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 - NYpainsolutions.com

Call on 718-544-1171 or visit www.nypainsolutions.com 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.

Sciatica Home Remedies for Pain Relief

Pain from sciatica typically limits one's activities. Here are some home treatments for sciatica:

  • Do not bend, lift, or sit in a soft, low chair; the pain can get worse.
  • Unless somebody is allergic or mustn't take them for different reasons (if somebody takes a blood thinner like coumadin, for example), over-the-counter pain medicines like analgesic (Tylenol), aspirin (Bufferin or bayer Aspirin), or other (Advil, Motrin IB) can most likely facilitate ease the pain.
  • Try a cold pack to see if it helps the pain. If somebody does not have a cold pack, use a large bag of frozen vegetables; it makes a good first aid cold pack. Or have somebody massage the sore areas in a exceedingly|in a very} triangular pattern with an ice cube. The person ought to move the ice cube if the skin gets too cold (this could melt many ice cubes).
  • After the cold massages, try alternating with heat from an electrical heating pad to envision if it helps the pain. (Do stay awake with a heating pad on the back. It may cause a nasty burn.)
  • If somebody does not have an electrical heating pad, place a face towel underneath hot water, wring it out, and place it on the back. Some physiotherapy consultants believe that moist heat penetrates a lot of deeply and provides higher relief of pain. (Do not use wet packs with an electrical heating pad as a result of electrical shock could result.)
  • The affected individual could feel higher lying on his or her back on a firm surface with a pillow underneath his or her knees. another choice is lying on one's aspect with a pillow between the knees to stay the back straight. Also, one may notice that a recliner chair is useful.
  • Take it easy, however don't consist bed for extended than two days as a result of this has been shown to really worsen the condition. Do activities one is in a position to tolerate, and don't expect to feel higher long. If somebody is stricken by neuralgy, the doctor can virtually actually dictate or provide medication for the pain. If the pain is severe, the affected individual might have robust medication like a narcotic (Codeine, Vicodin, morphine) for relief.
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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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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.

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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.

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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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Back Pain Treatment - NYpainsolutions


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Given the prevalence of back pain, you would think we'd have treatment for it down pat. Not even close. "The challenge is that you can't see injuries to tendons, ligaments, and muscles the way you can bone fractures and herniated disks," Despite diagnostic advances, doctors can't pinpoint an exact cause for as many as 85 percent of back problems, which makes them tricky to treat. Spinal manipulation, for example, is controversial -- some docs say it does more harm than good -- but it's the only remedy that got me off the couch and back on my bike. "Chiropractic care is not without concerns; then again, neither is traditional medicine, particularly when you're dealing with a problem like back pain, which has no easy, one-size-fits-all fix,"

Even exercise, which a majority of experts agree is one of the best ways to maintain a healthy back and chase away aches and pains, can be problematic. "When you're sedentary, the muscles supporting the spine get weaker, and you're more prone to injury," Dr. says. But "exercising with improper form -- rounding the back when doing dead lifts or arching it during ab work -- can place unwanted stress on the spine".

If you fall into the 80 percent of the population that regularly suffers from back pain, take heart: One-third of aches due to a strain or a sprain improve in a week without medical intervention (the remainder may take up to eight weeks). But unless you do some spine tuning -- strengthening your back through exercise and fostering healthier habits with our advice here -- your odds of a recurrence within six months are about one in three, Dr. says. Keep your back in tip-top shape by avoiding these seven spinal sins.
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Common Back Pain Causes

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It began as a twinge. Then the pain began to radiate down my back when I biked. teasing became dangerous once it hurt to show my head; don't attempt cycling with impaired neck quality. however I saw no reason to switch my fitness routine. I pedaled. I kickboxed. I raised weights. And once regarding 3 weeks, I paid the value. One sleepless night, pain that felt sort of a knife in my back stapled me to the couch.

Whether you are a week­end human, an elite athlete, or somewhere in between, there is a sturdy probability that eventually you will take care of back pain, too. Here's why: Everyday activities that you simply do stupidly, slithering on a try of shoes, crawl into bed in the dead of night -- will build or break your spine health. Most aches square measure caused by strains (injured muscles or tendons) or sprains (damage to the robust animal tissue, or ligaments, situated wherever your vertebrae connect with joints). These injuries square measure usually brought on by over­use, a replacement activity, excessive lifting, or an accident. different times, a compressed (aka pinched) nerve, like in a very herniated disk, is guilty for the ache.

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