Lower Back Pain

Lower back pain is the most commonly cited reason for missing work and affects about 80% of men and women in the United States. Otoño Silva, MD, a physician specialist at Interventional Orthopedics of Washington in Bellevue, Washington, believes in resolving the factors that cause your lower back pain instead of only masking its symptoms. If you’re ready to heal your pain, contact Interventional Orthopedics of Washington by phone or book online using the “Book Appointment” button.

Lower Back Pain Q & A

Why does my lower 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. Your doctor might also perform or order imaging studies.

Who’s at risk for lower 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 lower 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
  • Prolotherapy
  • Stem-cell therapy
  • Platelet-rich plasma (PRP) therapy

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.


Lumbar Radiculopathy
Low Back Pain (acute or chronic)
Degenerative Disc Disease
Annular Tear of Lumbar Disc
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)

Treatment Areas

Lumbar Facets and Capsules
Lumbar Intradiscal and Annular Injections
Lumbar Discogram
Lumbar Sympathetic Ganglion
Lumbar Interlaminar Epidural
Lumbar Transforaminal Epidural
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
Percutaneous Scolioplasty
Cluneal Nerve
Gluteal Muscle Attachments at Ilium
Gluteal Muscles
Multifidus Muscles
Treating Around Surgical Hardware
Sciatic Nerve Hydrodissection

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