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The Centeno-Schultz Blog


Pre- and post-surgery MRIs show severe knee damage after three months.

How a Meniscectomy Destroyed a Patient’s Knee and Hope

At the Centeno-Schultz Clinic, we witness the destructive and oftentimes permanent affects of orthopedic surgery on patients. It can result in a deterioration of their function, an escalation in time, and, equally important, an erosion of their hopes and dreams. Knee meniscectomy is one such surgery… Understanding Knee Meniscectomy Meniscectomy is a common orthopedic procedure … Continued

shoulder labrum surgery

Shoulder Labrum Surgery: Does It Work?

Over the past decade, we’ve seen study after study conclude the lack of efficacy of many elective orthopedic surgeries, such as meniscus repairs, shoulder decompression, hip impingement surgery, and many more. Specifically, they show that the outcomes of these surgeries are no better than those following a fake surgery. Another one we can add to … Continued

brown fat

Activating Beneficial “Brown Fat” Regulates Metabolism

Did you know that the human body contains two different types of fat? One type—brown fat—is actually very beneficial to the body, while the other—white fat—wreaks havoc and is associated with weight gain and disease. Unfortunately, the former is much more difficult to activate, but recent research shows those who exercise may enjoy the benefits … Continued

back fusion

Why a Back Fusion May Just Lead to More Fusions

Today we’re seeing more and more orthopedic surgeons fusing multiple back bones at once. Instead of a one-level lumbar fusion, which fuses two bones together, they’re doing two or three levels, which fuses three or four bones together. We probably don’t have to state the obvious here, but the more levels that are permanently joined … Continued

HIIT or Endurance Exercise

Hiit Vs Endurance Exercise: Which Is Better For Cell Health?

Hit any gym in your area and you’ll encounter those with strong opinions on the benefits of high-intensity interval training (HIIT) over endurance exercise and vice versa. The truth is, there are benefits to both, as those who participate in, for example, a CrossFit class (HIIT) one day and an aerobics class (endurance) the next … Continued

Torn Tendon In Foot

Torn tendons in foot are a common cause of pain and disability. The Achilles tendon is a frequently torn tendon in foot. The Achilles tendon is a thick band of fibrous tissue that connects the gastrocnemius muscle to the heel bone. It is the largest tendon in the human body. Contraction of the gastrocnemius muscle … Continued

Regenerative Orthopedic Medicine & Meniscus Tears, Part I

The last few days were used to discuss meniscus tears and the lacking evidence that surgical interventions provide. See the most recent evidence at Am J Sports Med. 2010 Sep;38(9):1907-16. Epub 2010 Jun 29. Turning to regenerative orthopedic medicine and meniscus tears, let’s consider other options. Today I’ll discuss attempting to reverse meniscus displacement outside the … Continued

Meniscus Tears & Surgery, Part II

Yesterday, I blogged on the structure and function of the meniscus. Today, I’ll discuss some of the current literature on meniscus tears and surgery. This is commonly referred to by orthopedic surgeons as cleaning up or fixing the meniscus, however, what is genuinely happening is the removal of a portion of the cushion and stabilizing … Continued

interventional orthopedics

Interventional Orthopedics Is Not Surgical Orthopedics

If you read this blog often, you know we discuss interventional orthopedics often, but do you know what that means? First, interventional orthopedics is not surgical orthopedics, and it’s important to distinguish between them. Interventional and surgical orthopedics are two entirely separate fields of medicine that besides the fact that they both are focused on … Continued

Cipro antibiotic

Is Your Cipro Antibiotics Damaging Your Cells?

We sometimes see new patients in our clinic who have had devastational results after taking quinolone antibiotics in the past, such as Cipro (ciprofloxacin). Usually, these are severe and chronic problems in their tendons, a common issue associated with these antibiotics. A recent study suggests, however, that tendon issues aren’t the only problems we should … Continued