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The Centeno-Schultz Blog



Lumbar Epidural Steroid Injections

Lumbar epidural steroid injections are a common therapy for patients with lower back and leg pain as  a result of a disc bulge or herniation.   If the disc is bulging or herniated it can compress the nerve root causing leg pain and or weakness. The epidural space is a area around the spinal cord and … Continued






Epidural Use for Knee Replacement Surgery

Epidural use for knee replacement surgery is a common practice. Epidural use for knee replacement surgery can avoid the use and risks associated with a general anesthetic. Unfortunately epidural use for knee replacement surgery still exposes the patient to the risks of a regional anesthetic including but not limited to infection, spinal headache, nerve damage … Continued

Benefits of Back Surgery and Nonsurgery

Benefits of Back Surgery and nonsurgery are controversial and a topic of much debate among physicians and patients. Benefits of Back Surgery and Nonsurgery have been examined and Weber et al demonstrated that at 4 years there was not a significant difference in outcome between those patients who underwent surgery vs conservative non operative management. … Continued

Chondroplasty with microfracture knee surgery

Chondroplasty with microfracture knee surgery is a common surgical procedure for patients with loss of cartilage in the knee joint.  Chondroplasty  involves smoothing of  the roughened articulate cartilage with the intent of decreasing the friction inside the join. Microfracture involves making a grid like pattern of fractures in the cartilage and subchondral bone with the intent of stimulating … Continued