Centeno-Schultz Clinic - Podcasts: Recent Episodes
Centeno-Schultz Clinic Staff
Doctors at Centeno-Schultz Clinic share insights on health, orthopedics, exercise, orthobiologics (stem cell therapy and PRP), and much more.Learn more at https://centenoschultz.com/stem-cell-therapy-denver/ Centeno-Schultz ClinicAddress: 403 Summit Blvd #201, Broomfield, CO 80021 Phone: 303-429-6448
An interview with a neuropsychologist on how to tell if it's CCI or concussion.
https://youtube.com/live/4rpS70G3f3A
Dr. Centeno reviews outcomes, results, and insights from the "As Seen" ePICL case series in treating craniocervical instability. He explores things like whether hEDS makes a difference in CCI outcomes, being bed bound, having certain symptoms, etc...
https://youtube.com/live/Ym-Vu3bUqBE
Dr. Centeno discusses the data behind a PICL and ePICL procedure flare-up, what to expect, and how best to reduce or mitigate flare-ups in CCI patients undergoing this procedure.
https://youtube.com/live/LzBVkaoQ3Ws
Dr. Centeno discusses the top 10 things you must know about stem cells if you have CCI or craniocervical instability and are considering stem cell treatment.
https://youtube.com/live/xYzbFyFMjrw
Dr. Centeno discusses urinary urgency and frequency in CCI patients. What causes it? How do you fix it? Is it always an occult tethered cord or something else?
https://youtube.com/live/XuzDTOFONjE
Join Dr. John Pitts and upper cervical chiropractor Dr. Alison Bremner as they discuss the connection between vertigo and the upper neck. Learn how neck injuries, concussions, and instability can contribute to dizziness, brain fog, and headaches, how these symptoms differ from inner ear disorders, and why a collaborative approach to diagnosis and treatment can help patients find answers when other evaluations come back normal.
Learn more about CSC & Dr. Pitts:
www.centenoschultz.com
Learn more about Dr. Bremner:
www.alisonbremner.com
Full video available at: https://youtu.be/dOL4I043RL4
Dr. Centeno reviews the top things he uses to tell CCI or craniocervical instability from CSF leaks, Eagle syndrome, Chiari, or other diagnoses. This list will help patients reach the correct diagnosis more quickly.
https://youtube.com/live/fXOj1xkLGw0
Dr. Centeno answers questions on CCI, PICL, posterior injections, and regenerative medicine.
https://youtube.com/live/T8DUvpXf3m8
Dr. Centeno interviews Dr. Linda Bluestein on hEDS and CCI. She has an EDS-specific practice and sees many patients with CCI due to hypermobility.
https://youtube.com/live/ZGS7Qz-rlcA
Since craniocervical instability is generally determined by measurements on imaging, which measurements can tell if you have CCI? Which don't matter? What types of imaging do you need to get to determine if you have CC?
https://youtube.com/live/clnYrcbHk-4
Dr. Centeno introduces a way to make the ePICL procedure more accessible and answers questions about CCI, ePICL, and regen med.
https://youtube.com/live/rWzRFFHQIMg
Dr. Centeno discusses the updated research on PICL outcomes and variables that may impact results for craniocervical instability patients.
https://youtube.com/live/DJ8Sn9-LWuM
Dr. Centeno delves into Spiky-Leaky Syndrome and its relationship to CCI, CSF leaks, hEDS, and mast cell disorders.
https://youtube.com/live/PHdiEVh_HeI
Dr. Centeno reviews which CCI patients are more likely to need surgery. The presentation discusses the indications for elective surgical fusion in patients with craniocervical instability (CCI), excluding cases with fractures or severe instability. Most CCI patients do not require surgery, but those with high atlantodental intervals (ADI), significantly reduced clivo-axial angles (CXA), static brainstem compression, severe Chiari malformations (greater than type I), congenital cervical abnormalities, inability to tolerate ePICL procedures, or failure of legitimate ePICL treatments with persistent severe symptoms may be candidates. For those needing surgery, it is advised to select surgeons who routinely perform upper cervical fusions, as only about five surgeons worldwide manage approximately 80% of such elective cases.
https://youtube.com/live/FwU08fXEji4
Dr. Centeno reviews how the location of your neck and shoulder pain can predict which bulging disc is causing symptoms.
https://youtube.com/live/2FZoTbmKPzQ
Dr. Centeno discusses craniocervical instability and the PICL procedure with John Schultz, M.D.
https://youtube.com/live/AC5gg56V7sc
Dr. Centeno discusses how seven deep internal nerves, such as the vagus, hypoglossal, C1, and C2 nerves, among others. These create all sorts of symptoms like headaches, tachycardia, vision issues, etc...
https://youtube.com/live/YX8rMT64ppU
Dr. Centeno reviews these rotational imaging methods and discusses their pros and cons in diagnosing craniocervical instability or CCI.
https://youtube.com/live/yxL8TYCyXoE
Dr. Centeno interviews Dr. Henderson, a CCI surgeon in Maryland who has published several papers on CCI surgery.
https://youtube.com/live/cLCGMOp9kyQ
Dr. centeno interviews Dr. Rosa on Chiari, CCI, and CSF flow imaging as well as upright MRI.
Full Video: https://youtube.com/live/g9GtVx2JDl0
Dr. Centeno reviews one month of PICL repeat patients coming back into the clinic for repeat care. This is a detailed overview of every PICL patients seen, so it gives prospective patients a transparent look into the outcomes of CCI or craniocervical instability patients getting the PICL procedure.
Dr. Centeno discusses what can be seen on a routine cervical MRI and whether CCI can be diagnosed. He reviews craniocervical instability findings that can be seen on routine neck MRI.
https://youtube.com/live/6OTm6iGKSSk
Dr. Centeno reviews what we know about Chiari and symptoms. The research suggest something much more interesting about Chiari and symptom generation. What actually causes symptoms may surprise you.
Dr. Centeno delves into what generates symptoms in CCI patients.
https://youtube.com/live/-IMI-Hdfe-o
Dr. Centeno goes over the major causes of headaches that originate in the neck and dives into how you can self-diagnose the top three. Each of these structures that cause these headaches can be easily treated through injection, but all too often, medications get thrown at the problem.
https://youtube.com/live/QyDyYFCaX9Q
In this CCI Deep Dive episode, Dr. Centeno focuses on Step 3 of CCI rehab: gaining true muscular stability. Learn why deep stabilizing muscles must be retrained before strength is added, how improper loading reinforces compensation and flares, and how precise, low-load activation restores control so the neck can finally support itself safely.
Dr. Centeno discusses interventional neurobiologics and why injections can help nerves.
https://youtube.com/live/-zsd8SwpbjM
In this CCI Deep Dive episode, Dr. Centeno outlines a clear, step-by-step framework for rehabbing craniocervical instability. Learn how to progress safely across six key areas—ligaments, muscles, symptoms, proprioception, spinal curve, and core strength—using a low-load, patient-guided approach. This episode explains when conservative rehab is enough, when interventions act as a bridge, and why the process itself is often the most critical part of recovery.
In this CCI Deep Dive episode, Dr. Centeno explains the first and most critical step of craniocervical instability rehab: “threading the needle.” Learn how to progress safely without triggering debilitating flares, how to distinguish adaptive discomfort from dangerous setbacks, and when rehab alone isn’t enough without restoring structural stability first.
Dr. Centeno discusses the functions of the stellate ganglion and the vagus nerve in controlling the fight or flight/chill and repair responses in the human body. Treatment for these nerves is also discussed.
Full Video: https://youtube.com/live/rX-RIBIEK78
In this CCI Deep Dive episode, Dr. Centeno walks listeners through how to read and understand a Digital Motion X-ray (DMX) report. Learn which findings actually matter, why tiny measurements can signal major instability, and how dynamic imaging reveals ligament failures that standard scans often miss. A practical guide to making sense of DMX results in the context of chronic neck and neurological symptoms.
In this CCI Deep Dive episode, Dr. Centeno explores why many chronic “migraines” may actually be coming from the neck. Learn how cervical headaches differ from true migraines, why migraine medications often fail, and how upper cervical dysfunction or craniocervical instability can refer pain to the head and face. A clear guide to recognizing when head pain is structural—not neurological.
Dr. Centeno interviews Dr, Markle about a new treatment called IGNIte for trigeminal neuralgia.
