The Centeno-Schultz Blog

Knee cartilage is a type of dense connective tissue found in the knee that provides a protective surface for the joint. It is composed of cells called chondrocytes and, unlike other tissues, articular cartilage does not contain blood vessels. As a result, knee cartilage has poor regenerative qualities.Read more about Knee Cartilage Surgery

Knee ligament surgeries have become quite common, ACL (anterior cruciate ligament) surgeries average 250,000+ surgeries alone every year! These invasive surgeries have come under investigation in recent years, wondering the necessity, or need to be done.Read more about Knee Ligament Surgery

Your knee pain initially was intermittent and mild.  Unfortunately, It is now constant and debilitating.  Your doctor recommends knee replacement surgery.Read more about Knee Replacement

Spinal fusion is a major surgery where one or more spinal bones (vertebrae) are fused together using screws, bolts, and or plates.  The hardware may be placed in the front (anterior) or the back (posterior) of the spine. The disc between the spinal bones is often times removed and replaced with bone or a spacer. L 4/5 refers to the level of the surgery.Read more about L 4/5 Fusion Surgery

Spinal fusion is a major surgery where one or more spinal bones (vertebrae) are fused together using screws, bolts, and or plates. The hardware may be placed in the front (anterior) or the back (posterior) of the spine. The disc between the spinal bones is often times removed and replaced with bone or a spacer.Read more about L5 S1 Fusion Surgery

Lumbar Spinal Stenosis (LSS) is one of the most diagnosed spinal disorders of patients over 45 years old. At least 200,000 adults in the United States have LSS symptoms that require treatment. The Framingham Study reported a prevalence of absolute Lumbar Stenosis of 47.2% for patients aged 60–69 years, with this number increasing with age.Read more about Laminectomy

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.Read more about Nerve Hydrodissection

Neural-Prolo, is also known as Neurofascial Prolotherapy (NPT). Born from traditional prolo-therapy, Neural-Prolo is described as: Subcutaneous peri-neural injection of 5% dextrose. It was created by a New Zealand physician, Dr. John Lyftogt while he was treating a series of Achilles tendon injuries.Read more about Neuro-Prolotherapy (Neural-Prolo)

The other day I was evaluating a patient and reviewing the treatment options for their spine condition.  After discussing prior treatments, we got to the topic of medications taken for pain relief. She explained that she mainly utilized anti-inflammatory (NSAID) medications and then she told me to hold much she takes and has been for many years…..Read more about NSAIDs

An Occipital Cervical Fusion also known as Occipitocervical Susion is a Major Surgery. It is not a routine operation and is a challenging procedure due to complex anatomy of the upper neck. The procedure involves rods, plates and screws that are placed into the Cervical Spine and Occiput. A plate secured by screws are placed at the base of the Occiput.Read more about Occipital Cervical Fusion