WHY LIVE ANOTHER DAY IN PAIN?

New York Interventional Pain Management Center is the leading pain management practice in New York, specializing in the treatment of spine, back, neck and joint pain.

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About Us

New York Interventional Pain Management Center is a leading pain management practice in Brooklyn, New York, specializing in the treatment of spine, back, neck and joint pain. Our mission is to relieve your pain and get you back to your normal lifestyle. New York Interventional Management Center is dedicated to providing the highest quality patient care.

We utilize our extensive experience and a comprehensive range of treatments, combined with the state-of-the-art technology, the latest techniques and therapeutic options to effectively treat pain and restore quality of life of our patients and their families.

We offer a tailored approach to each patient, starting with a comprehensive evaluation and developing an individualized treatment plan to maximize your active lifestyle.

We specialize in supplementing exercise, physical therapy and medication with minimally invasive procedures to effectively diagnose and manage your pain. We work closely with physical therapists, neurologists, spine doctors and orthopedics. We accept most insurance plans.  Our practice DOES NOT prescribe narcotic medications nor does it take over prescribing controlled substances from other physicians.

Meet the Doctor

Dr. Boris Yaguda is the Founder and Medical Director of New York Interventional Pain Management Center. He is board-certified in Pain Medicine and Anesthesiology. As a leading NYC pain management specialist, Dr. Yaguda offers the latest and time proven pain treatment techniques, including epidural injections and nerve blocks, intradiscal procedures, radiofrequency and chemical neurolysis, cryoneurolysis, spinal cord stimulation, kyphoplasty/vertebroplasty and botox.

Dr. Yaguda is known for effectively treating the most complex cases of chronic and acute pain. He will identify the source of your pain and will utilize effective and safe treatments to restore your functionality. Dr. Yaguda’s expertise includes both fluoroscopic and ultrasound guided procedures for the treatment of a wide variety of pain conditions.

Dr. Yaguda was recognized as the Top Anesthesiologist and Pain Management Specialist by the Leading Physicians of the World in 2017. He completed his fellowship training in Pain Management at New York University and his residency training in Anesthesiology at Maimonides Medical Center in New York.

Dr. Yaguda is affiliated with Lenox-Hill Hospital and New York Community Hospital. He is also a member of the American Society of Anesthesiology, New York State Society of Anesthesiologists, New York Academy of Medicine, International Pain and Spine Interventional Society and American Academy of Pain Medicine.

As a subject matter expert in pain medicine and anesthesiology, Dr. Yaguda authored multiple publications and presented his work at leading industry conferences.

Research, Publications and Conferences:

  • Yaguda B., Shekane, P., Gharibo, Complex Regional Pain Syndrome. Pathophysiology Diagnosis and Treatment, Educational Review, Pain Medicine News 12(12) Dec, 2014.
  • Trunfio G., Yaguda B., et al., Ultrasound-Guided Axillary Block in an Anticoagulated Patient After Heartmate II Implantation. Open Journal of Anesthesiology Vo. 4, NO. 7 July 2014.
  • Yaguda, B., Petralia, S.M., Stein, B. & Frye, C.A. (2002). VTA infusions of baclofen increase P-dependent sexual behavior of hormone-primed rats and hamsters. North-East Undergraduate Research Organizations for Neuroscience.
  • Petrialia, S.M., Stein, B., Yaguda, B. & Frye, C.A. (2002). Picrotoxin pre-treatment attenuates the enhancing effects of increasing neurosteroidogenesis in the VTA on receptivity of rats and hamsters. North-East Undergraduate Research Organizations for Neuroscience; Roster presentation at Wellesley, M.A.
  • Boris Yaguda, MD; Jason Siefferman, MD2; (1) New York University, Brooklyn, NY; (2) VA New York Harbor Healthcare Systems, New York, NYStellate Ganglion Pulsed Radiofrequency Neuromodulation for Raynaud’s Phenomenon in a Patient with Scleroderma. Pain Medicine, Volume 16, Issue 3, March 2015, Pages 558–622

Conditions We Treat

Headaches

Neck pain

Back pain

Spinal stenosis

Shoulder pain

BOOK APPOINTMENT

 

347-763-9793
[email protected]

