kidney and liver function, electrolyte balance, and other metabolic markers. Microbiology – Cultures and analyzes the joint fluid to identify bacterial, fungal, or viral infections, which is crucial for diagnosing septic arthritis or other infections within the joint. Pathology and Cytology – Examines cells within the joint fluid, looking for crystals (such as uric acid crystals in gout) or abnormal cells that might indicate diseases like rheumatoid arthritis or other inflammatory conditions. Schedule Your Phlebotomy Appointment Today At Next Journey Orthopaedics, we’re here to support all of your lab work and phlebotomy needs with expert, compassionate care. Our skilled team is dedicated to making your experience as comfortable and efficient as possible, whether you need routine blood tests, specialized panels, or joint fluid analysis. We understand the importance of accurate and timely results for your health, and we’re committed to providing a seamless, stress-free process from start to finish. We invite you to schedule an appointment with us and experience quality care designed with your well-being in mind. Let Next Journey Orthopaedics be your trusted partner in managing your health. Appointments

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For surgeries, please call: 571-425-5390 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

On-Site X-Rays At Next Journey Orthopaedics, we are dedicated to providing comprehensive and convenient care to our patients. One of the key components of our diagnostic services is our state-of-the-art on-site X-ray facility, which allows us to deliver fast and accurate imaging results as part of your orthopaedic care journey. The Convenience of On-Site X-Rays Having on-site X-ray capabilities means that you can receive all necessary imaging services without leaving our facility. This convenience offers several benefits: Immediate Access: We can perform X-rays during your visit, eliminating the need for a separate appointment at another location. This ensures that you receive timely care and can begin your treatment plan without unnecessary delays. Quick Diagnosis: With immediate access to imaging, our specialists can diagnose your condition on the spot, allowing for a faster and more efficient treatment process. Whether you're dealing with a fracture, joint issue, or chronic pain, having on-site X-rays speeds up the diagnostic process. Seamless Care Coordination: On-site X-rays facilitate better communication and collaboration among our healthcare providers. Your images are available instantly to our team, enabling us to work together to create the most effective treatment plan for your specific needs. Advanced Imaging Technology Our on-site X-ray facility is equipped with the latest imaging technology to ensure the highest quality results: High-Resolution Imaging: Our advanced X-ray machines produce high-resolution images that allow our specialists to see even the smallest details of your bones and joints. This precision is crucial in diagnosing a wide range of orthopaedic conditions. Reduced Radiation Exposure: We prioritize your safety by using modern X-ray equipment that minimizes radiation exposure while still providing clear and accurate images. This approach is particularly important for patients who require multiple imaging studies. Immediate Image Review: Once your X-ray is taken, our specialists can review the images right away. This immediate access allows for a quicker diagnosis and discussion of your treatment options during the same visit. Comprehensive Orthopaedic Care On-site X-rays are an integral part of the comprehensive orthopaedic care we offer at Next Journey Orthopaedics. These imaging services are used to: Diagnose Injuries: From fractures and dislocations to sprains and strains, X-rays are essential in diagnosing acute injuries. Our on-site capabilities ensure that you receive the care you need as quickly as possible. Monitor Chronic Conditions: For patients with ongoing orthopaedic conditions, regular X-rays help us monitor changes over time and adjust treatment plans as needed. Guide Treatment Decisions: X-rays provide crucial information that helps our specialists determine the most appropriate treatment for your condition, whether it's a conservative approach like physical therapy or a more advanced intervention such as surgery. Empathetic Patient-Centric Care At Next Journey Orthopaedics, we understand that a timely and accurate diagnosis is key to effective treatment. Our on-site X-ray services are designed to enhance your overall care experience by providing: Comfort and Convenience: By offering imaging services in-house, we make your visit as streamlined and stress-free as possible. There's no need to travel to multiple locations or wait days for results. Personalized Attention: Our team takes the time to explain your X-ray results and answer any questions you may have. We believe in empowering you with the knowledge you need to make informed decisions about your health. Integrated Care: Our on-site X-rays are just one part of our comprehensive approach to orthopaedic care. We are committed to providing you with seamless, coordinated care that addresses all aspects of your condition. Contact Us If you're experiencing pain or discomfort, or if you have concerns about your orthopaedic health, don't wait. Contact Next Journey Orthopaedics today to schedule your comprehensive evaluation. Together, we'll take the next steps on your journey to better health.

