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Frequently Asked Questions

If you have questions, you’re in the right place.

Orthobiologics

Why do we use bone marrow concentrate rather than other forms of orthobiologics?

Is my bone marrow too old?

What can I do to improve my orthopedic health?

Our Procedures

What’s the difference a PRP, same-day bone marrow concentrate, and cultured bone marrow procedure?

What is the difference between PRP, SCP, and PLM? What are they each used for?

When do you use cultured bone marrow concentrate?

If I am anemic, does that prevent me from receiving stem cell or PRP treatments?

Results

Will bone marrow concentrate or PRP therapy cure or completely fix my problem?

If bone marrow concentrate & PRP treatments don’t typically regrow cartilage, how do they work ?

Why are hips harder to treat with orthobiologics?

Spine

Can you rehydrate discs?

Why doesn’t my spine need bone marrow concentrate?

What is the DDD (Degenerative Disc Disease) procedure?

Other

What’s the difference between MRI, CT, and X-ray? How are they used in bone marrow concentrate and PRP injection procedures?

My doctor said an x-ray was good enough…..typically this is not the case. At Centeno Schultz we treat the entire functional unit, meaning not only the bones but also the tendons and ligaments. Therefore, we use additional imaging like MRI and ultrasound to ensure our patients get the most precise and complete treatments.

How does the steroid used at the Centeno Schultz Clinic differ from other clinics?

Normal doses of steroids can cause severe damage. That’s why we use a nanogram dose. Dr. Centeno explains:

New Patient Evaluation (NPE)

What is a SANS evaluation?

The doctors at the Centeno Schultz Clinic perform a SANS evaluation of every patient. A SANS evaluation looks at you as a whole person, examining your stability, symmetry, how nerves may contribute to pain, and your joints and articulation. Many orthopedic conditions are interconnected. Unlike other orthopedic specialists that often see 6+ patients an hour, our comprehensive 60 minute SANS evaluation can identifiy the interconnected issues, get to the real cause of your pain and help you find relief!

What does a good, fair, or poor candidacy score mean?

Based on 15 years of experience and extensive patient registry data, the doctors at Centeno Schultz provide every patient with a candidate rating of good, fair or poor. Other regenerative medicine clnics dont have the experiece or data to do this. Our higest priority is determining if this is right for YOU, our patient.

What is the value of a telephone review?

While Regenexx Clinics are established throughout the nation, many individuals still travel to seek the inventors of these treatments. At Centeno-Schultz, we offer a telephone review to go over images you have, go over your medical history, and review your symptoms and function of that area. For those traveling from a distance, this is a great way to find out if our treatment is a good fit for you and YOUR condition.

 

 

Can we treat more than one area at a time?

This is on a case-by-case basis and although we have before, it would be at the advice of the doctor to treat more than one area. One of the many things that set Regenexx procedures apart from all other stem cell therapy being offered is dosage; to ensure the best possible outcome the doctor takes many factors into consideration, including your stem cell count.

How do telemedicine evaluations work?

One of the major benefits of telemedicine evaluations is that you have a chance to work with the world’s leading Interventional Orthobiologics doctors from anywhere in the world from the comfort of your own home.

 

Telemedicine evaluations have eligibility to be submitted to insurance. If you are working with a carrier, and want to see if you have eligibility, please send over you’re a copy of the front and back of your insurance card; we will verify for you. Please provide Date of Birth.

If you happen to have an insurance that doesn’t have eligibility, the Telemedicine Evaluation fees are:

$200 – Dr. John Pitts; Dr. Jason Markle; Dr. Matthew Hyzy

$275 – Dr. Christopher J. Centeno; Dr. John Schultz

About our doctors: https://centenoschultz.com/our-staff/

Some instruction for navigating the Regenexx Telemedicine Portal

Link –> https://telehealth.regenexx.com/

1. When you click the link, you will come to a page that says “Consult With A Regenexx Doctor Online.”

2. Please click on: “CLICK HERE TO REGISTER.”

3. Once you have registered as a new patient, you will be asked the select doctor, please Select: The Centeno-Schultz Clinic.

4. From there, you will be asked to select body area for exam.

5. You will be given the Medical History Form, Video and Self-evaluation form that follows along with the video. These videos/forms where made by Dr. Centeno to help you/us understand your unique Orthopedic condition.

6. Once you are finished, please send all documentation to your appointed Regenerative Medicine Consultant.

What should I know prior to my visit/appointment?

  • Wear loose fitting clothes if possible.
  • Expect to spend between 1-2 hours in the clinic for your evaluation.
  • You MUST have a written referral from your treating doctor.
  • If you are part of an HMO or an insurance plan that requires prior authorization to see a specialist, it is your responsibility to get this authorization prior to your first visit.
  • We do not accept referrals from attorneys or participate in medical-legal examinations. We only testify in court on patients we have treated.
  • We do not perform IME examinations for the purposes of court or the legal system.
  • We do not see patients for the purposes of prescribing narcotic medications. While we do rarely use these medications only with patients who are resistant to other treatments, we believe that these medications are only an adjunct to other non-medication based forms of treatment.

Insurance coverage

This information is subject to change, so please consult with the intake coordinator when you schedule your appointment.

Group Health Coverage:
Aetna /Cofinity
BCBS- In and out of network
Cigna /Great West
First Health Plan – PPO
Humana – PPO/POS
Kaiser –PPO only
MultiPlan
United Healthcare

General Insurance Information:
We do not accept Medicaid or Medicare. Any patients with an HMO inside the state of Colorado must have prior authorization to be seen. Patients without authorization will not be scheduled until visits are approved. If your insurance is not one we accept, you may pay for care at the time of service and request a statement that you may submit to your insurance carrier for reimbursement. Additionally, The Regenexx Procedure and some of our other treatments are not covered by insurances. Please check with your insurance group, or call our clinic for more information.

If I travel to Colorado, how long should I stay?

Most patients can fly in and out in 1-2 days. There are times that we recommend longer stays of 2-3 days or even as long as 5 days, so please ask your clinic contact how many days is recommended for your stay.

Procedures

What is the maximum cost for a Regenexx procedure at Centeno-Schultz Clinic?

Centeno Schultz clinic focuses on providing the right, least invasive and most cost-effective procedure to help you find relief. More often than not, a platelet-based procedure could help you.

What’s recovery like?

Because of the wide range of conditions we treat here at Centeno-Schultz Clinic, it is hard to speak to what recovery looks like in sum total. However, we often characterize recovery with this description: “activity-tolerated.” Dr. Centeno explains:

 

How long do procedures last?