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.

Lumbar Facet Injection

What is a lumbar facet joint injection?
The lumbar facet joints are small joints settled on either side of the body part spine. They assist offer support to the rear of the spine. These joints will become creaky and painful for variety of reasons. The joints cause back pain that radiates into the body part and hips. Injection of anesthetic agent and steroid into the joint will facilitate relieve pain and treat inflammation of the body part aspect joint.

How is the procedure performed?
We could begin an endogenous line so we are able to provide you with medication to relax you. Tiny low needle are inserted in your back close to the spine. The needle is inserted beneath X-ray machine (a sort of x-ray machine). This helps your doctor guide the needle to its correct location. Once the needle is within the correct position, anesthetic agent and steroid are injected to quickly put to sleep the joint and facilitate decrease the inflammation. The procedure is fairly short and our nurses within the hospital room once the procedure’ll watch you closely.

What can you expect after the procedure?
After the procedure, you'll seemingly notice improved pain relief. Once the topical anesthetic has worn off, usually once many hours, your pain could come. Once concerning 24-36 hours, the steroid can begin to start out reducing the inflammation of the joint and provides you longer pain relief; it's going to take up to 1 week to receive steroid result. You would like somebody to drive you home once the procedure.

What are the side effects?
Anything over little quantity of pain, hurt or swelling at the positioning of the injection is uncommon. It’s best to use ice to the injection web site for 20-30 minutes 3 or fourfold on a daily basis for the primary few days when the injection. If you develop the other issues, please decision our workplace at 742-7030 in order that we have a tendency to could suggest any action.

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Men's Health Care

If you don't to remain within the hospital however do need constant health care that there members of the family or friends cannot give. Any state of affairs that arises wherever somebody wants health care however don't desire to be within the hospital nevertheless cannot be taken care of by his/her friends and members of the family, such state of affairs imply the eye of home health care. The necessity for home health care is for things wherever a unfortunate person refuses or simply cannot keep within the hospital nevertheless does not have friends or members of the family to require care of them reception. The necessity for home health care became necessary for those who do not like the thought of being sick in any hospital, despite not having relatives and friends that may look after them. If you have got any dear that does not or cannot visit the hospital once sick, then you'll be able to decide on the services of a home health care agency. For those who haven't got anyone to worry for them reception and area unit sick, home health care will come back handy. Anyone United Nations agency is unable to remain within the hospital or just cannot due to bound issue nevertheless does not have any friends or relatives to require care of him/her within the house definitely wants home health care. Because of the likelihood of home health care; anyone that's sick and does not wish to be within the hospital for obvious reasons are often taken care of by home health care, whether or not or not they need friends and relatives to attend to them. Home health care services area unit for those stubborn people United Nations agency don't desire to be sick at the hospital or simply cannot, nevertheless haven't got those who can pay attention of them reception, either due to their busy schedules.

United Nations agency says as a result of you hate been sick at the hospital and your friends and relatives cannot look after you reception, then all is lost, once you will get the assistance of home health care?)  (No matter what such an individual wants, a home health care agency will give it – whether or not it is a companion for many components of the day or bound services that the individual cannot do themselves, like bathing, etc. If you have got a private that either simply needs companion or cannot even rise up to try to things themselves, a home health care service are often of nice facilitate. It very does not matter what quite service you want; be it simply fellowship or real facilitate with even bathing, transportation from one place to a different, etc, home health care comes handy. One will simply get every kind of help from a decent home health care; from disbursement time with the sick victims to stay them from temporary state or maybe specific services like bathing the sick victims. A home health care offers generalized and even customized services to victims; from escorting and transporting the victim to even bathing the victims. You’ll be able to get all types of facilitate from home health care, starting from disbursement time with victims to stay them from ennui or maybe specialized services like bathing the victims. For people who have a temperament that either simply needs companion or cannot even rise up to try to things themselves, a home health care service are often of huge help. Whether or not what the individual needs is a few companion or bound services like escort, transportation services, or maybe personal services like bathing, a home health care will facilitate. It’d be arduous to grasp however despite what your downside is, whether or not you would like facilitate with bathing or somebody to accompany you to shop for things outside your home, etc – a home health care are often of nice facilitate. If you have got a dear that either simply wants some companion to speak to or one that cannot even rise up to try to things themselves, a home health care service are often of real help.

