Book an Appintment with Dr. Mikhail Kogan

Specialties: Pain Management, Anesthesiology.

Dr. Sekhar Upadhyayula, MD and Dr. Mikhail Kogan MD

Dr. Sekhar and Dr. Mikhail Kogan are member of American Society of Anesthesiologists.

Pain Solutions New York -

Call on 718-544-1171 or visit for Appointment.

Epidural Steroid Injection

The Epidural Steroid Injection is a procedure where numbing medicine (anesthetic) and anti- inflammatory medicine (steroid) is injected into the epidural space to treat pain caused by irritation of the spinal nerves.

Cervical Facet Joint Injection

The Cervical Facet Joint Injection is a procedure used to block or decrease pain caused by problems in the upper (neck area) spine.

Joint Injection

Combined Shots of the arms and legs, such as in the legs, shoulder area, waist, etc. are used to cure the discomfort that comes most generally from joint disease. The joint parts of the arms and legs can go through damage from continuous wear-and-tear (osteoarthritis), from injury (chronic sprains) or from disease (rheumatoid arthritis), thus resulting in serious inflammation and discomfort. If the inflammation is serious and neglected, the joint can become completely broken from break down and devastation of the fibrous coating that lubricates the moving parts of the joint.
The greatest joint parts of the arms and legs are the ones most generally involved with joint disease, such as in the shoulder area, waist and legs. Arthritis can also include small sized joint parts, such as the legs, hand and handy joint parts. The medication treated (corticosteroid) decreases the inflammation and inflammation inside the joint space.

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Decompression or Nucleoplasty

Procedure Details:

1. What type of pain can be treated?
    => Low back and leg pain due to contained disc herniations.

2. How does the procedure work?
    => The DEKOMPRESSOR discectomy probe removes disc tissue which may relieve painful pressure on the surrounding nerves.

3. Will the procedure hurt?
    => There should be no pain generated by the DEKOMPRESSOR discectomy probe. This advancement in technology requires only a tiny puncture in the skin; similar   to a simple injection.

4. How long does the procedure take?
    => The total procedure time is generally 15 minutes to 1 hour.

5. What physician training is required to perform this procedure?
   => Board certification in a specialty such as interventional pain management,   orthopedic surgery, neurosurgery, radiology, or physiatry is typical. Physicians should be experienced with discography.

6. Can my pain be cured?
 => In some cases, pain may be eliminated. In most cases, percutaneous discectomy followed by appropriate follow up care will reduce pain to a tolerable level.

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Celiac Plexus Block

This procedure is conducted to identify and reduce stomach pain due to conditions such as cancer or pancreatitis. An drugs 00) be may be used to manage drugs to rest the individual. And hypodermic injection is used to blr is the nerve fibres providing the stomach.

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Trigger Point Injections-Overview

Trigger Point Injections (TPI) is used to cure extremely painful areas of muscular. Normal muscular contracts and relaxes when it is active. The trigger factor can snare or annoy around nerve fibres and cause known discomfort — discomfort sensed in another aspect of one's human body.The trigger factor can snare or annoy around nerve fibres and cause known discomfort — discomfort sensed in another aspect of one's human body.TPI also can be used to cure Fibromyalgia and tension headaches.
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Overview-Platelet Rich Plasma

It is designed to reduce pain due to herniated disks pushing on sensors origins. This minimally-invasive process is conducted through a small tubular system. The surgery treatment is conducted under local or epidural sedation, enabling the individual to keep the medical centre the same day.

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