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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Sciatica Nerve Pain Symptoms - Part2

Symptoms of a Herniated Disc/Pinched Nerve:
Usually, a person’s main complaint is back pain. In some cases, there is also a previous history of episodes of localized lower back pain, that is present within the back and continues down the leg that's served by the affected nerve. This pain is typically described as a deep and sharp pain, that gets worse because it moves down the affected leg. The onset of pain with a herniated disc might occur out of the blue or it should be proclaimed by a tearing or snapping sensation within the spine that's thought to be the results of a unexpected tear of a part of the annulus fibrosis.

A person with a herniated disc can usually complain of lower back pain that will or might not radiate into totally different components of the body. they're going to typically have restricted vary of motion once asked to bend forward or lean backward, and that they might lean to at least one side as they try to bend forward. Sometimes, they walk with a painful gait, flexing the affected leg thus as to not place too much weight on the facet of the body that hurts.

Diagnosis of Herniated Disc/Pinched Nerve:
A neurologic history and examination performed by a trained physician can provide the foremost objective proof of a rupture and pinched nerve. There are not any laboratory tests which will sight the presence or absence of a rupture, however they'll be useful in diagnosis uncommon causes of nerve root pain and irritation. EMG (electromyographic test) could facilitate to work out that nerve root specifically is being pinched or isn't operating ordinarily within the scenario wherever many nerve roots is also concerned. MRI is that the take a look at of alternative for diagnosis a herniated disc.

Treatment for Herniated Disc/Pinched Nerve:

The treatment for the vast majority of individuals with a herniated disc doesn't commonly embody surgery. several patients can respond to non-surgical treatments. the first component of non-surgical treatment is controlled physical activity. Usually, treatment can begin with avoidance of intensifying activities followed by a gradual come to traditional activities. Sitting is dangerous for this condition as a result of the sitting posture puts a large quantity of stress and pressure on the lumbar spine, which can increase the pressure on the affected nerve root. the suitable use of medicines is a very important a part of non-surgical treatment. this will embody anti-inflammatory drug medicine, analgesics, muscle relaxants, or tranquilizers. in addition, the proper doses of acetylsalicylic acid are tried to assist herniated discs. physiotherapy is additionally necessary.

Surgical treatment and chronic pain therapies are reserved for people that haven't had success with non-surgical treatment choices and a enough amount of your time has passed to point that they'll ought to have surgery so as to assist them to induce higher.

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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.

For more details please visit NYpainsolutions.com

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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 NYpainsolutions.com or click here  Sciatica Treatment

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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.

For more details please visit NYpainsolutions.com or click here Sciatica Treatment

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Spinal Stenosis Solutions in Queens New York

Spinal stenosis could be a painful condition and the one who is suffering from this condition is aware of that pain has no limits. There are many treatment strategies that are followed by the doctors to cure it. However, it's not possible to fully heal the condition. the reason behind it's the fact that generally owing to this problem; nerve tissues get damaged and are irreparable. thus there's a valid question of what can be done for spinal stenosis.

A medical specialist is that the person that you visit once you start reeling under the pain of this condition. The pain because of compression of the spine is similar to rheumatic pain; moreover, the pain within the other part of body is additionally due to compression of spine. The nerve that gets pressed due to compression of spine causes you to feel pain within the specific a part of the body with that the ironed nerve is related to. However, a medical specialist help you however to not the total extent.

You can also visit a NYpainsolutions for treatment of the spinal stenosis. orthopedic surgeon also makes an accurate choice; but, the surgeons will advise you to go under the knife. however that's obviously not always good, especially just in case of patients that are suffering from this condition. For non surgical possibility you'll also consult a physical therapist, however that may not help you out with the case. Moreover, the condition is comparable to several different orthopedic and rheumatic ailments that it's exhausting to diagnose spinal stenosis........

For more details visit www.nypainsolutions.com

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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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