Centeno-Schultz Clinic - Podcasts

A New Theory for Pressure Headaches in CCI: Is the Bursa a Bigger Problem than the IJV? -  Dr. Centeno reviews why in craniocervical instability patients the upper cervical bursas may be responsible for pressure headaches that have been attributed to internal jugular vein compression. Full Video Available at: https://youtube.com/live/BWyaz18K320

Can Neck Pain or CCI Cause TMJ Problems? - Dr. Centeno discusses the relationships between the neck and TMJ and how that may impact the treatment of craniocervical instability (CCI). Full Video Available at: https://youtube.com/live/2oocJvQ4_Nw

What Can Cause Greying Out or Fainting in CCI Patients? - Dr. Centeno reviews what can cause  greying-out episodes or fainting in CCI patients. He also answers patient questions. Full Video Available at: https://youtube.com/live/zggbJEqYcDo

What's Different about the Cayman Islands Regenexx Affiliate? - Dr. Centeno discusses why our Cayman Islands affiliate site is different by offering culture-expanded mesenchymal stem cells. Full Video Available at: https://youtube.com/live/bgHoGEQujfs

What Happens in a TeleMedicine Visit for Craniocervical Instability and PICL Procedure? - Dr. Centeno discusses how best to prepare for a telemedicine visit for Craniocervical Instability and PICL procedure. Full Video available at: https://youtube.com/live/hmB1TVO-zdE

Do You Need to Get Your Internal Jugular Veins Decompressed? - Dr. Centeno reviews the concept of surgical decompression of the internal jugular veins in CCI patients. Full Video Available at: https://youtube.com/live/hAX_uBP5BLk 

How Does Your Neck Curve Impact CCI and Other Neck Issues? - Dr. Centeno reviews how cervical lordosis can impact craniocervical instability as well as other neck issues. Full Video Available at: https://youtube.com/live/i-GwyQ3TiO4

Looking for Neck Stabilizer Muscle Atrophy on Your Neck MRI - Dr. Centeno shows you how to read a neck MRI for neck stabilizer muscle atrophy. Full Video Available at: https://youtube.com/live/m3NSVYTuVZc

PICL Outcomes for hEDS vs EDS - Dr. Centeno discusses PICL outcomes when used to treat craniocervical instability in hEDS vs. normal ligament patients. Full Video Available at: https://youtube.com/live/aICOPAVUkUM

Which Imaging Measurements Can Accurately Diagnose Traumatic CCI? - Dr. Centeno discusses which imaging measurements can accurately diagnose traumatic CCI. How can you tell the certainty level of a CCI craniocervical instability diagnosis? How can you be sure? How can your doctor be sure? Watch Dr. Centeno's latest video to learn more about proper CCI diagnosis techniques. Full Video Availabl...

Infectious or Environmental Causes of CCI: A Review of What we Know - Dr. Centeno discusses infectious or environmental causes of CCI including Lyme, Mold, COVID-19, MCAS, and dietary triggers or intolerance.  These could be possible causes of CCI and the research supporting each connection. Full Video Available at: https://youtube.com/live/SNsqylGrWPk

Low Dose Naltrexone and CCI: An Update - Dr. Centeno discusses low-dose Naltrexone and its use in treating chronic pain. The implications for procedural anesthesia are reviewed as well. Full Video Available at: https://youtube.com/live/Nfkiso2NCWg

The Problem with Banana Republic Stem Cell Clinics - I frequently get asked about stem cell clinics in Panama and Columbia for treating orthopedic or spine problems. This is my take with a Q/A session as well. Full Video Available at: https://youtube.com/live/s4EU-uTgk44

How Do We Make a CCI Diagnosis? An Update - Dr. Centeno reviews what it takes for him to make a CCI (craniocervical instability) diagnosis. All the pieces of that diagnostic puzzle are discussed. Full Video Available at: https://youtube.com/live/ZyA1nKyShLQ

A Review of the Kjetil Larsen Blog Questioning the Validity of Chronic CCI or AAI - Dr. Centeno reviews a recent blog post by Kjetil Larsen questioning whether chronic CCI/AAI exists or whether it's just a posture problem easily fixed with appropriate exercises. Full Video Available at: https://youtube.com/live/tPfjKjr1l4Y

When Does DMX Miss CCI? An Update and Follow-up - Dr. Centeno discusses how a digital motion x-ray (DMX) can sometimes miss CCI. He reviews a patient with severe transverse ligament laxity who was helped without fusion. Full Video Available At: https://youtube.com/live/ZaLaYnMrq8g

Does PRP Need to Be Injected into a Damaged Ligament? - Dr. Centeno discusses why it's critical to inject precisely into damaged ligaments with orthobiologics like PRP and stem cell containing BMC. He also compares and contrasts several different common injection routes. Full Video Available at: https://youtube.com/live/ZOup-p0TOwo

What is a Facet Capsule Injection versus a Real Facet Joint Injection? - Dr. Centeno reviews the differences between a facet capsule injection and an actual fluoroscopy-guided and contrast-confirmed facet injection. Full Video Available at: https://youtube.com/live/6OJgqU2ynYc

What’s the Difference Between PRP and Bone Marrow Concentrate for Ligament Healing? - Dr. Centeno discusses the differences between PRP and bone marrow for ligament healing. Which is better? Full Video Available at:  https://youtube.com/live/rnvl43ZOiBw

What does having a heavy head mean? Why does this happen? - Dr. Centeno discusses why patients can report a heavy head or a bobblehead sensation and how this interfaces with upper neck injuries, CCI, and other problems at the CCJ. Full Video Available at: https://youtube.com/live/-yHFQYWnx08 

The ALCAO Plexus and CCI - A new nerve plexus has been discovered in front of C2 which links together many nerve supplies that fit with craniocervical instability symptoms. Dr. Centeno reviews this discovery and what it may mean for CCI patients. Full Video Available at: https://youtube.com/live/dcPFmzQEdjI

Dr. Centeno reviews the links between neck instability or loss of curve and sleep apnea or snoring. Full video available at: https://youtube.com/live/5iak-LGUeQ8

Injecting the C1-C2 Facet Joint Under Ultrasound: A PA with a Scary Big Needle - Dr. Centeno discusses the risks of injecting the C1-C2 facet joint using ultrasound imaging as well as far safer methods to access this joint. Full Video Available at: https://youtube.com/live/Csjt0-bIQVQ

If Your DMX Overhand Improves on DMX Make Sure It's Real - If Your DMX Overhand Improves on DMX Make Sure It's Real - Dr. Centeno discusses how DMX measurements of overhang at C1-C2 in CCI patients can seem to improve after treatment, but you have to be careful that you're comparing apples to apples. Full Video Available at: https://youtube.com/live/JiHDcfzrgUU

Which Alar Ligament is Responsible for C1-C2 Overhang? - Dr. centeno reviews which alar ligament allows excessive C1-C2 lateral translation also called "overhang". Full Video Available at: https://youtube.com/live/fT69WacSlQs