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

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

Lower Extremity Ergonomics Appointments Chairs Gaming Chair Purpose: to provide ergonomic support and comfort during prolonged sitting Features: adjustable armrests, lumbar support, neck support, and reclining capabilities Example: Gaming Chair Yoga Ball Chair Purpose: to provide a comfortable and ergonomic seating option that promotes active sitting and improves posture Features: Lumbar Support, Sciatic Support, Adjustable height, Adjustable Armrests Example: Gaiam Yoga Chair Kneeling Chair Purpose: to promote proper posture, reduce lower back strain, and alleviate discomfort associated with prolonged sitting Features: forward-sloping seat and knee pads Example: Ergonomic Kneeling Chair, Sleekform Austin Kneeling Chair Sciatic Pillow Purpose: designed to alleviate pressure on the sciatic nerve, providing pain relief and support for individuals suffering from sciatica Features: Contoured seating, memory foam or gel Example: Sciatic Pillow Standing Desk Purpose: designed to alleviate pressure on the sciatic nerve, providing pain relief and support for individuals suffering from sciatica Features: Contoured seating, memory foam or gel Example: Sciatic Pillow Foot Standing Mat Purpose: to provide cushioning, support, and ergonomic benefits to individuals who stand for extended periods, particularly in work or home environments Features: alleviate pressure on the feet, knees, and lower back Example: Topo Standing Mat

