How to read your shoulder MRI with Dr. Centeno of Regenexx

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Chris Centeno, M.D.

Chris Centeno, M.D.

10 жыл бұрын

How to read your shoulder MRI with Dr. Centeno of Regenexx - How do you read your shoulder MRI? A short video by Dr. Chris Centeno that shows you how to understand your shoulder MRI in three easy steps.
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Please watch: "Cervical Disc Replacement Movement vs Normal Disc"
• Cervical Disc Replacem...
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Пікірлер: 178
@treborhi
@treborhi 7 жыл бұрын
that was great! Most doctors and nurses don't want to take the time to explain. Some are even angered that patients investigate using the internet.
@centenohome
@centenohome 7 жыл бұрын
Thanks treborhi! An educated patient is an empowered patient!
@DSPeyton
@DSPeyton Жыл бұрын
This actually was an AWESOME explanation! I’m currently waiting on my written results from my Dr. However, I have my images so I’m able to detect what’s going on! Good job!
@CaitlinJBall
@CaitlinJBall 3 жыл бұрын
Thank you! I just got my first MRI and asked for a copy of it. ^.^ We're not sure what's wrong yet but now I'll be able to get a better idea of what's going on, until the doctor tells me for sure.
@joeythebanker
@joeythebanker 4 жыл бұрын
excellent !!!! using this now to review my MRI. so helpful.
@thagovernuh
@thagovernuh 3 жыл бұрын
Rotator Cuff Reading For Dummies...I love it.. thank you!! VERY INFORMATIVE and descriptive. 2 thumbs up
@nayat2151
@nayat2151 4 жыл бұрын
*So many people have abnormalities on MRI and no pain - the MRI only means anything if the findings correlate with your symptoms. My advice if you have pain is to treat your shoulder function - I found that exercise in **_Bulletproof Your Shoulder_** very helpful.*
@rkmalhotra100
@rkmalhotra100 9 ай бұрын
Is that a book you referenced there?
@KimAtkins60
@KimAtkins60 9 жыл бұрын
Thank you Dr. Centeno! This was very helpful in allowing, in simple terms, to understand the mysteries of an MRI!
@martinpowell208
@martinpowell208 6 жыл бұрын
Dr Centeno thank you for the great video! Extremely helpful in educating me on how to read my MRI.
@debbz575
@debbz575 9 жыл бұрын
Thank you for spending your time and explaining the basics of how to read an MRI. It is so helpful in my curiosity in examining the MRI that was taken on my RT shoulder.
@centenohome
@centenohome 7 жыл бұрын
Debbie, Glad it helped!
@leirathompson206
@leirathompson206 6 жыл бұрын
Debbie Navarro
@jojohot100
@jojohot100 10 жыл бұрын
Thanks for this video. I am in the medical field and have been sitting up all night trying to determine if I have a RTC tear. I compared my 3D CD with yours and see that there is an impingement. Thanks again for posting this video!!
@WolfgangDibiasi
@WolfgangDibiasi 8 жыл бұрын
You don'thave to thank us for watching. We have to thank you for sharing! All the best, Wolfgang Dibiasi
@ammanhybrid8843
@ammanhybrid8843 5 жыл бұрын
Thank you Doctor from the bottom of my heart.
@Aqua22000
@Aqua22000 Ай бұрын
perfect explanation thank you so much
@guitaristianTW
@guitaristianTW 3 жыл бұрын
Good presentation and very helpful! But isn’t it inappropriate to compare T1 and T2 phase together?
@GW-jx3cz
@GW-jx3cz 3 жыл бұрын
Excellent video, thank you so much for sharing
@centenohome
@centenohome 3 жыл бұрын
Glad you enjoyed it, GD. There are several other shoulder videos here. As well as How to Read Your Knee MRI, and Before and After ACL Tear MRI's, of patients treated with our non-surgical ACL Tear injection based procedure using the patient's own stem cells, that you may enjoy.
@johnmerdler6526
@johnmerdler6526 8 жыл бұрын
Excellent explanation of the shoulder MRI. The only thing more I wish you would have pointed out would be for people with Labrum (SLAP) tears which are also pretty common. I have a RC tear so this was perfect.
@MarkusChoreography
@MarkusChoreography 8 жыл бұрын
very nice ! thank you for clear presentation!
@InAllReflections
@InAllReflections 5 жыл бұрын
Thank you. This was very informative.
@dr.praveendongre4824
@dr.praveendongre4824 4 жыл бұрын
Very informative
@DanesinTexas
@DanesinTexas 3 жыл бұрын
Having my MRI done tomorrow, AC joint is all messed up :( Thanks for the video!
