About Us

Once you choose to work with us, ROI’s highly trained staff will start gathering information about your condition. Then together we will create a plan to get you started on the road to better health. It is our hope that we can help resume your overall sense of wellness and youthfulness, regardless of your age. The new ROI offers exceptional orthopedic care including state-of-the-art MRI, same-day surgery center, and physical therapy.

Our Services

Proliance Rainier Orthopedic Institute is pleased to provide patients with a full spectrum of orthopedic care. Our specialty trained Orthopedic Surgeons and dedicated staff have been helping families since 1989, and are ready to assist you in all of your operative & non-operative needs.

At ROI, all orthopedic services are combined under one roof for easy access, communication, and more personalized patient care. From diagnosis to treatment and recovery, our X-Ray, MRI, PT, and same-day Surgery Center offers state of the art technology. Together, we’ll develop a comprehensive plan to help restore your quality of life. Our goal is your optimum recovery and patient satisfaction.

Orthopedic Conditions

Hand and Upper Extremities

A complex system of joints, bones, ligaments, tendons, nerves, and blood vessels within the arms, wrist, and hand. Many conditions don’t require surgery, but in cases where procedures are necessary can be performed with local anesthetics.


Treatments include nonoperative recommendations, such as injections, medications, weight loss plans, and exercise. Surgical intervention, often joint replacement surgery, may be needed if these areas are sufficiently worn-out.

Orthopedic Trauma

The management of broken bones, often due to high-energy impacts such as a car accident or low-energy impacts with conditions like osteoporosis. Treatments include plates and screws or surgical intervention to heal the bone.

Surgery at Proliance Rainier Orthopedic Institute

The Surgery Center at Rainier is an out-patient surgery center where we identify patients who are good candidates for same-day surgery. With up-to-date technology, our doctors can complete your same-day surgery here and have you recover in the comfort of your own home.

Non-Surgical Procedures at Proliance Rainier Orthopedic Institute

Magnetic Resonance Imaging (MRI)

MRI, introduced in 1977, is a non-invasive imaging technique utilizing radio frequency and a powerful magnetic field to create detailed images of internal structures like soft tissue, bone, and blood flow.


Platelet-Rich Plasma (PRP) Injections

A blood plasma solution packed with platelet cells that accelerate tissue healing when injected into injuries. It reduces recovery time, avoids surgery, and effectively treats chronic injuries and arthritis.


Tenex Health TX®

Tenex Health TX® is a minimally invasive procedure developed with the Mayo Clinic. It uses ultrasound to locate damaged tissue and a specialized TX MicroTip to precisely remove it, without the need for open surgery.


Our Providers


Anthony B. VanBergeyk, MD

Hip and Knee Orthopedic Surgery, Foot and Ankle Orthopedic Surgery

Hip & Knee Replacement, Foot & Ankle
View Bio

Sravya P. Vajapey, MD

Orthopedic Surgery

Orthopedic Surgery - Adult Reconstruction
View Bio

Neal H. Shonnard, MD

Orthopedic Surgery, Spine Surgery, Hip and Knee Orthopedic Surgery

Knee, Shoulder, Spine, Total Joint
View Bio

John T. Steedman, MD

Hip and Knee Orthopedic Surgery, Shoulder Orthopedic Surgery

Hip, Knee, Shoulder, Total Joint Surgery
View Bio

Wendy L. Heusch, DO

Orthopedic Sports Medicine, Shoulder Orthopedic Surgery, Knee Orthopedic Surgery

Shoulder and Knee, Sports Medicine
View Bio

Eric G. Puttler, MD

Orthopedic Surgery, Hip and Knee Orthopedic Surgery, Orthopedic Trauma Surgery

Total Hip, Rotator Cuff, Hamstring
View Bio

Nathan L. Bowers, MD

Orthopedic Surgery, Shoulder and Elbow Orthopedic Surgery, Hand Surgery

Hand, Wrist, Elbow, Shoulder Replacement
View Bio

Megan L. Charboneau, MD

Physical Medicine and Rehabilitation, Orthopedic Sports Medicine

Shoulder, Elbow, Wrist, Knee, Ankle, Foot
View Bio

Physician Assistants

Jean Belista, PA-C

Physician Assistant

Orthopedic Surgery
View Bio

Bailey Boltz, PA-C

Physician Assistant

Orthopedic Surgery ​
View Bio

Helena Shonnard, PA-C

Physician Assistant

Orthopedic Surgery
View Bio

Kevin Do, PA-C

Physician Assistant

Orthopedic Surgery
View Bio

Audra Wilson, PA-C

Physician Assistant

Orthopedic Surgery
View Bio
Building and rooms were clean and tidy. Front desk ladies were friendly, and I so enjoyed seeing their smiling faces. You can tell they enjoy what they are doing. My doctor was very sweet too. Not much wait time before being seen, so I was very pleased with that.
– Patient Review

Our Locations

Patient Resources

Preparing for Your Surgery


As a patient awaiting surgery, there are critical details you should be aware of before your arrival. Please carefully read these instructions, along with the pre-operative and post-operative instructions below, to ensure a smooth experience. We eagerly anticipate serving you as a patient and trust that this information will address any questions or concerns you may have. Feel free to reach out to us with any additional inquiries.


We are unable to accommodate young children as guests in the surgery center. If your child is the patient and he/she is under 18 years of age, a parent or guardian must remain in the facility at all times. If you have a power of attorney or custodial responsibility you must bring appropriate documentation.


If you have been instructed to have laboratory tests, EKGs or X-rays, please have these done 7-14 days prior to surgery.

Pre-Operative Instructions


  • Do not eat or drink after midnight the night before surgery, unless instructed otherwise by the anesthesiologist. This includes refraining from gum, mints, hard candy or water.
  • Do not take medication unless instructed by the anesthesiologist or pre-op nurse.
  • Your anesthesiologist will call you the day or evening before surgery to answer questions and provide instructions.
  • Wear comfortable clothing.
  • Leave valuables and jewelry at home – including piercings.
  • Do not wear makeup.
  • If you have removable dental work (dentures, partials, etc.) or contact lenses, be prepared to remove them before surgery if requested by anesthesia.
  • You must have someone available to receive discharge instructions and drive you home. You will not be allowed to drive yourself home due to the medication given during surgery.
  • To ensure the privacy of all patients, we ask that you bring only one guest with you for support.
  • We will call you one business day before surgery to tell you the exact time you should arrive. We may adjust your arrival time in the case of a cancellation or if another surgery is running long.
  • Stop consumption of all forms of ASPIRIN, ADVIL, IBUPROFEN, ALEVE, FISH OIL, VITAMIN E or other over-the-counter blood-thinning medications 7-10 days prior to surgery.
  • Drink plenty of water the day before surgery to make IV placement easier.
  • Take a shower the morning of surgery.

Post-Operative Instructions


  • We will inform your escort of the approximate time that your surgery will conclude and when they will be needed to meet with the surgeon. They should be available by cell phone if they are not in the waiting room.
  • If your surgery is expected to take less than one hour to complete, we request that your escort stay in the waiting room. If your surgery is expected to take more than one hour to complete, your escort may leave the waiting room; however, we request they be available by cell phone and remain within 20 minutes of the facility.
  • Written instructions specific to your surgery will be provided to you and your escort prior to your discharge from the surgery center.
  • We recommend that someone stay with you for 24 hours after surgery to monitor your care.
  • Pain medication may cause constipation. You will need to drink plenty of water, eat foods high in fiber and possibly consider an over-the-counter stool softener while taking pain medication.

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