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

Upper Extremities Appointments Shoulder Acromio-clavicular Joint Sprain Acromioclavicular (AC) joint sprain presents with pain and swelling over the AC joint and pain with lifting the arm. Pain with cross-body adduction test strongly predicts this condition. Non-operative treatment includes rest, ice applications, and NSAIDs. Physical therapy focuses on range of motion and strengthening exercises, with the use of a sling for support. Symptoms typically improve within 2-6 weeks with conservative treatment. Surgery is considered for severe cases with significant displacement or persistent pain. Surgical indications include severe AC joint dislocation and persistent pain despite conservative treatment. Procedures such as AC joint reconstruction are performed. Recovery involves initial immobilization for 2-4 weeks and a gradual return to activities over 3-6 months. Success rates range from 80-90%, with complications including stiffness (5-10%) and recurrent instability (5-10%). Arthritis Shoulder arthritis is characterized by pain and stiffness in the joint, often leading to reduced motion. Deep, aching pain, crepitus, and gradual loss of function are strongly predictive of this diagnosis. Non-operative treatments include NSAIDs, heat applications, and activity modification. Physical therapy aims to maintain range of motion and strength, with corticosteroid injections for pain relief. While conservative treatment can be effective for mild to moderate arthritis, surgery is considered if pain and disability persist. Surgical indications include severe pain unresponsive to conservative treatment and significant functional limitation. Shoulder arthroplasty (total or partial replacement) is common. Recovery involves a hospital stay of 1-2 days and full recovery within 6-12 months. Success rates are high, ranging from 85-95%, with complications including infection (<1-2%) and prosthetic loosening (5-10% over 10-15 years). Deltoid Strain Deltoid strain causes pain and tenderness in the shoulder, particularly over the deltoid muscle. Pain with resisted shoulder abduction strongly predicts this condition. Non-operative treatment includes rest, NSAIDs, and ice applications. Physical therapy focuses on stretching and strengthening the deltoid muscle. Symptoms typically improve within 2-4 weeks with conservative treatment. Surgery is rarely needed. Surgical indications include severe, persistent symptoms despite conservative treatment. Recovery involves 1-2 weeks initially, with a full return to activities within 4-6 weeks. Success rates are generally high with conservative treatment, with complications such as chronic pain (<5%) and re-injury (5-10%). Dislocation Shoulder dislocations usually refer to specifically the glenohumeral joint cause severe pain and deformity in the shoulder, often following trauma. A positive apprehension test strongly predicts this condition. Non-operative treatment includes reduction of the dislocation, immobilization in a sling, and NSAIDs. Physical therapy focuses on strengthening the shoulder muscles and preventing recurrence. Symptoms typically improve within 2-4 weeks with conservative treatment. Surgery is considered for recurrent dislocations or significant instability. Surgical indications include recurrent dislocations and persistent instability despite conservative treatment. Biceps Tendonitis Biceps tendonitis presents with pain in the front of the shoulder and tenderness over the biceps tendon, often exacerbated by resisted supination of the forearm. Non-operative treatment includes NSAIDs and ice applications. Physical therapy focuses on stretching, strengthening, and activity modification. Symptoms typically improve within 6-8 weeks, but surgery may be considered if persistent after 3-6 months. Surgical indications include persistent pain and significant functional impairment. Arthroscopic or open tenodesis or tenotomy are common procedures. Recovery involves 4-6 weeks initially, with a full return to activities within 3-4 months. Success rates are high, ranging from 85-95%, with complications such as stiffness (5-10%) and recurrent pain (<5%). Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is characterized by gradual onset of shoulder stiffness and pain, severely limiting mobility. Pain and stiffness in all directions of movement strongly predict this condition. Non-operative treatment includes NSAIDs, ice or heat applications, and physical therapy focusing on stretching and gentle mobilization. Corticosteroid injections may also be used. Symptoms usually improve within 6-12 months with conservative treatment. Surgery is considered if severe stiffness and pain persist after this period. Surgical indications include severe, persistent symptoms after 6-12 months of conservative treatment. Procedures such as manipulation under anesthesia or arthroscopic capsular release are performed. Recovery involves 2-4 weeks initially, with full return to activities within 3-6 months. Success rates range from 70-90%, with complications including re-stiffening (5-10%) and infection (<1%). Labral Tear Shoulder labral tears cause pain and instability in the shoulder, often with a clicking or locking sensation. A positive O'Brien's test strongly predicts this condition. Non-operative treatment includes rest, NSAIDs, and physical therapy focusing on strengthening the shoulder muscles. Symptoms typically improve within 6-12 weeks with conservative treatment. Surgery is considered for persistent pain or instability despite conservative treatment. Surgical indications include significant labral tears with persistent symptoms. Arthroscopic labral repair is the common procedure. Recovery involves initial immobilization for 3-4 weeks and a gradual return to activities over 3-6 months. Success rates range from 85-95%, with complications including stiffness (5-10%) and recurrent instability (5-10%). Impingement Syndrome Shoulder impingement syndrome involves the compression of the rotator cuff tendons during shoulder movements, leading to pain and reduced motion. Symptoms include pain when lifting the arm, especially overhead, and night pain. A painful arc of motion and a positive Hawkins-Kennedy test are indicative of this condition. Treatment typically involves rest, NSAIDs, and ice. Physical therapy focuses on strengthening the rotator cuff and scapular muscles and improving flexibility. Symptoms often improve within 3-6 months with therapy; however, surgery may be necessary if conservative treatments fail after this period. Surgical indications include persistent pain and significant functional impairment despite 6 months of non-operative treatment. Arthroscopic subacromial decompression is a common procedure. The initial recovery period is 2-4 weeks, with a full return to activities within 3-6 months. The success rate is approximately 85-90%, with complications such as stiffness (5-10%) and infection (<1%). Instability of Shoulder Shoulder instability presents with a feeling of the shoulder slipping out of place, pain, and weakness. Positive apprehension and relocation tests strongly predict instability. Non-operative treatment focuses on activity modification, NSAIDs, and physical therapy to strengthen the rotator cuff and scapular stabilizers. Bracing may also be used. Symptoms often improve within 3-6 months, but surgery is considered for recurrent dislocations or persistent instability. Surgical indications include recurrent dislocations and persistent instability despite conservative treatment. Procedures such as arthroscopic or open stabilization are common. Recovery involves initial immobilization for 2-4 weeks and a gradual return to activities over 4-6 months. Success rates range from 85-95%, with complications including stiffness (5-10%) and recurrent instability (5-10%). Proximal Humerus Fracture Proximal humerus fractures cause