The Centeno-Schultz Clinic was the first practice in the US to use stem cells for orthopedic injuries way back in 2005 by treating joints and low back disc problems. Since then, we’ve continued to advance the art of regenerative medicine. We’ve made many advances in how cells are harvested, processed, and re-implanted. We’ve developed new procedural techniques and devices. As examples, we run a state of the art stem cell biology facility that includes a large clean room processing space and a separate privately funded university style research lab. This allows us to custom fit cell based therapies to our patients rather than trying to fit our patients into to what a simple automated machine could produce. As another example, rather than blindly injecting stem cells into joints and hoping that they end up in the right place, we’ve developed new interventional techniques to precisely place cells in various areas of the MSK system. For instance, we pioneered the percuteneous placement of stem cells into the ACL ligament. This technique simply didn’t exist before we realized that many of these patients could avoid surgery by accurately placing stem cells into the ligament to heal partial and full thickness tears. Another example of our innovation is in house lab research that lead to a process to dramatically increase the number of stem cells that could be isolated from bone marrow in a same day procedure.

What is Interventional Orthopedics?

We believe that due to advances in regenerative medicine, the rapid evolution in interventional cardiology that happened in the 1980-90s to today will happen in orthopedic care. In the 1980s, most major heart problems were treated with CABG. However a quiet revolution took place that changed the status quo. Cardiologists began experimenting with percutaneous angioplasty. With every passing year from the 1980′s through the 1990′s, fewer and fewer patients needed open heart surgery and a new medical specialty was born – interventional cardiology. As time went by, more and more surgical procedures were switched to percutaneous. We believe the same thing is happening in orthopedic care with interventional orthopedics replacing more and more surgical procedures through the use of various platelet, cytokine, and growth factor treatments as well as stem cells. We also believe that an interventional orthopedics expert needs to be able to place a needle and regenerative therapeutics everywhere from the C0-C1 facet joint to the ankle TT joint or in any accessible tendon or ligament under fluroroscopic or ultrasound guidance. In summary, our fellowships are the best of an interventional spine fellowship combined with the best of a sports fellowship, but focused on the future by providing extensive experience in PRP and stem cell treatment.

Interventional Orthopedics Traditional Fellowship

The traditional fellowship being offered by the Centeno-Schultz Clinic (CSC) in Interventional Orthopedics and Regenerative Medicine is 12 months long, beginning July 2019 to July 2020 with the final selections made by October 1st, 2018.  The fellowship year will be broken up as follows: