In conclusion - the doctor will never teach anyone this procedure fully. So this treatment will always remain very, very expensive and inaccessible to patients from all over the world. Great vision.
Oh yeah. And he won't tell you that bone marrow concentrate is actually only giving you about 10,000 stem cells, hence why they don't test for stem cell content. Also, he claims 70% of patients get better, but won't open the data up to anybody. He did videos about the data analysis, but 0 of the patients had actual x-ray data showing the ligaments were no longer lax (the whole goal of the treatment). That's quite absurd tbh. He makes many many wild claims about the procedure and bmac in general, but it sounds like a lie sadly.
Dr Centeno, I’ve been following you for a long time and enjoy your informative videos. Respectfully, The issue you can run into is that since this isn’t a recognized procedure and not something that is covered by insurance or FDA, you don’t officially have the rights to this procedure. I think in the next 30-40 years this PICL procedure is going to be adopted more so in mainstream medicine once insurances start covering orthobiologics and there are advancements in ligament healing. And you can’t just go running around claiming “they stole my idea”. My apologies if this comes off the wrong away, not my intention. Take care
You are doing amazing groundbreaking work that goes beyond what Dr Hauser is doing. So many people need this exact procedure. I've performed C0-1 and C1-2 prolotherapy for 15 years now and when the patient needs their upper anterior ligaments injected I've in the past sent them to Hauser thinking he did the PICL but they would end up getting more posterior prolo. Once I heard of your work I've told them to see you. Most of these people have Ehler's Danlos syndrome and are woefully under-served by our medical system. My only concern is that I'm uncomfortable with the "implantation of ligament" part of the PICL acronym. It seems you are implanting bone marrow aspirate not a ligament but to a ligament. Maybe this is a PI(BMA)CL procedure but that is a mouthful. Keep up your service to the world. More need to know about what you do and how unique it is.
$15,000 for one PICL procedure and all of these requirements in order for a provider to be trained to do this safely. All I can say is good luck man, but this procedure is going to die out. Everyone can see your money grid and it's becoming more and more painfully obvious in a lot of these online forums. Had my daughter get a consultation w/ one of the "big three" CCI surgeons and he said that the PICL procedure is a clever procedure, but you can't really call it a viable solution when you charge patients like that. Its a money-making scheme as much as it's a clever non-surgical approach.
Dr centeno once again trying to convince you of the illusion of complexity. Surgeons around the world perform more complicated surgeries than this so surely more people are capable of performing the PICL. You arejust gatekeeping the procedure for your financial gain
I'm actually a patient who has great success with posterior c0-c2 facet injections done by another provider (yes, Dr. Centeno, it was done under c-arm with contrast confirmation into the joints w/ images captured during the procedure). I almost 100% agree w/ you. So, first, this procedure is difficult and the complexity of this procedure should not be underestimated. I do agree that there seems to be some gatekeeping going on. I can't speak for the PICL specifically, but it does seem like he has unrealistic expectations when it comes to these C0-C1 and C1-C2 Facet injections and requiring DSA. What's even more interesting is that a lot of his former fellows who have gone onto open up their own clinics don't have DSA and are using just their C-arm to do these upper facet injections (+contrast) w/ success and at a significantly lower price. During a podcast, one of his fellows even said that when he opened up his own clinic, he realized that charging $5000 is unrealistic and just plain out selfish as a human being. So, there's that. Don't listen to anything he says about posterior c0-c2 injections being unsafe, go call his office and they will give you the names of his former fellows and they are a lot more reasonable w/ pricing with these cervical procedures. There is no justification whatsoever for making PICL $15,000. I don't think that the PICL is going to ever be performed outside Centeno Schultz clinic.
In conclusion - the doctor will never teach anyone this procedure fully. So this treatment will always remain very, very expensive and inaccessible to patients from all over the world. Great vision.