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Treatments We Offer

Nerve Block Therapy

  • Selective Nerve Root Blocks
  • Peripheral Nerve Blocks
  • Genicular nerve blocks
  • Medial Branch Blocks
  • Occipital Nerve blocks
  • Facial nerve blocks
  • Intercostal blocks
  • Paravertebral Blocks
  • Brachial Plexus Blocks
  • Celiac Plexus Blocks
  • Ganglion Impar Blocks
  • Stellate Ganglion Blocks
  • Carpal/Cubital/Tarsal tunnel injections

Therapeutic Therapy

  • Epidural Injections
  • Spinal Facet Joint Injections
  • Trigger Point Injections
  • Dry Needling
  • Coccygeal injections
  • Trigger Finger and small joint arthritis injections
  • Botox for Migraines and Spasticity
  • Spinal Cord
  • Stimulator Trial
  • Medical Marijuana Program
  • Radiofrequency ablation (Rhizotomy)
  • Sacroiliac joint injections
  • Shoulder/Hip/Knee/Wrist/Ankle/Foot joint injections
  • TMJ injections

Minimally Invasive Procedures

  • Kyphoplasty/Vertebroplasty
  • Discectomy
  • Spinal Cord Stimulator Implant

What Our Patients Are Saying

I went to Dr. Yaguda after car accident with terrible pain in my back and neck and arm. He was really great at handling my initial evaluation, developing treatment plan and later treating me and referring me to physical therapy office which allowed me to function. I went back to Dr. Yaguda for several more treatments and it was always a pleasure to deal with him, not to mention getting great results. I recommend him highly to anyone looking for pain management doctor.

Inna F

Amazing doctor very personable and responsively and very pleasant office atmosphere. He has great education from NYU and knows what he is doing. I was in a serious car accident and needed comprehensive pain management and Boris was amazing with not only his treatment but with his advice as well. I can't recommend him high enough.

Elena S

Dr. Yaguda is a wonderful doctor. He is very knowledgeable, professional and has an excellent bedside manner. He takes time to listen to his patients and develops a comprehensive treatment plan. I highly recommend Dr. Yaguda to anyone looking for an expert pain management physician.

Svetlana X

Contact Us

1664 E 14 street, Suite 3B, Brooklyn, NY 11229 

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To make an appointment call us:
Tel: 347-763-9793
Fax: 318-232-6585 / 347-428-2099

or email us:
[email protected]

Headaches

There is a wide variety of various types of headaches that exist. Not all headaches are migraines or tension. It takes detailed history and physical exam to render appropriate and maximally effective treatment. While some types of headaches can be managed medically, others respond mainly to pinpoint injections.

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Neck pain

Neck pain is a common issue that affects up to 75% of the world’s population at some point during their lives. Causes may include trauma, poor posture and arthritic changes However, real problem happens when a nerve is pinched and a person experiences severe pain, weakness and disability. We can offer treatment options to avoid surgery and restore function.

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Back pain

One of the leading causes of disability and missed work is acute or chronic lower back pain. Other than trauma, wear and tear of every day life leads to development of bulging discs and arthritis in supportive joints of the spine. Various treatment options are possible to address particular problem areas.

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Spinal stenosis

Spinal stenosis is generally a progressive condition that can affect any area of the spine. Mainly time related wear and tear produce changes in the bones and cushions of the spine leading to various degrees of narrowing causing pain and loss of quality of life.

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Shoulder/elbow/wrist/hip/knee/foot pain

Small and large joint pain can develop from acute trauma as well as chronic wear and tear from sports or even ordinary lifestyle. Not uncommonly, inflammatory fluid accumulates leading to profound pain and loss of function. For acute and chronic cases of joint pain, please come to New York Interventional Pain Management Center.

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Cancer pain

Cancer pain is pain in the body related to cancer invasion. Typically, treatments with interventions and medications can be administered to significantly improve pain. 

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Diabetic neuropathy

People with long standing diabetes often develop painful sensation in feet, lower legs and hands. While main treatment is to get diabetes under control, unfortunately, the pain does not disappear on its own. If you believe you are experiencing pain from diabetic neuropathy, please contact our center.

