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The Centeno-Schultz Blog


Biceps Tendon Repair

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


Narrowing the knee joint space

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


Meniscus knee surgery

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


Knee pain and knee arthroscopic surgery

Pain the in knee can arise from many sources:  osteoarthritis, torn ligaments, excessive wear of the cartilage and improper tracking of the knee cap due to muscle imbalance.  All too often an x-ray is taken which demonstrates osteoarthritis and the patient is scheduled fro knee arthroscopic surgery. There are other causes of knee pain which … Continued


Knee Osteoarthtritis & Stem Cell Therapy

Osteoarthritis is a common disorder affecting nearly 27 million Americans. It is is a clinical syndrome in which low-grade inflammation results in pain in the joints, caused by abnormal wearing of the cartilage that covers and acts as a cushion inside joints and destruction or decrease of synovial fluid that lubricates those joints. As the … Continued


Knee Arthroscopic Surgery

Knee arthroscopic surgery in a very common procedure performed by orthopedic surgeons in an attempt to treat knee pain. Knee arthroscopic surgeryis  typically performed in an outpatient surgical facility where a small camera is inserted into the knee joint.  The camera affords the surgeon an inside view of ones knee. Utilizing arthroscopic surgery the surgeon can … Continued


X-Rays: Only Part of the Picture

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


Arthritis knee surgery

Osteoarthritis is  derived from the Greek word “osteo“, meaning “of the bone”, “arthro“, meaning “joint”, and “itis“, meaning inflammation. It is a clinical syndrome in which low-grade inflammation results in pain in the joints, caused by abnormal wearing of the cartilage that covers and acts as a cushion inside joints and destruction or decrease of … Continued


Hip Pain Causes

There are many causes of hip pain.  Most individuals who experience hip pain believe that it comes from the hip.  As a pain physician, I encounter  a significant number of patients who have hip pain and who have been told they need either minimally invasive hip surgery, hip resurfacing surgery or total hip surgery.  Unforuntately that this … Continued


Knee cartilage surgery

Cartilage  is a dense connective tissue found in the knee  where it provides a protective surface.  It is composed of cells called chondrocytes.  Unlike other tissues,  articular cartilage does not contain blood vessels and therefore has poor regenerative qualities.  Injury to the articular cartilage of the knee can be the result of trauma, meniscal knee surgery where a … Continued