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SpecialtiesDoctors 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.
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 18-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Sleep apnea?: Your sleep may be disrupted for a variety of reasons. A common one is snoring, or sleep apnea. You must not miss it. Other possible causes could be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 30-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Kidney stones: Vit. D in excess of 800 units per day may contribute to development of kidney stones in susceptible people.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Pheochromocytoma?: The only "adrenaline problem" that can most definitely predisposed to a stroke is pheochromocytoma.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
1 comment
A 16-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Ferromagnetic?: Your dentist must have information about the composition of the retainer. If it is ferromagnetic, you probably will not be allowed to have MRI studie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
It all depends on...: It can last for a long time if untreated. Mri study helps understand exact anatomy (nerve root compression or just irritation) long lasting pain, as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Cold sore?: Statistically – a "cold sore" (herpes simplex) is likely; but other causes do exist.
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 37-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Severe Migraines: 1. Find out what triggers it, and avoid all known and possible triggers;
2. Sometimes migraines are triggered by some medications;
3. Your family ph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 37-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Nerve pain: Numbness + tingling = nerve pain. The real question is: where is that nerve pain generator?
It may or may not be in the hand itself...
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 20-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
DO NOT EAT: Do not eat anything until you find out what the problem is. If this is a surgical condition, it is very important to have an empty stomach. You may,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 32-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Diagnosis?: Pyelonephritis? Glomerulonephritis? Kidney stone?
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. Ilya Averbuchanswered
48 years experience
Family Doctor First!: Family doctor spent many hours with you, and knows you better than the best orthopedic doctor within the first 20 minutes. Do not bypass your family ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
You are right!: You are absolutely right! narcotic pain medications are addictive, no matter what the pharmaceutical industry says. There are better ways to treat p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 27-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Kidney or not?: Sure you may have stones in both kidneys. However: you must not miss other – more serious – conditions, like ectopic pregnancy, ovarian cyst torsion,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 50-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
"Healthy"?..: It is not toxic; "healthy" is a very individual matter; what is healthy for one person may not be healthy for another. This is why physicians intervi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Sunlight: Try sunlight first, benzoyl peroxide cream second. Birth control pills are for birth control (really!) the risks are too high (blood clots).
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Other options: Talk to your doctor about other pain management options. Morphine and other narcotics have too many side effects.
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 52-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Just an IMAGE: Yes, it's not normal; could it cause symptoms? Yes. HOWEVER: MRI is just an image used to confirm a specific CLINICAL diagnosis. You must NOT treat ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 24-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Safe, but...: It is safe, but make sure you are taking the right medication for the right reason. Ibuprofen has its own risks.
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 18-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Frequent concussions: A single concussion may sometimes remain unnoticed. You will soon forget about it. Unfortunately, if you develop parkinson's disease at the age of 5... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Sonogram first: 1. Possible deep vein thrombosis (especially if you are a smoker, had recent leg injury, or family history of blood clots) doppler study?
2. Is ther... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 18-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Bad medication: Dextroamphetamine is a potent and addictive stimulant. Adhd is a benign condition, not a disease; often misdiagnosed, often mismanaged. I would try ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 22-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Mold allergy?: Mold can accumulate in the air ducts (because of the water condensate)
some people are allergic to mold, and feel very sick when the ac is on.
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 44-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Gastric acid?: Sitting on a very low seat may increase your intra-abdominal pressure, and, if you have a full stomach, cause the gastric acid enter the esophagus. O... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Muscle mass: The only safe way to gain muscle mass is to exercise. Black tea will not help at all. Cortisol level has nothing to do with the muscle mass. Anabol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Muscle pain?: Most back pains are benign. You are probably too young for facet disease; find out if it's just a muscle pain. Second most common in your age group ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 20-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Carcinoid syndrome?: Consider possible carcinoid syndrome. Check urine for serotonin metabolites. It may also cause migraine-like headaches (not a true migraine), and pe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Find REAL cause: Heavy lifting alone should not cause lasting muscle pain, and especially should not cause joints pain. Always look for all possible causes of the pai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 38-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
NOT immune part: Myasthenia is an immune attack against the muscle succinylcholine receptors. Immune attack cannot be seen on the EMG; only the muscle damage can, w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A female asked:

