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The Centeno-Schultz Blog


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

Could The Anterior Longitudinal Ligament Be Causing Your Neck Pain?

The neck pain is unrelenting, and it all started after being rear-ended at a stoplight. Spine X-rays demonstrated some abnormal movement of the spinal bones. Both conservative care and medications have failed. Your doctor thinks you have injured a spinal ligament. What is the anterior longitudinal ligament? What is its role? What ligaments are injured … 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

meniscus tear types

6 Meniscus Tear Types And How To Treat Them Properly

Even a small meniscus tear can make walking difficult for you. If you are experiencing any of these symptoms, you may want to seek medical help as soon as possible, depending on the type of tear you have. Needless to say, a lot depends on understanding the meniscus tear types there are and what each … 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


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