John Smoots is a primary care provider, practicing in Internal Medicine in Tacoma, Washington. Dr. Smoots is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Scoliosis, Urinary Tract Infection in Children, Urinary Tract Infection (UTI), and Osteoporosis. Dr. Smoots is currently accepting new patients.

Ryan Mills is a Radiologist in Tacoma, Washington. Dr. Mills is rated as a Distinguished provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Rhizarthrosis, Tenosynovitis, Pleurisy, and Synovial Osteochondromatosis.

Jill Dobbins is a Radiologist in Tacoma, Washington. Dr. Dobbins is rated as a Distinguished provider by MediFind in the treatment of Rhizarthrosis. Her top areas of expertise are Rhizarthrosis, Tenosynovitis, Calcium Pyrophosphate Arthritis, and Synovial Osteochondromatosis.

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 an Advanced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Carpal Tunnel Syndrome, Ganglion Cyst, Rhizarthrosis, and Synovitis.

Kathleen McDaniel, PA-C, is a certified physician assistant who specializes in general orthopedics for adults and children, as well as treating athletic injuries. With a degree in exercise science from Rhode Island University, Kathleen has a thorough knowledge of how the body works and what to do to help maximize efficiency and minimize the risk of injury.Kathleen is an athlete herself, having finished both the Canadian Ironman Triathlon and the Chicago Marathon. She values communication and teamwork, and is dedicated to providing professional and compassionate care to all her patients. Ms. Mcdaniel is rated as an Advanced provider by MediFind in the treatment of Rhizarthrosis. Her top areas of expertise are Rhizarthrosis, Kienbock's Disease, and Scaphoid Non-Union.

Lance L. Bear, MD, is a board-certified orthopedic surgeon who provides expert surgical care for a variety of general orthopedic conditions, with particular interest in surgery of the hand. Whether he is treating a sports-related injury, a repetitive stress condition or an osteoporosis-related fracture, Dr. Bear partners with his patients to develop customized solutions that will get them back to actively living the life they love.A member of the American Academy of Orthopaedic Surgeons, Dr. Bear is committed to making a difference in his patients' lives through expert, compassionate care. Dr. Bear is rated as an Advanced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Osteoarthritis, Carpal Tunnel Syndrome, Rhizarthrosis, Ganglion Cyst, and Hip Replacement.

Alan B. Thomas, MD, is a board-certified orthopedic surgeon who specializes in upper extremity surgery. He has been practicing medicine since 2000, and he has a special interest in arthroscopy of the wrist, elbow and shoulder. He received a CAQ subspecialty certificate in orthopedic surgery of the hand from the American Board of Orthopaedic Surgery.He enjoys the challenges of restoring people to health through his practice. His doctorate work in biochemistry opened up new approaches for treating complex problems and made him a more detailed clinician.Dr. Thomas is a former vice president of St. Clare Hospital and has served on the operating and surgical committees for St Clare Hospital and the medical executive committee for Franciscan Health at St. Josephs Medical Center. He is a chairman for an outreach committee at his church and a member of the board of directors for The Health Project – Cambodia, which delivers medical supplies and equipment to underserved people in Southeast Asia and he travels to Cambodia each year to provide surgical care to those in need.Outside of his medical practice and volunteer work, he tries to keep up with his three children who are avid skiers, wakeboarders, and surfers. Dr. Thomas is rated as an Advanced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Carpal Tunnel Syndrome, Ganglion Cyst, Trigger Thumb, and Rhizarthrosis.

Michael Franceschina is an Orthopedics specialist and a Neuromusculoskeletal Medicine provider in Federal Way, Washington. Dr. Franceschina is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Osteoarthritis, Bursitis, Tendinitis, Tenosynovitis, and Hip Replacement. Dr. Franceschina is currently accepting new patients.

