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

Epidural injections are administered for relieving the pain suffered by the patients in their spine. Epidural injections are used for treating low back pain for quite sixty years. These injections contain steroids, anesthetics and anti inflammatory medications.
They perform the task of decreasing the inflammation and swelling that is inflicting the back and leg pain. The epidural injections deliver the medication contained in them into the epidural space of the spine.

What are the major indicators for having Epidural Injections?

Epidural injections are sometimes indicated for people who are affected by chronic back pain or sciatica and haven't been able to find relief from the never ending pain through the use of typical treatment ways. Patients with a bulging or slipped disc are perfect candidates for receiving epidural injections.
In addition to the present, spinal stenosis is another medical condition that an epidural injection will sway be terribly helpful. Victims of a car accident who have suffered a spinal injury or individuals convalescent from failed back surgery syndrome will realize epidural injections terribly effective for assuaging their back pain.

What does Epidural Injections entail?

Epidural injections involve these of a hypodermic needle to deliver corticosteroids into the epidural space of the spine that alleviates the pain and inflammation that the patient has been suffering from. The medicine nature of the corticosteroids decreases the inflammation within the spinal discs and within the process relives the pressure on the spinal nerves.
In some cases, the epidural injections are used to deliver an anesthetic to the spinal nerves that stops them from sending pain signals to the brain and therefore curb the pain being felt by the patient. the utilization of radiology improves the accuracy and effectualness of the epidural injections.

How will Epidural Injections facilitate the doctor offer treatment?

Epidural injections will provide instant relief from the never ending back and leg pain. Their ability to right away decrease the chronic pain within the spine is extremely useful for seattle pain doctors in managing the pain symptoms of patients. With the pain taken care of, the doctors will direct their attention towards solving the other symptoms of the patient.   

What to expect when having Epidural Injections?

The epidural injections are administered using a hypodermic needle. you'll be asked to lie down on your stomach. The doctor goes to apply anti-septic solution and a local anesthetic on the skin of the area above the epidural space wherever the injection is to be inserted.
The anti-septic goes to clear the bacteria whereas the anesthetic can numb the area so you are doing not feel any kind of pain once the injection is inserted into the epidural space. once ensuring that the needle is placed at the proper spot victimization X-ray steering, the seattle pain management doctor goes to inject the contents of the injection into the epidural space. A band-aid goes to be applied over the injection web site once the procedure has been completed.

There are three varieties of epidural injections:

Interlaminar injection – oldest technique – injection of steroid between the “lamina” bones.

Transforaminal Epidural – the latest technique, interjects medication specifically wherever the nerve root is being pinched.

Caudal Epidural – places the steroid medication very low within the spine then it migrates to alleviate pain at multiple levels.

What are the risks of having Epidural Injections?

Infection remains the most risk of epidural injections. There's additionally a chance of a reaction happening to the medication that's delivered within the injection. However, the risks and complications related to epidural injections are uncommon.
What are the benefits of having Epidural Injections?

The most necessary benefit of epidural injections is fast relief from acute or chronic back or leg pain. Dozens of studies are looking at epidural injections and have shown that in over seventy fifth of individuals, excellent pain relief is achieved. This might last from days to months.

Dr. Mikhail Kogan - Back pain and Cancer pain Specialis

Dr. Kogan is known for achieving dramatic improvement in pain without major surger also promoted to Director of Pain Management Service at Elmhurst Hospital.

Dr. Mikhail Kogan is an Interventional Pain Management Specialist with extended expertise in treating back pain and cancer pain. He currently is an Assistant Clinical Professor at Mount Sinai School of Medicine at Elmhurst Hospital Center. Dr. Kogan is board certified in anesthesiology and pain management. After completing his anesthesiology residency at St. Vincent's Medical Center in NYC, Dr. Kogan was fortunate to attend a pain management fellowship at the State University of New York in Buffalo, where he trained under two of the world’s most prominent specialists in pain management, Dr. Mark Lema and Dr. Oscar DeLeon. A significant part of his training was conducted at Roswell Park Cancer Institute. In 2000, Dr. Kogan was promoted to Director of Pain Management Service at Elmhurst Hospital. During the past six years, Dr. Kogan has developed pain management service into a premiere minimally invasive pain management practice with an emphasis on minimally invasive spinal techniques. Dr. Kogan continues to utilize the latest, most cutting edge spinal interventions including percutaneous disc decompressor, radio frequency neurolysis and spinal implantable devices. While Dr. Kogan's education and certifications attest to his knowledge, it is his patients’ satisfaction that justify his recognition in this area. Dr. Kogan is known for achieving dramatic improvement in pain without major surgery. Dr. Kogan prides himself on being a compassionate, caring physician with an excellent bedside manner. Dr. Kogan is a member of the American Society of Anesthesiologists and the American Society of Regional Anesthesia and Pain Medicine.

Book an Appointment with Dr. Mikhail Kogan: 

Pain, Pain Go Away Don’t Come Any Single Day - NYpainsolutions

Pain, Pain Go Away Don’t Come Any Single Day

Acute back pain comes on suddenly but improves over time; chronic pain worsens and can last months. If you don't feel better after three to four days, see your primary care physician. She may refer you to a neurologist or a neuro­surgeon if the pain is nerve related; an orthopedist, osteopath, or chiropractor for musculoskeletal problems; a rheumatologist for joint problems; or a physical therapist or physiatrist for rehabilitation exercises. Back specialists typically recommend one or more of the following strategies:

Treatment: Chiropractic care restores mobility by manipulating joints and the spine; it often incorporates massage.
Best for: Acute back pain; not for those with nerve impairment or herniated disks

Treatment: Therapeutic, Swedish, or sports massage uses pressure to stretch and stimulate blood circulation to muscles, ligaments, and tendons.
Best for: Chronic low-back pain

Treatment: Acupuncture may block pain signals and/or release endorphins.
Best for: Chronic low-back pain

Treatment: Cognitive behavioral therapy teaches mind-body techniques to help manage chronic pain.
Best for: Chronic back pain

Treatment: Muscle relaxants provide short-term pain relief from severe muscle spasms.
Best for: Acute low-back pain

Treatment: Exercise, such as yoga, stretching, or strength training, improves mobility.
Best for: Acute and chronic low-back pain

launch of our newly designed website

We are very excited to announce the launch of our newly designed website. Visit us at our web address The site’s homepage features bright colors and an uncluttered design.We wanted to make the new website faster, easier to navigate, and more user-friendly.

As a health adviser, it’s important for us to make information regarding ‪#‎Pain‬ ‪#‎Treatment‬ Procedures, ‪#‎sciatica‬ treatment and anesthesiology easily accessible to our current and prospective clients.
We endeavor to provide our clients with the most accurate, up-to-date information and share our knowledge and expertise in the field of health.

Our clients are always our first priority and we plan for it to stay that way.
You’ll find our new site is divided into five main sections: About Doctors, Patient Education Libraries, Pain Treatment Procedures, Book an Appointment for pain Treatment and Contact details.Our clients could easily navigate our site and locate the information they need.

Our Education section provides in-depth detail on Patient Education Libraries. 

In ‪#‎Spine‬ ‪#‎Glossary‬, you’ll find links to our Glossary section. You can browse through this section to find the information on the keyword you want.
Here you can also request for ‪#‎Appointment‬ process through ‪#‎ZocDoc‬, Safe and secure. In the About us section, you can read our doctors overview and specialization and view our locations. WE can be contacted through our Contact Us section.