Stemcelldoc's Weblog

April 10, 2011

Centeno-Schultz Clinic: Non Surgical Regenerative Treatments

At the Centeno-Schultz Clinic a new picture is emerging.

As a pain and non surgical orthopedic clinical practice we have a large number of therapies which distinguish us from others.
Board certified physicians: Centeno, Schultz and Hanson.
Understanding the importance of function: Ortho 2.0
In office x-ray and ultrasound guided injections which ensures that the injected therapy gets to its intended target.
Acknowledging the risks and complications of traditional high does steroid injections.
A large number of regenerative therapies including prolotherapy, platelet rich plasma, platelet derived stem cell therapy(Regenexx SCP), bone marrow derived stem cell therapy(Regenexx SD) and fat derived stem cell therapy(Regenexx AD).
Treatment of chronic spinal conditions which include cervical, thoracic and lumbar facet dysfunction, foraminal and central canal narrowing due to disc protrusion or herniation and SI joint dysfunction
Non surgical treatment of common orthopedic conditions which include cartilage defects, meniscal injuries, ligamental injuries, tendonitis and tendonosis, bursitis, rotator cuff tendonopathies and muscle injuries.
Publications in peer-reviewed journals.
Strategies to maintain healthy cartilage through supplements which include Chondroitin, Glucosamine and Resveratrol.

February 5, 2009

Studies Showing Rotator Cuff Tears

Patients with shoulder pain unresponsive to conservative therapy often are prescribed radiographic studies for further evaluation.  X-rays can not reveal rotator cuff tears , since tendons are compromised of soft tissue and not bone.    X-rays evaluate bone.

shoulder_x-ray_2

Another diagnostic modality is ultrasonography, which does not expose the patient to radiation and is less costly than MRI studies.   Teefey  demonstrated  that when ultrasonography and magnetic resonance imaging studies are read by radiologists with comparable experience,  they have comparable accuracy for identifying rotator cuff tears.

What if the study is abnormal?  Tempelhof  examined the prevalence of rotator cuff tears in patients WITHOUT shoulder pain.  He evaluated 411 volunteers and divided them into four age groups.   51% of the volunteers who were older than 80 years of age  had a tear in the rotator cuff, yet no pain.   The authors concluded that rotator cuff tears are present in patients without shoulder pain and increase in prevalence with age.

The key is to have a thorough history and physical examination.  Radiographic studies should be used in conjunction with the examination to accurately determine the source of pain.  At the Centeno-Schultz Clinic we are committed to this standard. There are many therapies for rotator cuff tears which include prolotherapy and stem cell therapy.  Utilizing a novel technique, patients are able to use their own stem cells to regenerate torn or damaged ligaments, tendons and cartilage.

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