Dr. Silva has opted out of all insurance networks, including Medicare. This allows him to personalize treatments based on what’s best for you, not what’s covered. We do, however, accept Personal Injury Protection (PIP) and third-party liens. We accept Visa, MasterCard, Discover, debit cards, checks, cash, HSA, and FSA for all services.

The initial orthopedic consultation with Dr. Silva is $500 for an in-office visit or telemedicine visit, which includes a thorough review of your medical records, a physical exam, and a diagnostic ultrasound of peripheral joints, if applicable.

Please note: The consultation fee does not include any treatment procedures.

Yes! We offer telemedicine consultations for patients who can’t visit in person right away. You’ll receive the same level of attention and care planning as an in-office visit. We’ll coordinate everything for your trip, including exams and treatment. An all-in-one visit if needed.

Dr. Silva doesn’t require X-rays, MRIs, or CT scans for your first consultation. If imaging is needed, he’ll order it. But if you already have recent scans, bring both the report and a CD copy to your appointment. This helps him assess your condition more accurately without unnecessary delays or duplicate tests.

During your first visit, Dr. Silva will take time to understand your condition, review your records, and discuss personalized treatment options. You’ll receive a full outline of recommendations, pricing, and pre- and post-procedure instructions so you know exactly what to expect.

PRP (Platelet-Rich Plasma) is a natural treatment made from your own blood, used to help heal injuries in joints, tendons, ligaments, and muscles. It’s carefully prepared and guided by ultrasound or X-ray for precise results. PRP is not stem cell therapy but can be just as powerful for the right condition.

PRP (Platelet-Rich Plasma) treatment pricing depends on your specific needs such as the condition being treated and how many areas require care. Our fees are often lower than expected, and we provide a clear cost breakdown after your consultation so there are no surprises.

Stem cell therapy at IOW uses bone marrow from your own body to support healing in joints, tendons, and ligaments. Dr. Silva places the cells precisely where they’re needed to improve mobility and reduce pain without surgery.

Stem cell therapy at IOW usually costs more than PRP due to the advanced process used to collect and prepare your cells. Dr. Silva provides a full cost breakdown based on your condition and treatment plan. Most patients find the price is lower than expected for the level of care they receive.

We use your own bone marrow cells. Some clinics offer donor products like amniotic or cord blood that contain no live stem cells. At IOW, Dr. Silva provides real stem cell procedures based on medical science, not marketing.

Prolotherapy is an injection treatment that helps the body repair loose or damaged tissue. It’s often used to strengthen joints and improve stability. Dr. Silva customizes the solution based on your condition and guides every injection with real-time imaging.

Regenerative medicine is a non-surgical way to treat pain by helping the body heal itself. We use treatments like PRP, prolotherapy, and stem cell therapy to repair tissue, restore movement, and reduce pain. Everything we do is based on real results and guided with advanced imaging.

Dr. Silva recommends a personalized plan before and after your procedure to improve results. This often includes rehab exercises, adjusting medications, and using braces if needed. Your full protocol will be discussed during your visit and designed to help you recover fully and avoid setbacks.