Staten Island: 1099 Targee St.

Electrodiagnostic Testing

Electrodiagnostic testing, using technologies like electromyography (EMG) and nerve conduction studies (NCS), is key to our practice. These tests accurately assess nerve and muscle function, identifying abnormalities that signal neuromuscular disorders.

The precision of these diagnostics enables our neurologists to develop personalized treatment plans, effectively addressing each patient’s specific needs. Such testing is essential for diagnosing a wide range of conditions, including:

• Common neuropathies such as carpal tunnel syndrome and diabetic neuropathy
• Muscle diseases like muscular dystrophy and myasthenia gravis
• Complex motor neuron disorders such as ALS and Bell’s palsy
• Other conditions like sciatica and Guillain-Barré syndrome

Electrodiagnostic testing is non-invasive, with minimal discomfort and no lingering side effects, making it a preferred choice for both patients and specialists. Through these advanced capabilities, Orlin & Cohen is committed to delivering top-tier, patient-centered care that addresses our Staten Island community’s specific neuromuscular health needs.

Procedural Suites

Orlin & Cohen’s state-of-the-art procedural suites let our fellowship-trained pain management specialists complete minimally invasive procedures and treatments right inside our offices. Our suites are equipped with X-ray and ultrasound for targeted treatment and more effective pain relief.

Epidural Steroid Injection (ESI)

Epidural steroid injections can ease pain and improve mobility. During the procedure, a small amount of corticosteroids is injected into the affected area, reducing inflammation and providing long-lasting relief. In our procedural suites, fellowship-trained specialists deliver treatment using X-ray guidance to administer medication precisely.

Epidural steroid injections are frequently used to treat many spinal conditions, including herniated discs, spinal stenosis, degenerative disc disease, sciatica, and spinal arthritis. It can also be used to alleviate pain in the shoulder, arms, legs, and neck.

The procedure takes between 5 to 10 minutes to complete. Anesthesia is not required, but it is an option for patients. Patients begin feeling relief between 2 days and 2 weeks.

Spinal Cord Stimulator

Spinal Cord Stimulators (SCS) are an increasingly common way to treat chronic back, neck, and leg pain. During the minimally-invasive procedure, a small device is implanted near the spinal cord and emits electrical stimulation that interrupts the transmission of pain signals to the brain.

Before implanting the device, patients complete a one-week trial, where a pain management specialist places a temporary system near the epidural space of the spine. The temporary device is placed on patients inside our procedural suites. If the trial is successful, patients can schedule an outpatient procedure where the SCS system is implanted beneath the skin. Learn more about the HFX Spinal Cord Stimulation treatment.

Radiofrequency Ablation

Radiofrequency ablation (RFA) is a breakthrough procedure treating back and neck pain, arthritis, nerve damage, and joint pain. During treatment, your pain management specialist uses targeted radio frequency waves to disable nerves from carrying pain signals to the brain. Inside our procedural suites, a fluoroscope or X-ray guides treatment to the exact location. While not considered a permanent solution, RFA lasts about six months and can be completed two times per year.

Kyphoplasty

Kyphoplasty is a minimally invasive procedure used to treat vertebral compression fractures, often caused by osteoporosis or trauma. If left untreated, these fractures may contribute to a condition known as kyphosis or hunchback and can cause severe pain, loss of height, and a change in posture—all of which kyphoplasty can correct.

During the kyphoplasty procedure, a pain management specialist will use live X-ray guidance to insert a specialized balloon into the fractured or collapsed vertebrae before carefully inflating it to restore bone height. After the space is created, the balloon is deflated and removed, and the room left behind is filled with bone cement to stabilize the vertebrae and provide support.

Kyphoplasty can be completed inside Orlin & Cohen’s state-of-the-art procedural suites and is a safe, effective way to ease pain and restore the spine’s structural integrity for patients with kyphosis.