@clinthymes5067
@clinthymes5067 4 жыл бұрын
Outstanding explanation! I’m just now leaving for a MRI/contrast. I have some constant popping and swelling with pain in rotator cuff. Wish me luck
@centenohome
@centenohome 4 жыл бұрын
Hi Clint Hymes, How did the MRI go? We can treat most non-retracted complete or partial Rotator Cuff tears without surgery. Please see: regenexx.com/blog/watch-advanced-image-guided-injection-shoulder-step-procedure-suite-dr-schultz/ and regenexx.com/blog/avoid-rotator-cuff-surgery-2/ Let me know if you'd like to see if you'd be a Candidate for this.
@jessmarie8040
@jessmarie8040 2 жыл бұрын
I know this was a year ago but this sounds like my shoulder!
@HeyIntegrity
@HeyIntegrity Жыл бұрын
@@centenohome does regenexx do cultured stem cells?
@jalilbennouna8366
@jalilbennouna8366 9 жыл бұрын
perfect and clear presentation, thank you
@loushka128
@loushka128 6 жыл бұрын
very useful video and very well explained! thank you.
@LTDANMAN44
@LTDANMAN44 6 жыл бұрын
THANK YOU DOC! going for an mri next week for my left shoulder! Wanted to read up on some basics!
@centenohome
@centenohome 6 жыл бұрын
Lt. Dan, Glad it was informative!
@lindapreston9117
@lindapreston9117 5 жыл бұрын
Excellent! I just need more time to really understand what I am seeing.
@drmeghanabkulkarni9173
@drmeghanabkulkarni9173 4 жыл бұрын
Very helpful. Thank you Sir.
@centenohome
@centenohome 4 жыл бұрын
Hi dr meghana b kulkarni, Glad you found it helpful. You may enjoy these as well: regenexx.com/blog/how-to-read-your-own-hip-mri-video/ and regenexx.com/blog/read-knee-mri/ and regenexx.com/blog/read-your-own-back-mri-for-multifidus-atrophy-a-major-cause-of-low-back-pain/
@drmeghanabkulkarni9173
@drmeghanabkulkarni9173 4 жыл бұрын
@@centenohome Thank you Sir.
@AlfieBKM
@AlfieBKM 6 жыл бұрын
Good explanation. It's helpful. More than what my doctor could explain
@centenohome
@centenohome 6 жыл бұрын
ABKM, Thanks, Glad you found it helpful!
@deathmurmur
@deathmurmur 3 жыл бұрын
Very nice!
@drhasancb4
@drhasancb4 9 жыл бұрын
Thanks a lot! I just love this video. Thanks again for nice demonstration.
@lunaa467
@lunaa467 9 жыл бұрын
Thanks a lot for putting up such a wonderful video. I always wanted to understand what's wrong with my shoulder and what my MRI says. It helped a lot.
@centenohome
@centenohome 7 жыл бұрын
Glad it helped you understand what might be going on with your shoulder Vinit!
@tomgreen1423
@tomgreen1423 4 жыл бұрын
Wow...awesome. Had MRI’s on both. Right one was repaired with anchors 7 yrs ago and has new lateral tear, arthritis and bursitis. Left one doc told me was “in bad shape”...left bicep detached, cuff torn(grinding, popping & crunching) and he never addressed what appears to feel like a pinched nerve underneath shoulder blade. That pain is bad, besides other problems...but that nerve pain is almost debilitating. Could you possibly explain what might be happening. 50 yr old active male. Thank you so much for your time and videos
@HeyIntegrity
@HeyIntegrity Жыл бұрын
What did you use for pain?
@ritchiemarsteller8884
@ritchiemarsteller8884 5 жыл бұрын
I just had a MRI done for my shoulder. Why did I get it done without contrast? I always thought contrast is better?
@marlisetp
@marlisetp 9 жыл бұрын
Thank you. I need this info for my MRI next week.
@clrkkdd12
@clrkkdd12 4 жыл бұрын
Thank you
@frontsidejed
@frontsidejed 6 жыл бұрын
Rad video. this is great information. I like being able to talk to my dr intelligently and understand all of the "medical talk". keep up the good work doc!!!
@centenohome
@centenohome 6 жыл бұрын
FrontsideJed, Thanks! An educated pateint is an empowered patient!
@chriskelly5912
@chriskelly5912 7 жыл бұрын
Thank you!! I just finished up with MRI's for both shoulders and was trying to make some sense out of the images :) I know more than I care to about MRI's for spine issues with 3 surgeries behind me...I now have to be fused from my neck all the way down :( I've been complaining about muscle tearing in both shoulders for 3+ years now. It is to the point that there isn't much keeping it all together, so my shoulders pop in and out of the joints while doing simple tasks. I was hoping to be able to see the muscles/tendons...but I'm having a hard time distinguishing one from the other. These are 3TMRI's - whatever that means! Again, thank you for taking the time to help educate us!
