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    Last Updated: 01/09/2026

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    MediFind found 38 doctor with experience in Trigger Thumb near Seattle, WA. Of these, 22 are Experienced, 9 are Advanced and 7 are Distinguished.

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    38 providers found
      Scott D. Ruhlman
      Advanced in Trigger Thumb
      Orthopedics | Sports Medicine
      Advanced in Trigger Thumb
      Orthopedics | Sports Medicine

      Proliance Surgeons

      5350 Tallman Ave NW, Ste 500, 
      Seattle, WA 
       (4.7 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Scott D. Ruhlman, MD, is an orthopedic surgeon specializing in the care of hand, shoulder, and elbow disorders. He practices fracture care, sports medicine, and joint replacement surgery of the upper and lower extremities.Dr. Ruhlan grew up in Shoreline, WA, and is happy to be practicing in the Pacific Northwest. Outside of medicine, he enjoys many sports including skiing, golf, running and tennis. His greatest pride is his wonderful wife and lifetime best friend, Mary, who brought into this world the two most wonderful children, Sam and Nola. Dr. Ruhlman is rated as an Advanced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Ganglion Cyst, Rhizarthrosis, Trigger Thumb, and Carpal Tunnel Syndrome.

      Wayne M. Weil
      Advanced in Trigger Thumb
      Orthopedics
      Advanced in Trigger Thumb
      Orthopedics

      Proliance Surgeons

      5350 Tallman Ave NW, Ste 500, 
      Seattle, WA 
       (4.7 miles away)
      Languages Spoken:
      English, Spanish
      Accepting New Patients
      Offers Telehealth

      Wayne Weil, MD, is a board-certified orthopedic surgeon with subspecialty training in hand and elbow surgery. Dr. Weil is well known in the community for his expertise in treating complex conditions of the upper extremity. He sees patients with a wide variety of hand ailments, including carpal tunnel syndrome, cubital tunnel syndrome, sports injuries, Dupuytren’s disease, thumb arthritis, wrist fractures, and more.Dr. Weil is the only physician in the Swedish Hospital system who performs endoscopic carpal tunnel release surgery for median nerve compression at the carpal tunnel and endoscopic cubital tunnel release for treatment of ulnar nerve compression at the cubital tunnel. Endoscopic carpal tunnel and cubital tunnel release surgery, like the traditional approaches to carpal tunnel and cubital tunnel surgery, boasts excellent outcomes. The advantages are that the endoscopic approach is minimally invasive, less painful, and allows for a quicker recovery and return to work and sports.Dr. Weil completed his undergraduate education at the University of Pennsylvania. He then worked at the world renowned National Institutes of Health performing research at the National Institute of Allergy and Infectious Diseases. He then completed his medical education and received a Doctorate of Medicine from New York University’s School of Medicine. He completed his orthopedic surgery residency at NYU Hospital for Joint Diseases in New York City, New York. While in residency, Dr. Weil completed specialized training in orthopedic trauma surgery at R. Adams Cowley Shock Trauma Hospital in Baltimore, Maryland, one of the busiest and most respected trauma centers in the country. He also participated in the orthopedic care of the New York Mets, New York Rangers, New York City Ballet, and Alvin Alley Dance Company.After residency, Dr. Weil went on to complete a Hand and Microvascular Surgery Fellowship at the University of Washington/Harborview Medical Center. Dr. Weil has published several scientific papers and presented his research in the field of upper extremity trauma at national meetings.During his fellowship Dr. Weil and his family fell in love with the Pacific Northwest lifestyle and settled in Seattle after joining Orthopedic Specialists of Seattle. On weekends in the winter, you can find Dr. Weil, his wife, and five kids racing down Crystal Mountain. Dr. Weil enjoys alpine and backcountry skiing, hiking in the mountains, tennis and cycling. He has completed multiple marathons and triathlons including Ironman Canada in Whistler, BC. He has also spent time trekking in the Himalayan Mountains in Nepal, Torres del Paine in Chile, and the Inca Trail in Machu Pichu, Peru. Dr. Weil is rated as an Advanced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Dupuytren Contracture, Rhizarthrosis, Carpal Tunnel Syndrome, Ganglion Cyst, and Hip Replacement.

