# Interventional Orthopedics of Washington (IOW) > Interventional Orthopedics of Washington (IOW) is a physician-led regenerative and interventional orthopedics clinic in Bellevue, WA, led by Otoño Silva, M.D. IOW treats joint, spine, tendon, and nerve pain with image-guided, non-surgical regenerative procedures — including PRP (platelet-rich plasma), prolotherapy, and stellate ganglion block — as alternatives to surgery and long-term medication. ## Key facts - Name: Interventional Orthopedics of Washington (IOW) - Physician: Otoño Silva, M.D. — interventional & regenerative orthopedics - Address: 1515 116th Ave NE #202, Bellevue, WA 98004 - Phone: +1 (425) 326-1665 - Hours: Wednesday–Friday, 8:30 AM–5:00 PM (Pacific). New-patient/initial consultations are available Wednesday–Thursday only (not Fridays). - Website: https://iowmed.com - Serves: Bellevue, Seattle, and the greater Puget Sound / Eastside region ## What IOW does IOW specializes in image-guided (ultrasound/fluoroscopy) diagnosis and treatment of musculoskeletal and pain conditions using orthobiologic and regenerative approaches rather than surgery. Care emphasizes precise diagnosis, evidence-informed regenerative treatment, and rehabilitation. ## Core services - [PRP Therapy](https://iowmed.com/specialties/prp-therapy) - [Prolotherapy](https://iowmed.com/specialties/prolotherapy) - [Regenerative Medicine](https://iowmed.com/regenerative-medicine) - [Image-Guided Injections](https://iowmed.com/specialties/image-guided-injections) - [Stellate Ganglion Block](https://iowmed.com/specialties/stellate-ganglion-block) - [Precision Diagnostics](https://iowmed.com/specialties/precision-diagnostics) - [Hormone Optimization](https://iowmed.com/specialties/hormone-optimization) - [Weight Loss](https://iowmed.com/specialties/weight-loss) ## Key pages - [About / Dr. Otoño Silva](https://iowmed.com/about/dr-otono-silva) - [Specialties overview](https://iowmed.com/specialties) - [Areas we treat](https://iowmed.com/areas-we-treat) - [Contact](https://iowmed.com/about/contact-us) - [Book an appointment](https://iowmed.com/schedule) ## Popular resources - [Is PRP therapy safe?](https://iowmed.com/post/is-prp-therapy-safe) - [PRP vs prolotherapy for joint pain](https://iowmed.com/post/prp-vs-prolotherapy-for-joint-pain-relief) - [Knee osteoarthritis & regenerative medicine](https://iowmed.com/post/knee-osteoarthritis-regenerative-medicine) - [PRP rehab progression](https://iowmed.com/post/prp-rehab-progression) - [How to avoid stem cell scams](https://iowmed.com/post/avoid-stem-cell-scams)