@centenohome
@centenohome 7 жыл бұрын
Chris Kelly, Glad they were helpful. 3T refers to the Magnet strength, and 3T MRI's have better resolution. There are better solutions than fusion in most cases. Please see: www.regenexx.com/the-regenexx-procedures/back-surgery-alternative/ and www.regenexx.com/should-i-get-a-back-fusion/ and www.regenexx.com/pain-after-back-fusion-adjacent-segment-disease/
@chriskelly5912
@chriskelly5912 7 жыл бұрын
It's too bad I can't reply with a pic of my spine....then you might understand how bad it is. I have rotational scoliosis that was caused by the first surgeon. I had surgery #1 to fuse L4-S1. I came out in way worse pain than before and I knew something wasn't quite right. If Fentanyl patches and 50mg Oxy's don't even touch the pain...then you know it is serious! He wanted to go right back into surgery to see what the problem was, but I kept after him to pinpoint what the problem was first. CT was done and according to him, he couldn't see anything that might be causing me the kind of pain I was in (a Neuro surgeon looked at those same CT's and was able to point out exactly where the problem was in under 60 seconds) Then came the EMG, which def showed a nerve impingement at L5-S1. Surgery #2 was 6 wks after the first, he took the hardware out on my left side so he could retrieve the chunk of disc and bone fragments that he left behind(this got lodged against my sciatic nerve and I am guessing that the bone framents chewed at it for 6wks!). For whatever reason...he did NOT put the left side hardware back in...at 6wks post op, he felt it had fused enough to give me the support that I would need. Yea...right! He fused me straight..with no natural curve left in my lower spine. I think that combined with instability is what has led me to have flat back syndrome. I will go read your links...but unless my insurance covers those kinds of treatments, then I am at square 1 ....again :(
@centenohome
@centenohome 7 жыл бұрын
Chris Kelly, So sorry to hear all of that! While it may be hard to believe, we hear fusion nightmares from patients very often. Some parts of treatment are covered, like the exam if you're in network, the majority of the cost is not covered by insurance, yet.
@centenohome
@centenohome 7 жыл бұрын
MsPurrdy, Great that you're doing that! An educated patient is an empowered patient...
@HeyIntegrity
@HeyIntegrity Жыл бұрын
@@centenohome can you cover how much of the muscle bellies the rotator cuffs muscles show on mri. Like the initial skeleton diagram you showed shows all the scapula and musculature but the coronal images on the mri don't look like they go all the way to infraspinatus or teres origin sites.
@peshpraq5137
@peshpraq5137 5 жыл бұрын
thank you very much sir, very useful
@cjfisher47
@cjfisher47 10 ай бұрын
Found that HOROS software, free or nearly free, allowed me to read my MRI CD on my MacBook. Great complement to this video
@linandy1
@linandy1 Жыл бұрын
Thanks.
@tungstenwhizard4361
@tungstenwhizard4361 6 жыл бұрын
I was told I have extremely weak muscles in my left shoulder blade, and there's a gap in my humeral head and the socket due to my instability. They even taped my left shoulder with therapy tape to support my shoulder blade and make it feel "normal". They said I need an MRI, and hopefully, it will show what my next step should be since my current PT isn't helping yet.
@centenohome
@centenohome 6 жыл бұрын
The most effective solution to lax ligaments is generally is generally precise image guided injections of your own stem cells or platelets. An MRI is important, however it can't diagnose instability as it is a static image. To diagnose instability you need test called stress ultrasound. Please see: www.regenexx.com/shoulder-instability-recovery-time/ and www.regenexx.com/watch-advanced-image-guided-injection-shoulder-step-procedure-suite-dr-schultz/ If you'd like us to weigh in on your case, please submit the candidate form to the right of the blog, after your MRI
@tungstenwhizard4361
@tungstenwhizard4361 6 жыл бұрын
Chris Centeno, M.D. I think they're going to do an MRI to check the condition of my rotator cuff muscles since they said they're unusually weak.
@luqmanlatif1358
@luqmanlatif1358 7 жыл бұрын
I had shoulder surgery couple of weeks ago was curious what they've done your video explain a lot of things thanks
@centenohome
@centenohome 7 жыл бұрын
Luqman Latif, Glad it was informative. Hoping your shoulder heals well!
@plg04
@plg04 8 жыл бұрын
EXCELLENT!!!! THANK YOU
@HeyIntegrity
@HeyIntegrity Жыл бұрын
Can you please do how to read axial and sagittal image. Which plane is also good to assess muscle bulk?
@icanhasyellow
@icanhasyellow 4 жыл бұрын
Thank you so much for sharing. I've been chronically ill for years and been in pain every day for 5 years now. I know I have two neck prolapses (C4/C5, C5/C6) and I'm struggling with my left side in general, all the way down to my elbow and sometimes fingers. Bought my shoulder MRI pics now and it doesn't look good. I was wondering if there should be so much white around. Thank you so much.
@bradlouis2297
@bradlouis2297 4 жыл бұрын
This was very well explained....one question and maybe it was answered but the white in the mri is fluid from the dye which is showing the possible problem?
@centenohome
@centenohome 4 жыл бұрын
The effusion which is swelling in the joint.
