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Areas We Treat

Wrist and Hand

Wrist Conditions We Treat

Wrist Pain

Lunotriquetral Instability and Pain

Triangular Fibrocartilage (TFCC) Tear and Pain

Scapholunate Ligament Sprain and Tear

de Quervain’s Tenosynovitis

Extensor Carpi Ulnaris Tendinitis

Kienböck’s Disease (Avascular Necrosis of Lunate Bone)

Carpal Osteoarthritis

Flexor Carpi Radialis Tendinitis

Unstable Wrist

Carpal Instability

Carpal Tunnel Syndrome

Ganglion Cyst

Hand Conditions We Treat

Trigger Thumb

Dupuytren’s Contracture

Finger Joint Arthritis (MCP, PIP, DIP)

Trigger Finger

Boxer’s Knuckle

Finger Sprain

Unstable Finger Joint

Sesamoiditis of the Hand

Skier’s Thumb

Wrist Areas We Treat

Median Nerve Block (at the Wrist)

Ulnar Nerve Block (at the Wrist)

360 Degree Wrist Ligaments

Median/Ulnar/Radial Nerve Hydro-Dissection

Triangular Fibrocartilage (TFCC) Complex

RUC/DUC Ligaments

Radial Collateral Ligament

Intraosseous Carpal Bones

Hand Areas We Treat

Digital Nerve Block

Radial/Median/Ulnar Nerve Blocks

Intercarpal Joint Space

Digit Intra-Articular (Metacarpophalangeal Joint, Proximal Interphalangeal Joint, Distal Interphalangeal Joint)

Carpometacarpal Intra-Articular Joint

Carpometacarpal Capsular Ligaments

Digit Capsular Ligaments

Flexor Tendons (Trigger Finger)

Fascia Contracture

Extensor Pollicis Brevis and Abductor Pollicis Longus Tendons

Scapholunate Ligament

Hand & Wrist Treatment Types Offered

Image-Guided Prolotherapy

Image-Guided PRP injections

Intra-Articular Joint Injections

Nerve Blocks for Procedural Comfort

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

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Wrist Q&A

Why does my wrist or hand hurt?

To determine how to best treat your elbow 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 wrist 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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