Dr. Borimir Darakchiev

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

As the weather cools and routines shift, many people naturally move less—but your spine thrives on motion. The intervert...
10/24/2025

As the weather cools and routines shift, many people naturally move less—but your spine thrives on motion. The intervertebral discs that cushion your spine rely on movement to stay nourished. Unlike most tissues in the body, these discs don’t have a direct blood supply; instead, they absorb nutrients through a process called diffusion, which happens when you move.

When activity slows down—whether it’s long hours sitting indoors or skipping your usual walks—those discs can stiffen and lose hydration over time. That’s one reason stiffness and back pain are more common in colder months.

You don’t need an intense workout to support your spine. Consistent, low-impact movement—like brisk walking, gentle cycling, or even raking leaves—keeps your spine’s internal system healthy and resilient. Think of movement not as optional exercise but as essential maintenance for your spine’s structure and longevity. Please make sure to check with your physician before starting any exercise program.

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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
📞631-690-9080


As a neurosurgeon, I’ve seen how much progress we’ve made in treating brain conditions with minimally invasive technique...
10/22/2025

As a neurosurgeon, I’ve seen how much progress we’ve made in treating brain conditions with minimally invasive techniques. These procedures allow us to access and remove tumors or treat other brain disorders through very small openings — often using specialized instruments and an endoscope for precision.

The benefit to patients is significant: less trauma to surrounding tissue, shorter hospital stays, faster recovery, and smaller incisions. Most importantly, these approaches maintain the same effectiveness and safety as traditional surgery.

My goal is always to provide the best possible outcome while minimizing the impact on a patient’s life. Every advancement brings us one step closer to safer, more efficient, and more compassionate neurosurgical care.

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
📞631-690-9080

I often talk with patients about pituitary adenomas, which are among the most common types of brain tumors. These growth...
10/20/2025

I often talk with patients about pituitary adenomas, which are among the most common types of brain tumors. These growths form in the pituitary gland — a small but vital structure that controls hormone production throughout the body.

Most pituitary adenomas are benign, but they can still affect hormone balance, vision, and overall well-being. Some stay small and cause no symptoms, while others may lead to headaches, fatigue, changes in vision, or unexplained weight fluctuations.

Early detection is important because even noncancerous tumors can interfere with essential body functions. Depending on the size and impact of the tumor, treatment may include medication, radiation therapy, or minimally invasive surgery. Advances in neurosurgical techniques now make it possible to remove these tumors safely and effectively when surgery is necessary.

*****
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
📞631-690-9080

Your spine supports every step, bend, and twist in life. Too often, we take it for granted—until pain reminds us how ess...
10/16/2025

Your spine supports every step, bend, and twist in life. Too often, we take it for granted—until pain reminds us how essential it is.

World Spine Day reminds us that even small posture adjustments can have a big impact on spine health Good posture isn’t just sitting up straight; it’s about protecting your spine from strain in everything you do. Today, take a moment to notice how you sit, stand, and use your phone. Small adjustments—like keeping screens at eye level or supporting your lower back—can make a big difference over time. Stretch, move, and care for your spine daily—it’s an investment in your long-term health.

👉 Make one posture change this week and feel the difference!

Visit https://www.worldspineday.org/ for resources on keeping your spine healthy.

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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
📞631-690-9080

While we do treat urgent conditions, much of what I do every day is helping patients with back pain, nerve issues, or sp...
10/15/2025

While we do treat urgent conditions, much of what I do every day is helping patients with back pain, nerve issues, or spine problems that affect their quality of life.

Neurosurgery isn’t just about emergencies—it’s about helping you feel better and function at your best. If something has been bothering you, don’t wait until it becomes serious. Let’s talk about your options.

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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
📞631-690-9080

Healing is never a straight line—it’s filled with ups, downs, and slow progress. But every step forward matters. Whether...
10/13/2025

Healing is never a straight line—it’s filled with ups, downs, and slow progress. But every step forward matters. Whether you’re managing chronic pain, recovering from surgery, or searching for answers, remember that patience and persistence are part of the process. I remind my patients often: progress is not about perfection—it’s about resilience. You’re stronger than you think.

👉Today, choose one small step that supports your health—you’ll thank yourself tomorrow.

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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
📞631-690-9080

I’m so grateful for the kind messages and thoughtful reviews many of you have shared. Hearing from my patients is always...
10/10/2025

I’m so grateful for the kind messages and thoughtful reviews many of you have shared. Hearing from my patients is always the best part of what I do. I’m honored to be part of your care and grateful for the trust you place in me.

— Dr. Darakchiev

*****
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
📞631-690-9080

October is also National Chiropractic Health Month! While our training and approaches are different, neurosurgeons and c...
10/08/2025

October is also National Chiropractic Health Month! While our training and approaches are different, neurosurgeons and chiropractors often share the same goal: reducing pain, improving function, and supporting healthier movement.

I want to thank the chiropractors I collaborate with and recognize all those in the field who are dedicated to helping patients take care of their spine health. Your work plays an important role in the broader care team.

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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
📞631-690-9080

One of the greatest advances in spine care has been minimally invasive surgery. These procedures allow me to treat condi...
10/06/2025

One of the greatest advances in spine care has been minimally invasive surgery. These procedures allow me to treat conditions like herniated discs or spinal stenosis with smaller incisions, less disruption to muscles, and quicker recovery times. While not every patient is a candidate, those who are often return to daily life much sooner.

If you’re curious about whether this approach may be right for you, I’m always here to share guidance and answer questions.

- 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
📞631-690-9080

October is National Physical Therapy Month, and it’s a great reminder of how important collaboration is in patient care....
10/03/2025

October is National Physical Therapy Month, and it’s a great reminder of how important collaboration is in patient care. As neurosurgeons, we often work side by side with physical therapists—whether it’s guiding recovery after spine or brain surgery, or supporting non-surgical treatment plans. Physical therapy helps patients rebuild strength, improve mobility, and regain confidence in their daily lives. This partnership is essential to helping patients move forward with better function and quality of life.

I’d like to thank the dedicated physical therapists I work with and extend my appreciation to all PTs who help patients move forward with healthier, more active lives. Your expertise and compassion make a lasting difference.
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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
📞631-690-9080

When I talk with my patients about spinal health, I always remind them that small, consistent habits make the biggest di...
10/01/2025

When I talk with my patients about spinal health, I always remind them that small, consistent habits make the biggest difference. This month, I’ve put together 5 simple tips you can use every day to support your back, improve mobility, and protect your spine for the future.

1️⃣ Stay Active Daily – Even light walking helps keep your spine flexible and reduces stiffness.
2️⃣ Strengthen Your Core – Strong abdominal and back muscles give your spine the support it needs.
3️⃣ Mind Your Posture – Whether you’re at a desk, driving, or on the couch, small adjustments make a big difference.
4️⃣ Lift Smart – Bend at your knees, not your waist, and avoid twisting while carrying heavy objects.
5️⃣ Listen to Your Body – Don’t ignore persistent back or neck pain. Early attention can prevent bigger issues down the road.

Your spine is with you every step of the way—literally. Take care of it, and it will take care of you.

👉 Start with one change today—you’ll thank yourself tomorrow.

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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
📞631-690-9080

It’s a common misconception that recovery from a spinal cord injury isn’t possible. While every case is different, many ...
09/29/2025

It’s a common misconception that recovery from a spinal cord injury isn’t possible. While every case is different, many patients make meaningful improvements with the help of therapy, rehabilitation, and specialized care. Advances in medicine continue to create new opportunities for restoring function and independence.

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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
📞631-690-9080

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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