@batman-sr2px
@batman-sr2px Жыл бұрын
@@centenohome does that swelling mean there in instability there?
@HeyIntegrity
@HeyIntegrity Жыл бұрын
The cartilage you were referring to at 8:16 is the articular cartilage or the labrum cartilage?
@javierfernandez9042
@javierfernandez9042 6 жыл бұрын
hi mr. centeno. do you have any mri's of a before and after disc procedure showing any form of healing with degenerative disc disease? and if you don't do you files of any success in office that shows regeneration of a disc with ddd.
@centenohome
@centenohome 6 жыл бұрын
javier fernandez, The goal with degenerative disc disease is to treat the instability caused by it, as it's the instability that causes the arthritis, bone spurs and nerve issues that can result from it. Please see: www.regenexx.com/stem-cells-disc-regeneration/
@deb1847
@deb1847 7 жыл бұрын
Excellent video but i have a questionMy radiologist says i have fluid builup in shoulderbut the mri report says that all the four rotator cuff muscles appears normal and the final verdict was " no detectable abnormalities found"Then what was that "fluid buildup" the radiologist was referring?Thanks
@centenohome
@centenohome 7 жыл бұрын
Deb1, It depends where the fluid buildup is. It could be an inflammed bursa, (bursitis). The bursa is a fluid filled sac that helps to reduce friction in your shoulder spaces.
@besmart2350
@besmart2350 Жыл бұрын
Does 30 - 40% supraspinatus tear require surgery? Can it regenerate itself if left without a surgery? Are there any patients of a young age who had it grow back on its own? Or it never grows back because it’s impossible from the anatomy and biology standpoint and with special exercises we only make what is still attached to the bone stronger and the torn part remains torn forever?
@guran8816
@guran8816 5 жыл бұрын
my right side shoulder is very loos any suggestion you will give me
@0Bateleur
@0Bateleur 7 жыл бұрын
Hi Dr Chris, thanks for the great video! Hope you can give an opinion on this please. I am based in New Zealand & I am felling very disillusioned about what to do. I am getting conflicting advice from different Dr's here about what i should do. I am a 35 year old male. I have received my MRI report and it reads; The right shoulder scan demonstrates a relatively large partial thickness articular surface tear of the anterior aspect of the footprint of the supraspinatus tear 5 x 8 x 3 mm with a few intact bursal surface fibres present. Mild right subacromial subdeltoid bursitis. If you had a patient like this would you recommend surgery or conservative treatment like physio etc.? I would appreciate any feedback on this matter please :) I don't suffer a lot of pain, only for certain overhead movements & throwing a ball hard will i experience loss of power & some pain. I may have had this injury for a while too. Thank you.
@centenohome
@centenohome 7 жыл бұрын
Maverick, Always start with most conservative measures first. So try physio. If that doesn't work, next would be regenerative procedures to heal the tendon in place, which would be advised as shoulder surgery often creates more problems than it solves. Please see: www.regenexx.com/supraspinatus-tendon-tear-treatment/ andwww.regenexx.com/watch-advanced-image-guided-injection-shoulder-step-procedure-suite-dr-schultz/ and www.regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/ We have a Regenexx Provider in Austalia. Here is the complete list of Providers: www.regenexx.com/find-a-physician/
@johngoh2882
@johngoh2882 5 жыл бұрын
Thanks Dr. Chris for your well presented video on shoulder MRI. However, I would like to know whether all MRIs are read by more than one MRI expert to ensure the accuracy of the findings. From my experience all X-rays on Tuberculosis patients are read by 3 independent radiologists
@centenohome
@centenohome 5 жыл бұрын
No, they are usually not read by more than one radiologist. However, this brings up a critical point. The doctor you see should be reviewing his own interpretation of the actual MRI images with you in the office. If that's not happening (i.e. they are just reading the report), then that reduces the eyeballs looking for stuff and increases the likelihood of missed findings
@quarter_moon_and_a_guitar
@quarter_moon_and_a_guitar 9 жыл бұрын
excellent! thanks
@brianbradford6318
@brianbradford6318 6 жыл бұрын
PT student here, and I may be mistaken, but aren't most of these side-by-side images different types of MRIs? T1 vs T2 MRIs? My understanding is that water shows dark on T1 images and white on T2 images, which would explain the color differences between the bones, muscles, and cartilage in the left vs the right images. I'm still trying to get a grasp on how to read these, and confused how you came to some of the conclusions about tears/soundness of tendons and presence of healthy vs arthritic cartilage by comparing their color in these images. Could you help clear this up for me?
@batman-sr2px
@batman-sr2px Жыл бұрын
did you ever find out?
@NousoftheSupreme
@NousoftheSupreme 7 жыл бұрын
Is there any way you could take a look at my scans? The doctor said there was no change in the muscle or the bone structure, yet the shoulder still hurts even after a long period without training.
