Spine & 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 & Back Pain 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.

Spine & Back Conditions We Treat

Lumbar Radiculopathy
Low Back Pain (acute or chronic)
Herniated Disc
Bulging Disc
Annular Tear of Lumbar Disc
Degenerative Disc Disease
Adjacent Segment Disease (Disc Degeneration Above and Below the Fusion)
Failed Back Syndrome (Post Laminectomy Syndrome)
Lumbar Spinal Stenosis
Lumbar Discitis
Sacroiliac Joint Pain
Sacroiliac Joint Instability and Dysfunction
Lumbar Spine Instability
Ligamentum Flavum Thickening
Lumbar Spondylolysis (Pars Interarticularis)
Superior Cluneal Nerve Entrapment Syndrome
Lumbar Myofascial Pain Syndrome
Multifidus Atrophy
Post Surgical Pain
Tailbone Pain (Coccydynia)


Spine & 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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