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If you've been injured at work, understanding workers' compensation is essential for accessing medical care and wage replacement. This guide outlines how to start a claim, gather required documentation, and navigate the process efficiently. Get the support you need to focus on recovery—contact us for assistance today! Work Related Injuries Work-related injuries can have a significant impact on patients. The surprise impact of such injuries can be confusing on what to do for the next steps. Workers' compensation is a crucial system designed to protect employees who suffer injuries or illnesses in the workplace. It provides financial assistance and medical benefits to injured workers, regardless of who was at fault for the accident. This system aims to ensure that injured workers receive prompt medical treatment and compensation for any lost wages, enabling them to recover and return to work as quickly and safely as possible. Submit Paperwork Is your work related injury a worker compensation injury? Report the injury to your employer immediately or as soon as possible, providing details of how and when the injury occurred. - Your employer should file a report with the Virginia Workers’ Compensation Commission  within 10 days. -You should also file this Claim for Benefits Form  directly with the commission to let them know about your accident. -The insurance company will investigate your claim, including reviewing your medical records and confirming the injury with your employer. Once you file your claim you will receive a JCN and PIN number for online access to your WebFile Account. What you need to schedule your appointment 1. Name of the insurance that is managing the workers compensation case 2. Letter authorizing medical treatment from assigned adjuster specifically for Dr. Scott or Next Journey Orthopaedics a. Claim Number b. Payer specific address (including P.O. box) c. Employer name d. Address of the employer e. State of injury f. Date of injury g. Adjustors first and last name h. Email and phone number i. Injury location on the body 3. Photo ID 4. Any documents that may be helpful to the provider Worker's Compensation Resources Claim Form Injured Guide Virginia Worker's Compensation Glossary Injured Worker FAQ Virginia Worker's Compensation Contact Information EMAIL: questions@workcomp.virginia.gov PHONE: (877) 664-2566 MAILING ADDRESS Virginia Workers’ Compensation Commission 333 East Franklin Street Richmond, VA 23219 Click Here to Submit Paperwork

Discover a comprehensive guide to shoulder, elbow, forearm, wrist, hand, and finger braces. Learn about various types of supports—including compression sleeves, immobilizers, and stabilizing braces—tailored for injuries, recovery, and improving comfort. Find the right solution for your needs today! 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

Join the Next Journey Orthopaedics team and contribute to exceptional patient care in a supportive environment. Explore our current career opportunities, from clinical roles to administrative positions, and discover how you can make a difference in the lives of our patients while advancing your professional journey. Apply today! Accessibility Statement for Next Journey Orthopaedics _cc781905-5cde-3194 -bb3b-136bad5cf58d_ Next Journey Orthopedics ay isang aktibong orthopedic na sistema ng pagtulong sa mga paraan ng pangangalaga sa kalusugan. Nakatuon kami sa mga proyektong iyon na sumusuporta sa quadruple aim mindset. Tinutukoy namin ang quadruple aim mindset bilang mga proyektong iyon na magpapahusay sa karanasan ng pasyente, pagpapabuti ng mga resulta ng pasyente, pagbabawas ng mga gastos sa mga pasyente, at pagpapabuti ng karanasan ng gumagamit sa lugar ng trabaho. Kasalukuyan kaming may mga pangangailangan sa paghahatid ng pangangalaga sa pasyente, pangangasiwa, data analytics, data visualization, 3D graphics/printing, marketing sa social media at pagbuo ng proyekto. _cc781905-5cde-3194 -bb3b-136bad5cf58d_ Naghahanap kami ng mga indibiduwal na gustong palakihin ang kanilang karanasan at pagsasama sa kalusugan. Mangyaring makipag-ugnayan sa amin sa Careers@nextjourneyortho.net . Sa Next Journey Orthopedics, naniniwala kami sa "panahon ng tao" para sa aming mga empleyado at nag-aalok ng ilang puwang para sa iyong mga oras ng pahinga. Kabilang dito ang workout room sa basement, rooftop break area, mga lokal na basketball court, at building lounge. Matatagpuan din kami sa loob ng maigsing distansya mula sa sports health complex pati na rin sa Boro na matatagpuan sa Tysons, Virginia. Ang Boro ay binubuo ng mga restaurant (Tasty Kabob, Fish Taco, Flower Child, atbp.) pati na rin ang Whole Foods (naglalaman ng Amazon hub). Matatagpuan din kami sa loob ng maigsing distansya ng Tysons Galleria.

