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.
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.
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.
You know that chronic stress can lead to disease and disability, but did you know that acute stress can sometimes help you heal?
The first step you can take toward getting better is to obtain a precise diagnosis about your pain problem.
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.
A herniated or bulging vertebral disc in your spine can contribute to pain and limit your mobility.
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.
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.
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.
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 & Hand
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.
We connect you with the resources you need to achieve your overall goals for a healthier and pain-free life.
When diet and exercise alone don’t work, we make taking control of your weight easy and highly effective.