Doctor examining patient's back pain with hands while patient holds lower back in discomfort

SCHEDULING MADE EASY

Choose your provider, pick your time, and book online. No back-and-forth needed.

To book an appointment with your preferred provider, please visit their profile on our website and book directly at the link found under their photo!

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Proliance Surgery Center at Valley

Named Best Ambulatory Surgery Center by U.S. News for 2025

Proliance Surgery Center at Valley has been named one of the 2025 Best Ambulatory Surgery Centers fororthopedic and spine care by U.S. News & World Report. Out of thousands of facilities reviewed nationwide, only aselect few earned this honor — Proliance Surgery Center at Valley among them.

a set of keys

POA: Named Top Orthopedic & Surgical Care Provider in WA!

We are excited to announce that we have been named one of the top orthopedic and surgical care providers in Washington by Castle Connolly for 2025!

a group of surgeons performing surgery


Proliance Surgery Center at Valley

Recognized as Top 20 ASC Performing Most Knee Replacements!

POA is among the top 20 ASCs that performed the most total knee replacement procedures in U.S. in 2022, click through to view the entire list!

Introducing Our Newest Occupational Medicine Physician Assistants

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Alma Gomez, PA-C

Alma Gomez, PA-C, joined Proliance Orthopedic Associates in 2025 and, with over 20 years of experience as a certified physician assistant, brings a depth of expertise in occupational health, emergency medicine, urgent care, and clinical trials to our team.

To book an appointment with Alma, click the link below!

Book An Appointment
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Patrick Czaplicki, PA-C

Patrick Czaplicki, PA-C, joined POA in 2025 and specializes in the field of occupational medicine, treating a wide range of workplace injuries, developing comprehensive treatment plans that promote efficient recovery and a safe return to optimal health.

To book an appointment with Patrick, click the link below!

Book An Appointment

UNMATCHED
SPECIALIZED
CARE

Find the care you need, when and where you need it, with the region's most comprehensive orthopedic care.

Doctor in suit explaining spine model to patient inside bright medical office with Proliance logo

Relief for Chronic Back Pain



At Proliance Orthopedic Associates, we’re proud to provide compassionate, patient-centered orthopedic care that helps you get back to doing what you love. In this video, Dr. Gregorio shares how our team combines advanced techniques, surgical precision, and personalized treatment to restore mobility and improve quality of life.
Doctor explaining spine model to female patient in a bright office with window blinds and greenery outside.

Overcoming Debilitating Neck Pain



When pain limits your movement, every step can feel uncertain. In this video, Alicia shares how the specialists at Proliance Orthopedic Associates helped her return to an active, fulfilling life through expert orthopedic care and genuine compassion.
Orthopedic doctor in scrubs consulting a seated patient in a modern clinic room with Proliance logo visible.

A Surgery Center with Care Built Around You



At our Ambulatory Surgery Center (ASC), advanced technology meets personalized care. Our board-certified surgeons and dedicated staff deliver world-class orthopedic procedures in a comfortable, patient-focused environment — helping you heal faster and return to the activities you love.

HELPFUL RESOURCES

PATIENT SUCCESS STORIES

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I came to see Dr. Shrivastava at Proliance Orthopedic Associates for a broken wrist.  My experience at Proliance Orthopedic Associates was a long process of being in and out of casts over five months.  I ended up damaging my broken wrist after...

- Mark

// Niket Shrivastava, M.D.

I want to tell how much I’ve waited for my hand back. To help people, like you do doctor, it means so much to me to use my hand as a helping hand for others. I’ve prayed for this all year. Doing everything one handed, has been challenging.I...

- Marlene – Patient/Friend

From the beginning to end, the staff associated with Dr. Shrivastava and he himself have put me at ease, spent the time needed to answer questions and made sure the surgery was successful.  He was patient and kind, answering any and all...

- Alice

// Niket Shrivastava, M.D.

Dear Dr. Arntz,I am writing this letter to thank you for your total shoulder replacement surgery you performed on Oct 25, 2012.Before the surgery I was in pain all the time. I had trouble sleeping at night and doing simple household chores was...

- Robert

// Craig T. Arntz, M.D.

Thanks to all of you at Proliance for making my trip to Katmai Alaska possible. The trip was very difficult physically and would have been impossible without the knee replacement.

- Bruce

From Healthgrades.com Over 20 years ago he did carpal tunnel surgery on both my hands; a few years later he ‘rebuilt’ my left thumb. So when I was having very painful right shoulder issues, I contacted Dr. Arntz!! He found I had an...

- A. Sharon

// Craig T. Arntz, M.D.

Below is a great testimonial video from our patient Donald! He said, “From the first day I walked in here I had zero pain. Not one thing that was done to me in the hospital caused me any pain.” We’re so glad that we could help Donald with...

- Donald

I had the pleasure of being a patient of Dr. Howe’s. Formerly in the Nursing/Surgical field 10+ years at Swedish and 10+ years in a Supervisory position, seeing the rapid change in healthcare, I was amazed by the kindness, compassion, and...

- Christine R.

// Chris R. Howe, M.D.

I came into Proliance Orthopedic Associates to see Dr. Shrivastava because I was unable to lift anything more than a couple of pounds without severe pain in my thumbs. Dr. Shrivastava was very caring and professional. He explained every option...

- Nancy

// Niket Shrivastava, M.D.

In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.