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Back pain home treatment

Today we’ll expand on the previous topic of lower back pain. What to do? First of all, warning signs that make a trip to the doctor or ER absolutely necessary are new onset of weakness in your legs, dragging the foot, loss of control of your urine or bowels or inability to urinate. These must be evaluated ASAP. If you are over 60 imaging should be done with new onset of pain even if no apparent trauma happened. For everyone else:

  • try placing alternating ice and heat pack 20 min each a few times a day;
  • take either Advil or Aleve for 2-5 days provided there are no contraindications;
    do gentle stretching, specific exercises can be reviewed if people interested;
  • rest for a day or 2, but not more, otherwise your muscles will start to weaken. After this pain typically subsides. 

 

If pain persists for over a months or there is numbness and burning, make a trip to either pain management specialist or at least your primary doctor. Next time we’ll talk about other treatment options which are beyond home remedies.

Back pain advanced treatment

Today we’ll talk about what can be done when conservative therapy fails. You typically get referred to a pain specialist. What are the options? There is a plethora of interventions that exists for various aches and pains but we’l concentrate on most common ones for the lower back due to most common problem which is disc herniation. First of all what is a disc herniation? It’s a cushion which supports the bones of your spine. With or without trauma, these cushions can get displaced or rupture causing internal material to leak out and cause pain by creating pressure and irritation around nerves which then send pain signals.

As mentioned before, most of these problems resolve on their own. It is very common to develop a muscle spasm as body tries to compensate for an acute problem. If pain is primarily muscular, a simple trigger point injection which is injection of local anesthetic like novocaine into the painful area often does the trick. It is the needle and not so much the medication that provides the relief.

This always should be coupled together with physical therapy. If the problem relates more to the nerve pain, you may be offered an infamous epidural injection. This implies placing local anesthetic and anti-inflammatory steroid in the space just before the spinal cord called epidural space, hence the name epidural injection. There are multiple epidural injection types available depending on where and what nerves are involved. Some times one type will work whereas another one won’t.

Another option is selective nerve block this implies approaching an involved nerve as it is out of the spine and blocking it to provide pain relief if for some reason epidural space cannot be reached. If nerve compression relates to arthritis or fluid in the joints of the spine called facets, you may be offered a facet joint injection or medial branch block if pain is more in the back itself. If the medical branch block is successful, you can be offered a radio-frequency ablation for a longer term relief. We will expand further next time with more involved techniques.

Spinal cord stimulation

Today we’ll give an introduction to spinal cord stimulation. It is intended for people with significant back and neck pain and pain in arms and legs which really doesn’t respond to other modalities. What is a spinal cord stimulator? It is a small device connected to to special electrodes that get inserted under the skin next to the spinal cord. It provides electric impulses that interrupt pain signaling. The idea is similar to when you hit something and then you rub the area and pain subsides. This is due to rubbing activating different nerves that compete with pain fibers. There are 2 stages involved. First, a trial stage. You need to make sure this is right for you.

You go to the doctor and they will place electrodes through the skin under sedation and then a technician will tweak the electric impulses to cover the exact area of pain. This is usually done in the office or ambulatory surgical setting. In our case, we do it in the office. You go home with this for a week and see how it works. If pain is well controlled, second stage is implantation of leads and battery. This also can be done in the office or surgical center of the hospital. The decision where to do it is usually made based on type and size of electrodes. Patient has control and can increase and decrease intensity of the electric current.

Kyphoplasty/Vertebroplasty for Spinal Fractures

We’ll talk today about fracture of spine bones called vertebra. It happens primarily in older people due to osteoporosis or trauma but it can happen in younger population as well. First thing is always to make sure the fracture is not related to cancer. If not and if patients qualify, they can undergo a procedure called kyphoplasty or vertebroplasty. The procedure is done in either office or ambulatory surgery setting. In our case we do it in the office.

The procedure is minimally invasive, done through specialized needles which are placed into the fracture site. Then specialized cement is placed into the fracture to restore the bone to normal height. The procedure takes about 45 min to 1 and a half hours depending on complexity and size and number of fractures. Patient goes home in about 30 minutes after procedure is done. The pain relief is usually nearly instantaneous and quite dramatic.

Carpal tunnel/Cubital tunnel /Tarsal tunnel

Carpal, Cubital and Tarsal tunnel syndromes are similar in that there is entrapments and pressure on the nerve in wrist/elbow/ankle leading to pain and significant decrease in function and at times to muscle loss. Carpal tunnel is most common and frequently caused by prolonged typing or writing.