      Todd M. Guyette
      Distinguished in Trigger Thumb
      Distinguished in Trigger Thumb

      Proliance Surgeons

      1810 116th Ave NE D-4, 
      Bellevue, WA 
       (6.0 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

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

      Learn about our expert tiers
      John D. Beck
      Distinguished in Trigger Thumb
      Orthopedics
      Distinguished in Trigger Thumb
      Orthopedics

      Proliance Surgeons

      1810 116th Ave NE D-4, 
      Bellevue, WA 
       (6.0 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      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 Trigger Thumb. His top areas of expertise are Carpal Tunnel Syndrome, Synovitis, Trigger Thumb, and Ganglion Cyst.

      William L. Clark
      Advanced in Trigger Thumb
      Advanced in Trigger Thumb

      Proliance Surgeons

      16259 Sylvester Rd SW #501, 
      Burien, WA 
       (10.7 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      William Clark, MD, is a board-certified orthopedic surgeon and subspecialty certified hand surgeon. He has a clinical interest in arthroscopic surgery, joint replacement, trauma/fractures, nerve and tendon disorders, minimally invasive surgery of the wrist, elbow, and shoulder, complex hand surgery, and treatment of Dupuytren’s contracture.As a physician, he involves patients by discussing the diagnostic and treatment options for each condition and by encouraging them to participate in making their healthcare decisions. As a surgeon, he believes his mission is to provide safe, effective surgical care while staying abreast of the latest advances and techniques. His ultimate goal is patient satisfaction because this is what makes orthopedic surgery an enjoyable and rewarding profession for him. Dr. Clark is rated as an Advanced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Carpal Tunnel Syndrome, Ganglion Cyst, Rhizarthrosis, Trigger Thumb, and Hip Replacement.

      Distinguished in Trigger Thumb
      Distinguished in Trigger Thumb
      1100 9th Ave, 
      Seattle, WA 
       (0.3 miles away)
      Languages Spoken:
      English
      Accepting New Patients

      John Buckmiller is a Hand Surgeon in Seattle, Washington. Dr. Buckmiller is rated as a Distinguished provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Trigger Thumb, Carpal Tunnel Syndrome, Dupuytren Contracture, and Ganglion Cyst. Dr. Buckmiller is currently accepting new patients.

      Distinguished in Trigger Thumb
      Hand Surgery | Plastic Surgery
      Distinguished in Trigger Thumb
      Hand Surgery | Plastic Surgery

      Virginia Mason Medical Center

      1100 9th Ave, 
      Seattle, WA 
       (0.3 miles away)
      Languages Spoken:
      English, Hindi, Mandarin, Punjabi
      Accepting New Patients
      Offers Telehealth

      James Schlenker is a Hand Surgeon and a Plastic Surgeon in Seattle, Washington. Dr. Schlenker is rated as a Distinguished provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Dupuytren Contracture, Trigger Thumb, Squamous Cell Skin Carcinoma, and Melanoma. Dr. Schlenker is currently accepting new patients.

      Grant R. Lohse
      Distinguished in Trigger Thumb
      Orthopedics
      Distinguished in Trigger Thumb
      Orthopedics
      1231 116th Avenue Northeast, Suite 750, 
      Bellevue, WA 
       (6.0 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Grant R. Lohse, MD, is an orthopedic surgeon with fellowship training in hand, wrist, and elbow surgery. He cares for both adults and children. In addition to general orthopedics, he specializes in upper extremity nerve problems, tendon and ligament injuries, fractures, and arthritis.Dr. Lohse grew up in Indiana. He received his bachelor's of science in Mechanical Engineering, graduating with highest honors, from Purdue University. He went on to attend medical school at Northwestern University where he graduated Alpha Omega Alpha (highest honors). Dr. Lohse completed his orthopaedic surgery residency at the University of Washington before going onto subspecialty training in hand and upper extremity surgery at Vanderbilt University.His care philosophy is centered on education. He believes patients are best able to participate in their care when they thoroughly understand their problem and treatment options. He feels strongly that treatment must be individualized, as the same condition may affect two people very differently.Dr. Lohse enjoys spending time with this wife and three children. He also enjoys running, skiing (snow and water), hiking, and camping. Dr. Lohse is rated as a Distinguished provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Dupuytren Contracture, Trigger Thumb, Rhizarthrosis, Carpal Tunnel Syndrome, and Hip Replacement.

