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The Interventional Orthobiologics Blog

The Antibiotic Cipro Damages the Batteries in Your Cells

We’ve seen many patients over the last decade or two whose lives have been ruined by quinolone antibiotics, like Cipro. Why? We usually see them for severe chronic tendon problems. Turns out that, in addition, these antibiotics, like so many drugs, work by inhibiting an enzyme that bacteria and your cells need. Basically, a case…read more

Is Back Pain Genetic?

Can we use a genetic test to see who will get back pain? If we do, can we prevent it? As early 21st-century medicine progresses, we will be confronted with these dilemmas. Has the first foray into this next step in diagnosis arrived? Our Genes Tell Our Past, Present, and Future Our genetic make-up can…read more

Dr. Centeno Speaking Today at Canadian Think Tank

Today I’m up north, speaking in front of Alberta government health officials and regulators about how interventional orthopedics will change the landscape of orthopedic care. This conference is a product of the LPNs in Alberta who have found that by getting decision-makers in the room and exposing them to new technologies, they can drive provincial…read more

What an Octopus on Ecstasy Can Teach Us About the Brain on Drugs

You may have missed a big discovery a few weeks back concerning researchers that put octopuses on the drug ecstasy. While this sounds like a bad experiment from the LSD-fueled universities of the ’60s, it actually revealed an important brain discovery. Let me explain. How Serotonin Works Perhaps most well known for its connection to…read more

More Hip Arthroscopy Complications Surface

If you follow this blog, you now know that except for a few select patients, the routine use of knee meniscus surgery in middle-aged and older patients is an invasive waste of time. In my opinion, the next big orthopedic surgery bubble to pop will be hip arthroscopy. There are multiple randomized controlled trials underway,…read more

Why Are We Still Offering Meniscus Tear Patients Surgery? This Is Getting Nutty

If you read this blog, you have seen that we now have gobs of high-level evidence showing that surgery for the vast majority of meniscus tears in middle-aged patients is a fool’s errand. Despite this, the procedure is still the most common elective orthopedic surgery in the U.S. Now we have brand-new research that also weighs…read more

Can a Stem Cell Treatment Regenerate My Degenerated Disc?

Way back in 2006, I’m pretty darn sure we were the first clinic on earth to inject mesenchymal stem cells into a human disc. Our hope was that what happened in rabbits, dogs, and rats would happen in people. That patients with severely degenerated discs would grow new ones. Regrettably, that didn’t happen. Now new…read more

Aspirin: High Risk of Hemorrhage Outweighs Minimal Heart Benefits

It seems like every patient over 40 I see is taking, or has been told to take, a baby aspirin a day to protect them from a heart attack. This seems like such an innocuous thing, a tiny white pill given to babies. However, does the risk of this tiny thing outweigh the benefit? What…read more
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