Centeno-Schultz Clinic - Podcasts

An interview with Todd Ball, PT, on how optimizing posture can help you rehab from CCI. https://youtube.com/live/dfnvwaPpO9Y

An interview with a neuropsychologist on how to tell if it's CCI or concussion. https://youtube.com/live/4rpS70G3f3A

Dr. Centeno reviews outcomes, results, and insights from the "As Seen" ePICL case series in treating craniocervical instability. He explores things like whether hEDS makes a difference in CCI outcomes, being bed bound, having certain symptoms, etc... https://youtube.com/live/Ym-Vu3bUqBE

Dr. Centeno discusses the data behind a PICL and ePICL procedure flare-up, what to expect, and how best to reduce or mitigate flare-ups in CCI patients undergoing this procedure. https://youtube.com/live/LzBVkaoQ3Ws

Dr. Centeno discusses the top 10 things you must know about stem cells if you have CCI or craniocervical instability and are considering stem cell treatment. https://youtube.com/live/xYzbFyFMjrw

Dr. Centeno discusses urinary urgency and frequency in CCI patients. What causes it? How do you fix it? Is it always an occult tethered cord or something else? https://youtube.com/live/XuzDTOFONjE

Join Dr. John Pitts and upper cervical chiropractor Dr. Alison Bremner as they discuss the connection between vertigo and the upper neck. Learn how neck injuries, concussions, and instability can contribute to dizziness, brain fog, and headaches, how these symptoms differ from inner ear disorders, and why a collaborative approach to diagnosis and treatment can help patients find answers when other evaluations come back normal.Learn more about CSC & Dr. Pitts:www.centenoschultz.comLearn more about Dr. Bremner:www.alisonbremner.comFull video available at: https://youtu.be/dOL4I043RL4

Dr. Centeno reviews the top things he uses to tell CCI or craniocervical instability from CSF leaks, Eagle syndrome, Chiari, or other diagnoses. This list will help patients reach the correct diagnosis more quickly. https://youtube.com/live/fXOj1xkLGw0

Dr. Centeno answers questions on CCI, PICL, posterior injections, and regenerative medicine. https://youtube.com/live/T8DUvpXf3m8

Dr. Centeno interviews Dr. Linda Bluestein on hEDS and CCI. She has an EDS-specific practice and sees many patients with CCI due to hypermobility. https://youtube.com/live/ZGS7Qz-rlcA

Since craniocervical instability is generally determined by measurements on imaging, which measurements can tell if you have CCI? Which don't matter? What types of imaging do you need to get to determine if you have CC? https://youtube.com/live/clnYrcbHk-4

Dr. Centeno introduces a way to make the ePICL procedure more accessible and answers questions about CCI, ePICL, and regen med. https://youtube.com/live/rWzRFFHQIMg

Dr. Centeno discusses the updated research on PICL outcomes and variables that may impact results for craniocervical instability patients. https://youtube.com/live/DJ8Sn9-LWuM

Dr. Centeno delves into Spiky-Leaky Syndrome and its relationship to CCI, CSF leaks, hEDS, and mast cell disorders. https://youtube.com/live/PHdiEVh_HeI

Dr. Centeno reviews which CCI patients are more likely to need surgery. The presentation discusses the indications for elective surgical fusion in patients with craniocervical instability (CCI), excluding cases with fractures or severe instability. Most CCI patients do not require surgery, but those with high atlantodental intervals (ADI), significantly reduced clivo-axial angles (CXA), static brainstem compression, severe Chiari malformations (greater than type I), congenital cervical abnormalities, inability to tolerate ePICL procedures, or failure of legitimate ePICL treatments with persistent severe symptoms may be candidates. For those needing surgery, it is advised to select surgeons who routinely perform upper cervical fusions, as only about five surgeons worldwide manage approximately 80% of such elective cases.https://youtube.com/live/FwU08fXEji4

Dr. Centeno reviews how the location of your neck and shoulder pain can predict which bulging disc is causing symptoms. https://youtube.com/live/2FZoTbmKPzQ

Dr. Centeno discusses craniocervical instability and the PICL procedure with John Schultz, M.D. https://youtube.com/live/AC5gg56V7sc

