Website
Call
Dr. Silva specializes in image-guided regenerative injection therapies such as Prolotherapy, PRP (Platelet Rich Plasma) and Bone Marrow Concentrate Cellular Therapy (using ultrasound and fluoroscopy) to address common musculoskeletal complaints such as chronic neck pain, back pain, joint pain, and hypermobility. Otono Silva, M.D., founder of Interventional Orthopedics of Washington, is board-certified in Physical Medicine and Rehabilitation and fellowship-trained in Interventional Orthopedics.

He is a true believer in the power of the advanced non-surgical cellular medicine techniques he offers at his clinic, and he optimizes his own joint health following the same protocols he recommends to patients so that he may continue to participate in his favorite land and water activities in the PNW for many years to come.
Services
Interventional pain, orthopedics, and sports medicine protocols and practices are commonly centered around therapies that treat symptoms, not the underlying cause of disease. Traditionally, pain is managed with the use of anti-inflammatory (NSAIDs), pain medications, repeat high-dose cortisone injections, nerve ablations, or invasive surgeries.
Are you a wellness provider such as a Primary Care Physician, Naturopathic Physician, Chiropractor, Occupational Therapist or Physical Therapist? Do you utilize natural, holistic or functional medicine methodologies in your practice? Do you have patients suffering from unresolved or chronic pain issues, or patients wondering if their best option truly is to manage chronic pain with medications or unwanted surgery?
Medical technology is constantly evolving, so it is essential that doctors use the most current peer-reviewed data to back clinical reasoning. There are many therapies available to patients, and doctors often have different perspectives and practice different protocols. We encourage our patients to do their own research, but sometimes it's hard to find a trustworthy source of accurate information.
Pull into the driveway at the "Bellegrove Professional Park" building and park at any of the free parking spots for our building. Our office is located on the second floor. Stairs and elevator access are both available. We've taken extreme measures to remain open during this time and keep everyone safe while seeking care at our office.
Reviews (10)
Lisa Russell
Lisa Russell
Nov 21, 2021
Report
I cannot praise Dr. Silva's knowledge and skill as a Dr. enough. To say he is a "miracle worker" is an understatment. I spent my younger years as an avid athlete and over a decade as a natural competitive body builder. Fast forward to middle age and the numerous accidents and sports injuries caught up to me and I have lived with chronic back pain and a shot knee for years now, with conventional dr.'s telling me back surgery and a knee replacement were my only options.
Friends who are also patients of Dr. Silva had referred me to him and strongly recommend I see him for stem cell treatment after
Mary Oliver
Mary Oliver
Sep 29, 2021
Report
I recommend anyone wanting a different approach to body wellness vs. surgery to consider Dr. Silva. He is attentive to the whole person beyond his expertise in the procedure he was using for my spine. He and his staff are very kind and attentive to patient needs.
Danny Florentin
Danny Florentin
Sep 21, 2021
Report
Both my wife Julie and I were patients of Dr. Silva. Julie was dealing with some lower back pain for close to a year. After seeing a Physical Therapist, she was referred to two doctors. One was an Orthopedic surgeon and the other was Dr. Silva. The recommendation from the orthopedic Dr was to fuse several of her lower vertebrae. This was a major surgery that would require a lot of downtime for her and a lengthy recovery period. After a consultation with Dr. Silva, PRP was recommended as the alternative to spinal fusion. Julie went with the PRP treatment back in July. Two months later, she is pretty
Bryce Riddell
Bryce Riddell
Aug 31, 2021
Report
Dr. Silva is very personable and explains every detail of the procedures he performs. He spends enough time with his patients to answer any of their questions. The staff is very professional and caring. I highly recommend this practice to anybody interested in alternative orthopedic medicine.
Sage Wheeler
Sage Wheeler
Aug 21, 2021
Report
I am also a local physician that offers regenerative injection therapies in the area. Dr. Silva is an amazing doc that I refer to for all things related to the spine, which is an area I do not treat. I also refer to him for second opinions when I have a complicated hip, knee, ankle, or shoulder case. I also brought my own mother to him after she had complications from a knee replacement. My mother said she "could feel his compassionate heart and how much he wanted to give me honest information, that would really help me". She is a great judge of character, so that is high praise. In her visit,
Suzanne Dills
Suzanne Dills
Aug 04, 2021
Report
Very professional nursing staff.Dr . Silva has really helped me avoid knee replacement. After my first visit with him he was able to explain why I have had trouble with my knees since my early 20s. I really appreciate his explanation. I had the PRP procedure and my knees are definitely better. Thank you Dr. Silva!
Jenn M. L.
Jenn M. L.
Aug 03, 2021
Report
I found Dr. Silva sort of on accident because I couldn't get in to see an orthopedic surgeon and his office was able to fast track me into a consultation for a suspected ACL tear. I did see a surgeon eventually, but I went with Dr. Silva's recommendation. Pros: I was able to get my knee and shoulder treated at the same time and both have improved considerably. (I also had a minor rotator cuff tear that had bothered me for a while.) With Covid and all, I really wanted to avoid hospital stays and surgical centers at all costs. This office has a nice feel, it's small, and procedures are done right
Shirley Sauvageau
Shirley Sauvageau
Jul 22, 2021
Report
I had PRP done in my ligaments and facet joints from CO to C6 for chronic neck pain and ended up with more pain. I regret that I had this done thru Dr Silva and hope no one has to experience the inflammation and increased pain that I now endure. The assistant in the office kept telling me how she was completely healed after the PRP in her neck. I paid a lot for nothing but more pain.
Jan Nowin
Jan Nowin
Jun 28, 2021
Report
I appreciate Dr. Silva's approach which was quite different than the many surgeons I have consulted with. He spent a lot of time with me at my first visit, was extremely thorough, and gave me a few different options to consider for treatment. I'm not at all ready to even consider a knee replacement, but that was the only option I was being given by the other doctors I saw aside from more PT and cortisone injections. Since my PRP treatment with Dr. Silva a few months ago my knee feels more stable and less painful, and I've been able to be a lot more active, which has also improved my overall health
Lynda Cherry
Lynda Cherry
Mar 26, 2021
Report
Dr. Silva has treated my low back, my neck and my shoulder for various issues, including years' long pain as a result of tears, arthritis and wear. I thought pain was something I just needed to "get used to," but found that the physical nature of my work was getting more difficult to perform. I thought I had seen every specialist, and "tried everything." Then, several different people referred me to Dr. Silva. Dr. Silva has literally changed my life! I feel he has "turned the clock back" and I am able to do things I have not done for years. The results have been amazing. Dr. Silva and his staff