Non-Surgical Treatments

A Non-Surgical Path to Pain Relief

At Interventional Orthopedics of Washington (IOW), we know that many patients are searching for long-term relief from joint pain, injuries, or degenerative conditions without the risks and downtime of surgery or opioid medications. Whether you’ve been told surgery is your only option, or you're looking to avoid another cortisone injection, our non-surgical regenerative treatments are designed to help you heal naturally.

Our physicians, Dr. Otono Silva and Dr. Balaji Sridhar, specialize in evidence-based regenerative therapies that stimulate your body’s own healing response using precision image-guided techniques. Every treatment plan is personalized and performed with your safety, recovery, and long-term mobility in mind.

What is Regenerative Orthopedic Medicine?

Regenerative orthopedic treatments are designed to support tissue repair by using your own cells, like platelets or bone marrow-derived cells, to promote healing and reduce inflammation. We use advanced imaging tools, such as ultrasound or fluoroscopy, to ensure accurate, targeted delivery to the affected area. These treatments are ideal for patients with:

  • Chronic joint or spine pain

  • Sports or overuse injuries

  • Early to moderate arthritis

  • Tendon or ligament damage

And they’re especially valuable for anyone seeking to avoid surgery or reduce reliance on long-term medications.

Stem Cell Therapy

Stem cell therapy at IOW uses bone marrow concentrate collected from your own body. This concentrate contains reparative cells, called mesenchymal stem cells (MSCs), that can help restore damaged tissues and reduce inflammation. It’s a safe, powerful alternative to surgery for many orthopedic conditions.

Best for:

  • Knee or hip arthritis

  • Meniscus or labral tears

  • Tendon degeneration

  • Cartilage loss

Platelet-Rich Plasma (PRP) therapy involves drawing a small sample of your blood, processing it to isolate high concentrations of healing platelets, and then injecting it into injured or inflamed tissues. These platelets release growth factors that regulate inflammation and support tissue repair.

Best for:

  • Tendonitis

  • Mild arthritis

  • Muscle strains

  • Joint pain

PRP Therapy

Prolotherapy

Prolotherapy stimulates healing by injecting a dextrose-based solution into weak or injured ligaments and tendons. This encourages the body to initiate a repair response, helping stabilize joints and reduce chronic pain over time.

Best for:

  • Ligament laxity

  • Chronic sprains

  • Joint instability

Conditions We Treat with Regenerative Solutions

At IOW, our doctors provide non-surgical orthopedic care for a wide range of musculoskeletal conditions:

Head & Neck

  • Disc issues

  • Cervical facet pain

  • Neck instability

Spine & Back

  • Degenerative disc disease

  • Herniated discs

  • SI joint dysfunction

Hip & SI Joint

  • Labral tears

  • Hip arthritis

  • Piriformis syndrome

Knee & Leg

  • ACL tears

  • Meniscus tears

  • Osteoarthritis

Ankle & Foot

  • Plantar fasciitis

  • Ligament sprains

  • Ankle arthritis

Shoulder

  • Rotator cuff injuries

  • Labral tears

  • Shoulder arthritis

Elbow

  • Tennis Elbow

  • Golfer’s Elbow

wrist & Hand

  • TFCC Tears

  • Thumb CMC Arthritis

  • Chronic Wrist Pain

Why Patients Trust Our Team

At Interventional Orthopedics of Washington, our physicians are fellowship-trained experts in non-surgical orthopedic care. We’re proud to offer:

  • Personalized care plans tailored to your condition, goals, and lifestyle

  • Image-guided precision ensuring each injection is accurately delivered

  • Minimally invasive treatments with little downtime and no general anesthesia

  • Natural, opioid-free solutions focused on healing and not masking pain

And they’re especially valuable for anyone seeking to avoid surgery or reduce reliance on long-term medications.

Ready to Explore a Different Kind of Orthopedic Care?

If you’re living with joint pain, facing a surgical recommendation, or simply looking for a smarter, more holistic path forward. We’re here to help you feel stronger without surgery. Click "Schedule Now” to book your consultation with one of our doctors.

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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