Dr. Centeno discusses how seven deep internal nerves, such as the vagus, hypoglossal, C1, and C2 nerves, among others. These create all sorts of symptoms like headaches, tachycardia, vision issues, etc... https://youtube.com/live/YX8rMT64ppU

Dr. Centeno reviews these rotational imaging methods and discusses their pros and cons in diagnosing craniocervical instability or CCI. https://youtube.com/live/yxL8TYCyXoE

Dr. Centeno interviews Dr. Henderson, a CCI surgeon in Maryland who has published several papers on CCI surgery. https://youtube.com/live/cLCGMOp9kyQ

Dr. centeno interviews Dr. Rosa on Chiari, CCI, and CSF flow imaging as well as upright MRI. Full Video: https://youtube.com/live/g9GtVx2JDl0

Dr. Centeno reviews one month of PICL repeat patients coming back into the clinic for repeat care. This is a detailed overview of every PICL patients seen, so it gives prospective patients a transparent look into the outcomes of CCI or craniocervical instability patients getting the PICL procedure.

Dr. Centeno discusses what can be seen on a routine cervical MRI and whether CCI can be diagnosed. He reviews craniocervical instability findings that can be seen on routine neck MRI.https://youtube.com/live/6OTm6iGKSSk

Dr. Centeno reviews what we know about Chiari and symptoms. The research suggest something much more interesting about Chiari and symptom generation. What actually causes symptoms may surprise you.

Dr. Centeno delves into what generates symptoms in CCI patients.https://youtube.com/live/-IMI-Hdfe-o

Dr. Centeno goes over the major causes of headaches that originate in the neck and dives into how you can self-diagnose the top three. Each of these structures that cause these headaches can be easily treated through injection, but all too often, medications get thrown at the problem.https://youtube.com/live/QyDyYFCaX9Q

In this CCI Deep Dive episode, Dr. Centeno focuses on Step 3 of CCI rehab: gaining true muscular stability. Learn why deep stabilizing muscles must be retrained before strength is added, how improper loading reinforces compensation and flares, and how precise, low-load activation restores control so the neck can finally support itself safely.

Dr. Centeno discusses interventional neurobiologics and why injections can help nerves.https://youtube.com/live/-zsd8SwpbjM

In this CCI Deep Dive episode, Dr. Centeno outlines a clear, step-by-step framework for rehabbing craniocervical instability. Learn how to progress safely across six key areas—ligaments, muscles, symptoms, proprioception, spinal curve, and core strength—using a low-load, patient-guided approach. This episode explains when conservative rehab is enough, when interventions act as a bridge, and why the process itself is often the most critical part of recovery. 

 In this CCI Deep Dive episode, Dr. Centeno explains the first and most critical step of craniocervical instability rehab: “threading the needle.” Learn how to progress safely without triggering debilitating flares, how to distinguish adaptive discomfort from dangerous setbacks, and when rehab alone isn’t enough without restoring structural stability first. 

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 walks listeners through how to read and understand a Digital Motion X-ray (DMX) report. Learn which findings actually matter, why tiny measurements can signal major instability, and how dynamic imaging reveals ligament failures that standard scans often miss. A practical guide to making sense of DMX results in the context of chronic neck and neurological symptoms. 

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 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 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 why treating the neck, not the arms, is often the key. 

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 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. 

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. 

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 understanding and why it’s currently performed exclusively at the Centeno-Schultz Clinic. 

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.

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, and improve healing after regenerative treatment. 

 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. The episode walks listeners through the hard data, the extremely low viability rates (35–75%), and the destructive multi-step supply chain that degrades these cells long before they reach a syringe. It also contrasts these products with high-viability autologous options such as bone marrow concentrate and adipose tissue, explaining when and why each is appropriate. The result is a blunt, evidence-driven guide that helps patients and providers separate science from marketing and understand what real regenerative therapy requires. 

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 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 how common low-dose systems, poor technique, and unreported platelet concentrations in clinical trials have led to widespread confusion about PRP’s true effectiveness. This deep dive clarifies the science, the math, and the clinical realities behind producing genuinely high-dose PRP, and gives listeners the exact questions they should be asking any provider before undergoing treatment. 

 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 treatment matches the complexity of your condition and minimizes risk. 

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 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 stability may hold the key to improving vagus nerve function and overall health. 

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

 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 restoring neck stability can be key to lasting relief.