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The Centeno-Schultz Blog


Atlas of Interventional Orthopedic Procedures

New Interventional Orthopedics Atlas

Writing a textbook is an enormous undertaking.  In creating a first of its kind, comprehensive textbook in Interventional Orthopedic Procedures, authors Williams, Sussman and Pitts have established a new benchmark in the field.  Congratulations to its authors for their dedication, foresight and commitment to the advancement of Interventional Orthopedics.  What Is Interventional Orthopedics?  Interventional Orthopedics … Continued

ACL tear treatment without surgery

ACL Tear Treatment Without Surgery: Our New Publication!

It all happened so suddenly.  You were running down the field and made a quick cut.  You heard an audible pop followed by searing knee pain and then collapsed to the ground. Your doctor thinks your tore your ACL and has referred you to a surgeon.  What is the Anterior Cruciate Ligament?  What is the … Continued

Ligaments of the Spine: Understanding Their Importance

It started as a dull ache and now has progressed.  It feels like a knife in the back of your neck and is preventing you from daily activities.  Medications, rest and conservative treatments have failed.  Your doctor noticed on x-ray that the bones are out of alignment.  He thinks you may have suffered a ligament … Continued


Alar Ligament

What Is the Alar Ligament?

Introduction Medicine is highly specialized now.  Each specialty has a series of checkboxes that patient’s symptoms nicely fit into.  For example, irregular heart rhythm with abnormal ECG is a cardiology problem.  Shortness of breath with abnormal chest x-ray can be effectively evaluated and treated by a pulmonologist.  Unfortunately, the symptoms and presentation of patients with … Continued

blog banner -Understanding Cervical spine instability measurements

Understanding Cervical Spine Instability Measurements

Cervical Spine Instability Measurements: How To Precisely Interpret Them It was all a blur. You were waiting for the red light to change when a large truck slammed into your vehicle. You did not see the approaching vehicle but heard the skidding tires.  The brain fog, dizziness, and fatigue have not responded to conservative therapy.  … Continued

atlantodens interval

What Is the Atlantodens Interval? A QuickStart Guide

The headaches and dizziness became progressive in nature and responsive to conservative care. Chiropractic adjustments provided only  transient relief as you could not maintain your adjustment.  A surgeon reviewed your history, symptoms and radiographic studies.  He mentioned different measurements that were abnormal.  What is the Atlantodens Interval? What is the Atlas?  What is the Axis … Continued


Differences Between a Normal vs Abnormal Cervical Spine MRI

The neck pain was unrelenting and unresponsive to conservative care.  Simple tasks and motions were impossible.  At times there were sharp, shooting pains radiating down your arm with accompanying numbness and tingling. Your doctor ordered a Cervical MRI and you are awaiting the results.  What is a Cervical MRI?  How does an MRI work? Does … Continued

Your Grabb Oakes Measurement: What Does It Mean?

The headaches, brainfog and balance problems has been progressive in nature and unresponsive to conservative care. After what seemed like endless consultations and examinations your chiropractor believes it is Craniocervical Instability.  During a surgical evaluation the MRI was reviewed, and different measurements were taken all of which was confusing. What is the Cranium? What is … Continued