Several totally different home health care sorts area unit out there. Millions of home health care exists. There area unit several styles of home health care that area unit out there. You’ll be able to get many varieties of home health care. Many varieties of home health care exist. There area unit tons and much of home health care sorts to decide on from. As there area unit {different totally different completely} people and different circumstances, thus area unit there differing types of home health care. There exist different types of home health care. Counting on the one you would like, you'll be able to notice totally different home health care. Totally different home health care sorts exist.} Range of the house health care sorts carries with it the skilled health care, the residential care homes furthermore because the care health villages. Samples of the kinds of home health care area unit the residential care homes, the care health villages together with the skilled health centers. For instance, there exists the residential home care types; there are the care health villages and even the skilled health centers. From the residential care homes, care health villages to skilled health care, these area unit a number of the categories of home health care that area unit out there. a number of the house health care sorts embody the skilled health care, the residential care homes and therefore the care health villages. Samples of the categories of home health care area unit the residential care homes, the care health villages and therefore the skilled health centers. The skilled health centers, the residential care homes and therefore the care health villages area unit just a few of the samples of home health care that area unit out there. Among the house health care sorts embody the residential care homes, the care health villages furthermore because the skilled health centers. Among the various kinds of home health care area unit the skilled health care, the care health village and therefore the residential home care. You’ll be able to notice the residential care homes, the care health villages and therefore the skilled health care as samples of the house health care sorts.

If you would like to pick out a home health care, make sure that it meets the precise demand of your dear before going ahead with the choice. Make sure that the actual health care home {you can you'll you may} select will meet the requirements of your dear or loved one. Take time to travel through the house health care center you'll like better to guarantee it meets the necessities of your dear or relative. Do not simply select any health care home while not guaranteeing that it'll go down well with what your relative or dear wants. The house health care you'll choose ought to be one that's in bicycle with what your dear or relative wants. Do not build the error of selecting a home health care that does not meet the requirements of your dear. Your dear or loved one that is about to use the services of the house health care ought to have the ultimate say on whether or not he/she is glad with the house health care or not. As several as these health care homes area unit, make sure that any that you simply arrange to use meets the necessities of your dear or loved one. He United Nations agency wears the shoes apprehend wherever it itches, thus guarantee your loved one or dear United Nations agency goes to learn from the services of the house health care is glad with the actual one you have got designated for them. Confirm that the health care home {you can you’ll you may} decide on will converge with the requirements of your dear or relative.

Many people have praised the correct health care home for his or her prospering recovery, thus take the time to seek out the correct care home if you're serious concerning the recovery of your dear. Anyone that really needs their dear to recovery from the actual health problem that is plaguing them ought to build trip find the correct health care home, because the right one will contribute towards the prospering recovery of victims. It’s been instructed by the general public that the correct home health care will aid within the healing of the victim in question; thus take time to seek out one that's acknowledged to assist heal victims. It’s extremely vital to seek out the correct health care home as a result of this may build or mar the healing method of the victim. It’s critically pertinent that you simply notice the right health care home for your relative or loved one as a result of this may contribute absolutely or negatively to his/her overall recovery. It hasn't been tested however millions of individuals affirm that their prospering recovery was potential as a result of they got the services of the correct home health care; thus do constant issue if you would like such results. Millions of individuals have attributed their prospering recovery to the correct health care home, thus take the time to seek out the correct one. a person United Nations agency seriously needs recovery for his or her dear ought to build trip find the correct health care home, because the right one will facilitate within the recovery of the dear. There is some relationship between a patient's recovery and therefore the health care home used, thus make sure you notice the correct one for your dear.  It's considerably vital that you simply find the best health care home for dear as a result of this may contribute absolutely to his/her overall recovery.
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How to Maintain Women's Health After 50 age

