Advanced Regenerative Orthopedic Medicine & Functional Wellness

Precision Medicine

Services We Offer

Dr. Silva specializes in precision image-guided regenerative injection therapies such as Prolotherapy, PRP (Platelet Rich Plasma), and Cellular Therapy (using ultrasound and fluoroscopy) to address common musculoskeletal complaints such as chronic neck pain, back pain, joint pain, and sports injuries.

Precision Diagnostics

Alternative Pain Treatments

Regenerative Medicine


Dr. Otono Silva

Founder of Interventional Orthopedics of Washington, Otono Silva, MD, is board-certified in Physical Medicine and Rehabilitation and fellowship-trained in Interventional Orthopedics. He is a true believer in the power of the advanced non-surgical cellular medicine techniques he offers at his clinic, and he optimizes his own joint health following the same protocols he recommends to patients so that he may continue to participate in his favorite land and water activities in the PNW for many years to come.

Doctor & Patient Approved

What Our Patients Are Saying

“Dr. Silva spent over an hour with me, doing a full assessment, and explaining everything he found and what options might work for me. I truly appreciate the time he took to explain things and how he may be able to help me.”
Kathy E

“Dr. Silva is very personal and customizes your care. I grateful for his expertise that is rare to find in the specifications of my injury. I am on the road to recovery and already feel that I am stronger than before.”
Kyla M

“Dr Silva and his office associates were friendly and efficient. Dr. Silva was thorough and informative. He offered extended services same day to relief pain and forego another later appointment.”
Barb L

Our Blog

Latest News

Can’t Lose Weight? Try This!

Can’t Lose Weight? Try This!

If you’re one of the millions of Americans struggling with chronic joint or back pain, it’s likely that you’re also struggling with something else: shedding excess weight. According to the FDA, as...

New Treatment Option at IOW: Ketamine Therapy

New Treatment Option at IOW: Ketamine Therapy

The last two years have been difficult for so many between continuous social isolation, loss of routine activities, loss of loved ones, and diminished access to routine medical care. Because of...

Book Appointment