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.

Surgery - Sciatica Treatment

Surgery is also an choice to treat cases of chronic sciatica when:

there is an identifiable  cause, like a slipped or herniated disc
the symptoms haven't more responsible different varieties of treatment
the symptoms have gotten progressively worse
The type of surgery that may be suggested for you'll depend on the reason behind your sciatica. Some surgical choices include:
discectomy – wherever the a part of the herniated disc pressing on your nerve is removed (this is that the commonest form of surgery required)
fusion surgery – if a bone has slipped out of place, it's going to be potential to fuse it into place employing a bone graft supported by metal rods
laminectomy – a procedure usually accustomed treat spinal stenosis, this removes or trims the arch of a bone to alleviate the pressure on the nerves
Many people have a positive result from surgery, however like all surgical procedures, spinal surgery carries some risks. there's a risk of infection and of the surgery failing, and a low risk that your spinal nerves are going to be damaged throughout surgery. this might result in muscle weakness.
Before choosing spinal surgery, your Dr. can discuss the relative risks and benefits with you.

For more details please visit or click here  Sciatica Treatment

Injection of a adrenal cortical steroid - Sciatica Treatment

If different strategies of pain relief haven't worked, your Dr. might refer you to a specialist for associate epidural steroid injection. This delivers sturdy medicament medication on to the inflamed space round the nerves of your spine. this could release the pressure on your sciatic nerve and scale back your pain.

Exercise and physical therapy

You should additionally attempt to try to as physically active as possible with persistent sciatica as a result of this can scale back the severity of your symptoms. it's additionally suggested that you simply still work or come to figure as presently as potential.
Regular exercise can facilitate to strengthen the muscles that support your back. Exercise additionally stimulates the production of endorphins, that are natural painkilling chemicals.
Your Dr. might advocate an appropriate exercise arrange for you or refer you to a physiotherapist. A healer will teach you a variety of exercises that strengthen the muscles that support your back and improve the flexibleness of your spine. they will additionally teach you the way to enhance your posture and scale back any future strain on your back.

Cognitive behavioural medical care (CBT)

Some studies have shown that psychological feature behavioral medical care (CBT) will facilitate within the management of chronic pain that's caused by sciatica.
CBT is predicated on the principle that the approach we tend to feel is part hooked in to|keen about|captivated with|obsessed with|passionate about|addicted to|addicted to|obsessed on|smitten by} the approach we predict about things. research has shown that individuals who train themselves to react otherwise to their pain, by mistreatment relaxation techniques and maintaining a positive perspective, show a decrease within the levels of pain that they expertise.
They are additionally a lot of likely to stay active and take exercise, additional reducing the severity of their symptoms.

For more details please visit or click here  Sciatica Treatment

Sciatica Treatment Options

If you have sciatica, it's necessary for you to stay as physically active as possible. whereas bed rest might provide some temporary pain relief, prolonged bed rest could also be spare. recommended exercises include walking and mild stretching exercises.
If you have got had to require time off work as a result of sciatica, you must aim to return to figure as shortly as possible.

Compression packs
Many people find that exploitation either hot or cold compression packs helps to reduce pain. you'll be able to create your own cold compression pack by wrapping a pack of frozen peas in a very towel. Hot compression packs are typically available from larger pharmacies. you'll find it effective to use one kind of pack followed by the other.
Treating persistent sciatica
Persistent (chronic) sciatica typically needs a mix of self-help techniques and medical treatment. Treatment choices are outlined below.

The long-run use of NSAIDs as a technique of controlling pain isn't typically recommended because they'll cause issues together with your stomach, like ulcers or internal bleeding.
If you wish pain relief over an extended time, the painkillers listed below could also be used:
Codeine (paracetamol is usually prescribed together with codeine)
A antidepressant drug, like amitriptyline hydrochloride
Gabapentin for neuropathic pain (where nerves are thought to be inflamed), or, in capsules, the same drug referred to as pregabalin
Amitriptyline was originally designed to treat depression however doctors have currently found it's also helpful for treating nerve pain.
Gabapentin was originally designed to stop seizures in individuals with brain disease. However, like amitriptyline hydrochloride, it's been found to be helpful for treating nerve pain.
Do not suddenly stop taking gabapentin as you will expertise withdrawal symptoms like anxiety, insomnia, nausea, pain and sweating. If you would like to prevent taking gabapentin or not got to take it.

For more details please visit or click here Sciatica Treatment