At Next Journey Orthopaedics, we prioritize a superior patient experience through value-based care. Our holistic approach empowers you to take control of your health while focusing on quality outcomes, patient satisfaction, and cost efficiency. Discover how we can help you achieve your health goals today! Ano ang Quadruple Aim? Next Journey Orthopaedics provides superior patient experience with value based care. Nakatuon kami sa buong tao hindi lamang sa kanilang musculoskeletal na kondisyon. Ito ay tungkol sa pagbibigay kapangyarihan sa iyo bilang mga pasyente na kontrolin ang kanilang sariling kalusugan at pagbibigay sa iyo ng mga tool na kailangan mo upang manatiling malusog. Patuloy na kumikilos ang industriya ng pangangalagang pangkalusugan patungo sa quadruple na layunin at mga prinsipyo ng pangangalaga na nakabatay sa halaga. Ang Quadruple aim ay ang diskarte upang sabay na mapabuti ang mga resulta ng pasyente, karanasan ng pasyente, bawasan ang mga gastos, at suportahan ang mga kawani na nangangalaga sa iyo. Ang pangangalagang nakabatay sa halaga ay ang diskarte kung saan nakatuon ang mga provider sa kalidad hindi sa dami ng pangangalaga. Hinihikayat nito ang mga provider na tumuon sa paghahatid ng pinakamahusay na posibleng pangangalaga sa kanilang mga pasyente, sa halip na magbigay lamang ng higit pang mga serbisyo. Sa Next Journey Orthopedics, naniniwala kami na ang quadruple aim at value based na pangangalaga ay hindi lamang magkatugma, ngunit mahalaga sa pagbibigay ng pinakamahusay na posibleng pangangalaga para sa aming mga pasyente. At Next Journey Orthopaedics, naniniwala kami na ang karanasan ng pasyente ay dapat na nasa gitna ng lahat ng aming ginagawa. Nagsusumikap kaming ibigay sa iyo ang pinakamataas na kalidad ng pangangalaga at ang pinakamahusay na posibleng mga resulta. Nagsusumikap din kami upang matiyak na mayroon kang positibong karanasan sa buong paglalakbay mo kasama kami. Kung naghahanap ka ng orthopaedic practice na nakatutok sa paghahatid ng mas mahusay na karanasan sa pasyente, mangyaring makipag-ugnayan sa amin ngayon. Masaya kaming talakayin kung paano ka namin matutulungan upang makamit ang iyong mga layunin. _cc781905-5cde-3194 -bb3b-136bad5cf58d_ Nakatuon kami sa karanasan ng pasyente sa pamamagitan ng pagtiyak na kasali ka sa sarili mong pangangalaga mula simula hanggang katapusan. Tatalakayin namin ang iyong mga layunin at kung ano ang nais mong makamit. Nakikipagtulungan kami sa iyo upang lumikha ng isang plano sa paggamot na nakakatugon sa iyong mga pangangailangan at umaangkop sa iyong pamumuhay. At nagbibigay kami ng mahusay na accessibility upang matiyak na mahusay at masagot ang anumang mga katanungan na maaaring mayroon ka. SUSUNOD ORTHOPEDICS NG PAGLALAKBAY

"Next Journey Orthopaedics: Expert Shoulder Care for AC Joint Sprain, Arthritis, Deltoid Strain, Dislocation, Biceps Tendonitis, Frozen Shoulder, Labral Tear, Impingement Syndrome, Shoulder Instability, Proximal Humerus Fracture, Rotator Cuff Tear, and more. Personalized treatments include non-operative care, physical therapy, and advanced surgical options to ensure optimal recovery. Book your appointment today to regain shoulder mobility and comfort. Contact us at 571-425-5390." Upper Extremities 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.

