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The Centeno-Schultz Blog


Medical professional administering an injection into a patient's knee.

Did Your Recent Knee Injection Actually Accelerate the Degeneration?

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

Multifidus Muscle: An Important Spinal Stabilizer

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

neck fusion

Neck Fusion May Be Creating More Problems than It Solves

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

spinal fusion

Spinal Fusion Does More Harm than Good!!!

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

hand numbness while sleeping

Hand Numbness While Sleeping? Your Neck May Be the Culprit

While not super common, hand numbness while sleeping is an issue patients sometimes bring to our attention. We’re not talking about I fell asleep on my hand, and when I woke up it was numb; we’re talking about legitimate hand numbness that seems to recur most nights and may even wake you from sleep. If … Continued

A syringe needle with a drop of blood.

Why Differences in Bone Marrow Aspirate Techniques Matter!

In a previous blog, I underscored the importance of the number of stem cells harvested during a bone marrow aspirate. Success is dose-dependent. The higher the number of stem cells the better the outcome. What Is Bone Marrow Aspirate? A bone marrow aspiration is a  medical procedure that uses a trocar (sharp-tipped instrument, shown at right) to cannulate the … Continued

knee instability

Check Your Knee Stability with 4 Simple Tests

Knee stability, and stability in general, is very important. Lack of knee stability can lead to more problems over time, such as pain and arthritis. What would cause you to suspect you have knee instability? You may notice your knee joint cracking or popping, or you might experience a sudden shift in the joint with … Continued

The Count Matters: Bone Marrow-Derived Mesenchymal Stem Cells

The Centeno-Schultz Clinic has been pioneering regenerative medicine and using bone marrow-derived mesenchymal stem cells since 2005. We are committed to the highest level of medicine and patient care. As such, we feel it’s important to answer this question: Does the Number of Stem Cells Harvested and Injected Matter? Yes!  Bone marrow-derived mesenchymal stem cells … Continued

rotator cuff surgery

Athletes and Rotator Cuff Surgery Are a Bad Mix

Rotator cuff tears are very common in professional athletes, particularly those who play sports that involve throwing, such as basketball and baseball. So with the game and a career on the line, you’d think the world of traditional orthopedics would have an effective noninvasive solution to treating these players. After all, they’ve worked hard to … Continued

Lumbar Disc Herniation

Lumbar Disc Herniation? Another Success Story with Epidural PRP

At the Centeno Schultz Clinic, we acknowledge that the pain associated with lumbar disc herniation can be debilitating. It may be that unrelenting sharp knife in the lower part of your back or the burning electrical stabbing pain that travels from your buttock down to your ankle. Let’s get to it then. Let’s talk about … Continued