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Dr. Centeno discusses why he recommends the PICL procedure to treat type 2b CCI or craniocervical instability. CCI type 2b is where the alar ligament is damaged or lax. This is because we tried to treat CCI type 2b with posterior injection, it rarely worked. This is why we created the PICL procedure. 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