Testamonials "Mahalaga ang karanasan ng iyong paglalakbay." Ang Next Journey Orthopedics ay nagbibigay ng higit na mahusay na karanasan sa pasyente na may halagang nakabatay sa pangangalaga. Ang pokus ay nasa buong tao hindi lamang ang kanilang musculoskeletal condition. Gusto naming bigyan ng kapangyarihan ang mga pasyente na kontrolin ang kanilang sariling kalusugan at bigyan sila ng mga tool na kailangan nila para manatiling malusog. Dr. Frederick D. Scott Jr., MD Handa nang malaman ang higit pa? Ang kawani ng Next Journey Orthopedics ay handang sagutin ang iyong mga tanong at tumulong na mapadali ang iyong mga pangangailangan sa orthopaedic. Ang aming opisina ay nasa gitnang kinalalagyan sa isa sa mga pinakanaa-access na lokasyon ng Northern Virginia sa Tyson's Corner. Halika at tingnan kung ano tayo sa Next Journey Orthopedics. Magsimula Contact

Ensure a smooth transition from the ER after a work injury with our guide. Learn the essential steps to take, including obtaining medical studies, booking appointments, and what to bring on the day of your visit. Get the care you need efficiently! ANO ANG DAPAT GAWIN BAGO KA UMALIS SA ER: Work Injury HealthMe Step 1 While in Emergency Room/Urgent Care Please try to get a disc with a copy of all your studies related to your injury - X-ray - CT Scan - MRI - Ultrasound Step 2 To make a visit Privia Patients Book On-Line During office hours call 571-416-8244 After office hours call or text 571-425-5393 Fill out a website contact us form Please leave us your best contact number when registering. You may get a call before your appointment to pre-register/confirm information. Step 3 Day of your appointment Bring Photo ID, Insurance, and List of medications Self Pay patients can select HealthMe as option

Reclaim your active life with Next Journey Orthopaedics. Compassionate fracture care, personalized treatment plans, and dedicated support for your confident recovery journey. Next Journey Approach At Next Journey Orthopaedics, we understand that a fracture can be a life-altering experience, often bringing uncertainty, discomfort, and disruption to your daily routine. Our approach to fracture care is centered around you—your comfort, your recovery, and your journey back to doing the things you love. With a team led by expert trauma orthopedic specialists, we combine compassionate, patient-first care with the latest advancements in fracture treatment. We take the time to listen, educate, and support you every step of the way, ensuring that you feel confident in your treatment plan and recovery process. Our comprehensive fracture care includes: Personalized Treatment Plans – No two fractures are the same. We develop a customized plan tailored to your unique needs, lifestyle, and goals, whether that includes non-surgical treatments or advanced surgical interventions. Seamless Coordination of Care – From your first visit to your full recovery, our team works closely with you, your family, and other healthcare providers to ensure a smooth and well-coordinated experience. Empathetic Support – We recognize that healing is not just physical. Our team is here to provide encouragement, reassurance, and answers to your questions, helping you regain confidence every step of the way. Education & Prevention – We believe that empowering you with knowledge about your injury and recovery process is key to successful healing. Our team will provide guidance on strengthening exercises, lifestyle modifications, and injury prevention to help you stay strong and active. At Next Journey Orthopaedics, you're not just a patient—you’re part of our care family. Our mission is to provide you with exceptional fracture care rooted in compassion, expertise, and a commitment to your well-being.

