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Curious about the best way to image the Alar ligament to assess for potential craniocervical instability? In this video, Dr. Centeno explores key MRI techniques—including the best Tesla strength, slice thickness, and imaging planes—to get a clearer view of the Alar ligament. He also explains when to use stress testing via digital motion X-ray and why rotational CT may be less sensitive for detecting dynamic laxity. Dr. Centeno, a pioneer in interventional orthobiologics and founder of the Centeno-Schultz Clinic, provides insights to help patients and physicians better evaluate ligament health and stability. 🔔 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 SubReddit 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: 00:00 – Introduction: imaging the Alar ligament 00:31 – Observing the Alar ligament on upright MRI 01:00 – Best MRI settings (1.5 or 3 Tesla, 1–2 mm slices) 01:34 – Stress testing methods (digital motion X-ray vs. rotational CT) 02:00 – Final thoughts on confirming craniocervical instability