Dr. Borimir Darakchiev

Dr. Borimir Darakchiev Board-certified neurosurgeon specializing in spine, brain, and peripheral nerve disorders.

In my practice, I frequently see patients who have waited months or even years to address their symptoms, often hoping t...
01/19/2026

In my practice, I frequently see patients who have waited months or even years to address their symptoms, often hoping the issue will resolve on its own. Unfortunately, waiting too long can allow a condition to progress When it comes to neurological health, time is a critical factor in ensuring the best possible outcome.

Fear of the unknown can be a significant obstacle to feeling better. Whether the path forward involves conservative management or a clinical procedure, the objective remains constant: restoring your strength and functionality. A clear, expert plan is the most effective way to address the issue and protect your long-term health.

Take a proactive step toward your long-term health.

If you have questions about your neurological health or are seeking a clear path toward recovery, a clinical consultation can provide the answers you need. My focus is on providing a thorough evaluation and a definitive plan to help you maintain your quality of life.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

Because every spine and every surgery is different, your recovery timeline—from necessary rest to safe movement—is a pla...
01/16/2026

Because every spine and every surgery is different, your recovery timeline—from necessary rest to safe movement—is a plan we will build specifically for you during our consultation. While "getting up and moving" is a common goal, the specific timeline for your activity depends entirely on the type of procedure, your overall health, and the stability of your spine.
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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

The best part of my job isn’t what happens in the operating room. It’s what happens a few weeks later in my office.Most ...
01/14/2026

The best part of my job isn’t what happens in the operating room. It’s what happens a few weeks later in my office.

Most of the time, when I first meet a patient, they’re in a tough spot. Whether they are facing a brain tumor or a serious spinal condition, the problem has started to steal their ability to just live. They’ve stopped walking, they’ve stopped doing what they love, and they’ve stopped feeling like themselves.

I chose neurosurgery because I wanted to be able to provide a direct solution to these kinds of serious conditions. I take the responsibility of working on the brain and spine very seriously—it requires absolute precision—but the ultimate goal is always the patient's recovery.

There is nothing better than when a patient walks into my room—without that look of pain or worry on their face—and tells me, "Dr. Darakchiev, I have my life back." Whether it’s being able to walk around the block again or just getting back to their family and hobbies, those are the moments that matter.

The surgery is the technical part. Seeing someone get their life back? That’s why I do this.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

When you’re sitting here in my office, I know that 'Lumbar Spinal Stenosis' can sound like a daunting term. But let’s ta...
01/12/2026

When you’re sitting here in my office, I know that 'Lumbar Spinal Stenosis' can sound like a daunting term. But let’s take a breath and look at it simply.

Think of your spinal canal as a well-traveled hallway that houses your nerves. As we move through life, that hallway can sometimes get a bit narrow—maybe due to natural changes in bone or ligaments. When that space tightens, it can nudge the nerves, which is why you might feel that heaviness in your legs or a dull ache in your lower back when you’re out for a walk or standing at the grocery store.

It’s often why you might find yourself leaning forward on a shopping cart for relief; that simple movement actually opens up the 'hallway' and gives your nerves the breathing room they’re looking for.

My goal isn't just to look at an MRI, but to listen to how this is affecting your Tuesday mornings or your weekend walks. While these physical changes are a common finding, they don’t have to define your quality of life. We’ll move at your pace to find the best way forward, keeping the focus right where it belongs: getting you back to the things that make you smile.

What is your 'weekend walk' or 'Tuesday morning' activity you’re missing most? Let’s figure out a plan together to help you get back to it.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

As we head into the weekend, I have one simple prescription for you: take a walk. Walking is one of the best things you ...
01/09/2026

As we head into the weekend, I have one simple prescription for you: take a walk. Walking is one of the best things you can do for your spine. It strengthens the muscles that support your back and keeps your spinal structures hydrated and flexible. You don't need a marathon—just twenty minutes in the fresh air can do wonders for your physical and mental well-being. Your spine thrives on gentle, consistent movement!

Note: Please consult with your healthcare provider before starting any new exercise program to ensure it is safe and appropriate for your specific needs.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

There is nothing more rewarding than knowing my patients feel supported—not just during surgery or treatment, but throug...
01/07/2026

There is nothing more rewarding than knowing my patients feel supported—not just during surgery or treatment, but through every step of their follow-up care.

Thank you to the patient who left this kind note on Healthgrades recently! Providing detailed explanations and thorough follow-up is a priority for my team and me.

