2026 ePICL Procedure Updates

Discover the latest 2026 updates to the advanced EPICL procedure and learn how this highly precise intraoral injection targets the internal ligaments holding the head on. Dr. Chris Centeno breaks down the clinical evolution from PICL to EPICL, the critical role of dual-axis fluoroscopy, and answers deep-dive patient questions during a live Q&A.https://youtube.com/live/ss264kyw6V8

Discover the critical differences between upper cervical alignment and instability, and why mistaking one for the other can impact your diagnosis and care. In this live presentation, Dr. Chris Centeno clarifies common misconceptions surrounding upper neck issues and explains how resting structural position differs from movement-based instability.https://youtube.com/live/0Rf7zpwNnLk

In this live broadcast, Dr. Chris Centeno is joined by holistic health professional and CCI patient Jennifer to explore how combining the PICL procedure with neuroplasticity and brain retraining can transform recovery for complex upper cervical conditions.https://youtube.com/live/6UOmX34o0R8

Is internal jugular vein (IJV) compression on imaging a major concern for patients with Craniocervical Instability (CCI), or is it often an incidental finding? In this live broadcast, Dr. Chris Centeno cuts through the social media noise to analyze the true clinical significance of static IJV compression, styloid process elongation, and head pressure symptoms.https://youtube.com/live/Z7TAJg3DweQ

Join Dr. Chris Centeno and chronic illness expert Dr. Eric Gordon as they explore the complex link between Craniocervical Instability (CCI), chronic inflammation, and lingering infectious diseases like Lyme disease and long COVID. Learn how persistent immune activation can drive ligament laxity and why addressing systemic inflammatory triggers is vital for comprehensive healing.

In this live video, Dr. Chris Centeno explains how the vagus nerve influences mood, depression, and systemic health, and why vagus nerve dysfunction is so frequently seen in patients with Craniocervical Instability (CCI).https://youtube.com/live/xGQ16oMfS5w 

Can you get a DMX or VF study at CSC to help diagnose CCI? Yes, in this video, Dr. Centeno dives deep into DMX and what is the same and different about getting one done at CSC in Colorado.https://youtube.com/live/3ewR5_mcA1U

Understanding your recovery trajectory after an EPICL procedure is crucial for setting realistic expectations and optimizing your healing process for Craniocervical Instability (CCI). In this video, Dr. Chris Centeno analyzes registry data to explain the different recovery pathways, setback triggers, and overall success rates of the PICL procedure.https://youtube.com/live/lJ8uB439t1E

Navigating the wide array of treatment options for Craniocervical Instability (CCI) can feel overwhelming with all the complex medical terminology. In this video, Dr. Chris Centeno breaks down the "alphabet soup" of orthobiologics—from prolotherapy and PRP to bone marrow concentrate—to help you understand which regenerative treatments are most effective and safe for treating CCI.https://youtube.com/live/-HpSVzI39Vw

Experiencing a flare-up or perceived worsening after a PICL/EPICL procedure for Craniocervical Instability (CCI) can be alarming, but understanding the biological reasons behind these temporary setbacks is key to managing your recovery. In this video, Dr. Chris Centeno addresses why post-procedure flares occur, debunks common myths regarding ligament weakness after injections, and explains how to avoid hitting the "panic button."https://youtube.com/live/r2jyo44z9hQ