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Dr. Zachariah George

Neurosurgery
Commack, NY
16 years experience male

Locations

Office

Commack, NY

Address

353 Veterans Memorial Hwy, Commack, NY
Directions

About

Bio

I am a Neurosurgeon with an Orthopedic spine surgery fellowship. So I provide both neurosurgical and orthopedic spinal perspectives; this allows me to deliver the most optimal care for my patients. I have a special interest in minimally invasive spinal surgery as well as complex deformity surgery (adolescent and adult).

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Neurosurgery

Languages spoken

Malayalam

Doctor Q&A

143 Answers
80 Agrees
The number of answers this doctor has agreed with.
A 28-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Bone cement: This is a minimally invasive technique where a small trocar is used to deliver 'bone cement' to a vertebral body in the setting of compression fractur... Read More
A 28-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
'slipped disc': Depends on how big the 'slip' is. Could cause back pain and pain, altered sensation and sometimes weakness in the legs in particular distributions ba... Read More
A 36-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Sometimes: Depends on whether the defect/fracture is acute or chronic. In acute fracture your body may heal across the fracture, but in chronic cases or congeni... Read More
A 28-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Herniated disk: This may be the sign of a herniated disc with nerve compression. You should see your pmd to have yourself evaluated with a neurological exam to see i... Read More
A 31-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Neck pain : Pain in the neck and arms/shoulders correspond to the cervical spine. The lower back discs affect the low back and legs.
A 33-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Usually not much: This usually means that a small part of the back portion of the brain (cerebellar tonsils) descends into the spinal canal very minimally. Usually thi... Read More
A 54-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
No: No need to worry as long as it resolves right away.
A 38-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: This depends on your symptoms from these problems and your physical exam and films. Most can be treated with therapy, but really depends on the facto... Read More
A 41-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Spinal tap: People usually complain of headache after spinal tap which is worse when siting and standing and gets better with lying down. These headaches are usu... Read More
A 56-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Sorry to hear: This could be a sign of depression. Sorry to hear about this.
A 21-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: Pain after lumbar fusion is not unusual. Further work up is determined by the specifics of the case. How bad was your pain and symptoms before surge... Read More
A 33-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: Tumor in the bone can present with just pain. However if it causes compression of the spinal cord or nerves it can present with paralysis, weakness, ... Read More
A 28-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Disc removal: This is when the intervertebral disc material is partially removed with the help of high magnification. This often reduces the size of the incision w... Read More
A 33-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
If it needs to be: Scoliosis is curvature of the spine. Whether or not it needs to be corrected depends on why they have it, how big the curve is and how it's behaving.... Read More
A 28-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Neurosurgery: Neurosurgery is the field that manages surgical problems dealing with the brain, spine, spinal cord, and peripheral nerves.
A 28-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Video assistance: This is when the thoracic cavity is explored with the assistance of a video camera via a small incision to introduce this device. Instruments may be ... Read More
A member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
It may: This really depends on your imaging (mri/ct) scan. If your neurological problems are arising from a spondylisthesis or foramenal stenosis, then perfo... Read More
A 25-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: This depends on if the mass or obstruction was fully removed and whether other obstructive lesions or anatomy is present (e.g. Aqueductal stenosis). ... Read More
A 25-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Very high: Right after MRI you should have it reprogrammed to intended setting. Any strong magnetic field can alter the setting.
A 49-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Usually not: Adolescent idiopathic scoliosis and adult degenerative scoliosis (both of which comprise the vast majority of scoliosis cases) are not associated with... Read More
A 82-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Interesting...: Did you have any trauma to cause the fracture? Healing depends on your age, other medical problems, and degree of displacement with the fractures and... Read More
A 32-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Possibly: A portion of the population with severe whiplash can develop chronic neck pain. This would then require a work up.
A male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: Low back pain (lbp) is extremely prevalent. As long as the back pain is not associated with 'red flags', it is most frequently managed conservatively... Read More
A 43-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Imaging: First see a doctor to see if it's even necessary to check for one. If it is many imaging methods can pick it up. Best is ct scan, but plain x-rays c... Read More
A member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Steroids: Steroids are prescribed in acute recent severe pain associated with herniated disc. However it is usually given as a tapered dose over one week and a... Read More