Dr. Ilya Averbuchanswered
48 years experience
Neck problem?: Could be a neck problem (possibly displaced disc), causing irritation of the C5 nerve root with a change in your neck position. C5 nerve root pain do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Ganglion block?: I offer sphenopalatine ganglion block to my chronic migraine patients. It's not painful, just a little unpleasant (tearing for a minute); there are n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 54-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Bad drug: Codeine is the worst pain medication under the sun, because the release of it's active metabolite -- morphine -- is variable and very unpredictable. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A female asked:

Dr. Ilya Averbuchanswered
48 years experience
Diagnosis first: First you have to make 100% sure that the symptoms (pain) are indeed due to the cyst. What if you go after the cyst (surgery?), and then find out tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Diagnosis first!: Aches and pains are physical complaints that need evaluation. While depression and anxiety could be your primary disease, yet it is the diagnosis of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Back injuries?: Pain radiating down the leg could be a nerve root pain, especially if it radiates below the knee. Your doctor will look into your history of injuries... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 20-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
No known standard: Just high enough for your girlfriend to look up, not down (seriously, there is no uniform standard).
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 54-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
No "minor" GA: There is such thing as "minor surgery", but there is no such thing as "minor general anesthesia".
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 21-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Psychologic approach: Recognize several facts:
1. Instant gratification is not happiness;
2. Tobacco is a cheap packaged substitute for happiness, designed to satisfy poo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
"Stomach virus"?: Maybe just a viral infection ("stomach virus")? It is more common than hypoglycemia. Also consider other causes of gastritis – like helicobacter py... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Subclavian steal?: IF YOU NEVER INJURED EITHER HAND, consider possible Subclavian Steal Syndrome.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 36-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
"Spinal" headaches?: Had spinal / epidural blocks for the C-sections?.. Sounds like postdural puncture (aka "spinal") headache.
Chronic spinal fluid leak may cause positi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 30-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
5-6 blocks: My arbitrary limit is – no more than once a month for 6 months, if it really helps control the pain. If the pain returns after 5-6 blocks, I would st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 25-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Back trauma?: Shooting pain is often neuropathic pain, which is often associated with a secondary muscle spasm. (cardiac or noncardiac is open until the diagnosis ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 30-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
LAST OPTION!: Surgery is the LAST OPTION, unless there is a clear, well-documented, and progressive loss of muscle strength in the leg / foot ("foot drop") The mos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 18-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
See your physician: Possible chemical irritation, ongoing scarring, or infection. Allergy is less likely, but possible. See your physician.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Pain or no pain?: Try "memory foam" mattress. Try to separate any trivial discomfort from pain; if you have back pain, you will need a diagnosis before you treat it.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 24-year-old female asked:
What does loss of intervertebral disc height and right sided broad -based disc bulge mean? thankyou.

Dr. Ilya Averbuchanswered
48 years experience
Just an IMAGE: MRI is just an image. It is done to confirm a clinical diagnosis. Is it normal? No. Does it matter? It depends on the reason why your doctor refe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 20-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
See your physician A: Your arm numbness is very unlikely due to the inguinal hernia surgery. HOWEVER: numbness in the arm AND the leg & foot may be a sign of a vascula... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 16-year-old female asked:

Dr. Ilya Averbuchanswered
48 years experience
Diagnosis needed: Mom is thinking rationally – she wants a DIAGNOSIS. Even if this is not leukemia, you need a diagnosis. Headaches and lethargy are very serious sign... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 17-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Long term condition: Sex thoughts persist for the first 60 - 70 years, then gradually decline, but very rarely disappear completely. Marriage can sometimes help eliminate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 34-year-old male asked:

Dr. Ilya Averbuchanswered
48 years experience
Yes: Yes; nervous system plasticity is incredible. It reacts to the changing environment, sometimes slowly, but it really does.
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
138
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
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