Explore advanced orthopedic, regenerative, and non-surgical treatment options designed to help patients reduce pain, restore movement, and make confident decisions about their care.
Dr. Otoño Silva, MD, is pleased to offer a wide range of precision diagnostic services, regenerative injection therapies, and alternative pain treatments utilizing his experience as a Board Certified Physiatrist with specialty training and certification in non-surgical orthopedic interventions.
Scroll down to view our specialties, conditions we treat, and services offered here at our private clinic in Bellevue, WA.
If you suffer from chronic pain in your joints or spine, or you’ve torn a ligament or tendon, advanced cellular medicine may be able to repair damaged joints and tissues while helping you to avoid pain pills, cortisone injections, and surgery.
Your blood contains platelets that have powerful growth factors that can be isolated, concentrated, and used as medicine to accelerate the healing of spine and joint conditions, injured tendons, ligaments, and muscles.
According to the National Institutes of Health, about one in three women and men in the United States experiences neck pain at least once a year.
If you have an occipital headache with your neck pain, and/or the feeling that your head is too heavy for your neck to support it, you may be experiencing CCI.
Low back pain is the most commonly cited reason for missing work and affects about 80% of men and women in the United States.
A herniated or bulging vertebral disc in your spine can contribute to pain and limit your mobility.
If you’ve been long suffering from a chronic pain or mental health condition with no relief from other traditional methods, Ketamine Therapy is an alternative option that may be right for you.
This treatment has been shown to help break the physical, psychological and chemical patterns that have contributed to diseases like PTSD, depression, and pain.
You know that chronic stress can lead to disease and disability, but did you know that acute stress can sometimes help you heal?
When diet and exercise alone don’t work, we make taking control of your weight easy and highly effective.
If your knee is stiff, swollen, or painful, you may be wondering what exactly is causing your pain, and what you can do about it.
Arthritis is a collection of more than 100 inflammatory and degenerative joint diseases that affect about 91 million women, men, and children in the United States alone.
If your knee is stiff and swollen, you may have a Baker’s Cyst inside your knee that needs to be “aspirated†or drained to relieve the pressure and pain.
If you’ve torn or injured the anterior cruciate ligament in your knee, your joint will likely be swollen and unstable and you will experience discomfort or pain in the knee.
Sprains, strains, and fractures of the ankle or foot can cause long-term pain and mobility issues, and leave you susceptible to reinjury if not addressed properly.
Hip pain can be associated with a variety of conditions such as osteoarthritis, bursitis, or labral injury.
When your shoulder hurts, you might not be able to move your arm or complete your daily tasks.
This uncomfortable and painful condition that can occur after a shoulder injury and is often treated with surgery, but now this condition can be successfully treated with a simple, non-surgical therapy.
Wrist or hand pain can come from a sprain or a fracture, or chronic conditions such as osteoarthritis.
Elbow pain can be associated with joint instability, tendinitis, or osteoarthritis.
At IOW, we treat musculoskeletal conditions from head to toe focusing on joints, tendons, ligaments, and spine-related pain. Common treatment areas include the knees, hips, shoulders, back, and neck.
We care for a wide range of orthopedic conditions including arthritis, tendon or ligament injuries, joint instability, spinal issues, and sports-related overuse injuries.
These procedures use ultrasound or fluoroscopy to guide treatment precisely to the affected tissue whether it's a joint, tendon, or nerve. This level of accuracy improves outcomes and protects surrounding structures.
Traditional orthopedics often focuses on replacing damaged tissue with surgery. At IOW, we focus on regenerating what's already there. We prioritize preservation over replacement. Surgery is a last resort, not a first option.
Yes. Many patients come to us looking for alternatives to joint replacement or spinal surgery. We frequently help patients avoid surgery by using advanced, non-surgical regenerative treatments.
As with any medical treatment, there are risks but our procedures are minimally invasive and performed with precision imaging. You'll receive a full explanation of potential risks, benefits, and expected outcomes during your consultation.
Medically reviewed by Dr. Otoño Silva, M.D.
Board Certified in Physical Medicine & Rehabilitation · Fellowship-Trained in Interventional Orthopedics, Centeno-Schultz Clinic
Last reviewed