@centenohome
@centenohome 7 жыл бұрын
The problem could be coming from your neck, rather than the shoulder itself. Please see: www.regenexx.com/a-colorado-regenexx-patient-review-pain-free/ To have MRI read, please submit the Candidate form.
@krystlewright2558
@krystlewright2558 7 жыл бұрын
Dr. Centeno thank you for the video it's really great, so informative! I had an MRI Arthrogram of my left shoulder done a few weeks ago. I was wondering would you review my MRI Arthrogram? I'm trying very hard to compare my MRI Arthrogram to the ones in the video but find I'm just confused... - Thank You
@centenohome
@centenohome 7 жыл бұрын
Krystle Wright, To do that you would need to submit the Candidate form on the website for which there is a mechanism to upload the MRI Anthrogram. www.regenexx.com
@brainburn5635
@brainburn5635 4 жыл бұрын
What type of machine do you need to read an mri. My computer will not read mine. According to the report there is a 16mm retraction. Is that already to large of a distance to be repaired?
@SportsMusicCars
@SportsMusicCars Жыл бұрын
there is a dcom lite reader included with mri discs 16mm is pretty big
@DrAlvaro23
@DrAlvaro23 Жыл бұрын
muy bueno, unicamente faltó detallar la visualización del labrum para terminar el 1234..
@davidnavarro391
@davidnavarro391 7 жыл бұрын
Hi doctor, my mra reads that i have a slap tear, minimal partial articular sided tear of infraspinatus and a mildly patulous capsule and posterior/superior migration of humeral head suggesting laxity. Ive tried prp i ts been 2 weeeks and the same :/
@Meanoldwoman2013
@Meanoldwoman2013 5 жыл бұрын
Did you get it fixed? That is a surgery case.
@youcandoittoo5162
@youcandoittoo5162 8 жыл бұрын
Do you ever look over ct scans for people here ?? I had a arthogram ct done of my shoulder and I'm trying to understand it..
@centenohome
@centenohome 8 жыл бұрын
The hope was the video would help to give people a way to understand their MRI at least more than they did before by knowing the major things to look for.. Sorry, you would need to be a patient for me to do that.
@ericmillward7502
@ericmillward7502 7 жыл бұрын
+Chris Centeno, M.D. the cartilage in the shoulder is that your labrum
@centenohome
@centenohome 7 жыл бұрын
eric Millward, No, the Labrum is like a gasket that helps to hold the arm bone in the shoulder joint through its range of motion. Cartilage covers the ends of the bones to protect them and helps them to glide smoothly over one another. www.regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/
@ricerproductions5328
@ricerproductions5328 7 жыл бұрын
i have tried to MRI my shoulder twice! I cant get through the tube or the high field open systems. I am trying this upright MRI in a few days, my understanding is that the upright style machine is fairly new, my question is, is it still going to show my shoulder and tell me if I have a torn rc?
@centenohome
@centenohome 7 жыл бұрын
ATHellDemon, While 3T MRI's offer the clearest images, stand up MRI's are a good option when for whatever reason the other options aren't possible. A good technician "should" be able to get the needed images.
@ricerproductions5328
@ricerproductions5328 7 жыл бұрын
+Chris Centeno, M.D. awesome, Thank you.
@fippolippo
@fippolippo 8 жыл бұрын
excellent
@ktmom7322
@ktmom7322 3 жыл бұрын
Do they scan the whole body, during a shoulder MRI, by chance??
@The713Sonic
@The713Sonic 2 жыл бұрын
No
@ktmom7322
@ktmom7322 2 жыл бұрын
@@The713Sonic yay, they didn't lol
@ysf2143
@ysf2143 3 жыл бұрын
Hello, i have just did an MRI for my left shoulder and the only note my doctor told me is that i have a mild lateral downsloping of the acromion. How can i fix that ?
@centenohome
@centenohome 3 жыл бұрын
Hi Ysf, The important question there, is Why do you have a mild lateral sloping of the acromion? , and to address that problem without surgery. Because the shoulder needs to support the widest range of motion of any joint, it requires a very shallow socket, AND a millisecond timed synchronization of many tendons, ligaments and muscles - which shoulder surgery disrupts. Please see: regenexx.com/blog/shoulder-surgery-complications-caused-by-acromioplasty/ and our non-surgical regenerative approach: regenexx.com/blog/watch-advanced-image-guided-injection-shoulder-step-procedure-suite-dr-schultz/ I can take a look via Telemedicine: centenoschultz.com/#covid
@gauthameyunni1042
@gauthameyunni1042 6 жыл бұрын
Hello Dr Centeno, I am an active weight lifter . Since some months, my left shoulder is popping with some pain and i stopped lifting for sometime hoping that the pain would subside.Movements like bench presses are making my shoulder rigid.I had an MRI and the report came out as "Patchy hypertense area in supraspinatus tendon likely Tendenosis with Partial tear". I am currently undergoing physiotherapy for some weeks now but i dont think it is working out. Do i need to get a surgery or continue the therapy ? i would really appreciate your comments on this. Thanks!!
