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thoracic spine

prp for disc herniation

PRP for Herniated Disc, Bulging Disc, and Disc Protrusion

Dr. Pitts discusses PRP for Herniated Disc, Disc Bulge, and Disc Protrusion Transcript Hello, everybody. This is Dr. John Pitts of the Centeno-Schultz Clinic, where we are the leaders and inventors of much of the field of interventional orthopedics, which is basically treating and diagnosing musculoskeletal, orthopedic-type problems using injections and regenerative agents rather than … Continued

new treatment for costochondritis

New Treatment for Costochondritis – Thoracic Spine Series

NEW TREATMENT for COSTOCHONDRITIS What is Costochondritis? Your ribs connect with the sternum (breastbone) via cartilage at synovial-lined joint. Costochondritis is rib pain, specifically a chest wall pain caused by inflammation of the rib cartilages or the area where the ribs meet the sternum, known as sternal articulations (1). In a group of 122 patients … Continued

thoracic radiculopathy

Thoracic Radiculopathy – Thoracic Spine Series

Thoracic Radiculopathy is thoracic spinal nerve irritation caused by mechanical, or chemical, irritation of the spinal nerve. The term radiculopathy refers to the whole complex of symptoms that can be caused by a nerve root pathology. Thoracic spine has 24 nerve roots. 12 on each side. Symptoms typically correlate to the path of that specific … Continued

facet joint injection

Facet Joint Injection

The facet joint is a pair of cartilage lined joints at each level of the spine that provides important stability and resists excessive rotation and extension. Dr. Schultz discusses treatment options, risks, and alternatives to traditional steroid injections.

Rib Fracture Surgery – Thoracic Spine Series

Rib Fracture Surgery – Can It Put You at Risk for Additional Fractures? Your Rib Cage Is Important Your rib cage is a vital area that protects the lungs and provides structure for the muscles that allow you to breathe. Rib fractures, which are surprisingly common, often result from some type of blunt force trauma … Continued

back fusion

Why a Back Fusion May Just Lead to More Fusions

Today we’re seeing more and more orthopedic surgeons fusing multiple back bones at once. Instead of a one-level lumbar fusion, which fuses two bones together, they’re doing two or three levels, which fuses three or four bones together. We probably don’t have to state the obvious here, but the more levels that are permanently joined … Continued

degenerative spondylolisthesis

Why Diagnosing Degenerative Spondylolisthesis Early Is Critical

You might not be able to imagine your doctor as a patient, but doctors sometimes find themselves on the other side of the stethoscope. Our own Dr. Centeno is a good example of a doctor turned patient when it comes to diagnosing and treating degenerative spondylolisthesis. A degenerative condition, without intervention, will only worsen over … Continued

epidural steroid injections

Why You’re Getting Less Relief with Your Epidural Steroid Injections

Epidural steroid injections are extremely common treatments provided for irritated or inflamed spinal nerves. These irritated nerves can cause pain in the area of the nerve in the back or neck or pain anywhere along the nerve branch in areas that nerve supplies, such as the knee, shoulder, hip, and so on. They might seem … Continued

Prolotherapy brings additional relief from thoracic pain

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

Relief from “near suicidal” thoracic pain

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