The Centeno-Schultz Blog

It appears that the Canadian health system has close links to the American insurance companies.  In years past the American insurance companies did not recognize whiplash and its attendant disabling pain.  Rather they banded together to create the concept of  M.I.S.T.  (Minor Injury Soft Tissue Injury).  The concept held that whiplash was a psychosocial phenomenon.  … Continued

Shoulder pain can arise from many causes including osteoarthritis, loss of cartilage and damage to the supporting muscles and tendons.  Shoulder arthroscopy is often deemed essential to repair torn or degenerative tendons.  Often during shoulder arthroscoppy one or more tendons is mechanically re-attached to the bone in an effort to remove the “damaged” or diseased … Continued

Have you been told that your knee x-ray shows narrowing of the joint space and therefore your should have arthroscopic knee surgery?  Before you schedule for knee arthroscopic surgery or arthritis knee surgery consider the following facts. A study in the New England Journal of Medicine recently demonstrated that knee arthroscopy in patients with osteoarthritis … Continued

As a pain physician I am committed to identifying the source in a given patient so that the appropriate treatment can be provided.  We have learned that degenerative discs identified on  MRI of the lumbar spine are NOT  by default the origin of a patient’s back pain .  Degenerative lumbar discs are part of the aging … Continued

As an interventional pain physician, I have the opportunity to evaluate patients who are seeking alternatives to arthroscopic hip, hip resurfacing surgery and total hip replacement surgery.  Most patients want to avoid having the top of the femur sawed off and replaced with a metal prosthesis. Most patients come with x-rays and a history of … Continued