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Dr. Borimir Darakchiev

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United States
West Islip, NY
Dr. Borimir Darakchiev

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

09/05/2025

A spinal cord injury can change life in an instant. Whether from trauma or illness, it may affect movement, sensation, or even basic functions we often take for granted. Signs like sudden weakness, numbness, or loss of control after an injury should never be ignored — they’re a reason to get emergency care right away.

Recovery is rarely just one step; it often involves surgery, rehabilitation, and ongoing support. What I want my patients to know is that with the right care, early intervention, and a strong support team, there is a path forward.

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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

09/03/2025

Many people believe that a spinal cord injury always means total paralysis — but that’s a myth. The truth is, not all spinal cord injuries are complete. Some are incomplete, meaning a person may still have movement or sensation below the level of the injury. Every spinal cord injury is unique, and outcomes can vary greatly depending on the severity and location of the injury.
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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

09/01/2025

This Labor Day, I want to extend my deepest thanks to the incredible people I work with every day. To my staff—your hard work, compassion, and dedication to our patients inspire me daily. From the front desk team to the OR and everyone in between, you are the heart of what we do.

I also want to thank my colleagues and all the professionals I collaborate with each day. It truly takes a team to provide the level of care our patients deserve, and I’m grateful to be surrounded by such talented, caring individuals.

Wishing all of you, and your families, a safe and restful Labor Day!

— Dr. Darakchiev

08/29/2025

I often have the privilege of helping people navigate some of the most complex health challenges on conditions affecting the brain and spine. Each patient's situation is unique, and my priority is to provide a clear diagnosis and a personalized treatment plan.

I believe in empowering my patients with knowledge, ensuring you understand your condition and the options available. My approach combines advanced surgical techniques with a commitment to compassionate care, guiding you every step of the way.

If you're dealing with a neurological condition and are looking for expert guidance, my team and I are here to help. Your health and quality of life are our top priority.

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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

08/27/2025

Your spinal cord is a truly amazing structure—it's essentially the communication highway between your brain and the rest of your body. This incredible bundle of nerves, protected by your spine, is the central command center for your nervous system, allowing for seamless communication for movement, sensation and function.

The spinal cord's primary role is to act as a two-way street for messages. Motor signals travel down from the brain to your muscles, telling them to move, while sensory signals travel up from your body to the brain, providing information about touch, pain, and temperature. This constant flow of information allows for every action, from walking and breathing to feeling a gentle touch on your arm.

This vital pathway is also responsible for reflexes. When you touch something hot, your spinal cord can send a quick signal to your hand muscles to pull away, without the message even needing to reach your brain first. This rapid response protects your body from harm.

I often see what happens when this "highway" has a disruption. Whether it's due to an injury, a tumor, or a degenerative condition, a blockage or damage to the spinal cord can have a significant impact on your daily life. That's why keeping your spine healthy is essential to ensure this vital pathway stays clear and efficient. A healthy spinal cord means a healthy nervous system and better overall well-being!

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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

08/25/2025

Brain and spinal tumors are sometimes discovered by chance during scans for other issues, but they can also cause a range of symptoms. Because these symptoms can be so varied—affecting things like sensation, movement, and energy levels—it's helpful to understand how the brain and spine control nearly everything we do.

When a tumor develops, it can disrupt normal functions in a number of ways. As a tumor grows, it takes up space and can put pressure on nearby brain or spinal tissue, which can cause headaches, nausea, or a change in a person's mental state. Some tumors can also directly damage the brain or spinal cord cells, leading to a loss of function. For example, a tumor in the part of the brain that controls speech could make it difficult to talk. Tumors can also interfere with the signals that travel between the brain and the rest of the body. This can lead to a variety of symptoms, such as weakness in an arm or leg, balance issues, or numbness.

Any new or unusual changes in your body should always be discussed with a doctor to determine the underlying cause and the best course of care.

