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Areas We Treat

Spine and Back

Low back pain is the most commonly cited reason for missing work and affects about 80% of men and women in the United States. Dr. Silva doesn’t believe in masking symptoms with pain medication or high-dose steroids. Instead, he rehabilitates injured tissues and nerves with lifestyle adjustments and, if needed, regenerative medicine procedures.

Spine and Back Conditions We Treat

Lumbar Radiculopathy

Annular Tear of Lumbar Disc

Adjacent Segment Disease

Sacroiliac Joint Pain

Ligamentum Flavum Thickening

Failed Back Syndrome (Post Laminectomy Syndrome)

Low Back Pain (acute or chronic)


Sacroiliac Joint Instability & Dysfunction

Post Surgical Pain

Multifidus Atrophy

Lumbar Spondylolysis (Pars Interarticularis)

Herniated Disc


Lumbar Spinal Stenosis


Tailbone Pain (Coccydynia)

Superior Cluneal Nerve Entrapment Syndrome

Bulging Disc

Degenerative Disc Disease

Lumbar Discitis

Lumbar Spine Instability

Lumbar Myofascial Pain Syndrome

Spine and Back Areas We Treat

Lumbar Facets and Capsules

Lumbar Discs

Lumbar Sympathetic Ganglion

Lumbar Supraspinous and Interspinous Ligaments

Ligamentum Flavum

Intertransverse Ligament

Lumbar Iliolumbar Ligaments

Sacroiliac Joint

Sacroiliac Joint Ligaments

Sacrotuberous And Sacrospinous Ligaments

Caudal Epidural

Coccyx Ligaments

Coccyx Joints

Cluneal Nerve

Gluteal Muscle Attachments at Ilium

Gluteal Muscles

Multifidus Muscles

Spine & Back Treatment Types Offered

Image-Guided Prolotherapy

Image-Guided PRP injections

Image-Guided Facet Injections

Sciatic Nerve Hydrodissection

Treating Around Surgical Hardware

Percutaneous Scolioplasty

Lumbar Interlaminar Epidural

Lumbar Transforaminal Epidural

Lumbar Intradiscal and Annular Injections

Lumbar Discogram

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

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Spine and Back Q&A

Why does my back hurt?

Lower back pain is usually situated in your lumbar spine and sacrum, which is responsible for helping you stand upright, walk, run, and move your trunk with ease. Injuries or conditions that affect any one of the numerous parts that compose or support your lumbar spine and can contribute to your lower back pain. Sources of back pain include but are not limited to:

- Arthritis

- Strains

- Degenerative vertebral discs

- Weak muscles

- Misaligned or malformed spine

- Inflammation

- Irritated nerves

- Instability

When you come to Interventional Orthopedics of Washington, Dr. Silva conducts a thorough physical exam and takes a complete medical history to determine the source of your back pain. He might also perform or order imaging studies.

Who’s at risk for spine or back pain?

You’re more at risk for developing lower back pain if you have a condition that puts stress on your lumbar spine or if you perform actions that could injure your spine or supportive structures.

Risk factors for lower back pain include:

- Trauma

- Being overweight

- Sitting for long periods of time

- Lifting heavy objects

- Performing manual labor

Back pain that’s not treated can develop into chronic back pain, which is pain that lasts for 12 weeks or longer.

How does an interventional orthopedist treat spine & back pain?

Dr. Silva doesn’t believe in masking symptoms with pain medication or high-dose steroids. Instead, he rehabilitates injured tissues and nerves with lifestyle adjustments and, if needed, regenerative medicine procedures.

Depending on your individual case, he can recommend:

- Dietary changes

- Strengthening exercises

- Physical therapy

- Massage

- Supplements

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 views the body as a sophisticated machine composed of many complex, interrelated parts. When treating your back pain, he considers how all of your systems interact to cause debilitation and devises a treatment based on your individual physiology. All treatments take place in the safety and comfort of the Interventional Orthopedics of Washington facility.

To leave your back pain in the past and regain comfort and mobility again, contact the team at Interventional Orthopedics of Washington by phone or by using our “Book Appointment” button to schedule online.

Ready to get better?

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1515 116th Ave NE, Suite 202,

Bellevue, WA 98004

Otoño Silva, MD

Fax: 425-326-1667



Tues – Fri 8:30am to 5pm


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