Oh yeah. And he won't tell you that bone marrow concentrate is actually only giving you about 10,000 stem cells, hence why they don't test for stem cell content. Also, he claims 70% of patients get better, but won't open the data up to anybody.
He did videos about the data analysis, but 0 of the patients had actual x-ray data showing the ligaments were no longer lax (the whole goal of the treatment). That's quite absurd tbh.
He makes many many wild claims about the procedure and bmac in general, but it sounds like a lie sadly.
Dr Centeno, I’ve been following you for a long time and enjoy your informative videos.
Respectfully, The issue you can run into is that since this isn’t a recognized procedure and not something that is covered by insurance or FDA, you don’t officially have the rights to this procedure. I think in the next 30-40 years this PICL procedure is going to be adopted more so in mainstream medicine once insurances start covering orthobiologics and there are advancements in ligament healing. And you can’t just go running around claiming “they stole my idea”. My apologies if this comes off the wrong away, not my intention. Take care
You are doing amazing groundbreaking work that goes beyond what Dr Hauser is doing. So many people need this exact procedure. I've performed C0-1 and C1-2 prolotherapy for 15 years now and when the patient needs their upper anterior ligaments injected I've in the past sent them to Hauser thinking he did the PICL but they would end up getting more posterior prolo. Once I heard of your work I've told them to see you. Most of these people have Ehler's Danlos syndrome and are woefully under-served by our medical system. My only concern is that I'm uncomfortable with the "implantation of ligament" part of the PICL acronym. It seems you are implanting bone marrow aspirate not a ligament but to a ligament. Maybe this is a PI(BMA)CL procedure but that is a mouthful.
Keep up your service to the world. More need to know about what you do and how unique it is.
where do you perform prolotherapy ?
@@no_name879 Baton Rouge, La.
If the closed captioning can be turned on in the prerecorded versions, that would be super helpful!!
Thanks for all that you do!!
Thats a youtube setting
$15,000 for one PICL procedure and all of these requirements in order for a provider to be trained to do this safely. All I can say is good luck man, but this procedure is going to die out.
Everyone can see your money grid and it's becoming more and more painfully obvious in a lot of these online forums. Had my daughter get a consultation w/ one of the "big three" CCI surgeons and he said that the PICL procedure is a clever procedure, but you can't really call it a viable solution when you charge patients like that. Its a money-making scheme as much as it's a clever non-surgical approach.
Dr centeno once again trying to convince you of the illusion of complexity. Surgeons around the world perform more complicated surgeries than this so surely more people are capable of performing the PICL. You arejust gatekeeping the procedure for your financial gain
Exactly! To the detriment of patients. The question is whether it is worth doing so just before retirement.
I'm actually a patient who has great success with posterior c0-c2 facet injections done by another provider (yes, Dr. Centeno, it was done under c-arm with contrast confirmation into the joints w/ images captured during the procedure). I almost 100% agree w/ you. So, first, this procedure is difficult and the complexity of this procedure should not be underestimated. I do agree that there seems to be some gatekeeping going on. I can't speak for the PICL specifically, but it does seem like he has unrealistic expectations when it comes to these C0-C1 and C1-C2 Facet injections and requiring DSA. What's even more interesting is that a lot of his former fellows who have gone onto open up their own clinics don't have DSA and are using just their C-arm to do these upper facet injections (+contrast) w/ success and at a significantly lower price. During a podcast, one of his fellows even said that when he opened up his own clinic, he realized that charging $5000 is unrealistic and just plain out selfish as a human being. So, there's that. Don't listen to anything he says about posterior c0-c2 injections being unsafe, go call his office and they will give you the names of his former fellows and they are a lot more reasonable w/ pricing with these cervical procedures.
There is no justification whatsoever for making PICL $15,000. I don't think that the PICL is going to ever be performed outside Centeno Schultz clinic.
@@MarkoBolo12 it's performed by Dr. Janusus and Dr. Stogicza in Europe
@@MarkoBolo12 What are the names of the former physicians who opened their own clinics?