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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

109 Answers
11 Agrees
The number of answers this doctor has agreed with.
A 33-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Infection likely: The differential is long, but infection is at the top of the list. In particular with the staph series of bacteria, including mrsa. Less likely ar... Read More
A 22-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Yes: Cystic changes in the lunate can have many etiologies, most of which are subacute to chronic in nature. These include ulnar abutment where the ulna... Read More
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
A 41-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Minimal discomfort: Pain with the procedure itself tends to be minimal, and the nerve in most cases begins to recover that first night. Assuming there is no permanent da... Read More
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
A 28-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Tendon swelling: Trigger finger occurs when the digital flexor tendon begins to swell, from either trauma or overuse. As it swells it becomes stuck at the entrance of... Read More
A 53-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends...: Initial xrays may be negative on plain xrays. Films can be repeated at 10-14 days after the injury - at this point the resorption that normally happe... Read More
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.
A 46-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Pain, numbess, weak: Cubital tunnel syndrome is compression of the ulnar nerve at the elbow. This usually causes numbness/tingling in the ring and small fingers as well as... Read More
A 41-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends on exposure: How much hand washing depends on your environment and how many items you are touching or manipulating. It also depends not only what you touch, b... Read More
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
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
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
A 19-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Need an evaluation: You mention pain, and not necessarily the classic signs of carpal tunnel such as hand numbness and tingling. Significant carpal tunnel in a 19yo su... Read More
A 34-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Calcific tendinitis: Calcific tendonitis can occur in any tendon in the body, but is common seen along the wrist main flexor and extensor tendons as well as the rotator cu... Read More
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
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
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
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
A female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Your : Your story and description is concerning for an infection localized to the soft tissues adjacent the nailplate called the paronychium. If the infecti... Read More
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
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.
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
A 18-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Pain and swelling: The location and character of the fracture makes a big difference on how hand fractures present and are treated. Traditionally fractures present ... Read More
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
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.
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
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
A 52-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
A 16-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends...: I don't know where you were given the descriptor 'common'. This is not a medical term for a particular pattern of hand fracture but likely refers to ... Read More
A 27-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
See your doctor: Swelling from scaphoid fractures, combined with casting/splinting, can pinch nerves causing your symptoms. Sometimes it takes modification of the s... Read More
A 48-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends....: Wrist pain and its causes is complex and multifactorial. Finding the correct modifications for your situation to alleviate wrist pain requires evalu... Read More
A 34-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
It depends: Scaphoid fractures are not all alike....Some scaphoid fracture patterns are more unstable than others and require more rigid immobilization that a spl... Read More
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.
A 19-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Emergency room: You need emergent evaluation by a health care professional. There is a long list of possibilities most of which are harmless, but it is the dange... Read More
A 33-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
A 62-year-old male asked:
Dr. Todd Guyette
Specializes in Hand Surgery
No: Dupuytrens is a hereditary disease where the palmar fascia develops benign scarring. Sometimes this scarring simply creates nontender bumps in the ... Read More
A 47-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
More carpal tunnel: The most common cause of thumb numbess is carpal tunnel. And since you have it on your other hand it increases the chance of you having it on the rig... Read More
A 57-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Emergency room: The are symptoms concerning for a cardiac event. You need to be evaluated by a qualified health professional emergently.
A 41-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
A 32-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
As pain permits: Returning to light activities, such as piano, as soon as xrays demonstrate a healed fracture, is encouraged. Sometimes such activities can even be st... Read More
A 41-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Nothing special: The splints need to hold the wrist in a neutral position - that can be done with over the counter splints from the local pharmacy or specialized splin... Read More
A 21-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Nope...: That cracking sound is pulling the normal gases in our joint fluid out of solution. After being cracked it takes several minutes for the gas to go ba... Read More
A 38-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
A 24-year-old member 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. Treatment ranges from protected rom, to spli... Read More
A 27-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
FU as soon as possib: If you truly have a scaphoid fracture, the earlier treatment is started the quicker they heal -.
A 32-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Yes...: At 34 years old with osteoarthritis is uncommon. If you have been diagnosed with arthritis then it is more likely posttraumatic. Therapy in the form... Read More
A 40-year-old member asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Depends: Dupuytrens is a hereditary disease where the palmar fascia, which is just superficial to the flexor tendons, develops benign scarring. Sometimes th... Read More
A 68-year-old female asked:
Dr. Todd Guyette
Specializes in Hand Surgery
Tendon swelling: Trigger thjumb occurs when the digital flexor tendon begins to swell, from either trauma or overuse. As it swells it becomes stuck at the entrance of... Read More
A 36-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

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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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less