Full Video: https://youtube.com/live/yHIImJK5zn0
In this CCI Deep Dive episode, Dr. Centeno explores why many chronic “migraines” may actually be coming from the neck. Learn how cervical headaches differ from true migraines, why migraine medications often fail, and how upper cervical dysfunction or craniocervical instability can refer pain to the head and face. A clear guide to recognizing when head pain is structural—not neurological.
In this CCI Deep Dive episode, Dr. Centeno explains why the sensation of heavy arms may have nothing to do with the arms themselves. When common neurological and nerve compression causes are ruled out, upper cervical instability can force shoulder and arm muscles into constant stabilization, creating profound fatigue and heaviness. Learn how craniocervical instability alters normal mechanics—and why treating the neck, not the arms, is often the key.
Dr. Centeno discusses using platelet growth factors to help vagus nerve function in CCI patients and others.
Full Video: https://youtube.com/live/FKGucjZA5zo
In this CCI Deep Dive episode, Dr. Centeno explains why the “heavy head” or bobblehead sensation is a meaningful clinical signal—not just fatigue. Learn how muscle atrophy, ligament laxity, and modern posture overload the upper neck, why standard imaging often misses the cause, and how the right diagnosis guides effective treatment.
In this CCI Deep Dive episode, Dr. Centeno explains how specific symptoms point to specific types of craniocervical instability. Learn why looking up, looking down, or persistent dizziness each signal different structural failures—and how precise symptom reporting guides targeted, effective treatment instead of one-size-fits-all care.
In this CCI Deep Dive episode, Dr. Centeno unpacks the evolution of the groundbreaking ePICL procedure—an enhanced, next-generation treatment for craniocervical instability. Listeners will learn how years of technical refinement, dual-imaging systems, and advanced targeting have led to unprecedented precision in stabilizing the upper neck. Discover why this innovation is reshaping anatomy understanding and why it’s currently performed exclusively at the Centeno-Schultz Clinic.
Dr. Centeno dives deep into whether you can use decreased flow in the IJV with head turn to diagnose symptomatic CCI due to compression of the internal jugular vein. He reviews the data and concludes that this information isn't helpful in figuring out which CCI patients have intracranial hypertension caused by craniocervical instability.
Dr. Centeno breaks down why some patients experience significant flare-ups after the PICL procedure while others recover smoothly. This CCI Deep Dive episode explores the top five biological factors—central sensitization, inflammation, medication use, functional level, and cannabis—that shape recovery outcomes. Learn how understanding these drivers can help patients prepare, manage expectations, and improve healing after regenerative treatment.
This episode of the CCI Deep Dive Podcast examines one of the most aggressively marketed—and most misunderstood—areas in regenerative medicine: umbilical cord, amniotic, and placental “stem cell” products. Drawing from published scientific investigations, the discussion breaks down why many of these birth-derived products do not contain functional living stem cells despite bold clinical claims. The episode walks listeners through the hard data, the extremely low viability rates (35–75%), and the destructive multi-step supply chain that degrades these cells long before they reach a syringe. It also contrasts these products with high-viability autologous options such as bone marrow concentrate and adipose tissue, explaining when and why each is appropriate. The result is a blunt, evidence-driven guide that helps patients and providers separate science from marketing and understand what real regenerative therapy requires.
Dr. Centeno discusses how the presence of a retroflexed dens on an MRI doesn't mean that it's causing symptoms. He reviews research on this topic and discusses how a retroflexed dens plus CCI or craniocervical instability can cause symptoms.
https://youtube.com/live/8j2qbOAaDdE
This episode of the CCI Deep Dive Podcast breaks down one of the most misunderstood topics in regenerative medicine: why platelet-rich plasma (PRP) works brilliantly for some patients and fails for others. Dr. Centeno and the team dissect the three major determinants of PRP success—blood draw volume, kit efficiency, and the patient-specific concentration required to trigger healing. They expose how common low-dose systems, poor technique, and unreported platelet concentrations in clinical trials have led to widespread confusion about PRP’s true effectiveness. This deep dive clarifies the science, the math, and the clinical realities behind producing genuinely high-dose PRP, and gives listeners the exact questions they should be asking any provider before undergoing treatment.
In this CCI Deep Dive episode, Dr. Centeno explains the critical questions patients should ask before getting any neck injections. The discussion breaks down the five skill and technology levels of cervical spine injection providers—from outdated blind techniques to advanced, image-guided, upper-cervical procedures. Learn how to evaluate safety, precision, and provider expertise to ensure your treatment matches the complexity of your condition and minimizes risk.
In this CCI Deep Dive episode, Dr. Centeno examines how craniocervical instability (CCI) in the upper neck can disrupt one of the body’s most vital communication pathways—the vagus nerve—and trigger widespread problems like gastroparesis, dysautonomia, and POTS. Learn how small structural shifts at C1–C2 can interfere with digestion, heart rate, and immune regulation, and why restoring neck stability may hold the key to improving vagus nerve function and overall health.
Dr. Centeno has a conversation with the IPA physical therapy founders about PT for CCI or craniocervical instability.
https://youtube.com/live/JghO6NHuUJE
In this CCI Deep Dive episode, Dr. Centeno explores the surprising connection between the neck and jaw—how craniocervical instability (CCI) can trigger or worsen temporomandibular joint (TMJ) problems. Learn how weak deep neck stabilizers force chewing muscles to overcompensate, leading to jaw pain, clicking, and degeneration. The discussion unpacks why treating TMJ alone often fails and how restoring neck stability can be key to lasting relief.
Dr. Centeno reviews whether craniocervical instability or CCI can cause ear symptoms.
https://youtube.com/live/6h5ZwW7-s_o
In this episode of CCI Deep Dive, Dr. Centeno unpacks the anatomy and meaning of a retroflexed dens—a common but often misunderstood MRI finding at the top of the neck. Learn why this structural variation is usually harmless, how it can become problematic when paired with craniocervical instability, and how advanced nonsurgical treatments like the PICL and ePIC procedures use your body’s own cells to restore stability. A clear, practical breakdown for anyone navigating complex CCI reports or treatment options.
Dr. Centeno reviews why social media posts touting "upper cervical injections" can be dangerous and how to avoid that danger.
https://youtube.com/live/i-a1djjgBHA
There was a problem with the slides not advancing, so here's another version of this talk: https://youtu.be/pOMQmdkdUDk
Still struggling with “post-concussion” symptoms that never seem to go away? In this CCI Deep Dive episode from the Centeno-Schultz Clinic, Dr. Centeno breaks down five simple ways to tell if your lingering headaches, dizziness, and brain fog are really coming from your neck—not your brain. Learn how motion, traction, palpation, treatment response, and imaging can reveal upper-neck instability as the hidden cause behind concussion-like symptoms. Tune in for practical, doctor-backed insights you can use to get closer to real answers and recovery.
Dr. Centeno dives into why Chiari malformation symptoms aren’t just about brain structure. This episode reveals how craniocervical instability (CCI) and tiny muscle or nerve issues often drive symptoms—and why surgery isn’t always the answer. Learn how regenerative treatments like the PICL procedure can restore stability and help patients heal without invasive intervention.
Dr. Centeno interviews Todd Ball on using postural-based rehab to recover from craniocervical instability (CCI).
https://youtube.com/live/31Vkj1S0kUI
Dr. Centeno reviews the CXA measurement and the fact that it's a dynamic concept and what numbers are concerning, and which CXAs are probably not important.
https://youtube.com/live/Hr4UoHDBfgk
Dr. Centeno discusses ways to tell if you have Eagle syndrome or craniocervical instability.
https://youtube.com/live/0dGpUUKy1iI
Dr. Centeno discusses how headache patients can tell if they have a migraine or craniocervical instability (CCI)?
https://youtube.com/live/VkBM-rqxWoQ
Dr. Centeno discusses rehab and recovery from CCI or craniocervical instability. He reviews how this should be done for every level of functional disability.
Join CCI Communities:
PICL SubReddit: https://www.reddit.com/r/PICL/?rdt=58942
PICL Facebook Group: https://www.facebook.com/groups/ccjpicl/
Full Video: https://youtube.com/live/jql1i1E5dhU
Dr. Centeno reviews the differences between a CSF leak and CCI or craniocervical instability and provides simple tests to determine which diagnostic category makes the most sense for you.
Full Video: https://youtube.com/live/xhf10PDGkmM
Dr. Centeno discusses what we know about the effect of fluoroquinolone or "quinolone" antibiotics on ligaments.
https://youtube.com/live/DfALpFIplYQ
Dr. Centeno reviews five things you can do at home to self-manage carniocervical instability or CCI symptoms.
