Treat your pain and live a better life…

best-pain-doctor-nycWelcome to my blog about pain. Unfortunately, many people suffer from chronic pain. As a board certified physician in physical medicine and rehabilitation, my specialty is treating these people with both acute and chronic pain.

A majority of my practice is working with patients that are experiencing back and neck pain.

My goal with this blog is to help patients who are experiencing any type of back or neck pain to understand what is causing their pain and discuss options that are available to end their pain. I hope to be able to provide readers with a portal that they can can use to educate themselves and facilitate treatment.

My specialty is my Interventional Spine Skills including cervical and lumbar epidural steroid injections, facet injections, medial branch blocks, Radiofrequency ablation, sympathetic ganglion blocks, spinal cord stimulator trials, sacroiliac joint injection, piriformis muscle block and musculoskeletal joint injection. I also perform many other procedures to alleviate acute and chronic pain.

I hope you enjoy reading my blog as much as I enjoy writing it and observing people from all over the world reading it.

– Matthew Grimm, M.D.

Can Aquatic Therapy Help with Pain Management?

Can Aquatic Therapy Help with Pain ManagementFor some people, aquatic therapy is the best type of pain management solution. If the thought of jumping into a pool and going for a swim sounds like fun, and not hard work to relieve pain, think again. It can be both! This type of treatment provides you with numerous advantages and it provides an opportunity for you to see significant improvement to the way you feel without actually creating additional stress on your joints. For many people, this is the best type of pain management for their underlying condition.

What Are the Benefits of Aquatic Therapy?

The use of aquatic therapy is very common by pain management doctors because of how effective it can be. This process works to encourage natural healing of the musculoskeletal system. It can work for most people. It is effective for those who are of any age, who have any type of ability, and who have most types of diagnoses. There are many potential benefits to it. This type of therapy is often customized to meet the individual needs of the patient. Some of the areas of treatment that may help individuals include those suffering with:

    • Can Aquatic Therapy Help with Pain ManagementMuscle strength needs
    • Improvement or sustaining the gait
    • Improving endurance of muscle use
    • Body mechanic improvement
    • Coordination improvement
    • Functional improvement
    • Balance
    • Agility
    • Flexibility improvement
    • Posture

These types of conditions can be worsened by traditional workouts. For example, the process of working on a treadmill to improve gait can strain muscles with each step. This is due to the amount of force and motion. However, in the water, this does not happen. There is much less stress on the joints and muscles during a workout session. Most people also feel more relaxed and comfortable during therapy sessions when they are done in the water.

Why does this happen? The aquatic environment helps to encourage the injured muscle to improve in a safe environment. The muscle uses muscle memory without any impact or weight bearing to make the motions necessary. This also allows for the individual to use the water itself to help reduce their weight and its impact on the body.

Can Aquatic Therapy Help with Pain ManagementFor those who are struggling with pain, the use of aquatic therapy is generally a very good option. It is not the only option for pain management though. It is up to the individual and their doctor to seek out care that fits their needs.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

What Are Nerve Blocks?

What Are Nerve Blocks?If you suffer from pain, you may be looking for any type of pain solution. You cannot think about anything you are doing because the pain is intense. Nothing you take seems to help. The pain continues and puts you at a constant level of discomfort. This is when you may need more advanced treatment options for your pain. Nerve blocks may be something your pain doctor in New York City offers to you. What is it? How can it work to reduce the amount of pain you feel even if there are other treatment options that have not worked for you?

Understanding Nerves

The nerves in the body are a complex network that links every component, organ, and area of your body to the brain. They send messages from that area to the brain to tell it when something is not right. These nerves are what tell your brain there’s pain  and to do something to resolve it. However, sometimes these nerves become damaged. They may over communicate with the brain. And, in some cases, there just is no treatment for the pain. When this happens, your doctor may encourage you to use a nerve block, which, in essence, helps stop the communication between the brain and the nerves.

What Are Nerve Blocks?How Can They Help You?

