Apoptosis is the process of programmed cell death. The process is controlled by a variety of factors both within and outside of cells. High dose steroids have been demonstrated to create cell death in muscles, bones, cartilage and ligaments. High dose steroids are...
X-rays, MRI s and CT studies are often obtained as part of a sports injury evaluation. In most cases these studies are static in nature and not dynamic. Patients are positioned and instructed “NOT TO MOVE”. Unfortunately for many patients their pain...
At the Centeno-Schultz Clinic we acknowledge the important of taking a history, performing a physical examination and reviewing radiographic studies. We appreciate that MRI’s or x-rays alone rarely identify the source of pain. Many painful conditions such as...
Mesenchymal stem cells are available from different tissues sources which include blood, adipose, synovial fluid, muscle and bone marrow. Superior clinical outcomes are associated with selecting stem cells from the most appropriate source, isolating them in a state...
An arthrogram is an x-ray procedure whereby contrast is injected through a needle into a joint. Why is this important? Contrast in the joint confirms that the needle is in the correct place. If the needle is not appropriately placed, the injected contrast with NOT...
Our first experience with misdiagnosed patients and big hip surgery was many years ago. A patient came into the office with severe hip pain and was unable to get in or out of her car. An x-ray showed hip arthritis, so she was told she needed a surgery to install a new...
