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.

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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Back Pain Solutions in New York Queens


The back is an complex structure of bones, muscles, and different tissues that form the posterior a part of the body’s trunk, from the neck to the pelvis. The centerpiece is that the spinal column, that not only supports the higher body’s weight however homes and protects the spinal cord — the delicate systema nervosum structure that carries signals that management the body’s movements and convey its sensations. Stacked on high of 1 another are quite thirty bones — the vertebrae — that kind the back, conjointly referred to as the spine. every of those bones contains a circular hole that, once stacked in register with all the others, creates a channel that surrounds the spinal cord. The spinal cord descends from the bottom of the brain and extends within the adult to merely below the skeletal structure. little nerves ("roots") enter and emerge from the spinal column through spaces between the vertebrae. as a result of the bones of the spinal column continue growing long when the spinal column reaches its full length in babyhood, the nerve roots to the lower back and legs extend several inches down the back before exiting. this large bundle of nerve roots was dubbed by early anatomists because the complex body part equina, or horse’s tail. The areas between the vertebrae are maintained by spherical, spongy pads of animal tissue referred to as bone discs that afford flexibility within the lower back and act very similar to shock absorbers throughout the back to cushion the bones because the body moves. Bands of tissue referred to as ligaments and tendons hold the vertebrae in place and fix the muscles to the spinal column.

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Back Pain Specialist in New York Queen


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.

Back Pain Risk factors

Back pain have not only old people, even kids and youths. although excess weight, lack of exercise and improper lifting are typically blame for back pain, analysis watching these possible risk factors hasn't yet provided any clear-cut answers.

One group that does seem to have a bigger risk of back pain are people with certain psychological issues, like depression and anxiety, though the reasons why there is an increased risk are not known.

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Symptoms of Back Pain

Symptoms of Back Pain include:
  •     Muscle ache
  •     Shooting or stabbing pain
  •     Pain that radiates down your leg
  •     limited flexibility or range of motion of the back
  •     Inability to stand up straight

When to see a doctor

Most back pain step by step improves with home treatment and self-care. though the pain may take many weeks to disappear fully, you must notice some improvement within the primary seventy two hours of self-care. If not, see your doctor.

In rare cases, back pain will signal a serious medical problem. request immediate care if your back pain:
  •     Causes new bowel or bladder problems
  •     Is related to pain or throbbing (pulsation) within the abdomen, or fever
  •     Follows a fall, blow to your back or different injury

Contact a doctor if your back pain:
  •     Is constant or intense, especially at night or when you lie down
  •     Spreads down one or both legs, especially if the pain extends below the knee
  •     Causes weakness, numbness or tingling in one or both legs
  •     Is accompanied by unexplained weight loss
  •     Occurs with swelling or redness on your back

Also, see your doctor if you start having back pain for the primary time after age 50, or if you have a history of cancer, osteoporosis, steroid use, or drug or alcohol abuse.

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Back Pain Specialist in New York Queens


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Back pain is a common complaint. most of the people within the u.  s. will expertise low back pain at least of once during their lives. Back pain is one amongst the most common reasons people attend the doctor or miss work.

On the bright side, you'll be able to take measures to stop or lessen most back pain episodes. If prevention fails, simple home treatment and correct body mechanics can usually heal your back inside many weeks and keep it functional for the long-term. Surgery is rarely required to treat back pain.

Back Pain Specialist in Queens New York 11375