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Golfer’s and Tennis elbow

Main problem with either Golfer or Tennis elbow is overuse injury. If pain does not improve with conservative treatment in 1-2 weeks, contact our center.

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Neuromas

Neuromas are aberrant bundles of nerves that can cause pain and disability in various areas of the body. They need to be identified to be effectively treated. If you have post surgical scar pain or foot pain, give us a call.

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Post herpetic neuralgia/Shingles

Shingles is a viral infection that lives in nerve roots and can become active at any time causing severe burning pain even with light touch. While the most important thing to prevent postherpetic neuralgia and shingles is vaccination, if you develop shingles related pain, contact us to explore various treatment options.

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Post operative pain

Post operative pain is classified as pain not resolving after surgery within certain time period. Treatment options vary depending on type of surgery performed and areas affected.

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Spinal fracture pain

Outside of trauma, spinal fractures can occur due to osteoporosis (weak bones) and due to medical conditions that can infiltrate and weaken bone matrix. It is very important to maintain proper bone health. If you encounter a spinal fracture which manifests in debilitating pain, please come to New York Interventional Pain Management Center to explore your options.

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Rib fracture pain

Similar to spinal fractures, outside of trauma, there are conditions that can cause rib pain with and without fractures. There are several treatment options available if you suffer from pain in the ribcage. Please come to New York Interventional Pain Management Center to understand your options.

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Nerve entrapment

Nerve entrapments happen when bands of tissue or muscle wrap around or press on the nerve causing pain. This can happen spontaneously or after surgery. To explore your options, please come to New York Interventional Pain Management Center.

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Myofascial pain syndrome

Myofascial pain syndrome is a collection of muscle related pain without specific underlying cause. It is usually characterized by pain in specific muscle bands. For acute and chronic cases of myofascial pain syndrome, please give us a call.

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Piriformis Syndrome

Piriformis syndrome is often a one sided buttock and hip pain particularly with sitting and certain movements. There are several treatment options that we can offer for this condition.

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Sacroiliitis

Sacroiliitis is pain in lower back and buttock localized to a particular area where spine joins pelvis usually due to arthritic changes and can mimic sciatic pain.

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Coccyx pain

Coccyx pain or coccydynia is pain localized to the tailbone. It is often very painful when sitting or using the toilet. To explore your treatment options, please come to New York Interventional Pain Management Center.

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Trigger finger/contractures

Trigger finger and contractures are related to tendon disorders of the hand. To understand your treatment options, please contact us. 

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Arthritis pain

Arthritis pain can occur almost anywhere in the body but particularly large joints and fingers. There are several treatment options for this debilitating condition. Please come to New York Interventional Pain Management Center to explore potential treatments. 

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Complex Regional Pain Syndrome

Complex Regional Pain syndrome which come as Type 1 and Type 2 is a rare debilitating condition usually affecting one limb with significant disability. While very difficult to treat, you can come to New York Interventional Pain Management Center to understand your options.

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Various Neuralgias

Neuralgias are broadly defined as disease of nerves and can affect various body parts. Typically, burning and tingling pain can be managed with medications and interventional options.

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Meralgia Paresthetica

Meralgia paresthetica is a particular nerve disorder from excessive pressure on the nerve around the hip. It can be treated with a simple injection if conservative treatment fails.

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Back pain and proper lifting

Today I want to briefly go over number 1 cause of pain in the country. It is lower back pain. We will talk about prevention only today. Later we’ll address treatment options. Majority of cases involve injuries from lifting, pulling, twisting etc. However, there are many cases where pain starts spontaneously without any apparent inciting event. Most cases resolve on their own within 1-3 weeks. So, first, what can be done to minimize the chance of that happening? As we know, an ounce of prevention is worth a pound of cure. The steps below are widely known but time and again, people disregard them.

Always be mindful of how you lift or pull heavy objects. Tighten you abdominal muscles, utilize your legs not just the back. Never twist your body, always turn entire body. Stretch throughout the day to keep your muscles happy. Do activities that strengthen your core musculature which helps to stabilize and unload your spine. Wear back support when anticipating heavy lifting. If anyone has questions, I’ll be more than happy to answer them during an office visit.