@centenohome
@centenohome 6 жыл бұрын
gautham eyunni, When PT fails, an exam that can find the cause of the problem, including identifying instability, is needed. This is the type of thing we treat regularly without surgery/ Please see: www.regenexx.com/avoid-rotator-cuff-surgery-2/ and www.regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/ If you'd like us to take a look at the MRI, please submit the Candidate form.
@abdulazizadil4786
@abdulazizadil4786 7 жыл бұрын
Hi Cris, can PRP only treat the meniscus tear?
@centenohome
@centenohome 7 жыл бұрын
Abdulaziz Adil, PRP can also be used to treat tendon issues and mild arthritis. We use a Super Concentrated Platelet form which is more concentrated and removes parts of the blood which cause inflammation. Please see: www.regenexx.com/prp-platelet-rich-plasma/
@abdulazizadil4786
@abdulazizadil4786 7 жыл бұрын
Chris Centeno, M.D. Many Many thanks for your time and answer 😀🌸
@centenohome
@centenohome 7 жыл бұрын
My pleasure!
@SuperElott
@SuperElott 4 жыл бұрын
Is a bicep tendon tear(Popeye Syndrome) different from a Supraspinatus Tendon tear? Can they be related? Supposed to be a bicep tendon tear but the MRI said Supraspinatus Tendon tear (not a complete tear)
@SportsMusicCars
@SportsMusicCars Жыл бұрын
bicep tendon is diff from supra yes. supra is up biceps tendon attaches to the labrum
@Regenexx
@Regenexx 6 жыл бұрын
Glad you found it helpful, loushka128!
9 жыл бұрын
Can a patient do anything if their cartilage is thinning? Does cartilage slowly go away with use?
@centenohome
@centenohome 7 жыл бұрын
Andreas, There are supplements you can take that will help cartilage health: www.regenexx.com/supplement-for-cartilage-protection/. This ebook will show you how to treat small issues before they become big issues: www.regenexx.com/introducing-dr-centenos-latest-book-regenexx-proactive/
@haleypasillas7308
@haleypasillas7308 3 жыл бұрын
Painful I have had some tears. 😭
@gayma20
@gayma20 8 жыл бұрын
Thank You
@StanicEnemy
@StanicEnemy 6 жыл бұрын
Hello Doctor is there any chance to send you mri? can you read it for me if you dont mind?
@Regenexx
@Regenexx 6 жыл бұрын
Hi StanicEnemy, The way to do that would be to submit the Candidate form here: www.regenexx.com
@kayleenlahoud7700
@kayleenlahoud7700 5 жыл бұрын
At about 3:30, what view are we looking at? AP or PA?
@kayleenlahoud7700
@kayleenlahoud7700 5 жыл бұрын
And then what is the view at 4:10?
@eltiarribero
@eltiarribero 4 жыл бұрын
AP.
@eltiarribero
@eltiarribero 4 жыл бұрын
@@kayleenlahoud7700 image in left is AP rt shoulder, image in right is AP lt shoulder.
@amorabderrezak3509
@amorabderrezak3509 6 жыл бұрын
Thanks
@centenohome
@centenohome 6 жыл бұрын
amor abderrezak, Glad you enjoyed it!
@TK.000
@TK.000 6 сағат бұрын
My doctor wouldn't let me see my MRI. Insists on surgery.
@Syedgabru
@Syedgabru 3 жыл бұрын
hey sir i have a problem in my shoulder from five months i consulted to soo many doctors but they said take MRI of my shoulder i tooked but in MRI everything is cleared but when i stretch my hand upwards then it will pain so give me your opinion
@centenohome
@centenohome 3 жыл бұрын
Hi Syed Umar saud, It takes more than an MRI to diagnose a shoulder issue. You may find this video helpful: kzbin.info/www/bejne/q3PYamdvrK97jZY and regenexx.com/telemedicine/
@Syedgabru
@Syedgabru 3 жыл бұрын
@@centenohome thanks
@stevenstollermd1
@stevenstollermd1 7 жыл бұрын
Excellent tutorial on how to read an MRI. Dr Centeno is to be complemented Steven M Stoller MD
@centenohome
@centenohome 7 жыл бұрын
Thanks Steven!
@loushka128
@loushka128 6 жыл бұрын
you don't mention the LHB (long head of the biceps tendon)
@centenohome
@centenohome 6 жыл бұрын
Only so much you can pack into 8 min!
@keangkong
@keangkong 3 жыл бұрын
I'm using it to get some idea of what happened before seeing my doctor.
@centenohome
@centenohome 3 жыл бұрын
Great!
@Sheilamaizi
@Sheilamaizi 7 жыл бұрын
I find this very complicated!! I have been told we all have wear and tear in our bodies. So how can you tell if it's pretty bad except for the symptoms that one has. Even in that case isn't it possible that with the right physical therapy, stretching and strengthening the muscles that this will support the skeletal system? I guess unless it is a tear in a place that holds the bones in place. Is the rotator cuff a muscle? It looks like one, but I think that it is taken for granted that it is a muscle.
