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Consequences of Hip Steroid Injections

At the Centeno-Schultz Clinic we understand the significant adverse consequences of steroids. These include the following: A hip steroid shot given during the year prior to hip replacement surgery increases the risk for surgical infection by 37% and risk of a second...

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Treatment Options for a Facet Cyst

When a cyst develops on a facet joint on the spinal column, it can be painful and even debilitating for many patients. However, in some patients, they may not even know even know they have a facet cyst as they experience no symptoms whatsoever. If you’re in the former...

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Is Disc Replacement a Good Idea?

Often plugged as a better alternative to spinal fusion, the idea behind disc replacement is that it relieves pain by replacing a damaged or diseased disc with an artificial one. A spinal fusion fuses two or more discs into a solid unit, stopping movement and putting...

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What Is Interventional Orthopedics ?

Interventional orthopedics is  new medical specialty that utilizes the unlimited potential of platelets and stem cells that are injected under X-ray or ultrasound guidance to heal common orthopedic conditions. It acknowledges a thorough understanding of the anatomy,...

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Avoiding Future Toe Amputations

At the Centeno-Schultz Clinic, we acknowledge that loss of a digit or limb can be a devastating psychological and physical event. There are many reasons for an amputation. One is inadequate blood flow.  In the lower extremities, this can cause significant injury to...

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What’s Causing My Butt Pain?

Throwing this question out to the social-media masses is sure to bring out the cyber “comedians” among us, but the truth is when you really do have butt pain, it’s no laughing matter. So we’re glad you came here to ask because we actually do see many patients in our...

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SI Joint Syndrome? Skip the Steroids

In traditional spine care today, steroid injections are the standard go-to when conservative therapies aren’t effectively addressing pain and inflammation. Steroid injections are commonly used to temporarily relieve sacroiliac (SI) joint syndrome in the lower back,...

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The Importance of Joint Stability

At the Centeno-Schultz Clinic, we utilize a systematic approach in our evaluation of each patient. This approach is called SANS and stands for the following: Stability Articulation Neuromuscular Symmetry Today, I want to focus on stability. Stability in a mechanical...

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The Centeno-Schultz Difference

Much has transpired at Centeno-Schultz Clinic since I last blogged in 2011. The good news is that stem cell and platelet rich plasma (PRP) therapies have become mainstream as methods of treatment for many common orthopedic conditions. Both therapies are now an...

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Piriformis Syndrome: Ultrasound Therapy is Superior

The piriformis is a small but important muscle in the gluteal (buttock) area. It originates from sacrum(base of lumbar spine), exits the pelvis through the sciatic foramen and inserts on the greater trochanter of the femur(hip bone). The piriformis muscle functions to...

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