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.

Epidural steroid injections (ESIs) - NYpainsolutions


Epidural steroid injections (ESIs) are a standard treatment choice for several varieties of low back pain and leg pain. they need been used for low back issues since 1952 associated are still an integral a part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; now and then the injection alone is spare to produce relief, however ordinarily associate epidural steroid injection is employed together with a comprehensive program to produce further profit.
Most practitioners can agree that, whereas the results of the injection tend to be temporary - providing relief from pain for one week up to at least one year - associate epidural will be terribly helpful for a patient throughout associate acute episode of back and/or leg pain. Significantly, an injection can provide sufficient pain relief to permit a patient to progress with a rehabilitative stretching and exercise program. If the initial injection is effective for a patient, he or she could have up to 3 in an annual period.

Efficacy of Injections
Although several studies document the short advantages of epidural steroid injections, the info on long-term effectiveness are less convincing. Indeed, the effectiveness of lumbar epidural steroid injections continues to be a topic of debate. This can be accentuated by the dearth of properly performed studies.

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Sciatica Symptom and Treatment options


The classic sciatica symptom is pain that starts within the lower back and radiates (travels) to the buttock and down the back of the leg probably to incorporate the foot and toes. The pain could also be felt anyplace on this path however generally follows the trail from the rear to the buttock and back of the thigh or calf.  Pain level will vary from delicate to severe and is typically delineated  as shooting, burning in sensation, electrical shock-like, still as cramping sensations within the same pattern. sometimes just one facet is affected and therefore the pain will worsen with prolonged sitting, bending, twisting and even coughing and physiological reaction.  There can also be associated symptom within the same distribution pattern.

Causes:
 Sciatica refers to pain that stems from the sciatic nerve, an outsized nerve extending from the lower go into reverse the back of every leg. sciatica isn't a disorder, however an indication of another underlying downside, like a spinal or neural foramina stricture, a pinched/irritated nerve within the lower back or a slipped disc, and bone spurs and aspect hypertrophy (overgrowth of bone or enlargement) inflicting narrowing of the gap wherever the nerve travels. occasionally, a neoplasm will be the explanation for the underlying disorder by pressing on the sciatic nerve and might be seen on Associate in Nursing tomography. polygenic disorder may result in nerve harm inflicting the on top of symptoms.

Risk Factors:
Health issues, life-style decisions and genetic factors like age and history of polygenic disease are all risk factors of sciatica. Occupations that need you to twist your back and carry significant masses increase your risk of developing sciatica.

Treatment Options:
  • Physical therapy
  • Epidural Steriod Injections
  • Caudal Steroid Injection
  • Neurostimulation therapy
  • Medication Management
  • Physical therapy
  • Chiropractic Care
  • Pain psychology
  • Percutaneous Discectomy
 For more details visit "Sciatica Pain Relief Doctor Specialist"

Less Muscle Fatigue


A study suggests that  athletes might want to lower the intensity and scale back the number of your time that they heat up to cut back muscle fatigue.

Research suggests long warm-ups will sabotage race performance. investigator whereas looking at track and field sprinters profusion for a race. “If you watch sprinters, short distance speed skaters or cyclists before their race, they\'ll usually profusion for one to 2 hours, as well as many temporary bouts of high intensity exercise. From Associate in Nursing exercise physiology purpose of read, it gave the impression of it would be pretty wearying.
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The morning workout


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Lumber Facet Block Injections

Can be helpful in treating inflamed facet joints caused by:

  • Herniated discs
  • Spinal stenosis
  • Sciatica
  • Arthritis
  • Degenerative disc disease
  • Failed back surgery
  • Vertebral fractures
Facet joint injections (or “facet blocks”) ar invasive procedures that may relieve neck or back pain caused by inflamed aspect joints, that ar the little joints at every section of the spine that give stability and facilitate guide motion. exploitation fluoroscopy—which may be a period X-ray—a steroid injection is inserted into the aspect joint capsule so as to cut back inflammation and relieve pain within the cervical (neck), body part (upper back), or body part (lower back) aspect joints.

Benefits of Facet Joint Injections

  • The pain reliefs provided by a facet block injection can help patients better tolerate their prescribed physical therapy regimen to rehabilitate their back.
  • A facet joint injection can be used to diagnose the cause and location of a patient’s pain as well as provide pain relief.
  • Approximately 50% of patients experience pain relief after facet blocks that can last from several days to several months or even years.
At nypainsolutions, our team of medially trained pain management specialists understands your pain and also the simplest thanks to treat it. we have a tendency to use standards of excellence, progressive instrumentation, and innovative procedures to develop bespoken, integrative treatment plans to assist you succeed long, property pain relief.
To learn a lot of concerning however we are able to assist you comes to a painless, productive fashion, schedule a briefing with a consultant medico these days
 For more details please visit here

Lumbar Facet Injection


What is a lumbar facet joint injection?
The lumbar facet joints are small joints settled on either side of the body part spine. They assist offer support to the rear of the spine. These joints will become creaky and painful for variety of reasons. The joints cause back pain that radiates into the body part and hips. Injection of anesthetic agent and steroid into the joint will facilitate relieve pain and treat inflammation of the body part aspect joint.

How is the procedure performed?
We could begin an endogenous line so we are able to provide you with medication to relax you. Tiny low needle are inserted in your back close to the spine. The needle is inserted beneath X-ray machine (a sort of x-ray machine). This helps your doctor guide the needle to its correct location. Once the needle is within the correct position, anesthetic agent and steroid are injected to quickly put to sleep the joint and facilitate decrease the inflammation. The procedure is fairly short and our nurses within the hospital room once the procedure’ll watch you closely.