      Kurt A. Anderson
      Distinguished in Trigger Thumb
      Hand Surgery | Orthopedics
      Distinguished in Trigger Thumb
      Hand Surgery | Orthopedics

      Proliance Surgeons

      12911 120th Ave NE, Suite H220, 
      Kirkland, WA 
       (10.4 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Kurt Allen Anderson, MD, is a board-certified orthopedic surgeon who specializes in hand, upper extremity and microvascular surgery. In his practice, he strives to treat his patients as though they are his family.He has extensive experience with non-operative and operative treatment of all hand and wrist problems, including arthritis surgery.  He has a particular interest in elbow problems and surgery.He currently lives in Bellevue where he enjoys outdoor activities with his wife and two children. Dr. Anderson is rated as a Distinguished provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Rhizarthrosis, Ganglion Cyst, Trigger Thumb, and Carpal Tunnel Syndrome.

      Niket Shrivastava
      Distinguished in Trigger Thumb
      Distinguished in Trigger Thumb

      Proliance Surgeons

      150 Andover Park W., 
      Tukwila, WA 
       (11.4 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Niket Shrivastava, MD, is board-certified in orthopedics with a special focus on hand and wrist surgery. In addition to his clinical experience, he has substantial research experience including serving as a postdoctoral research fellow in the Department of Orthopaedics at Columbia University and a research assistant in both the Department of Orthopaedics and Center for Bioengineering at University of Washington. Dr. Shrivastava is rated as a Distinguished provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Trigger Thumb, Carpal Tunnel Syndrome, Ganglion Cyst, Frozen Shoulder, and Hip Replacement.

      Advanced in Trigger Thumb
      Orthopedics
      Advanced in Trigger Thumb
      Orthopedics
      900 Terry Avenue, Suite 100, 
      Seattle, WA 
       (0.3 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Eric Pang is an Orthopedics provider in Seattle, Washington. Dr. Pang is rated as an Advanced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Ganglion Cyst, Rhizarthrosis, Carpal Tunnel Syndrome, Tennis Elbow, and Hip Replacement. Dr. Pang is currently accepting new patients.

      Advanced in Trigger Thumb
      Hand Surgery | Orthopedics | Sports Medicine
      Advanced in Trigger Thumb
      Hand Surgery | Orthopedics | Sports Medicine

      The Association Of University Physicians

      325 9th Ave, 
      Seattle, WA 
       (0.4 miles away)
      Languages Spoken:
      English, Filipino, French, Mandarin, Spanish
      Accepting New Patients
      Offers Telehealth

      Stephen Kennedy is a Hand Surgeon and an Orthopedics provider in Seattle, Washington. Dr. Kennedy is rated as an Advanced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Carpal Tunnel Syndrome, Dupuytren Contracture, Trigger Thumb, and Rhizarthrosis. Dr. Kennedy is currently accepting new patients.

      Advanced in Trigger Thumb
      Plastic Surgery | Hand Surgery
      Advanced in Trigger Thumb
      Plastic Surgery | Hand Surgery

      King County Public Hospital District No 2

      1909 214th St Se, Suite 110, 
      Bothell, WA 
       (14.9 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Joseph Woodward is a Plastic Surgeon and a Hand Surgeon in Bothell, Washington. Dr. Woodward is rated as an Advanced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Carpal Tunnel Syndrome, Ganglion Cyst, Rhizarthrosis, and Trigger Thumb. Dr. Woodward is currently accepting new patients.

      Experienced in Trigger Thumb
      Orthopedics | Hand Surgery
      Experienced in Trigger Thumb
      Orthopedics | Hand Surgery

      Virginia Mason Medical Center

      1100 9th Ave, 
      Seattle, WA 
       (0.3 miles away)
      Languages Spoken:
      English, Khmer
      Accepting New Patients
      Offers Telehealth

      Laura Stoll is an Orthopedics specialist and a Hand Surgeon in Seattle, Washington. Dr. Stoll is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. Her top areas of expertise are Carpal Tunnel Syndrome, Dupuytren Contracture, Rhizarthrosis, and Osteoarthritis. Dr. Stoll is currently accepting new patients.