Helpful Links:
CCI Exercises: https://centenoschultz.com/cci-exercises/
AO Chiropractors: https://atlasorthogonality.com/doctors-directory/
NUCCA: https://nucca.org/directory/
https://youtube.com/live/vdfCtVix_mw
Dr. Centeno discusses the crossover between concussion and upper neck symptoms.
https://youtube.com/live/4UdlQ_pGquI
Dr. Centeno discusses patient testimonials for the PICL procedure used to treat craniocervical instability (CCI) patients.
https://youtube.com/live/p2K-bVZzvok
Dr. Centeno discusses the equipment, experience, and knowledge needed to perform a safe ePICL and C0-C1 facet procedure.
https://youtube.com/live/JJ4V7TR-NFU
Dr. Centeno discusses styloidectomy, C1 shaving (decompression), and Chiari surgery and why each procedure removes critical parts that stabilize the head on the neck.
https://youtube.com/live/I_YhZJsi-bg
Dr. Centeno discusses why a thorough hands-on exam is needed to define the areas requiring treatment in a CCI patient.
https://youtube.com/live/6CDHPUYC_JY
An Interview with an Upper Cervical Chiropractic Expert: Julie Hunt
Dr. Centeno interviews Julie Hunt, D.C., a second-generation upper cervical chiropractor, about the different types of upper cervical chiropractic and how they can interface with craniocervical instability (CCI).
https://youtube.com/live/-eMyAuKDCWI
Dr. Centeno reviews an online quiz to help patients determine if they may have symptomatic craniocervical instability (CCI).
https://youtube.com/live/ikJ7YAXgB70
Dr. Centeno reviews his imaging criteria to determine if a patient has craniocervical instability or CCI.
https://youtube.com/live/JdUj52RbKBc
Dr. Centeno reviews what we know and don't know about whether hyperbaric oxygen therapy can help stem cell or platelet-rich plasma treatments. The topic of HBOT and ligament healing is also discussed.
https://youtube.com/live/ySTrPgz7zh0
Dr. Centeno discusses if removing the styloid process or styloidectomy has a positive or negative impact on craniocervical instability or CCI.
https://youtube.com/live/3CxqLaibG1U
Dr. Centeno discusses that the PICL procedure, like any medical procedure, requires a final "go-no go" decision in the office. A discussion of the medical factors that could cause a PICL procedure to get canceled are reviewed.
Full Video: https://youtube.com/live/QwkMI58XXG4
What is the Cervical Pelvis? - with Dr. Centeno, CMO of Regenexx
Full Video: https://youtube.com/live/pYsggS2Vlj0
Dr. Centeno discusses what typical CCI symptoms look like versus atypical symptoms.
Full Video: https://youtube.com/live/Xbb3k0C-gy4
Dr. Centeno discusses Botox and CCI or craniocervical instability. What effect can Botox have on CCI? Does it usually help or hurt?
https://youtube.com/live/pgcZdZH10JM
Dr. Centeno reviews the things that he wants you to review right before the PICL procedure when the patient is in the office.
https://youtube.com/live/dj8xumgINLg
Dr. Centeno discuss the two medical specialty treatment tracks headache patients get on and how being on the wrong track can cause misdiagnosis. The most common problem is that headaches coming from the neck or what's called "cervicogenic headache" is not identified.
https://youtube.com/live/Q9lWjK1goP0
Dr. Centeno interviews a German PICL patient who has craniocervical instability.
https://youtube.com/live/v6TwgacVNy8
Dr. Centeno interviews Dr. Rosa on the use of upright MRI in diagnosing craniocervical instability and the causes of ME.
https://youtube.com/live/cThLWLPkEBk
Dr. Centeno explores the practical challenges of offering the PICL procedure.
https://youtube.com/live/pWVQRTBYjZM
Dr. Centeno reviews the concept of vestibular migraine and what usually causes the problems in patients who get this troubling diagnosis.
https://youtube.com/live/NpuKBZmAAn0
The Top 5 Things You Can Do at Home to Help Diagnose CCI - Dr. Centeno discusses simple things you can do at home to help determine if your symptoms are being caused by CCI.
https://youtube.com/live/DbhiOlvpgbY
Dr. Centeno discusses whether tight SCM and scalene muscles can cause vagus nerve syndromes in CCI patients.
https://youtube.com/live/zjQ3B83Ti1s
Dr. Centeno helps CCI patients understand why conceptualizing their problems like a surgeon isn't always a good idea.
Full Video Available at:
Dr. Centeno discusses DMX findings in the context of normal or abnormal and what is just wear and tear.
Full video available at: https://youtube.com/live/jK7aKyEKtRc
Dr. Centeno discusses why taking oral steroid pills may harm the efficacy of your PICL procedure.
Full video available at: https://youtube.com/live/CM0UPbBUPMg
Dr. Centeno discusses the occipital nerves, CCI, and a procedure that can treat these structures.
Full Video available at: https://youtube.com/live/IBYXS8MLGd0
Dr. Centeno reviews how #kyphoscoliosis can produce CCI-like symptoms even without CCI being present.
Full Video Available at: https://youtube.com/live/ppq-rJ8aaBY
Dr. Centeno discusses tendon dry needling and CCI and how this may or may not help cervical stability.
Full Video Available at: https://youtube.com/live/d2ixAbr7Iaw
Dr. Centeno reviews why an image showing CCI may not mean you have symptomatic CCI. This distinction is explained and how he views these two categories.
Full Video Available at: https://youtube.com/live/v-RGTByhvwg
Dr. Centeno reviews what CCI patients should do if they also have a lower neck disc bulge and are being offered surgery on that problem.
Full Video Available at: https://youtube.com/live/a0IvnR_SlAE
CCI, or cranial cervical instability, has a sub-type that involves extra vertical movement of the skull up or down. Dr. Centeno discusses this type of CCI.
Full Video Available at: https://youtube.com/live/VbJEXMeyBCs
Dr. Centeno reviews a case of severe C1-C2 arthritis and CCI symptoms missed by the reading radiologist.
Full Video Available at: https://youtube.com/live/F6NsRK8UVH4
Dr. Centeno reviews the most common causes of headaches in craniocervical instability (CCI) patients.
Full video available: https://youtube.com/live/sycooVRdfl8
Dr. Centeno reviews the causes of dizziness or imbalance in patients with cranial-cervical syndrome or cranial cervical instability.
Full Video Available at: https://youtube.com/live/664Mnc0v61c
Dr. Centeno reviews the causes of POTS, tachycardia, gastroparesis, and inflammatory conditions in patients with craniocervical instability or CCI.
Full Video Available at: https://youtube.com/live/4J05cmLDvxQ
Dr. Centeno reviews the sub occipital muscles at the back of the head and their role in creating CCI symptoms and upper cervical problems.
Full Video Available at: https://youtube.com/live/Sm3kQ3WgHDQ
Dr. Centeno reviews the common causes of brain fog in CCI patients.
Full video available at: https://youtube.com/live/5kAfUQPVMaA
Dr. Centeno reviews the symptoms that come from the upper neck versus those related to a lower or mid-neck problem.
Dr. Centeno reviews how the suboccipital muscles can impact CCI patients and why they're critical for diagnosing what's causing headaches or dizziness/imbalance.
Full Video Available at: https://youtube.com/live/Ffz8BKzPJyA
Dr. Centeno reviews a recent case of a patient who had a needle placed in the side of his neck by a nurse practitioner to treat CCI and the inherent risks of that type of procedure, and how best to keep yourself safe.
Full Video Available at: https://youtube.com/live/f_93oURIn9g
Dr. Centeno reviews what causes tinnitus in CCI patients and the different types of tinnitus that neck instability patients may experience.
Full Video Available at: https://youtube.com/live/6_64DFvGmzY
Dr. Centeno discusses a patient who has CCI involving the alar, transverse, and posterior ligaments at C2-C3. What were his symptoms? How was this determined? Which types of CCI does he have? What treatment was recommended?
Full Video Available at: https://youtube.com/live/dnBCZEJYY58
Dr. Centeno discusses what's done in a posterior decompression surgery for Chiari malformation and how that impacts your options later for regenerative medicine or occipital blocks.
Full Video Available at: https://youtube.com/live/torS5DzDIK4
Dr. Centeno discusses the role of the transverse ligament in craniocervical instability or CCI. He also discusses ADI and what's normal versus abnormal. Finally, the symptoms of this problem are discussed.
Full Video Available at: https://youtube.com/live/A0xhYtytD3E
Dr. Centeno discusses the use of DTI with FA measurements as a way to detect small amounts of spinal cord injury when routine MRI can't see problems.