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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

08/22/2025

After surgery, some pain is a normal part of the healing process. We monitor your progress closely and adjust care plans to help reduce discomfort safely.

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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

08/20/2025

Dealing with back pain can be really frustrating, and a herniated disc is one of the most common reasons people come to see me. This happens when the soft, jelly-like center of a spinal disc pushes out through a tear in the tougher outer layer.

Sometimes, a herniated disc doesn't cause any problems at all. But for many people, it can cause a sudden and sharp lower back pain, along with numbness or weakness in the legs. You might notice the pain gets worse when you cough, bend over, or even just sit down.

When this kind of pain starts disrupting your daily routine, it's important to get an expert opinion. I can help you understand how these issues are affecting your nervous system, and we'll work together to find the best way forward.

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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

08/18/2025

Having an MRI of your spine can feel a little intimidating, but knowing what to expect can make a big difference. This test is a great way for doctors to get a really detailed look at the discs, nerves, and spinal cord without being invasive. It's often used when someone has symptoms like back pain, leg numbness, or arm weakness. If you’ve been scheduled for a spinal MRI, you might be wondering about things like "how long does it take?" or "what exactly can the MRI show?"

An MRI of the spine can help your doctor find the cause of your symptoms by showing things like:

🔹Herniated discs: This is when one of the soft discs between your vertebrae pushes out of place and can press on a nerve.

🔹Spinal stenosis: This means the spaces in your spine are narrowing, which can put pressure on your spinal cord and the nerves running through it.

🔹Nerve compression: The MRI can show if something like a bone spur or swelling is pinching a nerve.

🔹Inflammation or infection: It can also highlight issues like arthritis or other types of inflammation in your spine.

I hope this information helps you understand more about why the test is being performed and will help you feel more comfortable and ready for your appointment.

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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

08/15/2025

If you’ve ever felt lower back pain that spreads down your legs, you’re not alone—and it’s a very important symptom to understand. Radiating pain usually happens when nerves in your lower spine become irritated or compressed. This can be caused by conditions like herniated discs, spinal stenosis, or nerve inflammation.

When these nerves are pinched or inflamed, pain signals travel along the nerve pathways, causing discomfort not just in your back, but also in your hips, legs, or even feet. This is often called radiculopathy.

If you experience radiating pain, it’s important to get a thorough evaluation to identify the cause and develop a treatment plan tailored to your needs. Early diagnosis and care can make all the difference in preventing further nerve damage and improving your quality of life.

— Dr. Borimir 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

08/13/2025

Every time a patient shares their story—whether it's a life-changing spinal fusion, a successful ACDF procedure, or simply feeling heard and cared for—I’m reminded why I do what I do.

I understand that spine and brain conditions can deeply impact your life. That’s why I focus not only on precise, evidence-based surgical care, but on building trust from the very first visit. Whether you're anxious about your diagnosis or just looking for answers, my job is to guide you through your options with honesty, clarity, and compassion.

To the patients who say I made them feel at ease, or came highly recommended—I want you to know it’s an honor I don’t take lightly. And I’m equally proud of our incredible team, where we strive to make every step of your journey as smooth and supportive as possible.

— Dr. Borimir 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

08/11/2025

August is National Wellness Month, and a new week is the perfect time to pause and remind ourselves: wellness isn’t just about avoiding illness—it’s about actively choosing to care for your body, your mind, and your overall well-being.

As a neurosurgeon, I see how powerful small, intentional changes can be—whether it’s improving posture, managing stress, moving more, or simply listening to your body when something feels off. You don’t have to overhaul your life overnight. Real change starts with one step, one habit, one healthy choice at a time.

This month, I encourage you to put your health on the front burner—not just when something hurts, but every day. Your brain and spine are the core of how you experience the world. Let’s take care of them.

Wishing you a strong, mindful, and balanced start to the week.

— Dr. Borimir 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

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

http://borimirdarakchievmd.com/

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