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: 

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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

Back Pain Solutions

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What is an Anesthesiologist?

What is an anesthesiologist? What training is involved?
An anesthesiologist is a doctor (MD or DO) who practices anesthesia. Anesthesiologists are physicians specializing in perioperative care, development of an anesthetic plan, and the administration of anesthetics. He or she has finished college, then medical school (four years), then an internship (one year) followed by a residency in anesthesia (three years). Some anesthesiologists pursue additional years of training (a fellowship).

Who are the HSS anesthesiologists?
Please see our staff listing.
Most of the HSS anesthesiologists have completed fellowship in fields such as regional anesthesia, pediatric anesthesia, critical care medicine, cardiothoracic anesthesia, chronic pain, and anesthesia research.

What do anesthesiologists do?
This may involve general anesthesia (“putting the patient to sleep”), sedation (intravenous medications to make the patient calm and/or unaware) or regional anesthesia (injections of local anesthetic near nerves to “numb up” the part of the body being operated on (i.e. nerve blocks or spinal/epidural injections)).
Many types of orthopedic operations are well suited to regional anesthesia, most often with sedation as well. HSS specializes in regional anesthesia.
Administration of anesthesia involves first talking with the patient to establish a plan for the anesthesia, as well as making sure that the patient is ready for the operation. The first priority is getting the patient safely through the procedure. If the patient is sick and could be made healthier, then the operation may be postponed or canceled (to allow “optimization” of the patient’s medical condition). This reduces the potential risk to which a patient may be exposed.
In addition to getting through the operation safely, the anesthesiologist tries to reduce pain after the operation. This may involve intravenous pain medications, but in many cases at HSS pain relief will involve placing local anesthetic near nerves.
At HSS, the anesthesiologists also run the recovery room (providing care for patients immediately after the surgery), see patients on the Acute Pain Service (so as to help manage the postoperative pain) and we also manage very ill patients who require critical care. Some anesthesiologists at HSS practice chronic pain management. Some HSS anesthesiologists also act as administrators for the Hospital and/or the Anesthesiology Department.

Why should you, as a patient, care about anesthesia?
Your anesthesiologist allows you to undergo surgery safely and comfortably. Anesthesiologists use specialized techniques during surgery to accomplish this. For example, the method of controlled lowering of the blood pressure during hip surgery reduces bleeding and the need for transfusions.
Good pain management is obviously desirable from the patients’ perspective. Good pain management also helps patients perform physical therapy and leads to better surgical outcomes after many orthopedic procedures. Good pain management may reduce the rate of heart attacks and other postoperative complications.

Can’t the anesthesiologist just do the injection (or put the patient to sleep) and then leave?
No. That would be unsafe. The anesthesiologist, or someone working with him or her (a resident, a fellow, or a nurse anesthetist) must remain with the patient. This is needed so that the patient status can be monitored (heart rate, blood pressure, breathing, level of awareness during sedation), and changes made as needed (so as to prevent or manage major problems that could arise during the surgery).

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Sciatica Understanding Causes & Treatment

If you have ever veteran severe pain in your buttock or back of your thigh, then you will already be painfully aware of the term "sciatica," or "sciatic nerve."

The sciatic nerve (pronounced) may be a long, thick nerve (about as thick as your thumb) that extends from the middle of the buttock, down the rear side of the higher leg. as a result of the sciatic nerve is therefore massive, once it's broken, inflamed, or irritated, it is terribly painful.

Based on the very fact that you simply are reading this text, {chances are chances are high that} that you simply are cognizant of the severe pain, numbness, and loss of operate that accompanies "sciatica."

The good news is - the physical therapists and doctors at Forest Hills Rehabilitation will help!

The sciatic nerve like all peripheral nerves, starts as nerve roots from your spinal cord. The nerve roots exit between the bones in your lower back (see low back anatomy), and eventually contribute to the large sciatic nerve that exits underneath an outsized muscle within the buttock known as the piriformis. In some patients the sciatic nerve lies directly underneath the piriformis muscle, in others it truly pierces the muscle.

If there's injury or irritation at any purpose on the sciatic nerve pathway, the nerve will become inflamed, and symptomatic.

Disc injuries (herniated disc - bulging disc), bone misalignment, swelling, ligament instability, muscle imbalances - as well as spasm, weakness, and injury, are all doable causes of sciatica.

Since there are such a large amount of potentialities that will cause sciatica, symptoms ought to be rigorously evaluated by a trained practician with years of expertise.

Although ten patients could have the precise same symptoms and ultimately diagnosed with "sciatica" there may probably be ten completely different causes, and in theory ten completely different treatments.

Signs of sciatica embody pain, numbness, tingling, weakness, or spasm within the buttock and back of the thigh, lower leg, feet and toes.

If you have got been suffering with symptoms of sciatica, like back or leg pain, symptom and tingling, burning or weakness for over 3 days you wish to consult one in all our mean clinicians these days.

For over a decade, the physical therapists, chiropractors and medical doctors at Forest Hills Rehabilitation are serving to patients similar to you, suffering with sciatica and connected symptoms.

Our skilled physical therapists work closely with supervision medical physicians to offer a range of various treatment choices for you.

We are simply accessible by public transportation, provide early morning, late evening, and weekend hours, and settle for most insurance plans.

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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.

Painkillers
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:
Paracetamol
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.

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PRP, Non Surgical Cosmetic Procedures

  
With platelet rich Plasma therapy, or PRP Injection NYpainsolutions utilizes the healing power of isolated platelets from the patient's own blood to aid in the rejuvenation of their body's soft tissues and bones. Platelet rich Plasma (PRP) injections are accustomed heal muscle, tendon and ligament injuries, accelerating the body's natural healing method. They're a secure and natural different to surgery. A common problem with the healing process is scarring. It affects perform and is among redoubled risk of more damage. Over the previous couple of decades, medical science has recognized that Growth Factors present in specific blood components are most significant within the natural healing process. Growth factors are the foremost important biologically active substance present in blood platelets, that exhibit in depth tissue forming abilities. Throughout PRP treatment, a targeted injection of platelets derived from the very patient is injected into the injured tissue. This initiates the natural healing response of the body.

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Endoscopic-Discectomy Treatment in Queens New York

Many patients who are suffering with serious discomfort related to the spine and back, for all such patients, specialists have many new treatments and Endoscopic Discectomy is one within the list. it's true that this treatment uses the whole technology to its advantage, however sadly, it's not the answer to all or any the conditions that cause back pain, say specialists.

In easier language, we can say that it primarily depends upon the interaction of malady with the surrounding structures and the type of complaint that's bothering the patient's health, that more determines if he's the candidate for this advance procedure or no.

During the endoscopic laser Spine Treatment, the medical experts remove the herniated material and try to achieve back the earlier access to the damaged disc. Moreover, they conjointly cauterize the disc so no any leakage of disc material happens within the body. wherever the normal discectomy needed the surgeons to form a large size incision (5-6 inch) to achieve access to the broken disc, the new to make discectomy is performed with latest technology and the incision that's currently created by the surgeons is concerning the scale of a token. it's through this gap that the sawbones insert a operating tube within the patient's body to simply insert and manipulate the special tools and perform the desired operation. This surgery is performed with associate degree medical instrument, a little video camera that displays the live video on a screen through that the sawbones is ready to find the broken disc and treat it.

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