The                 
                Centeno-Schultz
                             Clinic
Regenerative Pain Management

                                         Shoulder Pain

Crampy shoulder pain radiating to the radial aspect of the arm and thumb.

The pain began insidiously and it was a crampy achy type of pain starting in the shoulder and radiating along the radial aspect of the arm to the thumb.

Result:
Resolved in two months.

What did the Centeno Clinic do to help this patient?:
A series if IMS (Intramuscular Stimulation): IMS (Intramuscular Stimulation) and a course of MCU (Multiple Cervical Unit): MCU (Multiple Cervical Unit) He was also sent to physical therapy for postural dysfunction with the focus of a home program. Cervical MRI was performed to rule out herniation or foraminal stenosis.

Duration of pain:
Pain started about one year ago.

Severity of pain:
8/10 at worst.

Brief summary of the patients pain and history, and subjective description:
Patient has been seeing a chiropractor about one time a week. Massage did help for a short time as well as taking anti inflammatories. He had never had scans of his neck.

Description of the Centeno Clinic findings:
Rule out cervical radiculopathy. Possible cervical facet syndrome. Cervical myofascial pain. Left upper extremity myofascial pain.

Previous Diagnosis(es):
cervical subluxations and fascial pain treated with massage and chiropractic care.

Centeno Clinic Treatments:
A course of IMS dry needling and the MCU unit. Patient was sent for physical therapy to address the scapular stabilization problem and his postural dysfunction.

Centeno Clinic Diagnosis(es):
Left upper extremity myofascial pain

After my car accident, my left shoulder was injured from the seat belt.

I was involved in a four car pile 3 months ago. My left shoulder was injured from the seat belt. As a result, I experienced a lot of difficulty with my shoulder and neck. I was also getting headaches.

Result:
Pain is not there any more.

What did the Centeno Clinic do to help this patient?:
4 IMS treatments. IMS (Intramuscular Stimulation)

Duration of pain:
Three months

Severity of pain:
3/10 with worse being 7/10 at end of day.

Brief summary of the patients pain and history, and subjective description:
After the car accident pain on my left shoulder was so severe that I could not carry the laundry. Pain would radiate up into the left side of my neck. I was very frustrated and could not pick up my four year old. I would get headaches as a result of this pain. I could not lift my arm above the head, shoulder grinding. Pain persisted during the day and it got worse at night. I did not see any providers before motor vehicle accident because she had no symptoms prior to crash.

Description of the Centeno Clinic findings:
Cervical and shoulder girdle myofascial pain post motor vehicle accident.

Previous Diagnosis(es):
Does not apply. She was well before crash.

Centeno Clinic Treatments:
4 IMS TREATMENTS. IMS (Intramuscular Stimulation): IMS (Intramuscular Stimulation)

Centeno Clinic Diagnosis(es):
Neuromyofacial Pain
On September 22, 2005, Dominga was involved in a car accident that would change her life. As a result of this car accident she had headaches, upper neck pain, pain in the shoulder and shoulder blades, and pain in the left arm and lower back. She went to see her family practice doctor who immediately sent her to see Dr. Schultz. She started on IMS and had a few procedures including Myobloc injections, and radiofrequency, as well as physical therapy. She is still in physical therapy at this time. Dominga's advice to anyone who has pain of any kind is to visit The Centeno-Schultz Clinic. She says that as a result of Dr. Schultz working with her in her pain management care she feels the best she has ever felt and she is very excited to be released soon. She went from headaches every night to one headache every so often and to her that is all the difference in the world. Dominga is grateful for her time at the clinic and to show her gratitude she tells everyone she knows to get treatment at the clinic. Thank you Dominga for your support of the clinic. We wish you continued success in your recovery.
Steve was involved in an Motor Vehicle Accident 2 years ago and has since suffered from low back pain. He has had continuous pain in his neck, shoulder, and arm. He went to see his chiropractor who then referred him to this clinic. Dr. Centeno created a treatment plan which included a mix of IMS and physical therapy as well as injections. Before the clinic Steve was a marathon runner. However after the accident he had very severe pain after exercising for only 20 minutes. He is now feeling 100% better. His last few treatments got him over the last hump. He now has no limitations. Everything that was done at the clinic really worked together. The IMS treated his neck, the physical therapy got him over the last hump. Steve is very happy now. ?If you have been involved in an MVA or sustained an injury, visit the clinic today. My chiropractor sang Dr. Centeno?s praises and now I do too!?