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Dr. Todd Guyette

Hand Surgery
Kirkland, WA
male

Locations

Office

Kirkland, WA

Address

12911 120th Ave NE, Suite H-10, Kirkland, WA
Directions

Practice website

Insurances accepted

Aetna

BlueCross BlueShield

Labor & Industries

Premera Blue Cross

Regence

No Value

Office

Issaquah, WA

Office

Bellevue, WA

Office

Kirkland, WA

About

Bio

With a clinical practice that spans the range of upper extremity pathology, I have advanced training and interest in the newest techniques for hand and wrist trauma, arthritis of the upper extremity, nerve compression syndromes including carpal tunnel, tumors around the hand and arm, and repetitive stress injuries. The trend is towards less invasive procedures to allow more rapid return to work, sports, and daily activities. Surgery is just one option; many of these diagnoses can be successfully managed without surgery with a coordinated approach including therapy, medications, and patient education. Even though my focus is on the upper extremity pathology, it is important to recognize that these problems commonly affect the whole patient – their work, recreational activities, and even simple daily tasks – and their treatment must be undertaken in that context.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Hand Surgery

Orthopedic Surgery

orthopedic Surgery

Surgery - hand Surgery

Doctor Q&A

83 Answers
9 Agrees
The number of answers this doctor has agreed with.
A 39-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends...: The bone component of uncomplicated wrist fractures take an average of 6 weeks to heal. But although the bone may be healed at that point, the stiffn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
In most cases no...: Long fingers in isolation are not a problem. Some times long fingers are associated with systemic problems (eg. Marfans) and thus can have additional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends: Numbness after cast removal is not uncommon, but should improve within several days now that the compression from the cast is removed. Pain may be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends...: The location and character of the fracture makes a big difference on how hand fractures are treated and how long they take to heal. Fifth metacar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends: Many times scaphoid fractures are associated with pain along the thumb side of the wrist. But there are some patients who only experience minimal to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Yes: Newer endoscopic techniques can require general anesthesia, but the traditional open technique, which has just as good results, can be done under stra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
As : As noted, you need an proper examination and plain xrays. The possiblities include a fracture of the metacarpal bone underneath that joint or perhaps... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends...: Altered wrist mechanics from a cartilage or ligament tear can cause abnormal, and normally painful clicking around the wrist after trauma. Some non... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It can be...: A slight overlap of the digits, particular of the small and ring finger, can be normal. If there is significant overlap, or a significant differe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Xrays, CT: Repeat xrays 10-14 days after the injury, or ct scan immediately will show most scaphoid fractures.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Pain, swelling: Traditionally scaphoid fractures are associated with pain and swelling on the thumb side of the wrist. Sometimes there is decreased motion of the wri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends: The symptoms depend upon the type of fracture, location, and severity of associated soft tissue injury. These symptoms include pain, stiffness, swe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Cartilage tear: The pinky side of the wrist, also known as the ulnar wrist, commonly develops tears in a cartilage disc known by the acronym tfcc. Most of these s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Tendon swelling: Trigger finger or thumb occurs when the digital flexor tendon begins to swell, from either trauma or overuse. As it swells it becomes stuck at the en... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Other options...: Although carpal tunnel is commonly noted on nerve studies, there are some cases where patients have symptoms of carpal tunnel but the tests remain neg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Long list...: In a 34 year old there is a long list of possibilities from the common like tendinitis and carpal tunnel and joint swelling form overuse to the less c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends...: Any pain with the 'cracks'? Altered wrist mechanics from a cartilage or ligament tear can cause abnormal, and normally painful clicking around the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends...: If only a small portion of the scaphoid involved we will observe. More significant involvement many times we will try revascularization procedures to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Many possibilites: Pain at the distal interphalangeal joint of the index finger is commonly from arthritis...Its repetitive use in pinch activities makes that joint one ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Many possibilities: There is a long list of diagnosis possible for atraumatic finger swelling and stiffness. Most common is a trigger finger or stenosing tenosynovit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends: It depends on the fracture location, displacement, and your health. Treatment ranges from immobilization in a cast to surgery with placement of a scr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Cubital tunnel: Everybody has heard of carpal tunnel, but the other commonly compressed nerve in the arm is the ulnar nerve. The ulnar nerve resides in the groove ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
