Otoño Silva, MD -  - Physiatrist

Interventional Orthopedics of Washington

Otoño Silva, MD

Physiatrist specializing in Orthopedic Regenerative Medicine located in Bellevue, WA

You know that chronic stress can lead to disease and disability, but did you know that acute stress can sometimes help you heal? Otoño Silva, MD, an expert holistic practitioner, orthopedist, and founder of Interventional Orthopedics of Washington in Bellevue, Washington, uses a unique injectable treatment called prolotherapy that irritates soft-tissue and joint injuries to stimulate healing. If you have acute or chronic joint pain, back pain, or soft-tissue injuries and live or work in the Bellevue area, contact Interventional Orthopedics of Washington today to find out if prolotherapy is right for you.

Prolotherapy Q & A


What is prolotherapy?

Prolotherapy (also known as proliferative therapy) is an alternative treatment that’s been in use since at least the 1930s. Prolotherapy is one of the earliest forms of regenerative therapies and works by stimulating your body to heal itself. Your doctor administers prolotherapy by injecting your soft tissues with a solution made from one or more of the following ingredients:

  • Dextrose — a form of sugar
  • Saline — salt water
  • Lidocaine or procaine — anesthetics
  • Ozone

Dr. Silva uses ultrasound or x-ray guidance to direct prolotherapy precisely to injured tissues.

How does prolotherapy stimulate healing?

The prolotherapy solution acts as an irritating force when injected into injured tendons and ligaments. The irritation causes a mild inflammatory response that stimulates your body to repair the injury by producing new collagen proteins. The collagen rebuilds the injured tissue so that the tendon or ligament tightens and strengthens.

What conditions can prolotherapy treat?

Prolotherapy can be used to repair and regrow damaged tendons and ligaments and thereby stabilize joints. Prolotherapy can stimulate healing in any area of soft-tissue damage.

Dr. Silva can recommend prolotherapy to heal common injuries including, but not limited to:

  • A torn anterior cruciate ligament (ACL)
  • Degenerative disc disease
  • Osteoarthritis
  • Rotator cuff tears
  • Neck and back pain
  • An unstable ankle
  • Tennis elbow
  • Plantar fasciitis

You might need a series of 4-6 treatments to completely rebuild damaged tissues. Dr. Silva recommends leaving at least one month between each treatment.

How successful is prolotherapy?

When administered to treat low back pain, prolotherapy has demonstrated a higher success rate over. The success rate for prolotherapy might be even higher when healing more specific ligament and tendon injuries.

How can I tell if I’m a candidate for prolotherapy?

When you have a sprain, strain, or joint pain, Dr. Silva conducts a thorough physical exam to determine the source of your pain. He might need to make ultrasound or other imaging studies to determine if you’re a candidate for prolotherapy. Based on his findings, he designs a treatment that’s best for you.

To find out if you can heal your arthritis or soft-tissue and joint injuries with prolotherapy, contact Interventional Orthopedics of Washington today by phone or using the online request form.