Sean D. Ghidella, MD, is fellowship trained in hand surgery and specializes in the surgical management of the upper extremity. He has been practicing since 1996 and has received a CAQ subspecialty certificate in orthopedic surgery of the hand from the American Board of Orthopaedic Surgery. He brings experience rarely found outside military practice to Tacoma, Lakewood, and Gig Harbor. He is well versed in management of common sports, work-related, arthritic, and traumatic injuries and ailments. He has a wealth of experience managing severe injuries and conditions resulting from combat as well as birth defects in children.Once management short of surgery has failed, Dr. Ghidella tries to speed recovery and improve function surgically with a combination of traditional techniques that have proven reliable and the latest techniques that depend on current technology. His goal is to restore function to his patients and get them back to their daily activities as quickly as possible by solving their orthopedic problem, big or small.He is a graduate of the Unites States Military Academy, West Point and has served in the military as an orthopedic and hand surgeon with the last eight years of his career holding positions of Chief of Hand Surgery and Chief of Orthopaedic Surgery at Madigan Army Medical Center. He retired from the Army as a Colonel and a combat veteran after 21 years of service in 2010 to pursue civilian practice. He has previously taught as an Assistant Professor at Texas A&M, USUHS, and Swedish Medical Center.He hails from New England, but he considers the South Sound home. He is an avid skier and enjoys water sports. His passion is assistant coaching for Gig Harbor High School Tides Varsity Football. Dr. Ghidella is rated as an Advanced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Carpal Tunnel Syndrome, Rhizarthrosis, Trigger Thumb, and Dupuytren Contracture.

Robert C. Vercio, MD, is fellowship trained in all aspects of surgery in the hand, elbow and shoulder. He completed the Hand and Upper Extremity Fellowship at the Medical College of Wisconsin. He is passionate about patient education and partnering with patients, working together to help them make the best treatment decisions. He is skilled in ultrasound of the upper extremity for diagnosis and treatments and is co-author of a textbook to assist other physicians with these useful exams and techniques. Dr. Vercio has also spent time in developing countries from Nepal to Haiti and plans to continue helping those in need.Dr. Vercio is a South Sound native who grew up in Gig Harbor and is excited to be back in the PNW. When not mending bones in need, he enjoys chasing around his small family, spending time on the water, artisan bread baking and photography. Dr. Vercio is rated as an Advanced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Carpal Tunnel Syndrome, Rhizarthrosis, Ganglion Cyst, Osteotomy, and Bone Graft.

Richard Swedarsky, DO, is a board-certified physiatrist who cares for adults with musculoskeletal disorders. As an osteopathic physician, he approaches each patient as a combination of body and mind. He strives to partner with his patients and assist them to take a critical role in their own care and well-being. For the control of acute and chronic pain, he draws from multiple modalities ranging from physical therapy and injections, to complementary medicine and surgery. Each program is tailored to the patient, not to the diagnosis.Dr. Swedarsky has a strong formal education in electrodiagnostic testing and the use of ultrasound. He also has training in the neurophysiology of pain and practices osteopathic manipulation.Dr. Swedarsky is a veteran who served as a physician for wounded warriors, family members and veterans. After completing his residency at Walter Reed National Military Medical Center, he was transferred to Joint-Base Lewis McChord, where he completed his military service obligation as Chief of the Physical Medicine and Rehabilitation Service. Dr. Swedarsky is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Congenital Mirror Movement Disorder, Marcus Gunn Phenomenon, Gomez Lopez Hernandez Syndrome, and Serotonin Syndrome.

"Michael Oliver Roxas, MD, is an internal medicine physician who offers comprehensive primary care for adults, with special medical interest in gastroenterology and endocrinology.Dr. Roxas believes medical care should always be patient-centered. As such, he ""thinks like a patient, acts like a doctor."" His role is to coach and motivate, helping patients make the right decisions for themselves. He serves not only as a patient's physician, but also their partner in health.Dr. Roxas is a member of the American College of Physicians and American Medical Association.". Dr. Roxas is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Heart Failure with Preserved Ejection Fraction (HFpEF), Seasonal Affective Disorder (SAD), Opioid Induced Constipation, and Lung Nodules.