Next Journey Orthopaedics offers personalized fracture care with expert trauma specialists, compassionate support, and seamless coordination—empowering your recovery every step of the way PRICE Education Heat Therapy Personalized Care When To See An Specialist Prevention Tips Call to Action FAQs Treat Injuries Effectively with PRICE: Prevention, Rest, Ice, Compression, Elevation, and Heat Healing Made Simple with Expert Guidance Injuries can be challenging, but with the right care and approach, recovery becomes smoother. At Next Journey Orthopaedics, we focus on proven treatment methods like PRICE—Prevention, Rest, Ice, Compression, Elevation, and Heat—to ensure effective healing and long-term wellness. Whether you’re dealing with a sprain, strain, or another injury, our patient-first approach combines expertise with compassionate care. What Is PRICE and Why Is It Effective? PRICE is a simple yet highly effective method for managing and treating injuries, including sprains, strains, and minor joint injuries. Here's what it entails: Prevention: Avoid further injury by using protective gear, warming up before activities, and maintaining proper technique. Rest: Allow the injured area to heal by minimizing movement and avoiding strain. Ice: Reduce swelling and pain with ice packs for 15–20 minutes every few hours. Compression: Support the injured area with an elastic bandage to minimize swelling and provide stability. Elevation: Keep the injured area elevated above heart level to improve blood flow and reduce swelling. Heat: After the swelling subsides, use heat therapy to relax muscles and promote circulation for faster healing. Heat Therapy Heat therapy is most effective during later stages of recovery, helping to improve circulation and relax stiff muscles. Use a heating pad or warm towel for 15-20 minutes, but avoid direct application to injuries with active swelling. Personalized Care At Next Journey Orthopaedics, we understand that no two injuries are the same. That’s why we tailor every treatment plan to your specific needs. Our team of specialists works closely with you to create a recovery plan that includes: Customized PRICE protocols for your injury. Guidance on transitioning from ice to heat therapy. Exercises to restore strength and flexibility. Lifestyle recommendations to prevent future injuries. When to See an Orthopaedic Specialist While PRICE is highly effective for many injuries, some conditions require professional care. Contact Next Journey Orthopaedics if you experience: Severe pain or swelling that doesn’t improve with PRICE. Difficulty moving or bearing weight on the injured area. Signs of infection, such as redness or warmth around the injury. Our team will assess your injury and recommend advanced treatments, if needed, including imaging, physical therapy, or minimally invasive procedures. Empowering you with Injury Prevention Tips Prevention is the key to staying active and injury-free. Here are some tips from our experts: Warm up and stretch before physical activities. Use proper footwear and protective gear. Avoid overtraining and allow time for recovery. Focus on strength and balance exercises to reduce injury risk. Take the First Step Toward Recovery Today At Next Journey Orthopaedics, we’re here to support your journey to recovery and beyond. Schedule an appointment with our expert team to receive personalized care and guidance. Call us at 571-416-8244 or visit nextjourneyortho.com to learn more about PRICE and other injury treatments. Schedule your Appointment Today FAQs How long should I use ice after an injury? You should use ice for the first 24 to 72 hours after an injury to reduce swelling and pain. Apply an ice pack for 15–20 minutes every 2–3 hours, ensuring there is a barrier (like a towel) between the ice and your skin to prevent frostbite. Once the swelling subsides, you can switch to heat therapy to relax muscles and improve circulation When is it safe to switch from ice to heat? It’s safe to switch to heat therapy after the acute swelling has gone down, usually 48–72 hours after the injury. Heat therapy is ideal for loosening stiff muscles, improving circulation, and promoting healing in the later stages of recovery. However, if there’s still visible swelling or inflammation, stick to ice. Can I use PRICE for chronic injuries? Yes, parts of PRICE, like heat, rest, and compression, can be used for chronic injuries. Heat therapy can help with stiffness and muscle relaxation, while rest and compression may support healing. However, chronic injuries often require additional treatment like physical therapy, and you should consult a specialist for a personalized recovery plan.