Full Video Available at: https://youtube.com/live/-qmMbNJ58mI
Dr. Centeno discusses new research that may show why some patients report getting CCI and alar ligament damage from a forceful head rotation manipulation.
Full Video Available at: https://youtube.com/live/whrktYfWTOo
Dr. Centeno discusses cases documented on DMX where the atlas or C1 seems to flutter or jump with neck movement. He also reviews a case and discusses which ligaments are responsible for this flutter.
Full Video Available at: https://youtube.com/live/rg25xLF_JEA
Dr. Centeno educates patients on how to identify low-quality spine care involving PRP or "stem cells."
Full Video Available at: https://youtube.com/live/Bb3AsXL5WJA
Dr. Centeno discusses PRP use in the spine and the research that supports it. He also discusses using a DDD approach and a free-of-charge RCT study that Regenexx is running.
Full Video Available at: https://youtube.com/live/tN0yj1urxV8
Dr. Centeno discusses the TOL and Barkow's ligament, which help to keep the dens affixed against the atlas.
Full Video Available at: https://youtube.com/live/90ztawYRC7k
Dr. Centeno reviews the lateral AO ligament and how it's associated with craniocervical instability or CCI.
Full Video Available at: https://youtube.com/live/7WleENqTc40
Dr. Centeno discusses TNCC or Total Nucleated Cell Counts and how they relate to bone marrow concentrate procedures.
Full Video Available at: https://youtube.com/live/YrVS4cDXVh4
Dr. Centeno discusses using ultrasound to diagnose intracranial hypertension. Is this helpful in CCI patients, and does it change the treatment plan?
Full Video Available at: https://youtube.com/live/AGopZAkeq6I
This is a video tutorial on the specific structures that can be injected during a PICL procedure to treat craniocervical instability or CCI.
Full Video available at: https://youtube.com/live/uCp5mWNKEII
Dr. Centeno discusses how levator scapula tightness could be a sign of craniocervical instability.
Full Video Available at: https://youtube.com/live/uJq0sllxfy4
Dr. Centeno discusses the lateral AO oblique ligament and how it stabilizes the head on the neck, especially in head/neck extension (looking up). Its implications for CCI are also discussed.
Full Video Available at: https://youtube.com/live/nraCHqBaAb0
Dr. Centeno discusses whether your existing brain MRI may have findings that show intracranial hypertension and what to look for to determine if those findings have been missed.
Full Video Available at: https://youtube.com/live/zjq03dTLB5A
Dr. Centeno reviews whether a patient with bone spurs in the CCJ has CCI and whether this finding can be used to diagnose CCI.
Full Video Available at: https://youtube.com/live/SNiwV4suOfo
Dr. Centeno discusses whether there is evidence that giving someone stem cells through an IV can treat craniocervical instability (CCI).
Full Video Available at: https://youtube.com/live/fe3dCOZGMKM
Patients often get DMX reports that have a bunch of findings, and only some of these are likely causing neck pain or other symptoms. How can you tell the difference?
Full Video Available at: https://youtube.com/live/mxrxZS3BxX0
Type 3 CCI means your C2-C3 is unstable, which can cause headaches, dizziness, and brain fog. Dr. Centeno discusses this type of craniocervical instability.
Full Video Available at: https://youtube.com/live/UQXXkvsYGXw
Dr. Centeno discusses how C1-C2 overhang or instability could cause sacral or tailbone pain.
Full Video Available at: https://youtube.com/live/euYj_35Mq9o
Dr. Centeno discusses type 1b craniocervical instability or CCI. He discusses how damaged anterior ligaments between the skull and C1 can cause this type of CCI.
Full Video Available at: https://youtube.com/live/0SaE05G27q4
Dr. Centeno continues his series on CCI types with a review of type 1d. This is where the skull rotates too much against the atlas or C1.
Full Video Available at: https://youtube.com/live/gIQUlBNBR5U
Dr. Centeno discusses educating medical providers on CCI and the PICL procedure.
Full Video Available at: https://youtube.com/live/52PY13ibzJQ
Dr. Centeno discusses CCI type 1d, where the skull rotates excessively around the atlas or C1.
Full Video Available at: https://youtube.com/live/LG70xtVUV2c
Dr. Centeno discusses how various clinics claim to offer regenerative spine injection procedures, but what's offered is actually vastly different.
Full Video Available at: https://youtube.com/live/-eEFIX5otc4
Dr. Centeno discusses the difference between an upper cervical injury and craniocervical instability.
Full Video Available at: https://youtube.com/live/2SuFHaassXc
Dr. Centeno discusses how you can see C2 rotation problems on DMX and what types of problems that can cause.
Full Video Available at: https://youtube.com/live/M33sV6wuK0U
Dr. Centeno reviews the connection between careful diagnosis of SYMPTOMATIC CCI and treatment outcome. Meaning that there are patients with CCI on imaging, and that problem is not causing their symptoms.
Full Video Available at: https://youtube.com/live/b3Ifop6Zjk4
Dr. Centeno discusses how the transverse and other ligaments play a key role in type 2a craniocervical instability and how that impacts regenerative injection treatment.
Full Video Available at: https://youtube.com/live/kbEBef5NsFo
Dr. Centeno discusses the idea of copying the PICL procedure used to treat CCI and the issues with that concept.
https://youtube.com/live/Scwn68n0UI4
Dr. Centeno dispels the myths out there about stem cells and PRP.
Full Video Available at: https://youtube.com/live/36GpyWHiUVQ
Dr. Centeno discusses the value of Digital Subtraction Angiography, or DSA, in safe upper neck injections.
Full Video Available at: https://youtube.com/live/0xIDZFy3RxM
Dr. Centeno reviews recent posts from social media sites about "Stem Cells" and PRP and gives his opinion on these posts.
Full Video Available at: https://youtube.com/live/C7o8RbjRX2A
Dr. Centeno reviews the transverse occipital ligament and how injury or laxity in that upper neck ligament could cause craniocervical instability.
Full Video Available at: https://youtube.com/live/HZs4LWbw5DY
Dr. Centeno reviews CCI Type 1c, which is a type of craniocervical instability where the skull falls backward on C1, which can be due to shallow occipital condyles and ligament laxity.
Full Video Available at: https://youtube.com/live/1ZCZ81e6C_Y
Dr. Centeno reviews the connections between the vagus nerve and headaches and discusses treatment options.
Full Video Available at: https://youtube.com/live/7AvMG1_j5NI
Dr. Centeno discusses the differences between stem cell treatments when used to treat orthopedic problems.
Full Video Available at: https://youtube.com/live/wxNhBXSYM-E
Dr. Centeno reviews craniocervical instability and the alar ligament or type 2b. Here there is excessive C-C2 rotation and side bending.
Full Video Available at: https://youtube.com/live/TOKHm0IuV0k
Dr. Centeno reviews craniocervical instability and where that intersects with Type 1a instability with a low CXA and EDS causing cervical medullary syndrome and how that may cause certain types of ME/CFS.
Full Video Available at: https://youtube.com/live/nkmvsR9HoMo
Dr. Centeno reviews how a diagnosis of vagus nerve dysfunction is diagnosed and whether cervical ultrasound imaging can be used to make that diagnosis.
Full Video Available at: https://youtube.com/live/MAttuAPbWgQ
Dr. Centeno reviews the different types of craniocervical instability and how that maps to different injection types to maximize outcomes.
Full Video Available at: https://youtube.com/live/s4uX0JIY2Bk
Dr. Centeno reviews the relationship between scoliosis and CCI. Can scoliosis cause CCI? Do scoliosis patients with CCI need different types of treatment?
Full Video Available at: https://youtube.com/live/uqsxO9Zfq_I
Dr. Centeno discusses three patients who were diagnosed early with craniocervical instability and treated with PICL within 3 months of severe symptom onset. All three needed a single treatment to attain excellent results. He also discusses what this tells us about the nature of this problem and how neurologic damage over time may "bake in" chronic symptoms in select patients.
Full Video Available at: https://youtube.com/live/mMZXZMj6tB8
Dr. Centeno reviews how specific upper neck problems like craniocervical instability can cause visual problems.
Full Video Available at: https://youtube.com/live/ZowdgATL10E
Dr. Centeno reviews how irritation of the vagus nerve can cause inflammation to spiral out of control and how this may be related to neck instability, including craniocervical instability or CCI.
Full Video Available at: https://youtube.com/live/Brv4wjPlrbU
Are POTS and Craniocervical InstabPOTS has been noted in craniocervical instability patients and Dr. Centeno reviews the mechanism believed to be responsible for poor orthostatic blood pressure control in CCI patients.
