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Specialties

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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.

Cellular Therapy

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.

Platelet-Rich Plasma (PRP)

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.

Head & Neck

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.

Craniocervical Instability (CCI)

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.

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.

Herniated Disc

A herniated or bulging vertebral disc in your spine can contribute to pain and limit your mobility.

Ketamine Therapy

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.

Stellate Ganglion Block

This treatment has been shown to help break the physical, psychological and chemical patterns that have contributed to diseases like PTSD, depression, and pain.

Prolotherapy

You know that chronic stress can lead to disease and disability, but did you know that acute stress can sometimes help you heal?

Weight Loss

When diet and exercise alone don’t work, we make taking control of your weight easy and highly effective.

Knee

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.

Osteoarthritis

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.

Baker’s Cyst Aspiration

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.

ACL Tear

If you’ve torn or injured the anterior cruciate ligament (ACL) in your knee, your joint will likely be swollen and unstable and you will experience discomfort or pain in the knee.

Ankle & Foot

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 & Sacroiliac Joint (SIJ)

Hip pain can be associated with a variety of conditions such as osteoarthritis, bursitis, or labral injury.

Shoulder

When your shoulder hurts, you might not be able to move your arm or complete your daily tasks.

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Frozen Shoulder

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 & Hand

Wrist or hand pain can come from a sprain or a fracture, or chronic conditions such as osteoarthritis.

Elbow

Elbow pain can be associated with joint instability, tendinitis, or osteoarthritis.

Frequently Asked Questions

What areas of the body do you treat?

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.

What conditions can regenerative medicine help?

We care for a wide range of orthopedic conditions including arthritis, tendon or ligament injuries, joint instability, spinal issues, and sports-related overuse injuries.

What is image-guided injection?

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.

How is IOW's approach different from traditional orthopedic care?

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.

Do you provide second opinions for surgery?

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.

Are these procedures safe?

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.

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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