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The Centeno-Schultz Blog

avoid acl surgery

6 Reasons You Should Rethink That ACL Surgery

Why should you avoid ACL surgery? With the introduction of interventional orthopedics, the traditional world of elective orthopedic surgery is changing, much like the traditional world of cardiac surgery did a few decades ago when interventional cardiology entered the scene. In the not too distant future, much of elective orthopedic surgery will be replaced by … Continued
say no to steroid shots

Epidural Steroid Injections: Is There An Alternative?

Steroid injections, also called steroid shots for your spine, are commonly used to treat musculoskeletal inflammation and relieve pain. Unfortunately, however, these high-dose steroids are associated with a number of complications and side effects. A few of these follow: Despite these significant side effects, epidural steroid injections continue to be performed on patients with low-back … Continued
rotator cuff tear physical therapy

Why Isn’t My Rotator Cuff Tear Healing After Physical Therapy?

At the Centeno-Schultz Clinic, we understand that a rotator cuff injury can be a game-changer. It can erode your competitive edge and well-being. When physical therapy (PT) doesn’t seem to be helping your rotator cuff heal, this can be concerning as many believe surgery may be their next step. In most cases, however, surgery isn’t … Continued
spine instability

Address Spine Instability Now to Prevent Problems Later

When you look at the structure of your spine and consider the multitudes of pressures you place on it daily, it’s easy to understand how instability could become an issue. But what exactly is spine instability, how do you know if you have it, and should you be concerned about it if you do? Let’s … Continued

CrossFit Athlete Undergoes PRP Injections and Avoids Shoulder Surgery

At the Centeno-Schultz Clinic, we are committed to assisting you with maintaining or increasing your competitive edge through precise ultrasound- or X-ray-guided injections of PRP and bone marrow-derived stem cells. This includes professional athletes, aspiring national athletes, collegiate players, and weekend warriors. And CrossFit athletes are included. Life is short, seasons come and go, and … Continued
gastrocnemius recession surgery to lengthen a tight calf muscle

Surgery to Lengthen a Tight Calf Muscle?

There are many surgeries out there that just don’t make sense, and surgery to lengthen a tight calf muscle has to fall near the top of the list. The medical term for this surgery is gastrocnemius recession. The gastrocnemius is the larger of the two calf muscles. Is spans the back of the lower leg … Continued

Consequences of Meniscus Surgery: Progression of Knee Arthritis

At the Centeno-Schultz Clinic, we are committed to providing image-guided injections of PRP and stem cells for common orthopedic conditions so that patients can avoid surgery. Orthopedic surgery is associated with a number of complications, which include, but are not limited to, infection, escalation in pain, deep vein thrombus and failure. A patient I saw … Continued

How to Accurately Evaluate Knee Stability: Dynamic Ultrasound

At the Centeno-Schultz Clinic, we utilize the SANS approach when evaluating patients, which prefaces the use of dynamic ultrasound for knee stability. SANS has four key components: Stability Articulation Neuromuscular Symmetry In a previous blog, I outlined the importance of stability. If a joint is unstable, it is at risk for injury since the cartilage … Continued
knee pain after knee replacement

Knee Pain After Knee Replacement: 5 Things You Need To Know

The vast majority of patients who make the decision to undergo a knee replacement do so because they are in pain. Perhaps they’ve lived with knee pain for years. Combine that with a doctor who’s telling them a total knee replacement is their last option, and it’s easy to understand why someone might believe surgery … Continued
SANS Approach

The Importance of Joint Stability + The SANS Approach

At the Centeno-Schultz Clinic, we utilize a systematic approach in our evaluation of each patient. This approach is called SANS and stands for the following: Today, I want to focus on stability. Stability in a mechanical sense means resistance to falling apart. In the context of your joint, stability refers to a joint that moves … Continued