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The Centeno-Schultz Blog

Regenexx Non-Surgical Alternative to Cervical Fusion

Regenexx procedures use sophisticated image-guided injections to place bone marrow concentrate or high-dose platelet-rich plasma (PRP) in critical areas in your neck (cervical spine) to help the body heal itself. Because there are many things that can cause neck pain, from trauma to simple wear and tear, Regenexx procedures for cervical spine issues treat bad or degenerated discs, arthritic or damaged facet joints, pinched nerves, lax ligaments, or weak muscles. In other words, Regenexx procedures provide alternatives to cervical spinal fusion and other neck surgeries. Rather than find one source of pain, however, we focus on identifying and treating many structures at the same time.

Perc-CMC – Alternative to CMC Joint Surgery

Meet the Percutaneous Carpalmetacarpal Arthroplastly (or the “Perc-CMC Arthroplasty” for short), the innovative Regenexx procedure for the treatment of CMC joint that helps preserve function, mobility, and decrease pain by using image guided injections to place bone marrow concentrate containing stem cells and/or PRP to facilitate recovery from OA. It is the trusted alternative to CMC joint surgery.

PRP for Carpal Tunnel Syndrome

At the Centeno-Schultz Clinic in South Denver & Broomfield, Colorado, we specialize in treating musculoskeletal and orthopedic problems trying to stimulate the body’s own innate healing system via precise injections. This typically provides, better and longer-lasting results, is safer than drugs and steroids, can prevent many invasive and dangerous surgeries, have much quicker recovery times than surgery. PRP can be used to treat carpal tunnel syndrome. We perform a procedure called hydrodissection. We use ultrasound to guide a very small needle around the median nerve and inject local anesthetic and our specialized PRP called platelet lysate. At the Centeno Schultz Clinic, we have a specialized lab...

Perc-CT SR – Alternative to Carpal Tunnel Surgery

Called the Perc-Carpal Tunnel Scar Release (Perc-CT SR Procedure), and we have been using this carpal tunnel treatment without surgery for many years with excellent results. It’s similar to the standard ultrasound-guided carpal tunnel hydrodissection, but, instead of using the high-dose steroid, which can hurt nerves and tendons (1, 2), we use the patient’s own platelet-derived growth factors that can help nerves repair through cytokines like NGF, PDGF, and IG-1 (3, 4) found in platelet lysate or platelet-rich plasma (PRP). The platelet lysate contains growth factors concentrated from the patient’s own platelets, and it’s precisely injected around the nerve. In our experience...

PRP for Tennis Elbow

PRP, which stands for platelet-rich plasma, is a concentration of platelets and growth factors derived from whole blood. Plasma is the fluid portion of blood. Blood is drawn from a peripheral site most commonly in the arm and then placed into a centrifuge where the platelets are concentrated. Platelets contain important growth factors that are critical to tissue healing and repair which include vascular endothelial growth factor and platelet-derived growth factor. PRP has been compared with steroids in the treatment of lateral epicondylitis. In a 2015 study, 65 patients with lateral epicondylitis were randomized to receive PRP or steroid injections. Pain, grip strength...

PRP for Rotator Cuff Tears

The Regenexx SCP procedure for rotator cuff tears is a non-surgical alternative that uses precise, image-guided injections of platelet-rich plasma (PRP) to accurately place growth factors into the damaged tissue in your shoulder. Regenexx procedures can utilize either platelet-rich plasma or your own bone marrow concentrate (containing stem cells) to help you avoid rotator cuff repair surgery. The one that utilizes PRP is called the “Regenexx SCP,” which is short for super-concentrated platelets.

PRP for Osteoarthritis

To discuss PRP for Osteoarthritis we need to define Osteoarthritis. Arthritis is a general term for painful conditions that involve one or more body joints such as the knee and hip. Most types of arthritis involve pain, swelling, and stiffness. There are more than 100 types of arthritis. Osteoarthritis is the most common form of arthritis affecting more than 30 million adults in the united states (1). It involves the breakdown of the protective cartilage. In 2013 osteoarthritis was the second most expensive condition treated in US hospitals accounting for more than $165 billion in hospital costs (2). Other types of arthritis include rheumatoid arthritis, juvenile arthritis, and gout.

Nerve Hydrodissection

Nerve Hydrodissection is a medical procedure that aims to free up scar tissue or adhesions on a given peripheral nerve. The procedure utilizes ultrasound guidance to visualize both the needle and the targeted nerve. Medication is then injected through the needle to free up the scar tissue. Nerve Hydrodissection is a minimally invasive treatment option for many peripheral nerves that are compressed or entrapped by scar tissue.Pain is an uncomfortable and at times painful sensation. It varies significantly from patient to patient. There are many different types of pain which include inflammatory, nociceptive, and neuropathic. Neuropathic pain is pain that arises from nerve compression or injury.

PRP for Nerve Damage

Peripheral nerves are comprised of various combinations of motor, sensory, and autonomic neurons. Nerve injuries are a common condition with a broad range of symptoms depending on the severity of nerve damage which presents various challenges to patients, ranging from mild discomfort to life-long impairment. PRP for nerve damage has been shown to be effective. Let’s dig in. Nerve injuries can be classified based on the severity of damage and which structures in the nerve have been damaged. The most severe case is the complete transection of the nerve, called neurotmesis. The most common is neuropraxia from acute or chronic compression of the nerve.

PRP Knee Injections

PRP stands for Platelet-Rich Plasma. Platelets are blood cells that prevent bleeding. They contain important growth factors that aid in healing. Plasma is the light yellow liquid portion of our blood. So PRP is simply a concentration of a patient’s own platelets that are suspended in plasma and are used to accelerate healing. PRP is NOT stem cell therapy. Regrettably, blood contains few circulating stem cells. Rich sources of stem cells are bone marrow and fat. PRP is rich in growth factors. There are many different types of growth factors with different properties. VEGF is a very important one as it can increase the blood flow to an area.