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Dr. Ilya Averbuch

Pain Management
GA
47 years experience

About

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.

Pain Management

Languages spoken

English

Doctor Q&A

134 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 57-year-old female asked:
Dr. Ilya Averbuch
47 years experience
See your physician: Say "pain", not "muscle spasm"; you may unintentionally mislead your physician. Any upper abdominal pain with upper back pain radiation is suspicious... Read More
A 17-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Diagnosis first!: Your doctor is absolutely right. You must not take any pain medication without the diagnosis, not even an oral anti-inflammatory medication, and defi... Read More
A 21-year-old female asked:
Dr. Ilya Averbuch
47 years experience
BOTH?..: Having both is possible, but just as uncommon as having two flat tires at the same time... Make sure you have a correct diagnosis first. Sinus headac... Read More
A 23-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Is BP high?: It all depends on the degree of obstruction of that (and other) arteries. GENERALLY, a low fat diet, active lifestyle, blood pressure control, and st... Read More
A 23-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Helicobacter pylori: Extremely low chance of success with Amoxicillin alone; need additional antibiotics (usually three) even then the chance is less than 90%. And after... Read More
A 46-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Dehydration?: Sounds like dehydration (if no kidney disease) as we grow younger, we cannot rely on our thirst, and have to drink by the clock... Our osmotic recep... Read More
A 18-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Diagnosis first!: Knee brace may help for knee joint instability; but pain calls for precise diagnosis first, and treatment second. Not sure if he brace is the most ef... Read More
A 34-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Highly unlikely: Highly unlikely. Never say never – but highly unlikely. Also: you can usually negotiate with your anesthesiologist whether to have opiates or not.
A 35-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Always try to save: Always try to save it, if at all possible. It may take 50 years for a new one to grow...
A 62-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Diagnosis First: Vomiting calls for stomach evaluation. Your GI doctor will likely recommend upper endoscopy first, to rule out common stomach problems, and possibly ... Read More
A female asked:
Dr. Ilya Averbuch
47 years experience
It's possible: Yes, zoloft (sertraline) may sometimes cause palpitations. It may also be toxic to your liver. There are better and safer medications for depression... Read More
A 24-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Diagnosis First: "pressure headache" is not a diagnosis. There is a specific diagnosis in every headache case. Migraine headache, cervicogenic headache, sinus headac... Read More
A 22-year-old female asked:
Dr. Ilya Averbuch
47 years experience
DVT risk: Possibly compression of the deep veins, poor drainage. People who have other risk factors may develop DVT (deep veins thrombosis) know your personal... Read More
A 19-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Ectopic pregnancy?: Do not be scared of an "appendix" as much as of an ectopic pregnancy. Any abdominal pain in any young female is always suspicious for ectopic pregnan... Read More
A 24-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Nerve pain, likely: Sounds like "nerve" pain, not bone pain. 1. Nerve roots' blood supply may become compromised in immune disease that involves blood vessels; or: 2. "... Read More
A 29-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Serious sign: Lightheadedness on mild physical exertion is a serious sign. See your family physician, perhaps also a cardiologist. Echocardiogram (in addition to ... Read More
A 18-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Topical treatment: Can't really expedite healing... But you can control pain fairly well with topical Lidocaine (patch, ointment, phonophoresis) more importantly, find ... Read More
A 19-year-old male asked:
Dr. Ilya Averbuch
47 years experience
No supplements at 19: At the age of 19 – no supplements, if healthy and eating a normal diet (protein, fruits and vegetables) After the age of 40 – possibly coenzyme Q10.
A 25-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Sometimes: It's actually a clinical diagnosis, based on high level of suspicion (i.e., if you are a diabetic, for example) a "snapshot" (upper endoscopy, aka eg... Read More
A 21-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Do not ignore!: The answer is – do not ignore it! pain is the language your body is talking to you; why would you ignore it? While most headaches are benign, those ... Read More
A 25-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Just a number: A few deep breaths -- and it will go down... It goes up and down; co2 alone is not diagnostic, it's just a number. Look beyond numbers.
A 17-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Proctalgia fugax?: If no known trauma or disease of the coccyx (i.e., the tailbone), it may be a variant of proctalgia fugax, which is a frequently missed diagnoses and... Read More
A 60-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Diagnosis first!: Only if it affect your lifestyle (pain or decreased range of motion affecting your ambulation) treatment must address specific problem. Pain of oa i... Read More
A 26-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Sodium, sodium...: Salt does not clog the arteries. Sodium sensitizes the arteries to adrenaline, so they may go into spasm, and your blood pressure goes up. If this h... Read More
A 26-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Treat the DISEASE: Chronic fatigue syndrome is exactly that -- a syndrome. There is a specific disease behind every syndrome. Treat the disease.
A 38-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Not necessarily...: Carpopedal spasm could have happened as a result of acute loss of co2, when you were hyperventilating for some reason; especially if your muscles were... Read More
