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.

Epidural steroid injections (ESIs) - NYpainsolutions

Epidural steroid injections (ESIs) are a standard treatment choice for several varieties of low back pain and leg pain. they need been used for low back issues since 1952 associated are still an integral a part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; now and then the injection alone is spare to produce relief, however ordinarily associate epidural steroid injection is employed together with a comprehensive program to produce further profit.
Most practitioners can agree that, whereas the results of the injection tend to be temporary - providing relief from pain for one week up to at least one year - associate epidural will be terribly helpful for a patient throughout associate acute episode of back and/or leg pain. Significantly, an injection can provide sufficient pain relief to permit a patient to progress with a rehabilitative stretching and exercise program. If the initial injection is effective for a patient, he or she could have up to 3 in an annual period.

Efficacy of Injections
Although several studies document the short advantages of epidural steroid injections, the info on long-term effectiveness are less convincing. Indeed, the effectiveness of lumbar epidural steroid injections continues to be a topic of debate. This can be accentuated by the dearth of properly performed studies.

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