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.

How Chronic Pain can become problem

Complete information about- How chronic pain can become a problem

Chronic Pain-An Injury can effect

Chronic Pain-Serious Discomfort impacts an approximated 90 thousand People in America. Its causes can control from any number of health circumstances or due to an damage. Some people experience even when no particular actual physical cause can be found. Conventional pain medicines often work but can have serious long-term adverse reactions with long-term use and the agony sensation can still continue to persist.   Serious pain can are available for any reason and can be average to serious, and stay for several weeks, several weeks, or years.

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Sacroiliac Joint Block

Lower Back Pain-nypainsolutions

A Sacroiliac Combined Block is an hypodermic injection procedure used to identify and treat lumbar discomfort associated with damage or illness to the sacroiliac joint. The sacroiliac joint parts are located in the area of the low returning and butt where the hips connects with the backbone. Injury and illness to these joint parts will cause discomfort in the low returning, butt, stomach, genitals, and feet. The medicine treated decreases swelling and swelling inside the joint space. This may in turn reduce the discomfort.

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Acupuncture Procedure Complete

Acupuncture Procedure


Homeopathy basically means "needle striking," the practice of placing very small needles into the epidermis to activate specific anatomic factors in the human body (called acupoints) for healing reasons. Along with the regular method of puncturing the epidermis with the small needles, the experts also use warm, stress, rubbing, suction power, or desires of electro-magnetic power to activate the factors. The acupoints are activated to balance the action of power in the human body to recover health.

Procedure Overview

Acupuncture is an in office process that is usually applied with no pain-killer. Categories of small stainless-steel small needles are placed into the epidermis in different parts of the human body. The acupuncture small needles are so excellent that there is very little pain during placement. A poke or a heavy feeling is created when the hook is placed properly. The small needles are sometimes activated personally by warm or by electrical activation in an attempt to increase flow.

Procedure Details

Will you be sleeping for the procedure? It is not necessary for you to go to rest for this process. How long will the process take? The length of an acupuncture therapy will differ from situation to situation based on your pain and the amount of small needles placed into the different parts of the human body.
Before the procedure
To improve the value of a therapy, the following recommendations are important: Do not eat an uncommonly large food instantly before or after your therapy.

Do not over-exercise, practice sexual intercourse, or eat alcohol consumption within 6 hours before or after the therapy.Plan your actions so that after the therapy you can get some relax, or at least not have to be working at top performance. This is especially essential for the first few trips.

After the procedure

Remember to keep good psychological or written notices of what your reaction is to the therapy. This is essential for your physician to know so that the follow-up therapies can be designed to best help you and your problem.

Procedure Risks

There are almost no threats but some side impact may happen. Unique symptoms may intensify for a few days. You may experience general changes in hunger, rest, intestinal or urinating styles, or psychological state may be activated. These should not cause issue, as they are simply signs that the acupuncture is starting to work. It is quite common with the first one or two therapies to have a feeling of deep pleasure or even light confusion instantly following the therapy. These successfully pass within a few months, and never require anything more than a bit of relax to get over.

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