Full Video Available at: https://youtube.com/live/_PYNanHcF8U
Dr. Centeno reviews C1-C2 facet capsule injections and whether they can help CCI or craniocervical instability.
Full Video Available at: https://youtube.com/live/ZDJcplefeBI
Dr. Centeno discusses this common problem called slipping rib syndrome and how it's really just rib instability. The biomechanics of what happens and how best to treat this issue are also reviewed.
Full Video Available: https://youtube.com/live/HniSBLvJCug
Dr. Centeno reviews research data collected on the PICL procedure when used to treat craniocervical instability (CCI). Hypermobility EDS patients are compared vs. other patients that were treated.
Full Video Available at: https://youtube.com/live/jHQ21YY7PsM
Wondering if you should avoid the PICL procedure to treat CCI? Dr. Centeno discusses his experience of patient types that may be poor candidates for the PICL procedure when use to treat craniocervical instability.
Full Video Available at: https://youtube.com/live/jDgvFDwpgR0
PRP vs Prolotherapy to Treat Cervical Instability - Dr. Centeno breaks down PRP vs Prolotherapy when it comes to treating cervical instability. How do platelet-rich plasma (PRP) and prolotherapy work to help ligaments tighten or heal? How are they different?
Full Video Available At: https://youtube.com/live/87turvI6cuM
Can peptides help with ligaments healing? Can it help craniocervical instability? Can it help a PRP or stem cell procedure? Learn more as Dr. Centeno explains the use of peptides in treatment.
Full Video Available at: https://youtube.com/live/89POPWVrGoU
A New Theory for Pressure Headaches in CCI: Is the Bursa a Bigger Problem than the IJV? - Dr. Centeno reviews why in craniocervical instability patients the upper cervical bursas may be responsible for pressure headaches that have been attributed to internal jugular vein compression.
Full Video Available at: https://youtube.com/live/BWyaz18K320
Can Neck Pain or CCI Cause TMJ Problems? - Dr. Centeno discusses the relationships between the neck and TMJ and how that may impact the treatment of craniocervical instability (CCI).
Full Video Available at: https://youtube.com/live/2oocJvQ4_Nw
What Happens in a TeleMedicine Visit for Craniocervical Instability and PICL Procedure? - Dr. Centeno discusses how best to prepare for a telemedicine visit for Craniocervical Instability and PICL procedure.
Full Video available at: https://youtube.com/live/hmB1TVO-zdE
What's Different about the Cayman Islands Regenexx Affiliate? - Dr. Centeno discusses why our Cayman Islands affiliate site is different by offering culture-expanded mesenchymal stem cells.
Full Video Available at: https://youtube.com/live/bgHoGEQujfs
What Can Cause Greying Out or Fainting in CCI Patients? - Dr. Centeno reviews what can cause greying-out episodes or fainting in CCI patients. He also answers patient questions.
Full Video Available at: https://youtube.com/live/zggbJEqYcDo
How Does Your Neck Curve Impact CCI and Other Neck Issues? - Dr. Centeno reviews how cervical lordosis can impact craniocervical instability as well as other neck issues.
Full Video Available at: https://youtube.com/live/i-GwyQ3TiO4
Do You Need to Get Your Internal Jugular Veins Decompressed? - Dr. Centeno reviews the concept of surgical decompression of the internal jugular veins in CCI patients.
Full Video Available at: https://youtube.com/live/hAX_uBP5BLk
Looking for Neck Stabilizer Muscle Atrophy on Your Neck MRI - Dr. Centeno shows you how to read a neck MRI for neck stabilizer muscle atrophy.
Full Video Available at: https://youtube.com/live/m3NSVYTuVZc
PICL Outcomes for hEDS vs EDS - Dr. Centeno discusses PICL outcomes when used to treat craniocervical instability in hEDS vs. normal ligament patients.
Full Video Available at: https://youtube.com/live/aICOPAVUkUM
Which Imaging Measurements Can Accurately Diagnose Traumatic CCI? - Dr. Centeno discusses which imaging measurements can accurately diagnose traumatic CCI. How can you tell the certainty level of a CCI craniocervical instability diagnosis? How can you be sure? How can your doctor be sure? Watch Dr. Centeno's latest video to learn more about proper CCI diagnosis techniques.
Full Video Available at: https://youtube.com/live/yuB_oQK9KRY
Infectious or Environmental Causes of CCI: A Review of What we Know - Dr. Centeno discusses infectious or environmental causes of CCI including Lyme, Mold, COVID-19, MCAS, and dietary triggers or intolerance. These could be possible causes of CCI and the research supporting each connection.
Full Video Available at: https://youtube.com/live/SNsqylGrWPk
A Review of the Kjetil Larsen Blog Questioning the Validity of Chronic CCI or AAI - Dr. Centeno reviews a recent blog post by Kjetil Larsen questioning whether chronic CCI/AAI exists or whether it's just a posture problem easily fixed with appropriate exercises.
Full Video Available at: https://youtube.com/live/tPfjKjr1l4Y
How Do We Make a CCI Diagnosis? An Update - Dr. Centeno reviews what it takes for him to make a CCI (craniocervical instability) diagnosis. All the pieces of that diagnostic puzzle are discussed.
Full Video Available at: https://youtube.com/live/ZyA1nKyShLQ
The Problem with Banana Republic Stem Cell Clinics - I frequently get asked about stem cell clinics in Panama and Columbia for treating orthopedic or spine problems. This is my take with a Q/A session as well.
Full Video Available at: https://youtube.com/live/s4EU-uTgk44
Low Dose Naltrexone and CCI: An Update - Dr. Centeno discusses low-dose Naltrexone and its use in treating chronic pain. The implications for procedural anesthesia are reviewed as well.
Full Video Available at: https://youtube.com/live/Nfkiso2NCWg
When Does DMX Miss CCI? An Update and Follow-up - Dr. Centeno discusses how a digital motion x-ray (DMX) can sometimes miss CCI. He reviews a patient with severe transverse ligament laxity who was helped without fusion.
Full Video Available At: https://youtube.com/live/ZaLaYnMrq8g
Does PRP Need to Be Injected into a Damaged Ligament? - Dr. Centeno discusses why it's critical to inject precisely into damaged ligaments with orthobiologics like PRP and stem cell containing BMC. He also compares and contrasts several different common injection routes.
Full Video Available at: https://youtube.com/live/ZOup-p0TOwo
What’s the Difference Between PRP and Bone Marrow Concentrate for Ligament Healing? - Dr. Centeno discusses the differences between PRP and bone marrow for ligament healing. Which is better?
Full Video Available at:
https://youtube.com/live/rnvl43ZOiBw
What is a Facet Capsule Injection versus a Real Facet Joint Injection? - Dr. Centeno reviews the differences between a facet capsule injection and an actual fluoroscopy-guided and contrast-confirmed facet injection.
Full Video Available at: https://youtube.com/live/6OJgqU2ynYc
What does having a heavy head mean? Why does this happen? - Dr. Centeno discusses why patients can report a heavy head or a bobblehead sensation and how this interfaces with upper neck injuries, CCI, and other problems at the CCJ.
Full Video Available at: https://youtube.com/live/-yHFQYWnx08
The ALCAO Plexus and CCI - A new nerve plexus has been discovered in front of C2 which links together many nerve supplies that fit with craniocervical instability symptoms. Dr. Centeno reviews this discovery and what it may mean for CCI patients.
Full Video Available at: https://youtube.com/live/dcPFmzQEdjI
Injecting the C1-C2 Facet Joint Under Ultrasound: A PA with a Scary Big Needle - Dr. Centeno discusses the risks of injecting the C1-C2 facet joint using ultrasound imaging as well as far safer methods to access this joint.
Full Video Available at: https://youtube.com/live/Csjt0-bIQVQ
If Your DMX Overhand Improves on DMX Make Sure It's Real - If Your DMX Overhand Improves on DMX Make Sure It's Real - Dr. Centeno discusses how DMX measurements of overhang at C1-C2 in CCI patients can seem to improve after treatment, but you have to be careful that you're comparing apples to apples.
Full Video Available at: https://youtube.com/live/JiHDcfzrgUU
Dr. Centeno reviews the links between neck instability or loss of curve and sleep apnea or snoring.
Full video available at: https://youtube.com/live/5iak-LGUeQ8
If You Have no DMX Close By Is there a Workaround for CCI Patients? - Dr. Centeno discusses if there is no DMX close by is there a workaround for CCI Patient. Is there a "good enough" CCI x-ray image to substitute for a DMX if your area of the world doesn't offer that technology.
