Dr. John T. Heffernan

Julian S. Arroyo, MD, is a board-certified orthopedic surgeon who specializes in shoulder reconstruction, upper extremity orthopedic surgery, and sports medicine. He began practicing in 1996 and is the first fellowship-trained shoulder surgeon to practice in Pierce County. He is professionally interested in minimally invasive shoulder procedures and outpatient shoulder arthroplasty. He uses the most advanced surgical and non-surgical techniques available to help his patients return to a normal lifestyle more quickly and with fewer complications.Dr. Arroyo is a frequent contributor to leading orthopedic journals and lectures and instructs physicians in advanced shoulder reconstruction techniques. He also has worked with major manufacturers, assisting in development and design of orthopedic implants and techniques. Dr. Arroyo is one of a select few surgeons in the state with membership in the distinguished American Shoulder and Elbow Surgery Association and is also a reviewing editor for the association’s Journal of Shoulder & Elbow Surgery. As a Pacific Northwest native, Dr. Arroyo is very active in the community. He enjoys snow skiing, water sports, fishing, hunting, and golf. Dr. Arroyo is rated as an Advanced provider by MediFind in the treatment of Frozen Shoulder. His top areas of expertise are Frozen Shoulder, Osteoarthritis, Tendinitis, and Bursitis.

Wendy Heusch, DO, is a Pacific Northwest native, originally from Oregon. She graduated from the University of Puget Sound where she played volleyball on the 1993 NAIA Championship team. Her orthopedic training has taken her from West Coast to East Coast and although she enjoyed each area of the country, she believes there is no place quite like the Northwest.Her practice interests include treating all sports related injuries, with special interests in the shoulder and knee. She completed an Arthroscopy and Sports Medicine Fellowship at Orthopedic Research of Virginia in Richmond, Virginia where she learned from some of the most respected arthroscopic surgeons in the country about the latest techniques in arthroscopic surgery and sports medicine. These include all arthroscopic surgery of the rotator cuff and other disorders of the shoulder including dislocations and instability, as well as ACL surgery of the knee. She is also experienced in treating work related injuries of the shoulder and knee. She understands the unique circumstances surrounding work related injuries and helps her patients navigate the L&I process.Dr. Heusch has pursued and obtained subspecialty board certification in Orthopedic Sports Medicine. This subspecialty certificate is for board certified orthopedic surgeons who have demonstrated qualifications in sports medicine beyond those expected of other orthopedic surgeons. This includes additional training, a practice characterized by a volume of cases in sports medicine, and by passing an exam administered nationally by the AOBOS.Being an athlete herself, she enjoys treating the needs and injuries of all types of athletes, from high school players to the recreational athlete. She has also spent a portion of her fellowship with the team physician for the Washington Redskins learning about the care of the professional athlete. Dr. Heusch enjoys being a part of the Rainier Orthopedic Institute team and serving the Puyallup community.In her free time, Dr. Heusch enjoys gardening and throwing pottery, and spending time outdoors. She is also an avid supporter of local animal rescues.“I believe in treating my patients as a whole person and that there is more to being healthy than just the absence of disease. By looking beyond just the symptoms and by considering all aspects of a patient’s lifestyle, I strive to work with my patients as part of a team so we can better understand and work towards accomplishing their goals.” – Dr. Wendy Heusch, DO. Dr. Heusch is rated as an Advanced provider by MediFind in the treatment of Frozen Shoulder. Her top areas of expertise are Frozen Shoulder, Tendinitis, Bursitis, Hip Replacement, and Knee Replacement.

Samuel Koo is an Orthopedics provider in Kirkland, Washington. Dr. Koo is rated as an Advanced provider by MediFind in the treatment of Frozen Shoulder. His top areas of expertise are Frozen Shoulder, Tendinitis, Bursitis, and Tenosynovitis. Dr. Koo is currently accepting new patients.