Nerve blocks can help to turn off the pain signals that are causing you the discomfort your feel. There are various types of nerve blocks available and each works in its own way. Some of the ways that nerve blocks can work include the following:

    • They can treat painful conditions using a local anesthetic. This is a therapeutic function.
    • Diagnostic nerve blocks can help doctors to determine what the underlying cause of the pain is.
    • Doctors can also use nerve blocks called prognostic nerve blocks to produce the outcome of a specific type of treatment they are using or considering, such as whether or not surgery would help.
    • Preemptive nerve blocks work as they seem, to prevent pain from occurring as it relates to a procedure that is approaching.
    • They can also be used as a treatment. This may help a patient to avoid the use of surgery for care.

What Are Nerve Blocks?Nerve blocks are one source of pain management available to doctors. It is important to consider that this is not always the best solution for each person. When you meet with your NYC pain doctor, you’ll learn more about your options.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

3 Relaxation Techniques to Reduce Pain

3 Relaxation Techniques to Reduce PainReducing pain isn’t an easy process, but for men and women experiencing chronic levels of pain, any solution is worth trying. Relaxing could be that solution. How can you relax when you are struggling with so much pain? It is not always easy to do, especially when the pain has you focusing specifically on it instead of on what is happening throughout your life. The fact is, if you can incorporate a few relaxation techniques into your day, you may be able to see a significant reduction in the amount of pain you have during that timeframe. These methods can help.

#1: Visualization

3 Relaxation Techniques to Reduce PainVisualization is one of the fundamentals of improving pain levels. In short, you’ll want to close your eyes and visualize – actually see in your mind’s eye – something that represents pain to you. It could be a color or shape. It could even be a motion. Then, change the imagine in your mind to something that is more enjoyable and pleasing to you. This helps alleviate your pain.

#2: Write it Down

Keeping a diary is another way to reduce the amount of pain you have. It can help you to review your daily routine as well as the stressors that could be worsening your symptoms. It not only can provide insight into what is happening and causing increased pain, but it can give you some realization that can help you to feel better about your current situation.

#3: Consider electromyographic biofeedback

3 Relaxation Techniques to Reduce PainIn short, you’ll learn how muscle tension is worsening your pain and it can help you to control it. This can help you to see improvement. In addition, you can use self-hypnosis as a treatment option along with this understanding. It can help you to either transform your pain into something good or help you to refocus your thoughts.

The key here is to realize that you remain very much in control over the pain you feel. When you learn these types of pain relaxation techniques, you can see the pain improve. You’ll be able to see improvement in the way you feel as well as in your frame of mind. For many people with chronic pain, this type of relaxation can help to change their outlook and give them a new opportunity to feel better about their life and their future.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

How Can an Exercise Program Reduce Pain?

How Can an Exercise Program Reduce Pain?It may not seem logical. You are in pain any time you move. Your body hurts. And, your doctor wants you to start exercises. How can you do that without further injuring yourself or struggling with significant pain throughout the process? For many people, this may not seem like the logical solution. However, it can be exactly what you need to see improvement in your flexibility, mobility, and overall pain levels. It is important to work closely with your pain management doctor in New York City to achieve the right type of care and the best type of exercise program for your individual needs.

Improving Your Health

How Can an Exercise Program Reduce Pain?Exercise programs can be highly effective for many people facing a wide range of pain areas. For example, it can be one of the best ways to improve pain associated with the back or joints. Exercise can help these individuals to see improvement in the function of the impacted area. It can also help you to stay flexible when you are facing limited movement overall. In addition to this, exercise can help to improve your tolerance for pain itself. This can offer individuals the ability to take on tasks they need to without experiencing the same level of type of pain.

What You Should Know About Exercise and Pain

There are limitations to this type of outcome, though. For example, while exercise can help to reduce your pain, it can still make you further injured if you do not put the right time and attention into what you are doing. In short, you need to keep these things in mind:

    • You should only work with a pain doctor to create an exercise regimen that’s right for your needs. Don’t assume that any type or amount of exercise will help.
    • You’ll need to monitor your progress to avoid pushing yourself too far. Over doing it will worsen your symptoms, not improve them.
    • And, if you experience worsening pain, you should stop and talk to your doctor about it.

