Conservative Care

Conservative care refers to non-invasive or minimally invasive treatment approaches aimed at managing health conditions and promoting overall well-being. This approach often emphasizes lifestyle modifications, physical therapy, and other non-surgical interventions to alleviate symptoms and improve quality of life.

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Physiologic Dose Anti-inflammatory Injections

Steroid anti-inflammatory injections can cause tissue damage. Why? Given that the body uses steroids to control inflammation, how could an injection of steroids be bad? Let’s dig in. Anti-inflammatories and the Body Corticosteroids are substances that reduce inflammation. The body uses a corticosteroid called hydrocortisone (Cortisol) at very low levels. How low? 60-230 nanograms per…read more

Why Are Knee Bone Marrow Lesions A Big Deal?

What is a bone marrow lesion? If you have knee arthritis, why should you care? Today we’ll dig into why these are a big deal through the story of a basketball player’s knee. What Is a Bone Marrow Lesion? Many think that a joint like the knee has two main parts – the bone and…read more

Have Kneecap Pain? Exercise Your Hips!

The body is always interesting. For decades some physical therapists have treated knee pain by having their patients perform knee exercises. However, more recently physical therapists have figured out that most kneecap pain is actually coming from a hip problem. Let’s dig in. Patellofemoral Syndrome The kneecap lives in a groove at the end of…read more

Should Naturopaths Be Able to Perform Complex Spinal Procedures?

I’ve covered this issue a few times on this blog. We have naturopaths with limited medical training who are performing complex interventional spine and surgical procedures. As I have reviewed their practice acts, IMHO many are violating these acts, but the medical boards that could stop this are asleep at the wheel. Let’s dig in.…read more

New Craniocervical Instability Book!

Craniocervical Instability or CCI is one one the most confusing topics in medicine to research online. Why? There are only a few pockets of information that all appear to be diametrically opposed to each other. Hence, like I’ve done a few times now, I wrote a book to try and get good information all in…read more

Headaches from Your Neck and Posture

Cervicogenic headaches come from the neck and they can be caused by lots of things. However, some new research this morning shows that a simple issue like posture could be causing quite a few. Let’s dig in. Cervicogenic Headache Cervicogenic headaches start in the neck and are primarily felt in the head. They often follow…read more

Meniere’s Disease and Stem Cells

I love answering patient questions and recently I got an interesting one about Meniere’s Disease and stem cells. Let’s dig in. The Question “I am a sufferer from Menieres Disease which is a chronic illness of the inner ear causing hearing loss, vertigo attacks, dizziness, tinnitus and many other associated symptoms. I’ve seen a number…read more

Ask Dr. C- Episode 8- Bone on Bone and Cartilage Regeneration

Nothing in regenerative medicine is likely more misunderstood by doctors and patients than “bone on bone” knee arthritis. There are misconceptions about candidacy as well as what the patient can expect as far as outcomes. Hence, this is a great “Ask Dr. C” question. Dr. Centeno, ” you said that you have not been able…read more
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