Dr. Spencer A. Coray

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 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.