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%)...
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 clinic...
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.
In this episode of CCI Deep Dive, Dr. Centeno unpacks the anatomy and meaning of a retroflexed dens—a common but often misunderstood MRI finding at the top of the neck. Learn why this structural variation is usually harmless, how it can become problematic when paired with craniocervical instability, and how advanced nonsurgical treatments like the PICL and ePIC procedures use your body’s own cells to restore stability. A clear, practical breakdown for anyone navigating complex CCI repor...
Still struggling with “post-concussion” symptoms that never seem to go away? In this CCI Deep Dive episode from the Centeno-Schultz Clinic, Dr. Centeno breaks down five simple ways to tell if your lingering headaches, dizziness, and brain fog are really coming from your neck—not your brain. Learn how motion, traction, palpation, treatment response, and imaging can reveal upper-neck instability as the hidden cause behind concussion-like symptoms. Tune in for practical, doctor-backed insights y...
Dr. Centeno reviews why social media posts touting "upper cervical injections" can be dangerous and how to avoid that danger. https://youtube.com/live/i-a1djjgBHA There was a problem with the slides not advancing, so here's another version of this talk: https://youtu.be/pOMQmdkdUDk
Dr. Centeno dives into why Chiari malformation symptoms aren’t just about brain structure. This episode reveals how craniocervical instability (CCI) and tiny muscle or nerve issues often drive symptoms—and why surgery isn’t always the answer. Learn how regenerative treatments like the PICL procedure can restore stability and help patients heal without invasive intervention.
Dr. Centeno reviews the CXA measurement and the fact that it's a dynamic concept and what numbers are concerning, and which CXAs are probably not important. https://youtube.com/live/Hr4UoHDBfgk
Dr. Centeno interviews Todd Ball on using postural-based rehab to recover from craniocervical instability (CCI). https://youtube.com/live/31Vkj1S0kUI
Dr. Centeno discusses how headache patients can tell if they have a migraine or craniocervical instability (CCI)? https://youtube.com/live/VkBM-rqxWoQ
Dr. Centeno discusses ways to tell if you have Eagle syndrome or craniocervical instability. https://youtube.com/live/0dGpUUKy1iI