Centeno-Schultz Clinic - Podcasts

Dr. Centeno discusses the functions of the stellate ganglion and the vagus nerve in controlling the fight or flight/chill and repair responses in the human body. Treatment for these nerves is also discussed. Full Video: https://youtube.com/live/rX-RIBIEK78

In this CCI Deep Dive episode, Dr. Centeno explores why many chronic “migraines” may actually be coming from the neck. Learn how cervical headaches differ from true migraines, why migraine medications often fail, and how upper cervical dysfunction or craniocervical instability can refer pain to the head and face. A clear guide to recognizing when head pain is structural—not neurological. 

In this CCI Deep Dive episode, Dr. Centeno explores why many chronic “migraines” may actually be coming from the neck. Learn how cervical headaches differ from true migraines, why migraine medications often fail, and how upper cervical dysfunction or craniocervical instability can refer pain to the head and face. A clear guide to recognizing when head pain is structural—not neurological. 

Dr. Centeno interviews Dr, Markle about a new treatment called IGNIte for trigeminal neuralgia. Full Video: https://youtube.com/live/yHIImJK5zn0 

In this CCI Deep Dive episode, Dr. Centeno explains why the sensation of heavy arms may have nothing to do with the arms themselves. When common neurological and nerve compression causes are ruled out, upper cervical instability can force shoulder and arm muscles into constant stabilization, creating profound fatigue and heaviness. Learn how craniocervical instability alters normal mechanics—and w...

In this CCI Deep Dive episode, Dr. Centeno explains why the “heavy head” or bobblehead sensation is a meaningful clinical signal—not just fatigue. Learn how muscle atrophy, ligament laxity, and modern posture overload the upper neck, why standard imaging often misses the cause, and how the right diagnosis guides effective treatment. 

Dr. Centeno discusses using platelet growth factors to help vagus nerve function in CCI patients and others. Full Video: https://youtube.com/live/FKGucjZA5zo

In this CCI Deep Dive episode, Dr. Centeno explains how specific symptoms point to specific types of craniocervical instability. Learn why looking up, looking down, or persistent dizziness each signal different structural failures—and how precise symptom reporting guides targeted, effective treatment instead of one-size-fits-all care. 

Dr. Centeno dives deep into whether you can use decreased flow in the IJV with head turn to diagnose symptomatic CCI due to compression of the internal jugular vein. He reviews the data and concludes that this information isn't helpful in figuring out which CCI patients have intracranial hypertension caused by craniocervical instability.

In this CCI Deep Dive episode, Dr. Centeno unpacks the evolution of the groundbreaking ePICL procedure—an enhanced, next-generation treatment for craniocervical instability. Listeners will learn how years of technical refinement, dual-imaging systems, and advanced targeting have led to unprecedented precision in stabilizing the upper neck. Discover why this innovation is reshaping anatomy understa...

Dr. Centeno breaks down why some patients experience significant flare-ups after the PICL procedure while others recover smoothly. This CCI Deep Dive episode explores the top five biological factors—central sensitization, inflammation, medication use, functional level, and cannabis—that shape recovery outcomes. Learn how understanding these drivers can help patients prepare, manage expectations, a...

Dr. Centeno discusses how the presence of a retroflexed dens on an MRI doesn't mean that it's causing symptoms. He reviews research on this topic and discusses how a retroflexed dens plus CCI or craniocervical instability can cause symptoms. https://youtube.com/live/8j2qbOAaDdE

 This episode of the CCI Deep Dive Podcast examines one of the most aggressively marketed—and most misunderstood—areas in regenerative medicine: umbilical cord, amniotic, and placental “stem cell” products. Drawing from published scientific investigations, the discussion breaks down why many of these birth-derived products do not contain functional living stem cells despite bold clinical claims. T...

 This episode of the CCI Deep Dive Podcast breaks down one of the most misunderstood topics in regenerative medicine: why platelet-rich plasma (PRP) works brilliantly for some patients and fails for others. Dr. Centeno and the team dissect the three major determinants of PRP success—blood draw volume, kit efficiency, and the patient-specific concentration required to trigger healing. They expose h...

 In this CCI Deep Dive episode, Dr. Centeno explains the critical questions patients should ask before getting any neck injections. The discussion breaks down the five skill and technology levels of cervical spine injection providers—from outdated blind techniques to advanced, image-guided, upper-cervical procedures. Learn how to evaluate safety, precision, and provider expertise to ensure your tr...

 In this CCI Deep Dive episode, Dr. Centeno examines how craniocervical instability (CCI) in the upper neck can disrupt one of the body’s most vital communication pathways—the vagus nerve—and trigger widespread problems like gastroparesis, dysautonomia, and POTS. Learn how small structural shifts at C1–C2 can interfere with digestion, heart rate, and immune regulation, and why restoring neck stabi...

Dr. Centeno has a conversation with the IPA physical therapy founders about PT for CCI or craniocervical instability. https://youtube.com/live/JghO6NHuUJE

 In this CCI Deep Dive episode, Dr. Centeno explores the surprising connection between the neck and jaw—how craniocervical instability (CCI) can trigger or worsen temporomandibular joint (TMJ) problems. Learn how weak deep neck stabilizers force chewing muscles to overcompensate, leading to jaw pain, clicking, and degeneration. The discussion unpacks why treating TMJ alone often fails and how rest...

Dr. Centeno reviews whether craniocervical instability or CCI can cause ear symptoms. https://youtube.com/live/6h5ZwW7-s_o

 In this episode of CCI Deep Dive , Dr. Centeno unpacks the anatomy and meaning of a retroflexed dens —a common but often misunderstood MRI finding at the top of the neck. Learn why this structural variation is usually harmless, how it can become problematic when paired with craniocervical instability, and how advanced nonsurgical treatments like the PICL and ePIC procedures use your body’s own ce...

Dr. Centeno reviews why social media posts touting "upper cervical injections" can be dangerous and how to avoid that danger. https://youtube.com/live/i-a1djjgBHA There was a problem with the slides not advancing, so here's another version of this talk: https://youtu.be/pOMQmdkdUDk

Still struggling with “post-concussion” symptoms that never seem to go away? In this CCI Deep Dive episode from the Centeno-Schultz Clinic, Dr. Centeno breaks down five simple ways to tell if your lingering headaches, dizziness, and brain fog are really coming from your neck—not your brain. Learn how motion, traction, palpation, treatment response, and imaging can reveal upper-neck instability as...

Dr. Centeno dives into why Chiari malformation symptoms aren’t just about brain structure. This episode reveals how craniocervical instability (CCI) and tiny muscle or nerve issues often drive symptoms—and why surgery isn’t always the answer. Learn how regenerative treatments like the PICL procedure can restore stability and help patients heal without invasive intervention.

Dr. Centeno interviews Todd Ball on using postural-based rehab to recover from craniocervical instability (CCI). https://youtube.com/live/31Vkj1S0kUI

Dr. Centeno reviews the CXA measurement and the fact that it's a dynamic concept and what numbers are concerning, and which CXAs are probably not important. https://youtube.com/live/Hr4UoHDBfgk