Dr. Borimir Darakchiev

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

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
📞631-690-9080


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
📞631-690-9080

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

Recovery after spine or brain surgery isn’t always a straight line. Some days feel easier, others more challenging — and...
12/22/2025

Recovery after spine or brain surgery isn’t always a straight line. Some days feel easier, others more challenging — and that’s completely normal. What matters most are the small wins along the way, because they’re signs that your body is healing and that your effort is paying off.

Maybe it’s sleeping comfortably through the night without pain, standing a little taller, walking a few extra steps, or noticing a decrease in tingling or weakness. Each of these milestones is meaningful, and each deserves recognition. I want you to celebrate them, because they show progress — even when it doesn’t always feel dramatic.

Consistency, patience, and following your personalized plan are important for long-term recovery. And remember, you’re not doing this alone. I’m here for every question, every concern, and every step of your journey. If something feels off or if you’re unsure whether a sensation is normal, reach out — I want to hear it.

Healing is a partnership. With guidance, effort, and awareness of each milestone, you can regain mobility, confidence, and the life you want to return to. Every step forward is a step worth celebrating.

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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

Neck pain — whether it’s stiffness, tingling, or persistent discomfort — can affect so much more than just your neck. It...
12/19/2025

Neck pain — whether it’s stiffness, tingling, or persistent discomfort — can affect so much more than just your neck. It can interfere with sleep, concentration, work, or even simple daily activities like turning to check traffic or picking up a grandchild. I want you to know that neck pain isn’t something you just have to live with. Relief is possible, and I’m here to guide you every step of the way.

When we meet, we’ll take the time to understand exactly what’s causing your symptoms. It could be muscle tension, nerve irritation, or changes in your cervical spine. Once we pinpoint the source, we’ll explore solutions together — perhaps starting with conservative measures. For some patients, minimally invasive interventions may be the most effective path.

My approach is always personal and precise. You’ll understand why each recommendation is made and how it fits your lifestyle and goals. My goal isn’t just to reduce pain, but to help you regain the freedom to move comfortably and live life fully. Neck pain shouldn’t hold you back — and with the right guidance, it won’t.
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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 a patient shares feedback like this, it means more than you know. ACDF can be a big decision, and I never take that...
12/17/2025

When a patient shares feedback like this, it means more than you know. ACDF can be a big decision, and I never take that trust lightly. My goal is always to listen, understand what you’re going through, and help you make the choice that feels right for you—whether that’s surgery or a more conservative approach first.

I’m grateful this patient is feeling relief and getting back to their life. If you’re dealing with neck pain, radiating arm pain, or symptoms that just aren’t improving, you don’t have to navigate it alone. I’m here to walk you through every option, answer every question, and help you find the path that supports your long-term well-being.

If you’re ready to learn what’s going on and what your options are, my door is open.

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 hear this concern from patients all the time: “Should I stop working out?” or “Is it still safe for me to move?”The fe...
12/15/2025

I hear this concern from patients all the time: “Should I stop working out?” or “Is it still safe for me to move?”

The fear of making things worse is very real — but stopping all activity can sometimes make back or neck pain even harder to manage. When we talk, I help you understand which movements are usually well-tolerated and which ones might need to be modified while your spine is irritated. You don’t need to avoid your life or your routines. Instead, we focus on safe, gradual movement and smart adjustments.

Everyone’s spine, lifestyle, and goals are different. Some patients can continue working with small modifications, while others need a short break from certain activities. The key is knowing the difference — and feeling confident in your choices.

My role is to guide you, reassure you, and help you stay as active and independent as possible, safely and comfortably.

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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

Chronic back pain can affect every aspect of life—from sleep to work and recreation. Dr. Darakchiev treats a wide range ...
12/12/2025

Chronic back pain can affect every aspect of life—from sleep to work and recreation. Dr. Darakchiev treats a wide range of spinal disorders, including sciatica, herniated discs, compression fractures, and radiculopathy, using a combination of modern neurosurgery and interventional techniques to restore mobility and improve quality of life. Call or visit the website to schedule a consultation.

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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 you come into my office and tell me your back hurts, the very first thing I want to help you understand is why. Bac...
12/10/2025

When you come into my office and tell me your back hurts, the very first thing I want to help you understand is why. Back pain is rarely random. It usually comes from something specific — a disc that’s irritated, a nerve that’s under pressure, arthritis that’s been building over time, or strain from daily movement.

And here’s the part many patients find most reassuring: once we understand the source, everything becomes much less overwhelming. You’re no longer left guessing or imagining the worst.

During our conversation, I’ll walk you through what I’m seeing, what it means, and what it does not mean. My goal is to give you clarity and confidence. Because when you understand your spine, you’re in a much stronger position to make decisions about your health.

Back pain can be frustrating, but knowledge makes it manageable — and you’re not navigating this alone.

If you’re looking for answers about your back pain, my team and I are here to help you understand what’s going on and what your next steps could be. Call or visit my website to schedule a consultation.

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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

Your MRI or CT scan can feel intimidating — I get it. You might see words like “herniated disc,” “spinal stenosis,” or “...
12/08/2025

Your MRI or CT scan can feel intimidating — I get it. You might see words like “herniated disc,” “spinal stenosis,” or “nerve compression” and immediately feel worried or overwhelmed. That’s completely normal. My goal is to take all that medical terminology and make it meaningful for you — in plain language, step by step.

When we review your imaging together, I’ll show you exactly what’s happening inside your spine or neck, what’s causing your symptoms, and why it matters for your daily life. Understanding the root of your pain is more than just information — it’s empowerment. When you know what’s going on, fear and uncertainty start to fade, and you gain confidence in the decisions we make together.

I want you to leave our visit with clarity, not confusion. Whether we’re discussing conservative management, targeted therapies, or surgical options, you’ll understand why each recommendation is made and how it fits your lifestyle and goals. Your questions are always welcome, and no concern is too small. Knowledge is power — and in your care, that power is shared so you can take an active role in your healing journey.

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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

Thank you, Michele, for the kind words. Always there for my patients. Dr. Darakchiev---------------------------Dr. Dara...
12/05/2025

Thank you, Michele, for the kind words. Always there for my patients.

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

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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