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CCI Patient with Cervical Medullary Syndrome who States that Her Worse Position is in Extension Dr. Centeno discusses a unique case of cervical medullary syndrome (CMS) in a patient with craniocervical instability (CCI), where symptoms worsen during neck extension rather than flexion. He explains how imaging revealed that the C1 bone was slipping backwards on one side, a rare finding that contributed to the patient’s symptoms. Dr. Centeno also highlights the importance of using flexion-extension MRI and advanced imaging techniques to accurately diagnose and treat these conditions. The video covers how this insight affects modifications to the PICL procedure for optimal treatment. 🔔 Subscribe for more CCI related videos: / @centenohome Follow us for updates and news: Website: https://centenoschultz.com/ https://regenexx.com/ Facebook: ( / centenoschultzclinic ) Instagram: ( / centenoschultzclinic ) LinkedIn: ( / chris-centeno-m-d-b6838024 ) Time Stamps: 0:01 – Intro to CCI and CMS 0:23 – What is CMS? 0:46 – Retroflex Dens Symptoms 1:05 – Patient's Grab Oaks Case 1:42 – Unexpected Symptom Pattern 2:09 – MRI Shows C1 Slipping 2:48 – Injection Focus Areas 3:40 – Key Takeaways on CMS 4:07 – PICL Procedure Modifications ------------------------------------------------------------------------------------------------------------------- 📖 Download Dr. Centeno's CCI 101: Understanding Craniocervical Instability and the Road to Recovery https://centenoschultz.com/cci-101/ ------------------------------------------------------------------------------------------------------------------ Follow us on Facebook to keep up with Dr. Centeno's live series, "You've Got the Power!" / centenoschultzclinic ----------------------------------------------------------------------------------------------------------------- To learn more, go to the following sites: Centeno-Schultz Clinic...https://centenoschultz.com/ Regenexx........................https://regenexx.com/ ----------------------------------------------------------------------------------------------------------------- Centeno-Schultz Clinic 403 Summit Blvd Suite 201 Broomfield, CO 80021 303-429-6448 #centenoschultzclinic #regenexx #picl ~-~~-~~~-~~-~ Please watch: "Cervical Disc Replacement Movement vs Normal Disc" • Cervical Disc Replacement Movement vs Norm... ~-~~-~~~-~~-~