When an individual reaches the age of fifty they will see important changes in their body. After you reach 0.5 century it's out of the question for you to remain active such as you wherever within the age of twenty or thirty. Most such problems can return for girls than men. Therefore women's health once fifty is required most care and a focus. In general, for variety of ladies during this decade marked the start of change of life and therefore the general decline in fertility. Girls will realize that their joints don't seem to be as versatile as before. Here beside correct care girls will attempt to build delay aging exploitation correct diet.
Start by having regular checkups together with your doctor, notwithstanding it feel sensible. Raise your doctor for AN analysis of was risk. This check calculates the chance of cardiopathy later in life. The analysis is to live force per unit area, sterol and weight. The doctor will review anamnesis to see if there square measure links or possibilities to hereditary cardiopathy. During this means girls will develop a life arrange to cut back risk. If you would like to grasp a lot of concerning issues which may build girls unhealthy on-line girls health connected articles and reviews can facilitate.
It is vital to require care of your vision as you age. Thus you have got to check your eyes a minimum of once each 2 years. As we tend to age the eyes square measure at risk of eye diseases like eye disease and cataracts. Additionally, eye check reveals early signs of issues from polygenic disease or cardiovascular disease. Complete body check up and treatment may be a sensible answer to keep up women’s health once fifty years old-time.
Diet is incredibly necessary for adulthood persons to keep up physiological state with none diseases. Because the age will increase it's out of the question for the body to burn calories, because it was after you were in 20s and 30s. this can be why it's necessary that you just eat healthier diet. as a result of your metabolism slows down, it's knowing cut back from two hundred to 250 calories from your diet once your age reaches fifty. This doesn't mean an enormous modification. You’ll be able to build little changes like exploitation semi-skimmed milk rather than milk. Cut calorie intake begins to introduce healthy and nutrient foods in your diet, which may assist you contend with the symptoms of change of life. for instance, foods like pumpkin seeds and benne seeds, yogurt, bean curd square measure nice sources of phytoestrogens, that square measure helpful to keep up women's health once fifty years old-time.

Finally, aging doesn't mean you get less active. In reality, it means that the other. it's necessary that you just take regular exercise. For women, it's necessary to handle the girdle region the onset of change of life will weaken girdle floor muscles. Then work on regular girdle floor exercises further. Additionally it's necessary to consult a doctor before ever-changing the diet. By following these easy procedures it's straightforward to keep up women’s health once fifty years additionally.

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How to abstain from Smoking

Ayurvedic and alternative organic ways to quit Smoking or phytotoxin consumption in any kind will solely be underscored with the collaboration of a powerful human disposition to induce obviate the habit. a powerful can is that the over bowed human issue which will facilitate keep going this addiction in due course of your time. Patience and support of the smoker’s peers, friends and members of the family go an extended approach in facilitating the trail to present up this fatal habit. Each smoker ought to be influenced by stories of chronic addicts UN agency have walked and crossed over this hurdle to steer clean and healthy lives. Those that didn’t hand over this habit and area unit victims of addiction that solely reflects and personifies the weakness of human character must even influence them.

We area unit providing some straightforward tips and pointers victimization home remedies together with writing to beat drug addiction. there's no certification of the tip result however will surely facilitate plant toxin users to kick their habit. What writing prescribes is that the body ought to be replenished with invigorating vitamins and minerals in order that the habit are often overcome physiologically in conjunction with the psychological facet. Its wisdom that the body too should play a adjuvant role once the person decides to allow up the habit and writing exactly tries to deal with this issue. Before we advise the solutions the foremost necessary consume pure water, herb tea (Green Tea) and acid juices all of that facilitate the body detoxify with efficiency.

Reduction or abstinence from consumption of bitter foods e.g. Coffee, flour By product like breads and food, Tea, Meat a lot of notably beef, farm product.
Increase consumption to base-forming Food things.e.g acid Fruits containing higher dosages of water-soluble vitamin like oranges, grape fruit, Sweet Lime.
Complete abstinence of Sweets, artificial sweeteners, Desserts. If the body cannot address this example, it's suggested to consume organic honey to satiate the body's cravings of sweets.
Whenever there's a robust probing for plant toxin consumption, licking salt and exploit the salt on the tongue douses the desire pangs nearly instantly.
Gratings of Radish (Mooli) then extracting its juice mixed with some honey ought to be taken double each day.
Chewing Liquorice additionally referred to, as Mulethi could be a great way to digress the necessities of the body from smoking. Its has AN offensive and loathly sweet style that snuffs the urge. It also can give some relief from the common cough referred to as the Smoker's Cough. In truth intense liquorice with honey could be a certain fireplace thanks to overcome this cough.
Chewing on Raw Sugarcane Stems or tiny items.