A 32-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Stay fit: Dont do heavy lifting, instead stay active, strengthen your core and back muscles (good to work with physical therapist). If you smoke then quit. If... Read More
A 35-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Lumbar disc : Any exercise that strengthens your para spinal muscles and abdominal musculature: the core. Stay away from heavy squats. Avoid heavy lifting and any... Read More
A 19-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Well...: If it is a recent disc herniation then maybe taking it easy is best. However of its been goin on for a while and you are improving then it may be goo... Read More
A 43-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Annular tear : Annular tears can be very painful and give rise to back pain and spasm in the acute period. The bulging disk or in more severe cases herniated disk u... Read More
A 21-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
It is an inherited: Disease due to a generic defect that results in muscular damage. There are different types and some more severe than others. Hope this helps!
A 21-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: This depends on the type of hydrocephalus you suffer from (communicating vs. Non-communicating). Some patients may be candidates for a third ventricu... Read More
A 45-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Different forms: There are several types of spina bifida. All of them are the result of abnormal neural formation. Some types have some bone missing and other types ... Read More
A 27-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
LP: A lumbar puncture for CSF is done. And the CSF is analyzed. However meningitis is an emergency and in a clinical history that fits antibiotics shoul... Read More
A 39-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Spinal cord : A 'pinched' spinal cord means that there is some spinal cord compression, but does not signify the amount of compression of the spinal cord. A severe... Read More
A 32-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Varies: Can last several days to several months.
A 36-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends : There are three forms. Spina bifida occulta is the mildest and may go indiagnosed throughout life. The other two can be diagnosed on exam and with r... Read More
A 39-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Laminectomy: This is the surgical removal of the spinous process and lamina of the spine along with the ligamentum flavum. Usually done to treat spinal stenosis b... Read More
A 28-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Neck mass : This is a 'mass', whether benign or malignant, located within the neck structure.
A 19-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Concerning: That level of pain is very concerning. Were you involved in a trauma? Has this type of pain happened before? You should be seen for an evaluation. ... Read More
A 32-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: Assuming it is an operative mass: this really depends on what the tumor looks like on imaging. Most of these masses can be done via transphenoidal ap... Read More
A 39-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Whiplash: Usually complain of neck and shoulder pain and stiffness. If you are having a significant amount of pain or any neurological symptoms then you should... Read More
A 54-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Not usually: Cervival stenosis by itself should not cause swallowing problems, however of you have very, very large bone spurs (osteophytes) on the front (ventral)... Read More
A 23-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends : This depends on age, size of curve, and your symptoms.
A 27-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
See your Doctor : These are nonspecific symptoms that need to be evaluated by a physician. Without the proper history, physical exam and possibly lab work and imaging ... Read More
A 49-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends on person: There is no best drug in general. People tend to like and benefit from various things. If your neck pain is very bothersome perhaps you should see a... Read More
A 29-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Yes it is : Discectomy is usually done for leg pain, so if your leg pain is gone and you only have rare episodes of back pain then it's ok. But if your back pain... Read More
A 75-year-old male asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Yes: It can cause leg numbness as well as lumbar claudication symptoms.
A 18-year-old female asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: Flexibility post scoliosis surgery depends on which levels of your spine was fused. If you are fused to the sacrum or pelvis then you may never have ... Read More
A 27-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Folate (folic acid): Folate (folic acid) should be started prior to pregnancy. This can reduce chances of spina bifida. Please meet with your on/gyn.
A 31-year-old member asked:
Dr. Zachariah George
Neurosurgery 16 years experience
Depends: This depends on where your curve is, how large the curve is, how old you are and how symptomatic you are. Most curves do not need to be treated! phy... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
345
Thank you notes
HealthTap member
Mar 30, 2015
Dr. George is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. George is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer! Bad fall n March at work haven't been correctly diagnosed or treated. WC Ortho doctor doesn't know what's wrong.
HealthTap member
Thank you. I am waiting for an appointment to see Dr. Michael Kaiser at Columbia Presbyterian in NYC. Hope the 3 week wait is worth it!
HealthTap member
Thank U.got the perfect answer.i'm having the surgery&was VERY worried about post op pain.get morphine button to press post op for pain?

Education & Training

Medical/Graduate school

State University of New York Upstate Medical University, NY
Graduated 2006MD

Residency

MOUNT SINAI MEDICAL CENTER

Awards

Top Neurosurgeon , First Place, New York - Winter
2013
Top Neurosurgeon , Third Place, New York - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less