Full Video Available at: https://youtube.com/live/rBV5j7M632g
New Research On Memory and Eye Movement: Brain Fog in CCI - Dr. Centeno explores new research that may explain why some CCI patients have brain fog and problems with memory.
Full Video Available at: https://youtube.com/live/IwQ7QkXCbqU
Which Alar Ligament is Responsible for C1-C2 Overhang? - Dr. centeno reviews which alar ligament allows excessive C1-C2 lateral translation also called "overhang".
Full Video Available at: https://youtube.com/live/fT69WacSlQs
Your Upper Neck Muscles and Ligaments are Jacked into the Covering of Your Brain - Dr. Centeno reviews the recent updates on connections between upper neck ligaments and muscles and the covering of the brain. These are believed to be significant causes of headaches in CCI patients.
Full Video Available at: https://youtube.com/live/buM4MnvulA0
Can C1-C2 Overhang Explain Trigeminal Neuralgia Symptoms in CCI Patients? - Dr. Centeno reviews a possible mechanism for how craniocervical instability or CCI patients may get trigeminal neuralgia symptoms.
Full Video Available at: https://youtube.com/live/6lbt88hmvNI
What Medications Can Increase the Anesthesia Risk of a PICL Procedure? - Dr. Centeno discusses that drugs like THC, narcotics, and LDN can increase the risk of IV anesthesia.
Full Video Available at: https://youtube.com/live/YD2uNMe4g5s
What is a Traction Test for CCI? - Dr. Centeno discusses traction tests and the positives and negatives of using this approach to diagnose CCI or brainstem compression.
Full Video Available at: https://youtube.com/live/OG6lNwrs9RY
Our New Lumbar DDD Clinical Trial + C2 Imaging - Dr. Centeno reviews the new Regenexx lumbar DDD clinical trial and discusses new possible C2 DRG imaging methods.
Full Video Available at: https://youtube.com/live/GBM9Im6wBmQ
How Do the Upper Neck Facet Joints Cause Headaches in CCI Patients? - Dr. Centeno discusses how the upper neck facet joints can cause headaches and why this common problem needs to be ruled out in ALL CCI patients.
Full Video Available at: https://youtube.com/live/k_4OArBfc5Y
What is the SCM? Why Is It a Big Deal for Neck Pain and CCI Patients? - Dr. Centeno reviews the SCM muscle and how it can cause all sorts of pain in the neck and head. The interplay of this muscle with the C1-C2 joint is also discussed and how that overlaps with craniocervical instability.
Full Video Available at: https://youtube.com/live/NvWGZQkQYjo
Dr. Centeno discusses why upper cervical posterior injections at different clinics are vastly different.
Full Video Available at: https://youtube.com/live/n2_-FP0S1JI
Dr. Centeno discusses what to expect and look out for the first few days after a PICL procedure when used to treat craniocervical instability (CCI).
Full video available at: https://youtube.com/live/T3wqgdmAFNE
Dr. Centeno reviews the occipital nerves and their role in generating headaches in CCI (craniocervical instability) patients. He also discusses diagnosis and treatment.
Full video available at: https://youtube.com/live/GlwuZXDHq0U
Dr. Centeno discusses the use of cervical collars to help craniocervical instability symptoms.
Full video available at: https://youtube.com/live/5L0PWLn21t8
Craniocervical instability is often diagnosed on imaging, but despite this patients have a constellation of symptoms. Could we be missing the fact that diagnostic subtypes exist? if so, should any be treated differently?
Full video available at: https://youtube.com/live/iU1p7rx48mk
Dr. Centeno discusses internal jugular vein compression. What does that have to with CCI? Is this a normal variant? Meaning can you have IJV compression and it is not causing your symptoms?
Full video available at: https://youtube.com/live/vJR6wz1kS4c
Dr. Centeno discusses how to distinguish high-quality PRP injection care from low-quality care. An active Q and A session is also part of the presentation.
Full video available at: https://youtube.com/live/h1chv_1Vyxs
Dr. Centeno reviews the diagnosis of occult tethered cord and/or tethered cord syndrome. He discusses how it's critical to rule out other causes of the symptoms usually associated with tethered cord syndrome.
Full video available at: https://youtube.com/live/1BMHi-szQLg
Dr. Centeno reviews thoracic outlet syndrome and also digs into whether it's connected with neck instability. A significant patient Q and A section is included.
Full Video Available at: https://youtube.com/live/J7gIR33XA_4
Dr. Centeno reviews research as well as actual neck injuries as seen on tissue cross-sections that can cause chronic neck pain, but that would be almost invisible to routine neck MRI.
Full video at: https://youtube.com/live/h6bzxU-TEdI
Dr. Centeno discusses the different diagnoses of the spine and/or joint conditions where PRP or bone marrow concentrate should be used.
Full video available at: https://youtube.com/live/jYq-z_IgNkU
Headaches are common in craniocervical instability patients (CCI). How are they diagnosed? How are they treated?
Full video available at: https://youtube.com/live/454RLYt1AFo
How Hard Is It to Inject the Right Spot with Orthobiologics? - One of the hardest things for patients to comprehend is the VAST difference in physician training between different clinics. In this video, he reviews how the ability to read imaging studies helps physicians use imaging guidance to target specific injured structures.
Full video available at: https://youtube.com/live/W3y-ee_ow4U
Dr. Centeno discusses the recent Medicare and private health plan decision to claw back all payments for amniotic, placental, or umbilical cord "stem cell" injections. So if you had one of these procedures covered by Medicare or your insurance, you may owe $4-20,000 to the clinic that performed the procedure.
Full Video available here: https://youtube.com/live/DfencoR9QtA
How Do THC products Impact CCI Procedures? - There is mounting evidence that THC use dramatically increases anesthesia requirements and that this makes all procedures riskier. That includes the PICL procedure. Dr. Centeno discusses why that is and answers general questions.
Full video available at: https://youtube.com/live/_LfmFT29P9o
Dr. Centeno explores the differences in CCI Diagnosis.
Full Video Available at: https://youtube.com/live/5qOA4vXFM3Y?feature=share
Learn more about Tethered Cord Syndrome and what Treatment entails from Dr. Centeno!
Full video available at: https://youtube.com/live/XI2mkX7VYxo
Dr. Pitts and Mark Reilly get together to discuss the different paths a patient might take when getting started with the Centeno-Schultz Clinic.
Conversation includes a discussion on conservative care and what that might look like, and when it's time to give Regenerative Medicine a try!
Cranial Nerve Problems & CCI
Centeno-Schultz Clinic
403 Summit Blvd #201,
Broomfield, CO 80021
303-429-6448
CCI Symptoms - The Results of the First Ever Symptom Survey of Craniocervical Instability Cases
Stem Cell Therapy - https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate - https://centenoschultz.com/prp-denver/
Dr. Deitch and Dr. Centeno talk to physical therapists that have been open to regenerative medicine from the beginning.
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Read more:
Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy - https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate - https://centenoschultz.com/prp-denver/
Have you been diagnosed with craniocervical instability or CCI? And have they told you you need surgery?
Not anymore. Now we have what's called the PICL
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy - https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate - https://centenoschultz.com/prp-denver/
What is Spinal Stenosis? How is it Treated? w. Dr. Chris Centeno
YouTube Video -- https://youtu.be/Y043ZRJl6WkFollow Us:
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
https://centenoschultz.com/calf-muscle-twitching/
Shoulder pain at night isn't something you have to just "live with." In fact, there could be various ways of treating pain in your shoulder from waking you up over the span of the night. Dr. Centeno and Dr. Jason Deitch talk through this problem and what patients can do to alleviate the pain.
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Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Original Podcast URL: https://centeno-schultz.buzzsprout.com/817513/5892946-shoulder-pain-at-night-while-sleeping-you-ve-got-the-power
What Does Cervical Disc Replacement Recovery Look Like? Dr. John Pitts of Centeno-Schultz Clinic compares the outcomes of cervical fusion and cervical disc replacement, other options, what you can do to avoid this surgery.
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
What is Failed Back Syndrome? Dr. Centeno and Dr. Deitch define the causes and outcomes of failed back surgeries.
https://centenoschultz.com/failed-back-surgery-syndrome/
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Dr. John Pitts of Centeno-Schultz Clinic discusses PRP for Plantar Fasciitis, what has been found in the studies and research, how it compares to steroid injections and more.
