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Areas We Treat

Ankle and Foot

From sprains and strains to fractures and tendon tears, injury of the ankle or foot can cause pain and can leave you more vulnerable to future re-injury if not addressed properly.

Ankle Conditions We Treat

Arthritis of the Ankle

Ankle Sprain

Anterior Tarsal Tunnel Syndrome

Posterior Tibial Tendonitis

Kager’s Fat Pad Inflammation and Effusion

Tibiotalar Osteoarthritis

Ankle Instability

Posterior Tarsal Tunnel Syndrome

Achilles Bursitis

Talonavicular Osteoarthritis

Ankle Effusion

Achilles Tendinitis

Post Surgical Pain

Bone Marrow Edema of Ankle

Deltoid Ligament Sprain

Achilles Tendon Tear and Tendinopathy

Accessory Navicular Pain Syndrome

Foot Conditions We Treat

Arthritis of the Toes

Plantar Plate Tear


Bunion Pain (First Metatarsophalangeal Pain and Osteoarthritis)

Morton’s Neuroma

Calcaneal Spur Pain

Submetatarsal Adventitial Bursitis

Anterior Talofibular Ligament Tear / Sprain

Interdigital Bursitis

Hammer Toe

Flat Foot (Pes Planus)

Plantar Fasciitis


Fat Pad Atrophy of the Foot

Ankle Areas We Treat

Deep Peroneal Nerve

Ankle Joint Injections: Talonavicular, Tibiotalar, Talocalcaneal (Subtalar)

Lateral Ankle Ligaments: Anterior Talofibular, Calcaneofibular, Posterior Talofibular, Anterior Tibiofibular Talar Joint

Peroneal Longus And Brevis Tendons

Anterior and Posterior Tibialis Tendons

Achilles Tendon

Tibial Nerve

Deltoid Ligament

Spring Ligament

Foot Areas We Treat

Bursa Injection

Metatarsophalangeal Joints

Plantar Fascia

Foot Ligaments: Tarsometatarsal, Calcaneocuboid, Calcaneonavicular, Talocalcaneal, Cuneocuboid, Metatarsal Interosseous

Flexor Hallucis Longus Tendon

Flexor Digitorum Longus Tendon

Plantar Digital Nerves and Neuroma

Dorsal Capsular Ligaments of Metatarsophalangeal Joints

Extensor Hallucis Longus

Extensor Digitorum Longus

Plantar Capsular Ligaments

Plantar Plate with Plantar Plate Collateral Ligaments

Sesamoid Joint and Tendon

Ankle & Foot Treatment Types Offered

Image-Guided Prolotherapy

Image-Guided PRP injections

Image-Guided Bone Marrow Concentrate (BMC) Cellular Therapy injections

Bursa Injection

Kager Fat Pad Aspiration and Hydrodissection From Achilles

Intraosseous (in-the-bone) Injection Of Talus, Calcaneus, Tibia, Fibula

*This is not a complete list. Please contact our office if you don’t see what you’re looking for.

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Ankle and Foot Q&A

Why does my ankle or foot hurt?

To determine how to best treat your ankle or foot pain, Dr. Silva conducts a physical evaluation, discusses your lifestyle habits, reviews any prior imaging studies, and may perform a diagnostic ultrasound evaluation.

What options do I have for treating my ankle or foot pain?

Dr. Silva’s goal is to resolve the underlying cause of your joint dysfunction to provide long term outcomes. He may recommend lifestyle changes, dietary changes and supplements, physical therapy, joint bracing, and other types of beneficial interventions to help reduce your symptoms. If you don’t respond to lifestyle adjustments or your pain or disability are severe, he can also recommend groundbreaking regenerative treatments such as:

- Prolotherapy: injections that irritate injured tissues to stimulate healing

- Platelet-rich plasma (PRP): injectable serum with a high concentration of platelets, which contain growth-factors that repair tissues

- Cellular Therapy: your own cells injected into damaged tissue and bone to stimulate a healing response and regrowth

Dr. Silva uses ultrasound and x-ray guidance when administering injectable therapies to ensure that the healing agents are delivered precisely to the area of injury.

Get to the root cause of your ankle or foot pain and heal your painful joints from the inside out. Contact Dr. Silva today by calling the Interventional Orthopedics of Washington office or using the “Book Appointment” button.

Ready to get better?

Book Your Consultation Now

1515 116th Ave NE, Suite 202,

Bellevue, WA 98004

Otoño Silva, MD

Fax: 425-326-1667



Tues – Fri 8:30am to 5pm


Sat, Sun, Mon

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