pain, swelling, and bruising in the shoulder, often following trauma. X-ray confirmation strongly predicts this diagnosis. Non-operative treatment includes immobilization in a sling, NSAIDs, and ice applications. Physical therapy focuses on gentle range of motion exercises initially, progressing to strengthening. Symptoms typically improve within 6-12 weeks with conservative treatment. Surgery is considered for significantly displaced fractures or fractures involving the joint surface. Surgical indications include displaced fractures and fractures with significant joint involvement. Procedures such as open reduction and internal fixation or shoulder replacement are performed. Recovery involves initial immobilization for 4-6 weeks and a gradual return to activities over 3-6 months. Success rates range from 80-90%, with complications including stiffness (10-20%) and hardware-related issues (5-10%). Rotator Cuff Tear Rotator cuff injuries are common and can include tears, tendonitis, and impingement. These injuries often result from repetitive overhead activities or acute trauma. Symptoms include pain when lifting or lowering the arm, shoulder weakness, and a crackling sensation with certain movements. Particularly, night pain, pain with overhead activities, and weakness on external rotation strongly predict rotator cuff tears. Non-operative treatment focuses on rest, NSAIDs, and ice applications. Physical therapy emphasizing strengthening and flexibility exercises is crucial, with corticosteroid injections for persistent pain. Improvement is typically expected within 6-12 weeks with consistent therapy, but surgery may be considered if significant pain or weakness persists. Surgical indications include persistent pain unresponsive to non-operative treatment for 6-12 months and large tears with significant functional impairment. Arthroscopic repair is common, with open repair for larger tears. The recovery timeline includes initial immobilization for 4-6 weeks and a gradual return to activities over 4-6 months. Success rates range from 80-95%, with common complications including stiffness and re-tear of the rotator cuff, occurring in 10-30% of cases. Shoulder Strain Shoulder strain causes pain and tenderness in the shoulder, often with swelling and limited range of motion. Pain with resisted shoulder movements strongly predicts this diagnosis. Non-operative treatment includes rest, NSAIDs, and ice applications. Physical therapy focuses on stretching and strengthening, with a gradual return to activities. Symptoms typically improve within 2-4 weeks with conservative treatment, and surgery is rarely needed. Surgical indications include severe, persistent symptoms despite conservative treatment. Recovery involves 1-2 weeks initially, with a full return to activities within 4-6 weeks. Success rates are generally high with conservative treatment, with complications such as chronic pain (<5%) and re-injury (5-10%). Humerus (Upper Arm) and Elbow 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. Dislocation Elbow dislocation is when the joint becomes unhinged and is characterized by joint stiffness and instability often resulting from inflammation and tightening of the elbow. Golfer's Elbow This condition involves repetitive use or trauma that injures the inside of the elbow where the origin of the muscles that control the wrist start. Use a golfers elbow brace for rest or pain relief. Humerus Fracture This condition occurs when the bone breaks. The bone needs time to heal. Olecranon Fracture This condition occurs when the one of the bones that make up the elbow breaks. Radial Head Fracture This condition occurs when the one of the bones that make up the elbow breaks. Tennis Elbow Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Forearm and Wrist Forearm Strains Forearm strain refers to an injury to the muscles or tendons in the forearm, typically caused by overstretching, overuse, or sudden force. This condition can lead to pain, swelling, and reduced function in the forearm. Forearm/Wrist Fracture Wrist and forearm tendonitis refers to the inflammation or irritation of the tendons in these areas. Tendons are the fibrous tissues that connect muscles to bones, and inflammation can cause pain, swelling, and difficulty moving the affected area. Tendonitis in the wrist and forearm is often caused by repetitive strain, overuse, or injury. Forearm/Wrist Tendonitis 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. Use a a extended wrist brace for rest or pain relief. Wrist Strains Wrist strain refers to an injury to the muscles or tendons surrounding the wrist. It typically occurs when these tissues are overstretched or torn due to excessive force, repetitive movements, or sudden impacts. Wrist strain can result in pain, swelling, and limited wrist movement. Hand and Fingers Hand 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. Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) is a medical condition resulting from the compression of the median nerve as it travels through the carpal tunnel, a narrow passageway on the palm side of the wrist. This nerve controls sensation and movement in parts of the hand, including the thumb, index finger, middle finger, and part of the ring finger. Hand Cramps Hand cramps are involuntary muscle contractions or spasms in the muscles of the hand, causing pain, stiffness, and temporary loss of function. These cramps can affect any part of the hand, including the fingers, palm, and the base of the hand. They can be sudden and intense, and their duration can vary from a few seconds to several minutes. Hand Fracture A hand fracture refers to a break or crack in one or more of the bones in the hand. The human hand consists of 27 bones, including the phalanges (finger bones), metacarpal bones (bones of the hand), and the carpal bones (wrist bones). Hand Numbness This condition refers to a loss of sensation or feeling in the hand or fingers. It can be accompanied by tingling, a "pins and needles" sensation, or a feeling of weakness Hand Stiffness This condition occurs when the is a lack of function or movement in the hand. The hand feels rigid, inflexible, or difficult to move. Hand Tendonitis This is inflammation of the tendon in the hand. Symptoms include pain, weakness, limited range of motion, and difficulty with daily activities. Use thumb neoprene brace for pain relief. Hand Flexor Tendon Injury This is when the tendon gets cut or rupture. Symptoms include pain, weakness, limited range of motion, and difficulty with simple activities. Flexor tendon surgery. Trigger Finger Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion. Use finger splint or finger sleeve for pain relief.

Guide to Caring for Your Cast Appointments Diagnoses Top of Page Keep Your Cast Dry Managing Discomfort Cast Integrity Daily Cast Care Cast Maintenance Complications Cast Removal Cast Care Cast Items 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. What 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. Keep Your Cast Dry 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. Managing Discomfort 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. Cast Integrity 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 consulting with us before 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. Daily Cast Care 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. Cast Maintenance 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. Complications 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. Cast Removal 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. These descriptions are optimized to include relevant keywords and phrases that potential patients might use when searching for orthopedic products, helping to improve your website's visibility and search engine ranking.

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

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.