Should Patients Who Fail to Get Symptom Improvements with their First PICL Procedure Get a Second?

Dr. Centeno discusses what happens when patients do not experience symptomatic improvement after their first PICL procedure, specifically whether they still show improvements in craniocervical instability. He reviews case studies of patients who underwent followup DMX imaging, revealing that despite a lack of symptom relief, most showed measurable reductions in instability. Dr. Centeno explains why further treatments may be necessary for some patients to experience symptom relief and emphasizes the importance of followup evaluations to guide decisions on additional procedures.


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Timestamps:

00:01 Introduction and overview of the topic.
01:09 Decision to stop routine DMX studies and focus on patient safety.
02:24 Question: What happens in patients without symptomatic relief after PICL?
03:05 Case review of patients with no symptomatic relief but followup DMX.
07:29 Conclusion: Improvements in instability despite no symptom relief.
09:07 Final thoughts: Importance of a second PICL for some patients.


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CentenoSchultz Clinic
403 Summit Blvd Suite 201
Broomfield, CO 80021
3034296448

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