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The Centeno-Schultz Blog


orthobiologics to treat arthritis

Using Orthobiologics to Treat and Prevent Arthritis

Today, May 1, marks the beginning of National Arthritis Month, which occurs in May of every year. According to the Arthritis Foundation, one in five adults will be afflicted with arthritis. This makes it the front-runner for disability in the U.S., something we in the field of interventional orthopedics are determined to address. So throughout … Continued

hip steroid injections

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 hip replacement surgery (within two years of the first replacement) by 53%. Steroids, … Continued

does your butt hurt

Your Butt Pain Could Be A Sign Of Something More Serious

Does your butt hurt? Has what you thought was a cramp in your butt muscle turned out to be a persistent pain that just won’t go away? While a tight piriformis muscle is often to blame, there is usually another reason this muscle is tight and hurting that typically goes undiagnosed. It could instability in … Continued

Perc-ACLR nonsurgical acl repair

ACL Repair Without Surgery? Yes, It’s Called Perc-ACLR

When anterior cruciate ligament (ACL) surgery first came on the scene, it was big news, especially for athletes in sports that are notorious for torn ACLs. However, since it involves replacing a native ligament with a poor copy in a highly invasive procedure, it was certain to be replaced at some point. Why? When a … Continued

acl stem cell treatment

ACL Stem Cell Treatment: Not All Techniques Are Created Equal

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

lumbar disc course

CSC Physicians Taught At IOF’s Advanced Lumbar Disc Course

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

What Is Interventional Orthopedics?

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

ccj instability

Can CCJ Instability Be Treated Without Surgery?

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

Peripheral Neuropathy via SANS approach

Leg Pain And Numbness Not Due To Peripheral Neuropathy

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

hip replacement wear particles

Hip Replacement And Wear Particles: What You Need To Know

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