A satirical (purified) diet consisting of raw vegetables, herbaceous plant greens, heat clarified butter (clarified butter ) made of Cow's milk, whole grains all of that shouldn't be freeze dried or processed with any preservatives for a extended period.
Ginseng – a herb like product that is incredibly fashionable the Chinese and South East Asian Countries.
Triphala: Tri in Sanskrit suggests that 3. This can be a surprise fruit may be a combination of three fruits containing copious quantities of ascorbic acid.  Its a fruit that generates immunity and is an inhibitor that detoxifies it from the chemicals consumed as a results of smoking.

Ashwagandha  - its a plant that's used for cover against skin issues and medical science ailments.

Yoga additional significantly Hinduism respiratory Asanas and Kriyas go on manner in calming the mental infrastructure of the person serving to it mechanically de-stress one thing that some puffs of roll of tobacco smoke are speculated to do. Smoking generally is completed throughout extremely disagreeable things e.g. Examinations, interview, taking part in mind games etc. Shavasna – or the physical relaxation of the metaphysical being by merely lying down on a tough flat surface and permitting all points of your body to stay in reality with the ground helps in an exceedingly soothing result. The breath ought to be traditional through the cavity and therefore the concentration ought to air the higher pectoral region

Advanced respiratory techniques in Yoga are a positive shot manner of restraining your body from alkaloid-connected impulses. an individual may also enjoys some cardio based mostly exercises all of that facilitate in emotional endorphins that ultimately assist within the abstinence of alkaloid connected product.

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Autism Spectrum Disorder

Autism could be a rare medical condition, which might have an effect on mortals right away from the time of their birth. In medical terms, syndrome will be mentioned because the disorder of the systems nerve sum. Folks affected with this medical condition area unit typically seen to be less interactive and should conjointly lack verbal yet as non-verbal communication skills. Also, another stereotypical behavior seen in unfit folks is that the repetitive stacking of things or numerous different restricted behaviors yet as activities. Whereas syndrome will vary from person to person, variations can even be seen within the manner a personal behaves whereas rummaging this medical condition. Earlier, syndrome was thought of to be a really rare medical condition however thanks to dynamical life designs and habits, one in each one hundred babies born in Republic of India nowadays is tormented by syndrome even before it comes into this world.

In some cases, the signs and symptoms of being unfit begin to seem once the baby is simply around three years recent. However, actuality reason behind this nervous mutation is nonetheless to be familiar. Out of the 3 familiar disorders happiness to the syndrome spectrum, this is often the foremost common one. The opposite 2 disorders square measure Asperser Syndrome also because the Pervasive biological process Disorder. Whereas the previous results in the delay in learning languages and psychological feature development, the latter leads the thanks to the Asperser Syndrome. of these diseases combined produce to the syndrome Spectrum Disorder. Whereas the symptoms will vary mostly from person to person, nonetheless the foremost common to be found in folks square measure communication disorders, learning disabilities, social deficits, repetitive interests also as behavior and in some cases, psychological feature delay may additionally be witnessed. Overall, there's a big overlap between all the 3 disorders happiness to the current spectrum.

People with syndrome usually suffer from acceptance problems within the society. Since they are doing not look otherwise disabled, folks could notice their behavior discontent and asocial. Oldsters kidder of youngsters of kids} with syndrome usually complain regarding their child being naughty or adamant while not understanding the particular reason. However, timely diagnosing of the condition will facilitate with the treatment. info on syndrome ought to be gathered by the involved folks and treatment choices like mental exercises, activity and communication medical care, counsel and aided learning etc ought to be provided to them. AN unfit kid receives special learning and social activity education to develop higher social skills. Syndrome can't be cured utterly however early diagnosing will facilitate the kid explore his full potential. Since the necessities of each kid are going to be completely different individual treatment plans ought to be developed. It also can take some oldsters years to appreciate that their youngsters suffer from syndrome. Awareness is that the key to coach folks regarding the condition and to assist them develops sensitive bearing towards unfit person. One vital issue to be unbroken in mind is that these folks mustn't be slapped or unheeded by the society. Love and fondness plays a serious role in transportation them back to their traditional life.

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