@centenohome
@centenohome 7 жыл бұрын
Sheila meri, The rotator cuff is a complex series of muscles and tendons around the shoulder that help lift the arm and stabilize the ball in the socket (the shoulder joint). A tear is exactly what it sounds like-a tear in the tissue. While some rotator cuff tears result from trauma, the vast majority of rotator cuff tears happen from simple wear and tear as we age. The most common scenario for a tear to occur is simply a slightly more demanding movement than usual. How could that happen? It’s been known for a considerable amount of time that the rotator cuff doesn’t have the best blood supply, but blood supply varies to many areas of the body. The problem is likely a lack of healthy progenitor cells and stem cells to repair the damage as it occurs over time, and at some point with little provocation, the unhealthy tissue simply fails and a tear occurs. Most conservative measures like physical therapy should be tried first. If that doesn't help, Regenerative therapy, like precise image guided injections of your own platelets and stem cells can fix most tears that are currently undergoing surgery. Please see: www.regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/
@Sheilamaizi
@Sheilamaizi 7 жыл бұрын
Thanks. I have a frozen shoulder, so my orthopedic surgeon says. He diagnosed me right away with just taking an x-ray. No MRI. I just took an MRI yesterday because I have been in physical therapy for three months. I have improved in the movements of my arm, but the pain is still there. I have heard all kinds of stories from people who either know people who have had this or they have it. The one thing that seems to be agreed upon is the amount of time it takes for this to heal and go away. Two years!!! I can sort of understand this because one time I stopped a fall with my right hand. The pain was not at all like what I am experiencing with this frozen shoulder, but it was there for about a year. All by itself it went away. Now every expert tells me you have to have physical therapy with this. I find it painful and depressing that I have to go through this everyday. My orthopedic surgeon had told me, about a month ago, that he could perform this procedure (in the office) and relieve the pain that I am feeling, but I don't want to do anything like that. I was just looking on here to see what the MRI would look like and yes, how to read it. At least you did clear up for me that the rotator cuff is a group of muscles. I kept thinking that it was part of the bones. I thank you for that. However, when you are looking straight in there, from the side, it seems that there are no muscles. All you do see is bone. Shouldn't you see muscle? Or does the MRI go through the muscle in certain shots. Like I said it is complicated to me. You are use to looking at these. I find it fascinating, but quite unnerving that you can see so much damage in these pictures. That you know exactly what's wrong from them .You must know these things from people's symptoms as well. Yesterday I was talking to someone who told me his friend had a frozen shoulder. He went to Malaysia to have acupuncture (why he had to go to Malaysia for that is beyond me) and was healed. I've also heard that it could be psychosematic. I am trying to find an answer to all this. I also fell off my bike in September and was in the hospital getting checked. I had no broken bones or head injury. My O.S. told me it had nothing to do with my problem. This all started in February. Anyway, thanks for responding. You did teach me something!!!
@centenohome
@centenohome 7 жыл бұрын
Sheila, That's really a classic series of events. Please see: www.regenexx.com/adhesive-capsulitis-treatment/
@Sheilamaizi
@Sheilamaizi 7 жыл бұрын
Chris, I finally opened the link that you sent me above. It sounds promising. Have you had much success with this? I'm not sure how many people you have done this stem cell platelet procedure on. To be honest with you I have very little faith in doctors. However, I am in agreement with you when it comes to surgery and drugs. Do you have an patients that can share their experience with this treatment??
@Sheilamaizi
@Sheilamaizi 7 жыл бұрын
By the way, I had the MRI this past Thursday, but have not gotten the results back. They went to my Orthopedic surgeon and my cousin, a doctor who is a pain specialist. My cousin feels that I tore my rotator cuff, but of course that is speculation. I think I shared with you that I fell off my bike in September. I did end up in the hospital. It was a pretty nasty fall for someone who is 62. I think doctors need to take alot of information on people who have frozen shoulders so that we can see if there are certain way of living that might cause it. You mentioned diabetes. My blood work is pretty good. I do have a lot of honey in my tea. I have been trying to leave out foods that cause inflamation, like grains. I wonder if honey is on that list? Guardians of the Galaxy just started. I'm going to watch it. Thanks so much for responding!!!
@manishchettri3527
@manishchettri3527 7 жыл бұрын
Could you tell me whether the MRI image you have shown belongs to right or left shoulder? Is there any way we can distinguish which side it is?
@centenohome
@centenohome 7 жыл бұрын
Manish, The initial small ddouble images are of a left shoulder, and the larger MRI image further along with wording in the corners, are of a right shoulder.
