Centeno-Schultz Clinic - Podcasts

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 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. 

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. 

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 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 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 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. 

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 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. 

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.