I encourage you to visit my profile on Healthgrades.com to read more reviews and stories from my patients. It’s an excellent resource for anyone looking to understand our commitment to spinal health and patient education.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

I see firsthand how life can change in a split second. We often think of brain injuries as something that only happens i...
01/05/2026

I see firsthand how life can change in a split second. We often think of brain injuries as something that only happens in "extreme" circumstances, but the truth is that your brain is both the most powerful and the most delicate organ you own.

For many of you, winter is the best time of year. Whether you’re skiing down a black diamond or just teaching your kids to ice skate, the adrenaline is high. But remember: ice and packed snow have zero give. A fall at high speed—or even a tumble at a standstill—can cause the brain to shift within the skull. I cannot stress this enough: Please wear a helmet. It is the simplest, most effective tool you have to prevent a life-altering injury.

But TBI doesn't just happen on the mountain. You’d be surprised how many happen during everyday tasks. Slipping on an icy patch while getting the mail or losing your footing on the stairs is all it takes.

Safety isn't just for athletes; it’s for all of us. Take the extra ten seconds to salt your driveway, wear shoes with good traction, and keep your hands free to break a fall if necessary.

A brain injury isn't always a "knockout" blow. Symptoms like persistent headaches, sudden mood changes, or trouble concentrating can all be signs of a concussion or TBI. If you or a loved one takes a hit to the head, please don't "tough it out." Get evaluated.

Your brain is the engine behind everything you love—your memories, your personality, and your future. Let’s work together to keep it safe this winter and beyond.

Stay safe out there,

Dr. Darakchiev

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

January 1. A clean page. Wishing you a healthy and happy year ahead.- Dr. Darakchiev
01/01/2026

January 1. A clean page.

Wishing you a healthy and happy year ahead.

- Dr. Darakchiev

The day before a new year begins is a quiet pause between what was and what’s ahead.It’s a moment to reflect on the chal...
12/31/2025

The day before a new year begins is a quiet pause between what was and what’s ahead.

It’s a moment to reflect on the challenges you navigated, the small wins that mattered, and the experiences that shaped you — even the ones you didn’t expect. Not everything needs to be resolved tonight. Some things are simply meant to be acknowledged.

As the year comes to a close, take a breath, give yourself credit for making it through, and allow space for what’s next.

Wishing you a peaceful end to the year and a gentle start to the one ahead.

- Dr. Darakchiev

Living on Long Island means you deserve expert neurosurgical and spine care without traveling far. Whether it’s brain, s...
12/31/2025

Living on Long Island means you deserve expert neurosurgical and spine care without traveling far. Whether it’s brain, spine, or post-op support, my team and I are here for you. Your health, comfort, and recovery are our priority — and we’re proud to serve our community every day.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080


When we talk about minimally invasive surgery, it’s natural to wonder what that really means for you. In simple terms, i...
12/26/2025

When we talk about minimally invasive surgery, it’s natural to wonder what that really means for you. In simple terms, it’s a way to address spinal or neurological problems with smaller incisions, less tissue disruption, and a faster path to recovery. But it’s more than just a technical term — it’s about making your treatment safer, more precise, and less disruptive to your daily life.

Before any procedure, I take the time to walk you through every step — from what we’ll do in the operating room to what you can expect during recovery. I want you to understand exactly what’s happening and why each step matters for your health and comfort. After surgery, I continue to guide you closely, monitoring progress and answering any questions that come up along the way.

Minimally invasive options are designed to help you heal more efficiently, regain mobility, and get back to the activities you enjoy sooner. My goal is to provide expert care that balances safety, precision, and real-life outcomes. You’re not just a patient — you’re an active partner in your recovery, and I’m here to make sure you feel confident and supported through every stage.

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Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080 or request an appointment on the website.

borimirdarakchievmd.com
đź“ž631-690-9080

12/24/2025

New York City during Christmastime never loses its magic for me.

The lights, the energy, the quiet moments tucked between all the movement — it’s a reminder of why this city feels like home.

This time of year invites reflection. Gratitude for the people we care for, the families who place their trust in us, and the moments that remind us to slow down and take it all in. Whether you’re rushing through Midtown or pausing for a peaceful walk, I hope you find a moment of calm, warmth, and joy this season.

Wishing you and your loved ones a healthy, peaceful, and meaningful holiday season.

— Dr. Darakchiev

Address

380 Montauk Highway
West Islip, NY
11795

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+16316909080

Website

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