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
If you're on Facebook and you see an ad that claims you can get your amniotic stem cell therapy procedure covered by Medicare, you should not only be aware that this is a scam, you should probably flag it. Dr. Centeno and Jason Deitch cover it on another episode of You've Got the Power!
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Supplements and Stem Cells - Join Chris Centeno, MD and Jason Deitch DC for a Facebook LIVE Event. If you have questions about all the supplements out there and whether and how they can help with Stem Cell therapy, or how orthopedic stem cell therapy has helped many thousands of people avoid orthopedic surgery and whether it may be an option for you, go right to the source and don't miss this!
SEE VIDEO OF EPISODE HERE: https://www.youtube.com/watch?v=XuY-WRRYgnI
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Read more:
Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Is your ankle sore after walking? Does it inflamed or painful? Dr. Centeno talks about what could be causing the issue.
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Read more:
Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy Denver: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Dr. Centeno and Dr. Deitch talk about the marriage that could be had between MDs (and DOs) with chiropractors.
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Read more:
Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Dr. Centeno and Dr. Jason Deitch talk through some of the myths surrounding stem cell therapy products, MRI, and orthopedic surgery. Their mission for this conversation is to arm the patient with sound strategies to better demystify misinformation that we see all around us.
IMPORTANT LINKS
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Have a question? Contact us here: https://centenoschultz.com/contact/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Download the Spine Owner's Manual here
Healing your low back pain starts with an understanding of the spine and what role it plays in your overall musculoskeletal health. Dr. Jason Deitch and Dr. Chris Centeno, the book's author, talk about the gist and goals of the Spine Owner's Manual, the role of orthobiologics, surgery, and much more.
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Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
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Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Dr. Jason Deitch guest hosts the Centeno-Schultz Podcasts with the series "You've Got the Power," which is a short series about what to do when your orthopedic surgery is cancelled due to the Covid-19 pandemic and the Stay-At-Home measures for dealing with it.
Dr. Chris Centeno and Dr. Deitch discuss cervical issues and what to do if your cervical surgery is cancelled.
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Procedures we provide:
Stem Cell Therapy in Denver, Colorado
PRP & Platelet Lysate
Relevant Episodes:
Do You Need Surgery for Craniocervical Instability?
Many craniocervical instability (CCI) patients get confused about the injection procedures that are available that may help their condition and how those intersect with the PICL procedure. This is understandable as it’s very hard for patients to conceptualize the differences in procedure types and the skill required to pull each off. Hence this blog will dive deeper into this topic.
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Instagram - https://www.instagram.com/centenoschultzclinic/
Read more:
Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy - https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate - https://centenoschultz.com/prp-denver/
Relevant episodes:
Do You Need Surgery for Craniocervical Instability?
Originally posted as a blog entitled "PICL Rehab."
One of the more common questions I get from patients who undergo the PICL procedure is what does the physical therapy or rehab program look like after the procedure. Hence, I thought I would dive deep into a program that anyone can do at home or provide a physical therapist so they know what we want. Let’s begin.
[Note, we have 4 blogs in the CCI series, but I decided to link these to a series of podcasts which include an extra episode 1, so this is now episode 5 of the blog to match the podcasts.}
What is the PICL Procedure?
This is our novel procedure where we inject bone marrow concentrate (a same-day stem cell procedure) into the ligaments that hold the head on (alar, transverse, accessory, and many others). The goal is to strengthen damaged or lax ligaments in patients with Craniocervical Instability (CCI).....
Follow Us:
Facebook - https://www.facebook.com/centenoschultzclinic/
Instagram - https://www.instagram.com/centenoschultzclinic/
Read more:
Centeno-Schultz Clinic ------- https://centenoschultz.com/
Centeno-Schultz Blog --------- https://centenoschultz.com/blog/
Dr. Centeno’s Profile Page -- https://centenoschultz.com/our-staff/dr-chris-centeno/
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Originally published as a blog post entitled "C1-C2 Fusion – Complications are Common (Episode 3)."
C1-C2 fusion is all the rage among patients with CCI. So what is it and what are the side effects? Should you get a C1-C2 fusion? Let’s dig in.
What is CCI?
Craniocervical instability or CCI is when the upper neck levels of the spine are unstable (1). This is usually C1-C2, but can also be C0-C1. There are a number of strong ligaments that hold this area together which can be injured or loose and there are a slew of measurements used to determine if CCI is present. Common symptoms can include headaches, dizziness, imbalance, upper neck pain, visual disturbances, rapid heart rate, and various pains elsewhere, just to name a few...
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Originally posted as a blog post entitled "What Goes into the PICL, Procedure for CCI Instability"
We have developed an active community of patients with craniocervical instability who are following our PICL procedure. So what goes into performing this procedure? There’s quite a bit, so let’s dig in.
CCI and PICL
CCI stands for craniocervical instability which means that the ligaments that hold the head on are too loose. To help that problem, we developed a new procedure called PICL which stands for Percutaneous Implantation of the CCJ Ligaments. This is still an investigational procedure that has already changed many lives with and helped patients avoid a complication laden upper cervical fusion.....
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
This episode was originally published as a blog post entitled "Understanding CCI Measurements vs. Instability" at Centenoschultz.com.
Craniocervical instability is a very misunderstood concept because it’s been made so complex with different measurements and aggressive treatments. Hence, I’ll be writing a series of blogs to try to help patients understand various concepts. Today’s entry is about how CCI measurements relate to instability.
What is Cranial Instability?
Craniocervical instability has many names including CCI, AAI (atlanto-axial instability), CCJ instability (cranciocervical junction), etc…The basic concept is that the ligaments that hold the head on to the spine have become loose and there is too much motion of the head on the neck (1). Note that CCI stands for Craniocervical INSTABILITY, meaning that this is a movement-based concept. This extra movement can cause everything from pressure on the lower brain, brainstem, and spinal cord to irritated nerves, beat up upper neck joints, and damaged tendons.....
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Want to know more about orthobiologic injections?
Stem Cell Therapy Denver
PRP & Platelet Lysate
This episode is a prelude to the blog post entitled " Understanding CCI Measurements vs. Instability." at Centenoschultz.com.
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Want to know more about orthobiologic injections?
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Originally a blog entitled, "The Aging Athlete: PVCs on an Apple Watch (Episode 10)"
I’m getting older, which is the “aging” part of the title. In addition, my family has a history of heart disease, so I wanted to start getting proactive about my ticker. This began a journey that begins with a new Apple Watch for Christmas and a discovery that rocked my world. In addition, let’s dive into the newly emerging world of smart device health monitoring and how that could eventually save many lives.
My Family Heart History and Smart Health Devices
I drew my heart genes from a very bad deck of cards. My dad had cardiac bypass surgery in his 60s and his father perished from a sudden death heart attack. On my mother’s side of the family are many heart stents and then, oh, by the way, her dad also perished from another sudden-death heart attack in his 60s. I guess the good news is that I did hear from a friend in medical school that he had a worse cardiac history. All of the men in his family had died in their 40s and 50s from a heart attack.
So what’s the good news about my bad genes? We’re entering a brave new world of constant health monitoring that will change everything. In the next 20 years, we’ll see a range of devices that exist in the background of our lives that are always looking for small problems while...
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Originally as a blog post entitled, "Aging Athlete: Controlling Inflammation (Episode 8)."
I get asked all the time by patients how best to control inflammation. I have a specific protocol I personally use to control my old man’s tendency for that dangerous slow burn that we all experience as we age, so I want to share that with you. Let’s dig in.
What You Shouldn’t Use
The poet laureate William Carlos Williams, a physician, once wrote: “I’ve seen death come on slow as rust, or as quickly and suddenly as a doorknob come loose in the hand…” I may be paraphrasing, but the point here is that one of those doorknob moments is a sudden-death heart attack or stroke. Regrettably, a sure-fire way to achieve that sort of surprise death is by taking NSAID drugs.
NSAIDs are the common anti-inflammatory drugs you see in the grocery store or by prescription:
- Celebrex/Celecoxib
- Ibuprofen/Motrin/Advil
- Aleve/Naprosyn/Naproxen Sodium
- Indomethacin (Indocin)
- Diclofenac (Cambia, Cataflam, Voltaren-XR, Zipsor, Zorvolex)
Many of my patients take these drugs to function. However, they all have serious cardiac effects that can double to quadruple your chances of dropping dead and being that guy or gal with the loose doorknob in the hand (1). Hence, how does this aging athlete control inflammation while avoiding NSAIDs?