@loisduel1648
@loisduel1648 7 жыл бұрын
manish chettri
@MrJaimerr09
@MrJaimerr09 7 жыл бұрын
do you all do any procedures on the ac joint it self
@centenohome
@centenohome 7 жыл бұрын
Mr. Jaimerr09. Yes, we do. Please see: www.regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/ and this is a procedure to avoid: www.regenexx.com/rotator-cuff-surgery-recovery-time-do-you-need-a-shoulder-acromioplasty-surgery/
@RideTheSkinner
@RideTheSkinner 3 жыл бұрын
I think Physio is giving me the run around other than I should really see a Physical Therapist.
@bauragirl
@bauragirl 5 жыл бұрын
Can somebody help me? I just had an arthrogram and read my images and see lots of white showing where my humorous meets my collar bone...Is this normal to see the white between these two joints because of the dye?
@amrowad100
@amrowad100 9 жыл бұрын
It is nice,thnx
4 жыл бұрын
so you cant see the bicep tendons? the one sitting on the bone?
@anttivalimaki7339
@anttivalimaki7339 2 жыл бұрын
How about enhansing image contrast with so called shadow I.v. Boluses? And even though this is all about nuclear magnetic imaging, why not change to paramagnetic or ferro or ferri or diamsgnetic imaging. Small amounts, because technic is so sensible. So toxicity, teratogenity, accumulation etc. Is negligible cause we all die and so on you know? Fun ain’t huh…
@batman-sr2px
@batman-sr2px Жыл бұрын
is bone marrow edema at the posterosuperior head of the humerus the same site as the posterior rotator cuff like infraspinatus? What are the common involvements there?
@Charlie_Foxtrot_
@Charlie_Foxtrot_ 7 жыл бұрын
The real question is -- Did anyone find Carl's book?
@centenohome
@centenohome 7 жыл бұрын
Chase Frazee, Don't know!
@AP-eh6gr
@AP-eh6gr 6 жыл бұрын
i jumped a bit as I thought its me whose got a mail from my ex employer when I heard that Outlook email sound
@DRAK-yg8hz
@DRAK-yg8hz 8 жыл бұрын
The color bone ?!!! Its is called "Acromion" not color bone ... so AC joint is "Acromio-clavicular" joint. But nice video and presentation ... like posted.
@deeza3327
@deeza3327 8 жыл бұрын
he's saying "collar" bone doofus!!!
@deeza3327
@deeza3327 8 жыл бұрын
LOL either you pronounce "color" and "COLLAR" the same and you think that's what he is saying in the lecture OR you can't spell....either way you're still a doofus!! LOL
@centenohome
@centenohome 8 жыл бұрын
+Dr Abd The video is obviously made for the general public, therefore using terms they are familiar with is important.
@donnellblakey8273
@donnellblakey8273 6 жыл бұрын
my doctor said he THINKS it might be a slap tear, wth kind of answer is that
@donnellblakey8273
@donnellblakey8273 6 жыл бұрын
my mri scans looks fine to me idk why my shoulder hurts
@centenohome
@centenohome 6 жыл бұрын
Donell Blakely, This explains what a SLAP tear is: www.regenexx.com/shoulder-labrum-surgery-side-effects/ Surgery is not a good option for a SLAP tear. An MRI is a snapshot while your shoulder is still. For some shoulder issues, a dynamic ultrasound, which is an ultrasound done while the shoulder is moving is a better diagnostic tool. Please see: www.regenexx.com/watch-advanced-image-guided-injection-shoulder-step-procedure-suite-dr-schultz/ and www.regenexx.com/the-regenexx-procedures/shoulder-surgery-alternative/
@donnellblakey8273
@donnellblakey8273 6 жыл бұрын
wow you replied thanks for the information, I wish there was some way that you could view my MRI results, possible with teamviewer?
@centenohome
@centenohome 6 жыл бұрын
Donnell Blakely, There is a method in place to read MRI's as part of our Candidacy process, as they need to be read in context of medical history, etc. To do that, Please submit the Candidate form on any of the links I sent above.
@randsonic
@randsonic 5 жыл бұрын
Well this is discouraging. I am looking at my MRI disc on MicroDicom free...and I got white everywhere with an arm that I can't raise. Great info however...looks like I am in for the long haul.
@deepikanegi547
@deepikanegi547 5 жыл бұрын
Can u help me read my mri ive sent u in insta
@nozyspy4967
@nozyspy4967 5 жыл бұрын
A doctor explaining how to understand medical imagery to patients?! Isnt that like teaching a lay person how to read your sacred texts?!
@naomihopps9360
@naomihopps9360 5 жыл бұрын
Thank you
@anttivalimaki7339
@anttivalimaki7339 2 жыл бұрын
How about enhansing image contrast with so called shadow I.v. Boluses? And even though this is all about nuclear magnetic imaging, why not change to paramagnetic or ferro or ferri or diamsgnetic imaging. Small amounts, because technic is so sensible. So toxicity, teratogenity, accumulation etc. Is negligible cause we all die and so on you know? Fun ain’t huh…
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