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The Centeno-Schultz Blog

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

Cartilage arthroscopic knee surgery

Cartilage arthroscopic knee surgery is utilized in patients with knee pain who have a reduction in the cartilage on the femoral condyle or tibial plateau.  Reduction of cartilage in the knee joint can arise from many sources including osteoarthritis, trauma, degeneration or surgical removal of the meniscus and excessive wear due to biomechanical imbalances.   Cartilage … Continued

Muscle weakness after knee surgery

  Muscel weakness after knee surgery is a serious complication that is often not mentioned to patients who elect to proceed with surgery. Muscel weakness after knee surgery can arise from a number of factors including damage to a nerve, inappropriate positioning and severe pain which impedes rehabilitation. There are many risks associated with knee … Continued

Patella Tendon Repair and Rehabilitation

The patella tendon connects the knee cap ( patella) to the shin bone (tibia). It serves to stabilize the knee and allows the quadriceps muscle group to straighten the leg. The patella tendon is prone to rupturing in individuals with a history of patella tendon injury such as jumper’s knee or osteoarthritis. Injuries of this … Continued

Chronic back pain

Back pain left untreated often results in chronic back pain.  Yes often the spasms and  aches that weekend warriors experience resolve on their own. Unfortunately for others, back pain continues for weeks to months at a time resulting in chronic back pain.  Back pain treatment varies from each speciality but at the Centeno-Schultz Clinic we … Continued

Back Pain Treatments

Back pain is very common problem that plagues millions.  At the Centeno-Schultz Clinic it is our commitment to  correctly identify the source of ones back pain.  Failure to correctly identify the source of back pain can result in misdiagnosis and inappropriate therapy.  Back surgery is all too often the answer provided to patients.  Back surgery … Continued

Back Pain Relief

Patients both in the US and elsewhere are accustom to quick fixes.  If they have a sore throat they go to their doctor and receive an antibiotic and the sore throat resolves.  if they have rash, they go to the dermatologist and cream is dispensed and the rash resolves. Lower back pain unfortunately can arise … Continued