Joanna Branstetter, MD, is a board-certified orthopedic surgeon specializing in state-of-the-art hand, wrist, shoulder and knee preservation care. Dr. Branstetter had a 20-year career in the United States Army and has been a practicing orthopedic surgeon locally at Joint Base Lewis-McChord for the past 14 years. She recognizes that every patient and injury is unique, and designing a treatment specific to the individual is key to successful outcomes. She works with the patient and their care team to develop the best comprehensive, mutually agreeable plan. This may involve both surgical and non-surgical options like physical therapy, stretching, bracing, medications, injections, arthroscopy, surgical reconstruction and joint replacement.Dr. Branstetter is a member of the American Academy of Orthopaedic Surgeons, Society of  Military Orthopaedic Surgeons, Ruth Jackson Orthopaedic Society and the Washington State Orthopaedic Association. Dr. Branstetter is passionate about diversity and inclusion in medicine.Outside of medicine, she enjoys activities with her husband, two children and their Labrador retriever.Conditions and procedures in adolescents and beyond:Arthroscopy of the shoulder and kneeCarpal tunnelChronic exertional compartment syndromeCubital tunnelElbow, wrist and finger tendonitisKnee arthritisKnee ligament reconstructionRotator cuff repairShoulder instability. Dr. Branstetter is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. Her top areas of expertise are Tendinitis, Osteoarthritis, Bursitis, and Tenosynovitis.

Megan Durkin, ARNP, is an advanced registered nurse practitioner who offers primary care for individuals age 13 and over. Megan manages both acute illness and chronic disease, while also educating her patients so they can participate actively in their own care. Looking beyond a person's circumstances and symptoms, Megan guides each patient holistically on their journey toward optimal health. Ms. Durkin is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. Her top areas of expertise are Muscle Spasms, Seasonal Affective Disorder (SAD), Emphysema, and Heart Failure with Preserved Ejection Fraction (HFpEF).

Christine Macatuno, MD, provides high quality, compassionate care to adults, with special medical interest in geriatrics and experience in treating patients with complex medical conditions.Dr. Macatuno emphasizes preventive care and encourages open communication, cooperation and respect. While she serves as a strong advocate for her patients, she also believes each patient plays a starring role in their own well-being. Dr. Macatuno is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. Her top areas of expertise are Sciatica, Hypertension, Familial Hypertension, and Glucocorticoid-Remediable Aldosteronism.

Charles Leusner is a Radiologist in Tacoma, Washington. Dr. Leusner is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Gallbladder Disease, Diverticular Disease, Pleurisy, and Ascites. Dr. Leusner is currently accepting new patients.

Michael Dowd is an Interventional Radiologist in Tacoma, Washington. Dr. Dowd is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Pleurisy, Pleural Effusion, Bronchogenic Cyst, Bone Marrow Aspiration, and Bone Graft. Dr. Dowd is currently accepting new patients.

Margaret Rodgers is a Physician Assistant in Lakewood, Washington. Ms. Rodgers is rated as an Advanced provider by MediFind in the treatment of Rhizarthrosis. Her top areas of expertise are Rhizarthrosis and Kienbock's Disease. Ms. Rodgers is currently accepting new patients.

Spencer A. Coray, MD, is a board-certified orthopedic surgeon who specializes in sports medicine and arthroscopy procedures of multiple joints. He has been practicing since 2003 and is one of the few orthopedic surgeons in the state with a CAQ subspecialty certificate in orthopedic sports medicine from the American Board of Orthopaedic Surgery.His philosophy of care is to take the lowest intervention necessary to return patients to full function, which may or may not include surgery. His goal is to help patients be as active as they want to be, whether that means walking around the block or running a marathon.Dr. Coray is involved with a number of high schools in the Auburn, Franklin Pierce, Tacoma, Clover Park, and University Place school districts by providing sports related medical services and is frequently called on to present on sports medicine in health classes. He frequently goes on medical missions to Argentina and attends conferences as a surgical presenter locally and abroad. He enjoys spending time with his family, watching his children grow, and cooking. Dr. Coray is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Osteoarthritis, Synovitis, Tendinitis, Hip Replacement, and Knee Replacement.

Alan Barronian, MD, is a board-certified orthopedic surgeon with a special interest in joint replacements of the hip, knee, and shoulder including minimally invasive hip and knee replacements. He also has a special interest in sports injuries including ligament reconstruction, foot and ankle reconstruction, and fracture care. He believes that physicians and patients need to be a team during treatment. His goal is to carefully listen to his patients, determine what the problem is, and then discuss options for treatment. This way he and his patients can formulate a plan and work together to cure the problem. Treatment is frequently non-surgical but if surgery is needed he will walk through that process with each patient. Dr. Barronian is rated as an Experienced provider by MediFind in the treatment of Rhizarthrosis. His top areas of expertise are Osteoarthritis, Baker Cyst, Rhizarthrosis, Hip Replacement, and Knee Replacement.