Dr. Scott D. Ruhlman

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 Synovitis. His top areas of expertise are Synovitis, Dupuytren Contracture, Trigger Thumb, Wrist Arthroscopy, and Trapeziectomy.

John D. Beck, MD, is a board-certified orthopedic surgeon with a clinical focus on surgical and non-surgical treatment of the hand, wrist, and elbow, including complex trauma, contractures, and arthritis. He also focuses on nerve compression of the upper extremity, wrist arthroscopy, as well as endoscopic carpal tunnel and endoscopic cubital tunnel release. He has received subspecialty training in microsurgery and complex elbow surgery. Dr. Beck's philosophy of patient care is one that was cultivated during his residency and fellowship training. He believes in a shared effort with patients, families, and other healthcare providers to create the best treatment course and maximize results for each patient. He is an active contributor to the orthopedic field, publishing many research articles, authoring orthopedic textbook chapters, and presenting research at both national and international meetings. He lives on the Eastside and enjoys spending time with his wife and kids. Dr. Beck is rated as a Distinguished provider by MediFind in the treatment of Synovitis. His top areas of expertise are Carpal Tunnel Syndrome, Synovitis, Trigger Thumb, and Ganglion Cyst.

Philip Yearian, DPM, is a board-certified surgeon specializing in the lower extremity treatment of the foot and ankle. He believes that staying on the forefront of treatment involves educating his patients, which leads to better outcomes.While competing as a Division I Track and Field athlete in the 3000 meters Steeplechase and Cross Country at the University of Portland, his own injuries introduced him to some of the very treatments he uses today to get patients back on their way to a non-painful walk or ultra-marathon.His training involved specializing in both bone and plastic reconstructive surgery. After over twenty years in practice in Gig Harbor and Tacoma, Dr. Yearian has improved some of these very techniques, which now allow some patients to shorten their recovery and return to play or work sooner.Dr. Yearian coaches basketball at St. Charles Borromeo Catholic School. He also enjoys running marathons, skiing, traveling and teaching for the Franciscan Foot and Ankle Reconstructive Residency program. Dr. Yearian is rated as a Distinguished provider by MediFind in the treatment of Synovitis. His top areas of expertise are Bunions, Flat Feet, Synovitis, and Tendinitis.