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The Centeno-Schultz Blog


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


Craniocervical Instability: Another Treatment Success Without Surgery

It was all a blur.  The headaches, brain fog and fatigue started gradually and got worse.  Simple tasks became overwhelming.  Isolation and functional limitation ensued.  Physical therapy, chiropractic care, medications and rest failed to help.  Physicians were not certain as to the cause of my symptoms.  Many were dismissive and suggested that it was an … Continued

exercise & ProActive

Too Much of a Good Thing?

My mother used to say, “everything in moderation.” This is what a new study seems to say about exercise. Can too much exercise be a problem for your body? Let’s dig in. How Much Should You Exercise? The current US physical activity guidelines state that (1): “Adults should do at least 150 minutes to 300 … Continued

orthopedic surgery and heart damage

1 in 8 Orthopedic Surgeries Lead to Heart Damage

Sometimes a paper comes along that breaks my brain. This is one of those research studies which is in the form of a position paper published by the American Heart Association. It basically says that some people are getting heart damage during routine surgery. So let’s dig in because when I first read it yesterday, … Continued

interstitial cystitis

Interstitial Cystitis: Everything You Need to Know

Interstitial Cystitis (IC) is a chronic Bladder condition resulting in recurring discomfort and pain in the Bladder or surrounding Pelvic region. This can cause Bladder Pain Syndrome (BPS) that can lead to unrelenting pain, frequent trips to the bathroom day and night, and curtail activities due to extreme urinary frequency. What Is Interstitial Cystitis? Interstitial … Continued

Grabb Oakes Measurement: How Is It Determined?

The headaches, brain fog and dizziness were getting worse and unresponsive to conservative care.  You were referred for surgical evaluation.  During the consultation time was spent reviewing your neck MRI.  Different measuresurements were performed.  Should you be concerned?  What is the Cranium?  What is the Craniocervical junction (CCJ)? What is the Grabb Oakes Measurement?  How … Continued

knee arthritis

Arthritis in Knee? Here’s What to Know

Every day we evaluate patients who have been seen by an orthopedic surgeon and have been told they need a total joint replacement. These surgeries require long recoveries and risk major complications so naturally, patients are looking for an alternative to allow them to return to their active lives without the need for such invasive … Continued

Pes Anserine Bursitis

Pes Anserine Bursitis

Knee pain located at the lower inside of the knee can be caused by Pes Anserine Bursitis, which is irritation of the tendons that run on the inside aspect of the knee. Commonly mistaken for arthritic pain, meniscal pain, and sometimes nerve pain from the low back! Don’t be misdiagnosed, and let’s dive in below … Continued

Craniocervical Instability & Ehlers Danlos Syndrome: Know the Facts

Gymnastics and yoga were easy as you were super flexible.  With continued training your shoulders and knees kept popping out of place.  A series of small but significant traumas left you sidelined both from athletics, academics and socially.  Brain fog and fatigue were common themes.  You have seen countless physicians with conflicting information.  Your chiropractor … Continued