Overview: Understanding Spine & Back Pain

Lower back pain is one of the most common medical complaints in the U.S., affecting up to 80% of adults at some point in their lives. At Interventional Orthopedics of Washington (IOW), we approach spine and back pain differently by identifying and treating the root cause rather than just masking symptoms. Dr. Silva uses a holistic, biomechanical view of the spine, focusing on restoring function and healing tissues using regenerative medicine techniques when appropriate.

Common Spine & Back Conditions We Treat

Whether your pain stems from injury, wear-and-tear, or post-surgical complications, we treat a broad spectrum of conditions, including:

Arthritis

Lumbar Radiculopathy

Herniated or Bulging Disc

Sciatica

Degenerative Disc Disease

Sacroiliac Joint Dysfunction

Lumbar Spinal Stenosis

Scoliosis

Spondylolisthesis

Annular Tears

Multifidus Atrophy

Superior Cluneal Nerve Entrapment Syndrome

Lumbar Myofascial Pain Syndrome

Spine & Back Areas We Specialize In

Our doctors’ advanced diagnostic methods allow us to target treatment to very specific anatomical areas of the spine and surrounding structures, including:

  • Lumbar Discs and Facet Joints

  • Epidurals

  • Sacroiliac Joint and Ligaments

  • Interspinous and Supraspinous Ligaments

  • Ligamentum Flavum

  • Coccyx Joints and Ligaments

  • Cluneal Nerves

  • Gluteal Muscles and Attachments

  • Multifidus Muscles

  • Caudal Epidural Region

  • Scar Tissue and Post-Surgical

Advanced Diagnostic Evaluation

Getting the right diagnosis is the key to effective, lasting treatment. We combine:

  • Detailed patient history and physical exam

  • Review of any imaging results (X-ray, MRI, DMX, Ultrasound) or Ordering New Imaging

  • Functional movement assessment

  • Image-guided diagnostic injections to confirm pain sources

This comprehensive approach ensures we understand the full picture so we can create a customized treatment plan based on your unique needs.

Types of Regenerative Treatments We Offer

Our non-surgical regenerative treatments are guided by advanced imaging techniques for precision and effectiveness. Options include:

  • Image-Guided Prolotherapy - stimulates tissue repair through controlled inflammation

  • Platelet-Rich Plasma (PRP) Injections - uses your body’s growth factors to promote healing

  • Cellular Therapy - harnesses the regenerative power of your own cells

  • Facet Joint Injections

  • Sciatic Nerve Hydrodissection

  • Percutaneous Scolioplasty

  • Epidural Injections (Interlaminar and Transforaminal)

  • Intradiscal and Annular Injection

  • Treatment of Scar Tissue and Surgical Hardware

When Is Surgery Needed?

Surgery is often presented as the first or only option but at IOW, we consider it a last resort. Many patients with chronic back pain, degenerative disc disease, or even post-surgical pain can benefit from regenerative procedures that reduce inflammation, repair tissues, and restore function without undergoing the risks of surgery or long recovery times.

We’ll help you explore all evidence-based, non-surgical alternatives first only referring to surgery when it’s absolutely necessary.

Why Choose IOW for Spine & Back Pain Treatment?

  • Regenerative Expertise: Our doctors are leaders in image-guided orthobiologic interventions

  • Comprehensive, Whole-Body Approach: We evaluate how all systems in your body interact to identify and treat the root of your pain

  • Avoid Unnecessary Surgery: We specialize in restoring your body’s function through natural healing, not surgical shortcuts

  • Precision Diagnostics: Every treatment is guided by ultrasound or fluoroscopy for maximum accuracy

  • Trusted Care in a Comfortable Setting: All procedures are performed in-office for your safety and convenience

Ready to take control of your spine and back health? Book an appointment or call us today to start your journey toward lasting relief.

Can’t find your condition on the list?

You might be a candidate. Schedule your free discovery call and let’s explore your options.

Spine & Back FAQ

Why does my back hurt?

Back pain often starts in the lumbar spine or sacrum where wear-and-tear, muscle weakness, nerve irritation, or instability can cause discomfort. Common contributors include arthritis, degenerative discs, spinal misalignment, or inflamed joints.

Who is most at risk for lower back pain?

Anyone can experience back pain but you're more at risk if you’ve had trauma, sit for long periods, lift heavy loads, or carry extra weight. Left untreated, acute pain can turn into chronic, long-term dysfunction.

Is my back pain coming from the spine or somewhere else?

Back pain can originate from joints, discs, nerves, or even supporting muscles like the glutes and multifidus. Our advanced diagnostic approach, including ultrasound and functional assessments, helps pinpoint the exact source.

Can you help even if I’ve had spine surgery?

Yes. Many of our patients come to us with post-surgical pain, hardware complications, or scar tissue, and we offer targeted regenerative treatments to address these issues and support better recovery.

When should I see a spine specialist?

If your pain lasts longer than a few weeks, radiates to your legs, or disrupts your daily life, it’s time for expert evaluation. Early intervention can prevent the need for surgery down the road.

Interventional Orthopedics of Washington
Fax: (425) 326-1667

Clinic Hours

Open:

Tues – Fri 8:30am to 5pm

Closed:

Sat, Sun, Mon

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