8-12 weeks: Depending on the age of the fracture, fracture position, your health, this fracture with surgery can take 8-12 weeks to heal. Sometimes longer. As... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends: It depends on the fracture location, displacement, and your health. Treatment ranges from immobilization in a cast or splint to surgery with pins/scr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Yes -: The symptoms depend upon the type of fracture, location, and severity of associated soft tissue injury. These symptoms include pain, stiffness, swe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Splints, occ surgery: The location and character of the fracture makes a big difference on how hand fractures are treated. Treatment ranges from protected rom, to spli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
No : Carpal tunnel is when the median nerve gets pinched at the level of the wrist. The median nerve gives sensation to the thumb, index, middle, and half... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends: It depends on the fracture location, displacement, and your health. Treatment ranges from immobilization in a cast to surgery with placement of a scr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
No: Glucosamine and chondroitin are components of cartilage and have no relationship to bone metabolism or denisty. So no, they will have no effect.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
5-7+ weeks: The location and character of the fracture makes a difference how long a wrist fracture will heal. Typically it takes 5-7 weeks, but compound fra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
No -: Pain, in any form, is abnormal and is a sign that something is not functioning correctly. What exactly is going on requires the evaluation by a med... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
You can't: Scaphoid fractures are a radiographic diagnosis...Hence they need an xray to be diagnosed.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Raynaud's: This is a classic presentation for raynaud's phenomena. It is disease where the peripheral arteries of the hand will spasm in response to temperature... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Splints: Flexion of the elbows as wells as wrists as we sleep puts stress on the ulnar and median nerves respectively which contributes to cubital and carpal t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Possibly: Pain in the wrist has many different possibilities from carpal tunnel to tendinitis to ligament injuries and arthritis. The hallmark of carpal tun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Nerve symptoms: Carpal tunnel is when the median nerve gets pinched at the level of the wrist. The median nerve gives sensation to the thumb, index, middle, and half... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Several options...: Trigger finger occurs when the flexor tendon to the digit swells and then binds up at its entrance into the finger. Management is focused on gettin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Contact dermatitis: Most itchy bumps/spots of the palms are due to a contact dermatitis, or irritation from some exposure in our day-to-day world. This includes anything... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Xrays, CT scan: Scaphoid fractures are a radiographic diagnosis and requires either plain xray or sometimes ct.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
8-12 weeks: Assuming there is no fracture, sometimes the pain from a contused scaphoid can take 8-12 weeks to feel back to normal.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
No : Carpal tunnel is when the median nerve gets pinched at the level of the wrist. This "pinching" is done by the transverse carpal ligament which is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends...: Scaphoid fractures are treated differently depending on the location of the fracture, time out from the initial injury, and the patients needs. Thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Yes: Although the electrodiagnostic testing was done only on the arm, they do send signals to the neck to see if there is any cervical contribution.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Surgery for arthriti: This is a common surgery for arthritis on the thumb side of the wrist either from old ligament injury or scaphoid fractures. It involves remove the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Not likely: Carpal tunnel is when the median nerve gets pinched at the level of the wrist. The median nerve gives sensation to the thumb, index, middle, and half... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Not likely: Night splints are the mainstay of treatment of early carpal tunnel. Only if they are ill fitted or causing wrist flexion/extension when worn may they... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Yes: Yes...But repeating the xrays at two weeks post injury to confirm or deny the presence of a scaphoid fracture is still recommended. We don't want to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Trauma: Scaphoid fractures take a significant trauma to develop - a hard fall, motor vehicle accident, skiing injury.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends...: There are many types of dislocated fingers which depend on the direction of the dislocation as well as any associated ligamentous or bony injuries. E... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Splints, occ surgery: The location and character of the fracture makes a big difference on how hand fractures are treated. Treatment ranges from protected rom, to spli... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

7
Recommendations
115
Thank you notes
Feb 28, 2013
Dr. Guyette is a skilled and excellent hand surgeon and has my highest recommendations. I routinely refer patient's to him.
HealthTap member
Dec 16, 2012
Another local hand surgeon didn't even listen to me and after spouting off the articles he wrote and surgeries he has done, he looked me in the eye and said I needed surgery! And I don't think he eve...Read More
HealthTap member
Dec 16, 2012
I was a patient in 2004 for a trigger finger release and I thought that Dr.Guyette did an excellent job restoring the mobility and alleviating the pain in my finger. I had a ski accident that broke m...Read More
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer was very helpful!

Education & Training

Medical/Graduate school

Harvard Medical School
MD

Residency

Hospital For Special Surgery

Awards

Lewis Wagner Award for Excellence In Orthopaedic Research, Hospital for Special Surgery
Carl Walter Fellowship for Research, Harvard Medical School
Top Hand Surgeon , Second Place, Washington - Winter
2013

Affiliations

American Academy of Orthopaedic Surgeons
Washington State Medical Association
American Society for Surgery of the Hand
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