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Ever wondered if patients who don't show immediate symptom relief after a PICL procedure still experience improvements in instability? In this video, Dr. Centeno reviews before and after DMX (Digital Motion X-Ray) studies to demonstrate that even when symptoms persist, many patients show objective decreases in overhang and cervical instability. Dr. Centeno, a pioneer in interventional orthobiologics at the Centeno-Schultz Clinic, discusses why a second DMX (Digital Motion X-Ray) study—and possibly a second treatment—may be needed to achieve lasting symptomatic relief. 🔔 If you find this content helpful, please like, comment, and subscribe to stay informed. / @centenohome To schedule a telemedicine or in-person visit, call +1-303-429-6448 or email Isis at [email protected]. Dr. Centeno also answers questions on his Reddit thread at / picl Join him for weekly Facebook Lives at / centenoschultzclinic to learn more. Download Dr Centeno's book on craniocervical instability at https://centenoschultz.com/craniocerv.... Join CCI Communities: PICL SubReddit: https://www.reddit.com/r/PICL/?rdt=58942 PICL Facebook Group: / ccjpicl Follow us for updates and news: Website: https://centenoschultz.com/ https://regenexx.com/ Facebook: / centenoschultzclinic Instagram: / centenoschultzclinic LinkedIn: / chris-centeno-m-d-b6838024 Centeno-Schultz Clinic 403 Summit Blvd Suite 201 Broomfield, CO 80021 303-429-6448 Key timestamps: 00:01 – Introduction: Questioning PICL non-responders and instability 01:41 – Protocol change: Stopping routine DMX studies due to x-ray exposure 03:00 – Case review initiation: Evaluating DMX in patients without symptomatic relief 07:36 – Case summary: Majority show objective improvement in instability 09:03 – Conclusion: Two treatments may be needed for symptom relief