A 46-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Diet: Belly fat is a result of consuming too many calories. Change your diet; exercise alone may not help.
A 18-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Do not delay!: MOST DEFINITELY get a 2nd opinion! Inflamed tonsils do not cause swelling of the tongue. Do not delay it!
A 21-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Very unlikely: It is very unlikely that your gastroenterologist missed perforation and let you go home. It is even less likely to have a perforation and not be seve... Read More
A 19-year-old male asked:
Dr. Ilya Averbuch
47 years experience
NEVER safe...: It is NEVER safe to expose your upper airway to carcinogens, especially when the tissue is healing.
A 30-year-old female asked:
Dr. Ilya Averbuch
47 years experience
ALMOST USELESS: Almost useless – unless there is a significant associated muscle spasm and sympathetic pain component; then magnesium may POSSIBLY be somewhat helpful... Read More
A 19-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Vascular or renal: Vascular causes must be considered first, especially in your age group. Narrowing of the renal artery or aorta is possible; labs may be normal. Othe... Read More
A 53-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Think hypoxia: Must consider low oxygen saturation of the blood first; it can happen due to her pain medication, anesthesia (if she had any), or bone marrow entering... Read More
A 24-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Diagnosis first: You really have to find out what is causing it, especially because it is one isolated spot. Infection is possible, and if it is, it has to be treated... Read More
A 22-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Prognosis: Active pt, passive pt (heat, phonophoresis, iontophoresis), medicated creams, systemic (oral) medications, anesthetic blocks – in that order. Progres... Read More
A 25-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Yes, if...: Yes, if the diagnosis was correct, the treatment was unsuccessful, and you can document how this impairs your daily activities and your lifestyle.
A 22-year-old female asked:
Dr. Ilya Averbuch
47 years experience
"Pins and needles"?: Some synthetic fibers may cause "skin deep" stabbing sensations ("pins and needles"?) Also, look for other possible skin irritants – a specific soap... Read More
A 17-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Consider ALL causes: First consider ALL possible causes of shortness of breath – including asthma, pulmonary thromboembolism, cardiac arrhythmia (including that triggered ... Read More
A 17-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Is it a tick season?: Is it a tick season in canada yet? Some ticks may carry lyme disease. Be careful in the woods, and see your physician for the diagnosis of this rash... Read More
A 29-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Radiation effects: Radiation damage is irreversible. Use ct only when necessary. Theoretically, preventive water-soluble antioxidants (like vitamin c, n-acetylcystein... Read More
A 22-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Sunburn spray: A sunburn spray with lidocaine; cover with a food plastic wrap = temporary relief. Do not take narcotics.
A 30-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Few thoughts: Complete neurologic examination, including sensory, motor tests, reflexes. Emg / nerve conduction velocity study, if questionable results. Sympathet... Read More
A 25-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Many Possibilities: There are many possible causes. Brain tumor is one of those, but others are more likely. Vascular malformation is possible, and very much treatable.... Read More
A 48-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Risk factor ITSELF: The risk of sleep apnea itself is very high, no matter what the causes are. Obesity is a predisposing factor and a risk factor itself, but sleep apne... Read More
A 23-year-old female asked:
Dr. Ilya Averbuch
47 years experience
It is possible: It is possible. Different Lexapro (escitalopram) (i.e., serotonin) receptors have different affinity to the medication; not all of them are saturated... Read More
A 26-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Something abnormal: No; there is probably something abnormal there.
A 24-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Common causes?..: Look for a common cause of the adenoids disease and the headaches, like sinusitis, which often causes frontal headaches. If that is the case, look fo... Read More
A 18-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Yes, you should: You should, especially if you are a smoker, take birth control pills, have chest pain, or have a history of clotting problems (yours or in your family... Read More
A 30-year-old female asked:
Dr. Ilya Averbuch
47 years experience
Foot drop: Loss of muscle strength in the lower extremity (aka "foot drop") may eventually happen if there is a significant and long-lasting nerve root compress... Read More
A 29-year-old male asked:
Dr. Ilya Averbuch
47 years experience
Beyond soft tissue: Bone marrow edema is by definition beyond soft tissue trauma. (However, it MAY coincide with soft tissue trauma) Continuous weight bearing may cert... Read More

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

2
Recommendations
137
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Averbuch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Averbuch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Ty so very much I rlly am scared to knw why I have just one bald spot?
HealthTap member
Thank you, your answer was very helpful! I have both symptoms sinus headaches/migraines but not at the same tim
HealthTap member
Thank you, your answer was very helpful! I am going to ask doctor to do some bloods and try and get some peace

Education & Training

Medical/Graduate school

Moscow Medical Academy I. M. Sechenov First Moscow Medical Institute, Russia
Graduated 1975MD

Awards

HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
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