Durable Medical Equipment (DME) Policy – Next Journey Orthopaedics 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 and provide an estimated cost, 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 and without using 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

Explore our guide on lower extremity ergonomics, featuring ergonomic chairs like gaming and yoga ball chairs, kneeling options, and sciatic pillows. Discover standing desks and supportive mats designed to enhance comfort and posture for those who sit or stand for long periods. 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

Next Journey Orthopaedics offers expert diagnosis and treatment for a wide range of orthopedic conditions, including shoulder, knee, hip, and spinal injuries. Our specialized services include surgical and non-surgical options tailored to each patient’s needs. Schedule your appointment today! Common CPT codes Appointments Diagnoses Shoulder Humerus/Elbow Forearm/Wrist Hand/Fingers Cervical Spine Thoracic Spine Lumbar Spine Hip Thigh/Knee Lower Leg/Ankle Foot/Toes 23020: Capsular contracture release 23120: Partial claviculectomy 23405: Shoulder area tenotomy (single) 23410: Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute 23412: Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic 23415: Coracoacromial ligament release, with or without acromioplasty 23420: Reconstruction of complete shoulder (rotator) cuff avulsion, chronic 23430: Biceps tenodesis 23470: Shoulder hemiarthroplasty 23472: Total shoulder arthroplasty 29806: Arthroscopic capsulorrhaphy 29807: Arthroscopic SLAP repair 29821: Arthroscopic shoulder synovectomy, complete 29822: Arthroscopic shoulder debridement, limited 29823: Arthroscopic shoulder debridement, extensive 29824: Arthroscopic distal claviculectomy (Mumford procedure) 29825: Arthroscopic shoulder adhesion lysis 29826: Arthroscopic subacromial decompression 29827: Arthroscopic rotator cuff repair 29828: Arthroscopic biceps tenodesis 23615: Open treatment of proximal humeral fracture, includes internal fixation 23630: Open treatment of greater humeral tuberosity fracture 24101: Arthrotomy, elbow; with joint exploration, biopsy, or removal of loose or foreign body 24357: Tenotomy, elbow, lateral or medial; percutaneous 24358: Tenotomy, elbow, lateral or medial; debridement, soft tissue and/or bone, open 24359: Tenotomy, elbow, lateral or medial; debridement with tendon repair or reattachment 24516: Treatment of humeral shaft fracture with intramedullary implant 24545: Open treatment of humeral supracondylar or transcondylar fracture without intercondylar extension 24546: Open treatment of humeral supracondylar or transcondylar fracture with intercondylar extension 24565: Treatment of humeral shaft fracture with plate/screws 24575: Open treatment of humeral epicondylar fracture, medial or lateral 24579: Open treatment of humeral condylar fracture, medial or lateral 24586: Open treatment of periarticular fracture and/or dislocation of the elbow 24587: Open treatment of periarticular fracture and/or dislocation of the elbow with implant arthroplasty 24605: Treatment of closed elbow dislocation; requiring anesthesia 24615: Open treatment of acute or chronic elbow dislocation 24620: Closed treatment of Monteggia type of fracture dislocation at elbow 24635: Open treatment of Monteggia type of fracture dislocation at elbow 24665: Open treatment of radial head or neck fracture 24666: Open treatment of radial head or neck fracture with implant arthroplasty 22214: Osteotomy of spine, posterior or posterolateral approach, single vertebral segment; thoracic 22510: Vertebroplasty, thoracic, single level 22512: Vertebroplasty, each additional level 22532: Arthrodesis, lateral extracavitary technique, thoracic 22556: Arthrodesis, anterior interbody technique, thoracic 22610: Arthrodesis, posterior or posterolateral technique, single level; thoracic 22840: Posterior non-segmental instrumentation 22842: Posterior segmental instrumentation, 3-6 vertebral segments 22845: Anterior instrumentation, 2-3 vertebral segments 63003: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, thoracic 63016: Laminectomy with removal of abnormal facets and/or pars inter-articularis, thoracic 63046: Laminectomy, facetectomy and foraminotomy, single vertebral segment; thoracic 63055: Transpedicular approach with decompression of spinal cord, single segment; thoracic 63064: Corpectomy, vertebral body resection, thoracic, single segment 63077: Discectomy, anterior, thoracic, single interspace 64479: Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or