      Experienced in Trigger Thumb
      Plastic Surgery | Hand Surgery
      Experienced in Trigger Thumb
      Plastic Surgery | Hand Surgery

      The Association Of University Physicians

      908 Jefferson St, 
      Seattle, WA 
       (0.4 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Jeffrey Friedrich is a Plastic Surgeon and a Hand Surgeon in Seattle, Washington. Dr. Friedrich is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Polydactyly, Hypoplasia of the Tibia with Polydactyly, Ulnar Nerve Dysfunction, and Symphalangism Distal.

      Experienced in Trigger Thumb
      Plastic Surgery | Hand Surgery
      Experienced in Trigger Thumb
      Plastic Surgery | Hand Surgery

      The Association Of University Physicians

      325 9th Ave, 
      Seattle, WA 
       (0.4 miles away)
      Languages Spoken:
      English, Italian, Portuguese, Spanish
      Accepting New Patients
      Offers Telehealth

      Nicholas Vedder is a Plastic Surgeon and a Hand Surgeon in Seattle, Washington. Dr. Vedder is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Carpal Tunnel Syndrome, Dupuytren Contracture, Rhizarthrosis, and Ulnar Nerve Dysfunction. Dr. Vedder is currently accepting new patients.

      Experienced in Trigger Thumb
      Orthopedics | Hand Surgery
      Experienced in Trigger Thumb
      Orthopedics | Hand Surgery
      325 9th Ave, 
      Seattle, WA 
       (0.4 miles away)
      Languages Spoken:
      English, Arabic, Thai
      Accepting New Patients
      Offers Telehealth

      Douglas Hanel is an Orthopedics specialist and a Hand Surgeon in Seattle, Washington. Dr. Hanel is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Sprengel Deformity, Accessory Navicular Bone, Congenital Radioulnar Synostosis, and Macrodactyly of the Hand. Dr. Hanel is currently accepting new patients.

      Experienced in Trigger Thumb
      Orthopedics | Hand Surgery
      Experienced in Trigger Thumb
      Orthopedics | Hand Surgery
      601 Broadway, Suite 600, 
      Seattle, WA 
       (0.5 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Christopher Hein is a Hand Surgeon and an Orthopedics provider in Seattle, Washington. Dr. Hein is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. His top areas of expertise are Ganglion Cyst, Rhizarthrosis, Carpal Tunnel Syndrome, and Trigger Thumb. Dr. Hein is currently accepting new patients.

      Experienced in Trigger Thumb
      Hand Surgery | Orthopedics
      Experienced in Trigger Thumb
      Hand Surgery | Orthopedics
      600 Broadway, Suite 440, 
      Seattle, WA 
       (0.6 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Elizabeth Joneschild is a Hand Surgeon and an Orthopedics provider in Seattle, Washington. Dr. Joneschild is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. Her top areas of expertise are Trigger Thumb, Dupuytren Contracture, Rhizarthrosis, and Synovitis. Dr. Joneschild is currently accepting new patients.

      Experienced in Trigger Thumb
      Experienced in Trigger Thumb
      600 Broadway, Suite 440, 
      Seattle, WA 
       (0.6 miles away)
      Languages Spoken:
      English
      Accepting New Patients
      Offers Telehealth

      Beverlie Ting is a Hand Surgeon in Seattle, Washington. Dr. Ting is rated as an Experienced provider by MediFind in the treatment of Trigger Thumb. Her top areas of expertise are Trigger Thumb, Dupuytren Contracture, Carpal Tunnel Syndrome, and Rhizarthrosis. Dr. Ting is currently accepting new patients.

      Showing 1-20 of 38

      Last Updated: 01/09/2026

      What is the definition of Trigger Thumb?

      Trigger finger or thumb, also known as digital stenosing tenosynovitis, is a condition in which a finger or thumb is stuck in a position as if it were squeezing a trigger. When the thumb or finger straightens, it may do so with a snap, as if a trigger were being released. Trigger finger or thumb is caused by a narrowing of the sheath that surrounds a tendon due to inflammation, and often occurs from work that requires repetitive gripping motions. The condition is more common in women and people with diabetes, rheumatoid arthritis, or gout, or can also occur as a complication of carpal tunnel surgery.

      When should I see a Trigger Thumb doctor near Seattle, WA?

