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.

Spinal Stenosis Queens


The spinal cord lies in a canal that is formed bodies, the discs, the aspect joints, the lamina, and between the lamina there are a unit ligaments. Overgrowth or movement of any of these into the spinal canal can cause stricture.
Stenosis suggests that narrowing. Narrowing will result in impingement (pressure) on the nerves and spinal cord. Pressure on nerves will cause pain, tingling or symptom, even as you'll get tingling and symptom after you hit your nervous ulnaris
As the body ages, there's extra stress, or 'wear and tear' on area unites that are attached movement, and within the spine this is often mirrored on the aspect joints, and on the ligament that lies between the lamina (bone). This ligament lies over the posterior facet of the spinal and covers the cord wherever there are not any bones. Therefore after we bend, it stretches, sort of a protecting rubber band over the neural structure.
There is gradual wear and tear on the ligament over time and it gets tears and heals repeatedly and gets calcified and eventually it gets hypertrophied (overgrown). The hypertrophied ligament currently pushes into the neural structure, inflicting pain, and this happens even a lot of withstanding and walking.
In the past, if a patient had failing conservative medical care, together with epidural steroid injections, the sole treatment left was possible a ablation surgery. The ablation is AN open, operative procedure during which the plate (bone that covers the rear of the spine) is removed and also the ligament is cleft out beneath direct visual image. This procedure is usually a really productive procedure with smart outcomes, however comes with the risks of surgery and physiological condition.
Introducing a replacement treatment for Spinal stricture secondary to ligament us hypertrophy:
The delicate decompression procedure for spinal stricture could be a safe, new therapeutic choice to relieve pressure on the spine (spinal decompression) serving to cut back lower back and leg pain and increase quality for those patients diagnosed with body part spinal stricture.
The minimally invasive spine surgery is image-guided therefore the doctor will visually see the treatment field. The procedure is performed victimization specialized delicate devices and an area anesthetic with acutely aware ('awake' or 'light' as against 'general') sedation.
The delicate procedure to treat spinal stricture restores house (relieve pressure on nerves) within the canals vertebral is whereas maintaining the natural structure of bone and muscle within the spine. This structural stability is accomplished by locating and removing solely those parts of tissue and bone that compress the spinal nerves and cause pain.

In general, the delicate procedure to alleviate body part spinal stricture takes but AN hour to perform, needs no sutures attributable to the nominal entry purpose (about the diameter of a pencil), leaves no implants behind and solely a little scar remains.

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