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Dr. Centeno explains that a Level 1 cervical injection is a simple posterior prolotherapy performed blindly, without imaging guidance, relying only on palpation to place the needle against bone. While experienced providers can often do this safely, the approach is outdated in 2025 given the availability of inexpensive guidance tools. Without imaging, there is a higher risk of serious complications such as spinal cord injury, vertebral artery injection leading to brainstem stroke, or other damage—especially in the upper cervical spine. Level 1 providers typically perform basic midline ligament injections or target bone surfaces like facet joints and lamina, but this technique lacks the precision and safety of more advanced methods. Dr. Centeno practices at the Centeno-Schultz clinic, which is one of the founders of a new field of medicine called interventional orthobiologics., These are precise image-guide injections of PRP, stem cells, and other natural substances to help ligaments, tendons, and joints heal. The clinic is involved in many clinical research studies, runs a university level pure research lab in orthobiologics, and uses advanced clean room processing on-site of cellular therapies. See https://centenoschultz.com/ To schedule a telemedicine or an in-person visit, please reach out to the clinic at +1-303-429-6448 or contact Isis at [email protected]. Dr. Centeno also actively answers questions on his Reddit thread at / picl You can also download his book on craniocervical instability at https://centenoschultz.com/craniocerv... Finally, he does weekly FB Lives at / centenoschultzclinic