spine back

The Centeno-Schultz Clinic is committed to advancing the field of interventional orthopedics so that patients, families and communities can have safe, effective nonsurgical options for common orthopedic conditions. This is manifested in the following. Advanced Physician Training Physician fellowship program: This program is expanding from two to three full-time physician fellows in the summer of … Continued

At the Centeno-Schultz Clinic, we utilize the SANS approach in our evaluation and treatment of patients. This has been discussed in prior blogs.  S stands for stability. Stability is dependent upon muscle strength and ligament stability. The Multifidus Anatomy The multifidus is one of the deep muscles of the back. During development, the muscles grow … Continued

Back and neck fusions are surgeries we place into the category of “Damage to Accomplish a Goal,” and, indeed, these spinal fusions are perhaps some of the most damaging orthopedic surgeries out there. Only in the most extreme cases, where the extensive harm this surgery creates is sure to be less than the good that … Continued

At the Centeno Schultz Clinic, we acknowledge that the pain associated with lumbar disc herniation can be debilitating. It may be that unrelenting sharp knife in the lower part of your back or the burning electrical stabbing pain that travels from your buttock down to your ankle. Let’s get to it then. Let’s talk about … Continued

Skiing, cycling, or running is a way of life for many. Early mountain ascents up switchbacks or 30- to 40-mile bicycle rides are weekly occurrences. Weekends and holidays are organized around extending physical limits and or reducing times. Knee pain can seriously compromise an individual’s ability to ski, cycle, or run. Swelling and weakness can … Continued

Steroid injections, also called steroid shots for your spine, are commonly used to treat musculoskeletal inflammation and relieve pain. Unfortunately, however, these high-dose steroids are associated with a number of complications and side effects. A few of these follow: Despite these significant side effects, epidural steroid injections continue to be performed on patients with low-back … Continued

When you look at the structure of your spine and consider the multitudes of pressures you place on it daily, it’s easy to understand how instability could become an issue. But what exactly is spine instability, how do you know if you have it, and should you be concerned about it if you do? Let’s … Continued

The piriformis is a small but important muscle in the gluteal (buttock) area, and piriformis syndrome is the subject of this blog. It originates from sacrum(base of lumbar spine), exits the pelvis through the sciatic foramen and inserts on the greater trochanter of the femur(hip bone). The piriformis muscle functions to laterally rotate the hip. … Continued

WP came to us with mid thoracic pain and radiation burning. He had tried epidurals and facets procedures prior to coming to the Centeno-Schultz Clinic.  After evaluation, we decided to continue with the facet procedures and also include some prolotherapy. As a result of his treatments, WP was able to discontinue medication use and his … Continued

JW is a 50 year old paraplegic who had severe thoracic pain.  His previous doctors saw a cyst on his spinal cord.  They thought this was causing pain and subsequently removed it with major neurosurgery. Unfortunately, there was no relief of pain.  He was sent to The Centeno-Schultz Clinic by his doctor.  We diagnosed a … Continued