Dr. Nathan L. Bowers

John Howlett, MD, is a board-certified, fellowship-trained orthopedic surgeon with a special interest in fracture care. He has completed additional fellowship training in hand and upper extremity surgery, including trauma, reconstruction, pediatric as well as microvascular surgery.He likes to remind himself that the origin of the Latin word “doctor” is “teacher,” and he considers it an important part of his role as a doctor to educate his patients about the conditions that are affecting them. He believes an informed and knowledgeable patient can participate more effectively in his or her own healing. As a former teacher who holds a master’s degree in education, Dr. Howlett deeply enjoys this aspect of working with patients.One of the experiences that shaped his career trajectory was his work as a counselor at The Hole in the Wall Gang Camp, founded by Paul Newman for children with cancer and other blood-related disorders. Witnessing the courage and energy of these children convinced him that healing involves more than medication and surgery. This experience led him to pursue his medical degree, where he saw an opportunity to combine his interest in caring for people with his passion for teaching.Having grown up in Washington enjoying hiking, backpacking, sailing, and canoeing, Dr. Howlett was eager to return to the Northwest for his residency and fellowship training. He now shares these same passions with his family. He and his wife both played soccer in college and can be found cheering on their two daughters at soccer games on the weekends. Dr. Howlett is rated as a Distinguished provider by MediFind in the treatment of Ganglion Cyst. His top areas of expertise are Carpal Tunnel Syndrome, Trigger Thumb, Ganglion Cyst, Rhizarthrosis, and Hip Replacement.

Neil Shah, MD, is a board-certified orthopedic surgeon with a subspecialty in hand surgery. Dr. Shah believes communication and education are key to caring for patients effectively. He listens to the concerns of his patients and, together, formulates a treatment plan. His practice is innovative, focusing on constantly improving and adapting new techniques to better patient care. He relies on patient-oriented problem-solving to elucidate medical mysteries and enhance perspective.Dr. Shah has a biomedical engineering background and has interest in the latest technological advances of the orthopedic field. He performs stitchless, minimally invasive endoscopic carpal tunnel release as well as complex hand and wrist surgeries. He also offers the latest shoulder and wrist arthroscopy techniques including rotator cuff repair, along with custom shoulder replacement with preoperative 3D CT planning.Away from work, he enjoys basketball, swimming, hiking and sightseeing. Dr. Shah is rated as a Distinguished provider by MediFind in the treatment of Ganglion Cyst. His top areas of expertise are Carpal Tunnel Syndrome, Ganglion Cyst, Rhizarthrosis, and Synovitis.

With a clinical practice that spans the range of upper extremity pathology, Todd M. Guyette, MD, has advanced training and interest in the newest techniques for hand and upper extremity pathology. Surgery remains only one pillar of treatment, and many of these diagnoses can be successfully managed without surgery through a coordinated approach that includes therapy, medications, and patient education.Dr. Guyette's clinical focus is on the surgical and nonsurgical treatment of complex hand and wrist trauma, nerve compression syndromes of the upper extremity with minimally invasive endoscopic techniques, wrist and digit arthroscopy, arthritis of the hand and wrist, Dupuytren's contracture, as well as skin and soft tissue problems. His years in practice has solidified his patient philosophy that the localized problems of the upper extremity affect the whole patient, including their work, recreational activities, and even simple daily tasks. He believes that each patient's treatment must be undertaken with an understanding of that context. Dr. Guyette lives on the Eastside with his wife and two daughters. Dr. Guyette is rated as a Distinguished provider by MediFind in the treatment of Ganglion Cyst. His top areas of expertise are Synovitis, Dupuytren Contracture, Trigger Thumb, Wrist Arthroscopy, and Trapeziectomy.