thoracic, single level 64490: Injection(s), diagnostic or therapeutic agent, paravertebral facet joint, thoracic; single level 25035: Incision, deep, with opening of cortex, forearm or wrist 25040: Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body 25065: Biopsy, soft tissue of forearm and/or wrist; superficial 25076: Excision, tumor, soft tissue of forearm and/or wrist area; deep, subfascial, intramuscular; less than 3 cm 25116: Radical resection of tumor, soft tissue of forearm and/or wrist area; less than 3 cm 25230: Radial styloidectomy (separate procedure) 25248: Exploration with removal of deep foreign body, forearm or wrist 25250: Removal of wrist prosthesis; separate procedure 25660: Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation 25670: Open treatment of radiocarpal or intercarpal dislocation, one or more bones 25675: Closed treatment of distal radioulnar dislocation with manipulation 25676: Open treatment of distal radioulnar dislocation, acute or chronic 25800: Arthrodesis, wrist; complete, without bone graft 25810: Arthrodesis, wrist; with iliac or other autograft 25820: Arthrodesis, wrist; limited, without bone graft 25900: Amputation, forearm, through radius and ulna 25920: Disarticulation through wrist 26010: Drainage of finger abscess; simple 26037: Decompressive fasciotomy, hand (excludes 26035) 26040: Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous 26055: Tendon sheath incision (eg, for trigger finger) 26145: Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, single, each digit 26440: Tenolysis, flexor tendon; palm OR finger, single, each tendon 26480: Tendon transfer or transplant, carpometacarpal area or dorsum of hand; single, each 26516: Capsulodesis, metacarpophalangeal joint; single digit 26525: Capsulectomy or capsulotomy; interphalangeal joint, single, each 26615: Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone 26650: Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation 26720: Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each 26755: Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each 26861: Arthrodesis, interphalangeal joint, with or without internal fixation 26910: Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer 22533: Arthrodesis, lateral extracavitary technique, lumbar 22558: Arthrodesis, anterior interbody technique, lumbar 22612: Arthrodesis, posterior or posterolateral technique, single level; lumbar 22630: Arthrodesis, posterior interbody technique, lumbar, single interspace 22633: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique, lumbar, single interspace 22840: Posterior non-segmental instrumentation 22842: Posterior segmental instrumentation, 3-6 vertebral segments 22845: Anterior instrumentation, 2-3 vertebral segments 62380: Endoscopic decompression of neural elements 63005: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, lumbar 63030: Laminotomy (hemilaminectomy), with decompression of nerve root(s), single interspace, lumbar 63042: Laminotomy (hemilaminectomy), with decompression of nerve root(s), reexploration, single interspace; lumbar 63047: Laminectomy, facetectomy and foraminotomy, single vertebral segment; lumbar 63052: Laminectomy, facetectomy, or foraminotomy during posterior interbody arthrodesis, lumbar, single vertebral segment 63056: Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s), single segment; lumbar 63267: Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; lumbar 63277: Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar 63282: Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar 63290: Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level 15777: Implantation of biologic implant for soft tissue reinforcement 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa 27025: Fasciotomy, hip or thigh, any type 27062: Excision of trochanteric bursa or calcification 27130: Total hip arthroplasty 27134: Revision of total hip arthroplasty 27137: Revision of total hip arthroplasty, acetabular component only 27138: Revision of total hip arthroplasty, femoral component only 29860: Hip arthroscopy, diagnostic with or without biopsy 29861: Hip arthroscopy, removal of loose body or foreign body 29862: Hip arthroscopy, chondroplasty, abrasion arthroplasty and/or resection of labrum 29863: Hip arthroscopy, synovectomy 29914: Hip arthroscopy, femoroplasty 29915: Hip arthroscopy, acetabuloplasty 29916: Hip arthroscopy, labral repair 27301: Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region 27324: Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) 27328: