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A fascinating case of a patient experiencing persistent left-sided base of skull pain and a bruised sensation at the back of the head. She struggles to rest her head on a pillow due to extreme sensitivity. In this video, Dr. Centeno examines her MRI and DMX scans, revealing significant C1-C2 instability and excessive fluid buildup in the C1-C2 facet joint. But what makes this case unique? 🔍 Key Findings in the MRI & DMX: 🔹Effusion (fluid buildup) in the left C1-C2 facet joint, directly compressing the C2 dorsal root ganglion 🔹The C2 nerve supplies sensation to the back of the head, explaining the patient’s symptoms 🔹DMX imaging confirms C1-C2 instability, leading to joint swelling and nerve irritation 💡 Treatment Approach: To relieve pressure on the C2 nerve and address the root cause of instability, Dr. Centeno recommends: 🔹PICL procedure to stabilize the C1-C2 joint 🔹Targeted treatment for the C1-C2 facet joint and C2 dorsal root ganglion This case highlights how C1-C2 instability can lead to severe head and neck pain. If you or someone you know struggles with similar symptoms, understanding the cause is the first step to effective treatment. Dr. Centeno is a leader in interventional orthobiologics and practices at the Centeno-Schultz Clinic, the headquarters of the Regenexx network. 🔔 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 us 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 - Case Introduction: Left-Sided Skull Pain 00:30 - MRI Findings: Fluid in C1-C2 Facet Joint 01:35 - C2 Dorsal Root Ganglion Compression 02:17 - DMX Imaging: C1-C2 Instability Identified 02:52 - Treatment Approach: PICL Procedure & Nerve Targeting