      There are various reasons why you may want to see a specialist, such as: 

      • Your primary care provider recommends it. 
      • Your condition requires expert knowledge and specialized care. 
      • Your symptoms persist or worsen despite treatment. 
      • You need specialized testing or procedures. 
      • You want a second opinion.  

      What should I consider when choosing a Trigger Thumb doctor near Seattle, WA?

      It’s important to see a provider with expertise in your specific condition. Each provider profile in MediFind’s doctor database includes information on which conditions they treat, years of experience, research contributions, languages spoken, insurance plans accepted, and more.  

      How does MediFind rank Trigger Thumb doctors near Seattle, WA?

      MediFind’s rankings are based on a variety of data sources, such as the number of articles a doctor has published in medical journals, participation in clinical trials and industry conferences, as well as the number of patients that provider sees for a given condition. Note that MediFind’s provider database is not based on user reviews, and providers do not pay to be included in the database. 

      What types of insurance are accepted by Trigger Thumb doctors near Seattle, WA?

      Most profiles in MediFind’s doctor database include a list of insurance plans accepted by that provider. However, it’s a good idea to contact the provider’s office to make sure they still accept your insurance, then doublecheck by contacting your insurance plan to confirm they’re in network. 

      How can I book an appointment online with a Trigger Thumb doctor near Seattle, WA?

      MediFind offers direct scheduling for certain providers using the “Request Appointment” button on that provider’s profile. If the schedule option is not available for a provider, tap the red “Show Phone Number” button on their profile to get their contact information. If you prefer to find providers who offer online scheduling, select “Schedules online” under the “Availability” category of the filter feature on the left side of the Trigger Thumb doctor search results page. 

      Why is it important to get a second opinion from a different Trigger Thumb doctor?

      Second opinions are an opportunity to confirm a diagnosis and its root cause, learn about alternative treatment options, or simply gain peace of mind. Many people, especially those with serious diagnoses, get second opinions so they can understand all their options and make informed decisions, so don’t hesitate to get one if you have any doubts or need more information or clarification regarding your care. Note that some insurance plans require second opinions, while others don’t cover second opinions, so be sure to confirm with your insurance provider first.   

      How can I prepare for my appointment with a Trigger Thumb doctor near Seattle, WA?

      Prepare for your appointment by gathering the following items: 

      • Copies of medical records (dating back at least one year) 
      • Your medical history, including illnesses, medical conditions, surgeries, and other doctors you see 
      • Family history of disease 
      • List of current prescription drugs, over-the-counter medicines, vitamins, and herbal remedies or supplements including names and doses 
      • Allergies to medications, food, latex, insects, etc.  
      • List of questions and concerns 
      • Your insurance card 

      You might also contact the provider’s office to see if they offer transportation or childcare services or if you’re allowed to bring a loved one for support or to take notes during your visit. 

      What questions should I ask my Trigger Thumb doctor?

      Here are some sample questions: 

      • Can you explain in simple terms what this condition is and how it’s treated? 
      • What symptoms or side effects should I watch for? 
      • What tests will be involved, and when can I expect results? 
      • Are there other specialists I need to see? 
      • What’s the best way to reach you if I have follow-up questions? 

      How can I learn about the latest clinical trials and research advances my Trigger Thumb doctor may know about?

      MediFind’s Clinical Trials tool asks you a series of questions to help you narrow down your search by health condition, age, gender, location, how far you’re willing to travel, and more. Each question you answer filters down the number of trials until you find the ones that are most relevant to you. 

      MediFind’s Latest Advances tool features summaries of recent articles published in medical journals. We use cutting-edge technology to scour medical publication databases for the latest research advancements on any given condition, then we simplify this information in a way that’s useful and easy to understand. 

      Can I filter my search to show male or female Trigger Thumb doctors near Seattle, WA?

      Look for the filter feature on the left side of the Trigger Thumb doctor search results page. Select “Female” or “Male” under the “Gender” category to search for female or male providers exclusively. If the “Any” option is selected, it will pull results for both male and female providers. 

      Can I filter my search to find a Trigger Thumb doctor that offers video calls?

      Look for the filter feature on the left-side of the Trigger Thumb doctor search results page. Select “Offers telehealth visits” under the Availability category to search for providers who offer virtual appointments (video calls). 

      Reviewed on: 11/11/24  

      By: MediFind Medical Staff 

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