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Transforaminal Lumbar Interbody Fusion (TLIF)

If you have been dealing with spine pain such as low back pain, neck pain, or nerve symptoms down the leg or arm and have failed all treatments – it is likely that your surgeon consultation went over the possibility of a Fusion!  Most Fusion techniques are described as PLIF, TLIF, or ALIF. Acronyms for … Continued


alternatives to laminectomy

Alternatives to Laminectomy

If you have had an MRI of your spine, you are probably like most patients. You read the MRI report and then google every term on your MRI report from the Radiologist trying to figure out what it all means! Alternatives to Laminectomy should be an important part of that search. Today you’re in luck, … Continued


Degenerative Scoliosis? Exciting New Non-surgical Treatment Option

Degenerative scoliosis is a medical condition that involves side bending in the spine. Dr. Schultz discusses what degenerative scoliosis is, how it is diagnosed, the most common symptoms, the Cobb Angle, whether it can be reversed, current treatment options, and a new, non-surgical treatment option at the Centeno-Schultz Clinic.


image of annular tear in before herniation of disc

Annular Tear Treatment

The annulus is a thick ring of collagen fibers that surrounds the gelatinous inside portion of the disc. Dr. Schultz discusses the importance of annular tears and nonsurgical treatment options.


are there alternatives to back surgery for spinal stenosis

Are There Alternatives to Back Surgery for Spinal Stenosis?

Back pain can be disabling and can arise from many conditions such disc herniation, disc protrusion, and spinal stenosis. Today we’ll be concentrating on spinal stenosis. How is it treated?  Is surgery needed? Are there alternatives to back surgery for spinal stenosis? What Is Spinal Stenosis? Lumbar stenosis is narrowing of the spinal canal and … Continued


gymnast with foot pain

Young Gymnast with Foot Pain Caused by Her Back?

The modern world of orthopedics consists of hyperspecialists who focus on treating injured athletes based on their individual broken and painful parts. So the knee doctor treats the athlete with knee pain, the foot and ankle doctor treats the athlete with foot pain, and the spine doctor treats the athlete with back pain. At the … Continued


lumbar fusion surgery

Lumbar Surgery and Its Consequences: A Patient’s Unfortunate Story

Lumbar Fusion Surgery often Results in Adjacent Segment Disease Lumbar surgery is often recommended for low back pain, leg pain, and lumbar disc herniations that are unresponsive to conservative therapy. One surgery that is commonly performed is lumbar fusion, which often results in adjacent segment disease (ASD). ASD occurs when the discs and facets above … Continued



Urgent Lumbar Fusion Surgery Canceled After Thorough Evaluation and PRP Injection

At the Centeno-Schultz Clinic, we are frequently consulted for second opinions. Patients and their physicians want us to dig deep and evaluate possible regenerative-treatment options. We take this seriously as we acknowledge the significant side effects associated with high-dose steroids and surgery. KD is a case in point. We evaluated him two weeks ago after … Continued


big toe numbness and back back pain

Big Toe Numbness? It Could Be Your Low Back

A Numb Big Toe Could Be an Early Warning Sign… Big toe numbness – while it might not be particularly common, or even that concerning—it’s just a toe after all— when your big toe goes numb, it can certainly get your attention.  And for good reason; it’s usually an early warning sign that something more … Continued