My 3rd visit for trigger finger. She was supportive of my decision to have surgery.

Kouns was terrific.

While feeling my thumb injury and telling her about my inability to move my wrist in certain directions she abruptly jerked my wrist in a way that caused significant pain. Enough so that I jumped and shouted. She said she did it intentionally and that it was the definitive test and that she's had patients jump out of the chair screaming before. It was wholly unprofessional and she seemed amused by it. After it was obvious I did not appreciate it she was very curt and dismissive with my questions and new pain.

Ms. Kouns seemed rushed to finish the visit, gave me instructions re: therapy that directly contradicted what the surgeon advised previously, applied steri-strips in a way that did not attempt to close the re-opened incision. Not the first time I've been unhappy with her - Will not schedule with her in the future -

Very caring. Very organized and took time to answer all my concerns.