Three Simple Supplements To Control Inflammation
I control my inflammation by taking three simple supplements every day:
- High-dose fish oil.....
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Originally a blog post entitled, "The Aging Athlete: Finding the Right Personal Trainer (Episode 9)."
It’s new year’s resolution time and that means that the health clubs will be packed for the next few months. Many people these days find a personal trainer at their new health club or through a friend. The great news is that a trainer can push you much harder than you would usually push yourself, so it’s often easier to see results with a personal trainer than without. However, trainers can also mess people up with injuries or pain, so what can you do?
My Experience with Personal Trainers
Many years ago I began working out with a personal trainer. The great news was that the synergy of him pushing me and me wanting to impress was a great way to make me work twice as hard with the trainer as I ever would alone. However, all of that effort soon lead to several new back and neck injuries, so it always seemed to be two steps forward and one back. After a while, like many people, I gave up on the trainer as I was tired of getting injured.
A Core Stability Checklist
For anyone who has any type of chronic neck or back issue, one of the problems is that almost always there is too little strength in the core muscles. These are the muscles that help stabilize the spine from the neck, through the upper back, and into the lower back.
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Originally from a blog post entitled, "Aging Athlete Series: Losing Your Butt as You Age is NOT a Good Thing (Episode 6)"
First, as a late baby boomer, I have to ask, what’s up with this butt implant thing? I see many celebrities right now with really small bodies and really big butts. Why is this a thing? If you’re wondering what your doctor is doing asking about celebrity butts, that’s a great segway into this week’s Aging Athlete series. Let’s dive into why keeping your butt muscles big as you age will help protect your hips and back. Let’s talk about how how losing your butt is just a sign of aging, not a must!
The Old Flat Butt
First, I feel like a 3rd grader even using the term “butt”, but hey we’re all adults, right? Let’s all admit it, we all notice that our older friends just don’t have that same butt that they did when they were younger. Is this a real thing? Yep. In fact, a research group in 2015 looked at 185 gluteal regions on MRI and found that not only was there a trend toward shrinking butt muscles with age (gluteus minimus and maximus), but that as the muscles atrophied, their tendons ended up getting frayed and torn (1). Meaning older people had flat butts with more tendon tears in their gluteal muscles.
We also know that the butt muscles are stabilizers of the hip joint and that in people with hip arthritis, these muscles don’t work as well (2). We also know that atrophy (shrinking) of the gluteal muscles happens in patients with low back pain (3,4). Hence, a strong butt is likely associated with protecting the back and hips.
How You Can Keep or Regain You Butt....Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Want to learn more about our procedures? Here's where you can go:
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Originally from a blog post entitled, "Aging Athlete Series: Vastus Lateralis Trigger Point Release (Episode 7)"
If you’re an aging athlete, you have loads of trigger points. You know what I mean, that small groan you release when you get up from a chair. One of the most problematic areas for all aging athletes is the ITB, yet most of us have no idea why this spot is always tight and that it has to do with a muscle called the vatus lateralis. Hence, today we’ll cover how I perform vastus lateralis trigger point release.
What Are These People Doing?
You see these people at the gym all the time. They’re in a sort of painful ecstasy as they “roll out” their ITB. In fact, if you’re an aging athlete your ITBs are likely plenty tight. You have the cross leg and the straight leg torture techniques...
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Originally from a blog post entitled, "Aging Athlete Series: Do You Snore? (Episode 5)"
I snore a bit. Not anything serious (unless I’m on my back which causes my wife to relocate elsewhere). I know I have minor sleep apnea, so should I treat it? So, I thought it would be a great addition to the Aging Athlete series. Let’s dig in.
Denial Ain’t Just a River in Egypt
If you snore, you generally can’t hear yourself because you’re sleeping. Hence, you need an independent third party to assess your snoring. This is a spouse who will generally offer up unsolicited assessments of your nighttime symphony. When I see patients, I generally break this into the following comments from the spouse:
- “I can’t sleep through that…”
- “The dog can’t even sleep through it, we often need to find another place to sleep”
When I’m on my back I’m in the latter category. If you don’t have a spouse or third.....
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Want to learn more about our procedures? Here's where you can go:
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Originally published as "The Aging Athlete Series: Should I Take Metformin? (Episode 4)" but with commentary.
I’m an aging athlete who gets orthobiologic therapies to stay active with a family history of obesity, heart disease, and type 2 diabetes. Meaning, I got dealt a bad hand in the grand poker game of genetics. Recently some groundbreaking research came out on Metformin and how it may slow aging, which coincided with my doctor wanting me to take it. So did I take it? Should I take it? Should you take it?
Metformin and Reversing the Body’s Biological Clock
I have had a love-hate relationship with Metformin ever since my doctor (yes we doctors have doctors too) said I might consider taking it for blood sugar control. Why? I pride myself on a really good diet, but I’ve had a blood sugar control problem since I was a kid. So should I take it or chuck it? This new study caught my eye.
Ther new study is the TRIIM trial which tested nine white guys who were about my age (1). They took Human Growth Hormone, Metformin, and DHEA. I had tried HGH, but thought that it whacked out my blood sugar a bit, which is why it was used here as it’s a blood sugar stabilizer. The HGH has the impact of stimulating cellular growth and the DHEA increases testosterone levels.....(read original post here).
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Want to learn more about our procedures? Here's where you can go:
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Originally from a blog post entitled, "The Aging Athlete Series: The Core Before Everything (Episode 3)"
This is my weekly “Aging Athlete Series” tip. This series is for people in their 30’s and up who want to stay active as they age. Those who want to be that guy or gal who is in their 70’s or 80’s who are still doing cool active stuff. This is my third episode: The Core Before Everything.
The Problem?
Lots of middle-aged and older people get hurt when they join a gym or cross-fit class. In my experience, this often happens because they’re not working on the core first. The core is made up of those muscles that stabilize and support the spine and trunk. Without a strong core, the extremities have a poor base of support which leads to injuries.
Here’s a simple visual to get a sense of how critical your core muscles are. How does lifting 30 pounds over your head on the shore compare to lifting the same weight while standing in the middle of a small rowboat? You might imagine that doing that while stabilizing yourself and preventing yourself from falling into the water would be tough, even risky. The difference is the intrinsic stability of the shore versus the boat. Your core is the same. Lifting weights or doing cross-fit with a weak core is also a prescription for a similar disaster.....
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Want to learn more about our procedures? Here's where you can go:
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
First published as a blog post entitled "The Aging Athlete: Taking Some of My Own Medicine."
Published by Centeno-Schultz Clinic
Read by Chris Centeno, MD
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
I am now officially 56. I can no longer claim to be in my early 50s! So how do you stay active as you age? In this tips and tricks for the aging athlete series, I’ll go over what I do to stay active.
Getting Old is Not for Sissies
Man, it’s tough getting old. Your body aches more, stuff that used to just magically heal doesn’t or takes a long time, and injuries from long ago tend to talk to you. Add into that the new problems that crop up and it’s clear, as I personally go through it, you need a game plan. I wrote a book a few years back about my game plan:
Want to know more about orthobiologic injections?
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Dr. Chris Centeno talks about the phases post-op and the healing process. He presents an honest account of what recovery looks like.
Learn more about Centeno-Schultz Clinic's options with orthobiologics
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Why should you avoid ACL surgery? With the introduction of interventional orthopedics, the traditional world of elective orthopedic surgery is changing, much like the traditional world of cardiac surgery did a few decades ago when interventional cardiology entered the scene. In the not too distant future, much of elective orthopedic surgery will be replaced by interventional orthopedics, which focuses on nonsurgical treatments for musculoskeletal conditions. One of the structures in which these shifting orthopedic tides are apparent is the anterior cruciate ligament (ACL)....
Have you been told you need ACL surgery?
Learn more about our options in avoiding ACL surgery here: https://centenoschultz.com/acl-tear/
Want to learn more about our procedures? Here's where you can go:
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/
Big toe numbness – while it might not be particularly common, or even that concerning—it’s just a toe after all— when your big toe goes numb, it can certainly get your attention. And for good reason; it’s usually an early warning sign that something more significant is going on. You should be especially concerned if it’s happening often or in on-again-off-again episodes and with certain activities. The good news is, addressing it when you first start to notice it may save you from more advanced damage in the future....
Published by Centeno-Schultz Clinic
Read by Chaz Fausel, MD
Want to learn more about our procedures? Here's where you can go:
Stem Cell Therapy: https://centenoschultz.com/stem-cell-therapy-denver/
PRP & Platelet Lysate: https://centenoschultz.com/prp-denver/