What can you expect after the procedure?
After the procedure, you'll seemingly notice improved pain relief. Once the topical anesthetic has worn off, usually once many hours, your pain could come. Once concerning 24-36 hours, the steroid can begin to start out reducing the inflammation of the joint and provides you longer pain relief; it's going to take up to 1 week to receive steroid result. You would like somebody to drive you home once the procedure.

What are the side effects?
Anything over little quantity of pain, hurt or swelling at the positioning of the injection is uncommon. It’s best to use ice to the injection web site for 20-30 minutes 3 or fourfold on a daily basis for the primary few days when the injection. If you develop the other issues, please decision our workplace at 742-7030 in order that we have a tendency to could suggest any action.

For more details please click at Lumbar Facet Joint Injection or visit at nypainsolutions.com

Men's Health Care


If you don't to remain within the hospital however do need constant health care that there members of the family or friends cannot give. Any state of affairs that arises wherever somebody wants health care however don't desire to be within the hospital nevertheless cannot be taken care of by his/her friends and members of the family, such state of affairs imply the eye of home health care. The necessity for home health care is for things wherever a unfortunate person refuses or simply cannot keep within the hospital nevertheless does not have friends or members of the family to require care of them reception. The necessity for home health care became necessary for those who do not like the thought of being sick in any hospital, despite not having relatives and friends that may look after them. If you have got any dear that does not or cannot visit the hospital once sick, then you'll be able to decide on the services of a home health care agency. For those who haven't got anyone to worry for them reception and area unit sick, home health care will come back handy. Anyone United Nations agency is unable to remain within the hospital or just cannot due to bound issue nevertheless does not have any friends or relatives to require care of him/her within the house definitely wants home health care. Because of the likelihood of home health care; anyone that's sick and does not wish to be within the hospital for obvious reasons are often taken care of by home health care, whether or not or not they need friends and relatives to attend to them. Home health care services area unit for those stubborn people United Nations agency don't desire to be sick at the hospital or simply cannot, nevertheless haven't got those who can pay attention of them reception, either due to their busy schedules.

United Nations agency says as a result of you hate been sick at the hospital and your friends and relatives cannot look after you reception, then all is lost, once you will get the assistance of home health care?)  (No matter what such an individual wants, a home health care agency will give it – whether or not it is a companion for many components of the day or bound services that the individual cannot do themselves, like bathing, etc. If you have got a private that either simply needs companion or cannot even rise up to try to things themselves, a home health care service are often of nice facilitate. It very does not matter what quite service you want; be it simply fellowship or real facilitate with even bathing, transportation from one place to a different, etc, home health care comes handy. One will simply get every kind of help from a decent home health care; from disbursement time with the sick victims to stay them from temporary state or maybe specific services like bathing the sick victims. A home health care offers generalized and even customized services to victims; from escorting and transporting the victim to even bathing the victims. You’ll be able to get all types of facilitate from home health care, starting from disbursement time with victims to stay them from ennui or maybe specialized services like bathing the victims. For people who have a temperament that either simply needs companion or cannot even rise up to try to things themselves, a home health care service are often of huge help. Whether or not what the individual needs is a few companion or bound services like escort, transportation services, or maybe personal services like bathing, a home health care will facilitate. It’d be arduous to grasp however despite what your downside is, whether or not you would like facilitate with bathing or somebody to accompany you to shop for things outside your home, etc – a home health care are often of nice facilitate. If you have got a dear that either simply wants some companion to speak to or one that cannot even rise up to try to things themselves, a home health care service are often of real help.

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If you would like to pick out a home health care, make sure that it meets the precise demand of your dear before going ahead with the choice. Make sure that the actual health care home {you can you'll you may} select will meet the requirements of your dear or loved one. Take time to travel through the house health care center you'll like better to guarantee it meets the necessities of your dear or relative. Do not simply select any health care home while not guaranteeing that it'll go down well with what your relative or dear wants. The house health care you'll choose ought to be one that's in bicycle with what your dear or relative wants. Do not build the error of selecting a home health care that does not meet the requirements of your dear. Your dear or loved one that is about to use the services of the house health care ought to have the ultimate say on whether or not he/she is glad with the house health care or not. As several as these health care homes area unit, make sure that any that you simply arrange to use meets the necessities of your dear or loved one. He United Nations agency wears the shoes apprehend wherever it itches, thus guarantee your loved one or dear United Nations agency goes to learn from the services of the house health care is glad with the actual one you have got designated for them. Confirm that the health care home {you can you’ll you may} decide on will converge with the requirements of your dear or relative.

Many people have praised the correct health care home for his or her prospering recovery, thus take the time to seek out the correct care home if you're serious concerning the recovery of your dear. Anyone that really needs their dear to recovery from the actual health problem that is plaguing them ought to build trip find the correct health care home, because the right one will contribute towards the prospering recovery of victims. It’s been instructed by the general public that the correct home health care will aid within the healing of the victim in question; thus take time to seek out one that's acknowledged to assist heal victims. It’s extremely vital to seek out the correct health care home as a result of this may build or mar the healing method of the victim. It’s critically pertinent that you simply notice the right health care home for your relative or loved one as a result of this may contribute absolutely or negatively to his/her overall recovery. It hasn't been tested however millions of individuals affirm that their prospering recovery was potential as a result of they got the services of the correct home health care; thus do constant issue if you would like such results. Millions of individuals have attributed their prospering recovery to the correct health care home, thus take the time to seek out the correct one. a person United Nations agency seriously needs recovery for his or her dear ought to build trip find the correct health care home, because the right one will facilitate within the recovery of the dear. There is some relationship between a patient's recovery and therefore the health care home used, thus make sure you notice the correct one for your dear.  It's considerably vital that you simply find the best health care home for dear as a result of this may contribute absolutely to his/her overall recovery.
 
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