The Centeno-Schultz Blog

In the field of regenerative medicine, we treat ACL tears by injecting orthobiologics, such as bone marrow stem cells. First, it’s important to understand that there are numerous subtypes and classifications of anterior cruciate ligament (ACL) tears, and in order to properly inject an ACL tear, we need to know the type and the precise … Continued

The Centeno-Schultz Clinic is committed to advancing the field of interventional orthopedics so that patients, families and communities can have safe, effective nonsurgical options for common orthopedic conditions. This is manifested in the following. Advanced Physician Training Physician fellowship program: This program is expanding from two to three full-time physician fellows in the summer of … Continued

Interventional orthopedics is a 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, biomechanics, and approaches to successfully place a needle under guidance into a given structure. Watch this quick … Continued

Craniocervical junction (CCJ) instability it a difficult-to-treat condition. Conservative measures may provide some temporary relief, depending on how severe the instability is, but ultimately, if your instability doesn’t improve or continues to deteriorate, your orthopedic doctor is probably going to recommend an upper-cervical fusion. This is a highly invasive surgery that not only permanently freezes … Continued

The Centeno Schultz Clinic is committed to the highest standard of care with comprehensive evaluations performed by fellowship-trained physicians. We utilize a SANS approach to evaluate our patients, which is what has helped us identify the peripheral neuropathy. Today I saw a patient in clinic who literally breaks my heart. Here is the tale of … Continued

It’s been very well documented in research that wear particles are a given with hip replacement, but what exactly are hip replacement wear particles, and are they anything to be concerned about? First, in order to understand wear particles, you need to understand the materials manufacturers use to create these artificial-hip devices. Common Artificial-Hip Device … Continued

At the Centeno-Schultz Clinic, safety is first and foremost. As physicians we have a responsibility to our patients and community to do no harm. To that extent, we asked a key question in 2016. Do commonly injected local anesthetics harm stem cells? You know, those medicines used to numb an area? The short answer is YES! We … Continued

At the Centeno-Schultz Clinic, we utilize the SANS approach in our evaluation and treatment of patients. This has been discussed in prior blogs.  S stands for stability. Stability is dependent upon muscle strength and ligament stability. The Multifidus Anatomy The multifidus is one of the deep muscles of the back. During development, the muscles grow … Continued

We could title today’s post with a number of questions: Do I really need a neck fusion? Does neck fusion surgery really work? What complications can I expect following a neck fusion? However, the answers to all of these boils down to, neck fusion may be creating more problems than it actually solves. In fact … Continued

Back and neck fusions are surgeries we place into the category of “Damage to Accomplish a Goal,” and, indeed, these spinal fusions are perhaps some of the most damaging orthopedic surgeries out there. Only in the most extreme cases, where the extensive harm this surgery creates is sure to be less than the good that … Continued