Excision, tumor, soft tissue of thigh or knee area, subcutaneous 27330: Arthrotomy, knee; with synovial biopsy only 27331: Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies 27332: Arthrotomy, knee; with excision of semilunar cartilage (meniscectomy) 27403: Arthrotomy with meniscus repair, knee 27405: Repair, primary, torn ligament and/or capsule, knee; collateral 27427: Ligamentum patellae reconstruction (Campbell, Goldthwaite, and/or similar type procedure) 27428: Reconstruction, knee, cruciate (any type) 27446: Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447: Total knee arthroplasty (TKA) 27486: Revision of total knee arthroplasty, with or without allograft; 1 component 27487: Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component 29870: Arthroscopy, knee, diagnostic, with or without synovial biopsy 29873: Arthroscopy, knee, surgical; with lateral release 29874: Arthroscopy, knee, surgical; for removal of loose body or foreign body 29877: Arthroscopy, knee, surgical; debridement/shaving of articular cartilage 29880: Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) 29881: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral) 22551: Anterior cervical discectomy and fusion (ACDF), single level 22552: ACDF, each additional level 22554: Anterior cervical arthrodesis, single level 22600: Posterior cervical arthrodesis, single level 22614: Posterior cervical arthrodesis, each additional level 22840: Posterior non-segmental instrumentation 22842: Posterior segmental instrumentation, 3-6 vertebral segments 22845: Anterior instrumentation, 2-3 vertebral segments 22851: Application of intervertebral biomechanical device 63075: Anterior cervical discectomy, single level 63076: Anterior cervical discectomy, each additional level 63045: Posterior laminectomy, single cervical level 63047: Posterior laminectomy, single lumbar level 63048: Posterior laminectomy, each additional level 20930: Allograft morselized for spine surgery 20931: Allograft structural for spine surgery 20936: Autograft for spine surgery (local) 20937: Autograft for spine surgery (morselized) 22590: Posterior craniocervical arthrodesis 22595: Posterior C1-C2 arthrodesis 27600: Decompression fasciotomy, leg 27605: Tenotomy, percutaneous, Achilles tendon 27612: Arthrotomy, ankle, with exploration, drainage, or removal of foreign body 27620: Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body 27625: Arthrotomy, with synovectomy, ankle 27630: Excision of lesion of tendon sheath or capsule (e.g., cyst or ganglion), leg and/or ankle 27650: Repair, primary, open or percutaneous, ruptured Achilles tendon 27652: Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft 27654: Repair, secondary, Achilles tendon, with or without graft 27658: Repair, flexor tendon, leg; primary, without graft, each tendon 27664: Repair, extensor tendon, leg; primary, without graft, each tendon 27675: Repair, dislocating peroneal tendons; without fibular osteotomy 27685: Lengthening or shortening of tendon, leg or ankle; single tendon 27690: Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (e.g., anterior tibial extensors into midfoot) 27695: Repair, primary, disrupted ligament, ankle; collateral 27698: Repair, secondary, disrupted ligament, ankle, collateral (e.g., Watson-Jones procedure) 27700: Arthroplasty, ankle 27829: Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed 27870: Arthrodesis, ankle, open 28705: Arthrodesis; pantalar 28001: Incision and drainage, bursa or foot 28035: Release of tarsal tunnel (decompression of posterior tibial nerve) 28200: Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon 28208: Repair, tendon, extensor, foot; primary or secondary, each tendon 28220: Tenolysis, flexor, foot; single tendon 28225: Tenolysis, extensor, foot; single tendon 28230: Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) 28232: Tenotomy, open, tendon extensor, foot or toe, each tendon 28270: Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint 28285: Correction, hammertoe 28290: Correction, hallux valgus (bunion), with or without sesamoidectomy 28296: Correction, hallux valgus (bunion); with metatarsal osteotomy 28400: Closed treatment of calcaneal fracture; without manipulation 28450: Closed treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each 28705: Arthrodesis; pantalar 28725: Arthrodesis; subtalar 28730: Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse 28750: Arthrodesis, great toe; metatarsophalangeal joint 28820: Amputation, toe; metatarsophalangeal joint 28890: Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the plantar fascia