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.

Samuel S. Koo, MD, a board-certified orthopedic physician and surgeon specializing in minimally invasive arthroscopic shoulder surgery, complex open shoulder surgery, trauma, and fracture care. He also performs platelet-rich plasma therapy. He is an authority on treating shoulder problems to help patients resume an active lifestyle as quickly as possible.Dr. Koo has trained with Dr. Stephen Burkhart, the world’s foremost expert in minimally invasive shoulder surgery. He also has a clinical interest in total and reverse total shoulder replacement, large to massive rotator cuff tears, complex labral tears, bone grafts for chronic instability, and revision arthroscopic shoulder surgery.Dr. Koo believes all surgeons must have two essential qualities: integrity and empathy. To him, integrity means treating each patient as if he were caring for his wife or children. Family is important to him. He believes that integrity means offering the highest quality of care available. He is an expert in arthroscopic (minimally invasive) shoulder surgery, but he will not recommend surgery unless all non-operative solutions have been explored and exhausted. The shoulder is an extremely fascinating joint with lots of moving parts. As such, injuries are common and often complex. Over the last few years, there have been dramatic improvements in the way shoulder pathology is treated. Orthopedic surgeons are now able to perform most shoulder surgeries using arthroscopic techniques (small incisions) that are at least as good, if not better than, the open (larger incisions) procedures of the past.He has trained with the world’s experts in minimally invasive shoulder surgery, so the care and technical expertise his patients receive is cutting-edge and based on the best available research for various shoulder ailments (rotator cuff tears, labral tears and instability, etc.). He is always actively looking for new ways to improve his surgicalonsurgical treatment methods to help his patients regain their active lifestyle.Dr. Koo feels it is unfortunate that surgeons are often not associated with empathy, because they are in the ideal position to support patients as they recover from difficult procedures. In his practice, his patients’ questions will be heard and answered promptly. By working together he and his patients can optimize the patient experience and maximize their health and well-being.Learn more about Dr. Koo at drsamuelkoo.com</a>. 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.

Craig T. Arntz, MD, is a board-certified orthopedic shoulder specialist with 25 years of experience treating problems that often require shoulder surgery, including rotator cuff tears, instability, fractures, and shoulder arthritis. He has advanced training in shoulder surgery with extensive experience in treating the most complex shoulder disorders. He has particular interest in arthroscopic shoulder repair, rotator cuff surgery and shoulder replacement surgery, including reverse shoulder replacement.Dr. Arntz is also a board-certified hand surgeon, and he is recognized in the Seattle and Renton communities as a shoulder and upper extremity specialist. He is proud to have had thousands of physician and patient referrals.He uses advanced techniques to restore his patients' shoulder and hand comfort and function as quickly and safely as possible. He has co-authored several articles and book chapters about rotator cuff repair and shoulder arthritis reconstruction.He is a native of Seattle. Outside of medicine, he enjoys spending time with his family. He also enjoys snow and water skiing, boating, and travel. Dr. Arntz is rated as a Distinguished provider by MediFind in the treatment of Frozen Shoulder. His top areas of expertise are Tendinitis, Bursitis, Tenosynovitis, and Frozen Shoulder.