How Can an Exercise Program Reduce Pain?For many people with chronic pain, exercise programs can be beneficial. For this to occur, though, you’ll need to invest in the right exercise program designed to treat the pain you have. For that, you’ll want to work closely with your skilled and experienced pain management doctor in New York City. Our team can help you find the support you need.

What Types of Medications Offer Pain Relief?

What Types of Medications Offer Pain Relief?It’s important to know that, in nearly all cases, the goal of pain management is not to muffle the pain with medications. This only works for a short amount of time. In fact, pain medications are meant to allow you to rest and heal and to allow the body to do what it needs to in order to keep your healthy. Still, medications do play a role in the overall treatment of most pain. When you come in to see a pain doctor in New York, you’ll learn firsthand what your options are, how to get the treatment you need, and how to use pain medications as a way to reduce some of what you feel.

 

 

Types of Pain Medications

What Types of Medications Offer Pain Relief?A variety of pain medications exist. When you work with your pain management doctor, our goal is to determine which medication is right for you based on the type of pain, the severity, and the frequency of it. Then, it is always best to choose the least toxic type of pain treatment. Some of the options available to doctors include:

    • Non-aspirin pain relievers. This is the type of pain reliever found over the counter. It includes acetaminophen. It is best for miner pain relief.
    • Nonsteroidal anti-inflammatory drugs, also known as NSAIDs. This type of pain medication is available in prescription dosing as well as over the counter. It is best used to train inflammation and pain. Options include naproxen and ibuprofen.
    • Corticosteroids This is the next level up of pain relief and is only available through prescriptions. It is used for sever inflammatory pain conditions.
    • Opioid This type of medication is much higher in terms of its treatment. It is best used limitedly. It may be given to those suffering from chronic pain, but is often given for acute pain and cancer pain. Morphine is a common option.
    • Antidepressants In some cases, this type of pain medication can work because it encourages sleep.

What Types of Medications Offer Pain Relief?Which pain medication is right for your situation? This depends on your condition and specific health concern. Keep in mind that when you visit a pain doctor in New York, the goal is not to medicate you, but rather to give you the highest quality of care possible to address the underlying cause of your pain. This may include limited amounts of pain medication. It’s important to seek out care to address the cause of your pain.

How Does Biofeedback Work for Muscle Pain?

How Does Biofeedback Work for Muscle Pain?There are many ways to treat pain. In some people, pain management is very easy and effective with medication. For others, the body works naturally to slow pain as a person relaxes and the injury passes or heals. For many others, chronic pain becomes ongoing and the severity may not improve even with medication. Biofeedback may be a type of treatment option that works in these situations.

What Is Biofeedback?

Biofeedback is a type of method that allows an individual to learn how to control the way the body works. In this treatment option, it is possible to control, for example, your heart rate. With biofeedback, the individual learns to control the electrical sensors that help you receive information about your body. When you successfully use this method, it is possible to make small changes in your body, such as relaxing a painful muscle, to give you some type of benefit, such as minimizing the pain you receive. In short, people who learn how to use biofeedback are able to use their thoughts to control the body’s actions. This can be used both as a healing tool as well as a way to improve performance.

How Does Biofeedback Work for Muscle Pain?Types to Consider

There are various types of biofeedback. Your selection of which to use is ultimately determined by the underlying goal you hope to achieve. A few options include the following:

    • Brainwave treatment uses scalp sensors to monitor the way your brain waves work using an EEG.
    • Heart rate methods uses a finger or earlobe sensor with a device called a photophethysmograph. These are placed on the chest or lower torso and an ECG is used to measure your heart rate.
    • Muscle treatment uses sensors placed over the skeletal muscles of your body using an EMG to monitoring the electrical activity through that area when muscles contract.

How Does Biofeedback Work for Muscle Pain?There are various biofeedback devices available today. Some are FDA approved. Some are used in the home while others are used in specialist’s offices. Will this work for you? It really depends on who is performing the treatment, how well you learn the process, as well as the overall devices used. For some people it provides significant improvement in overall health and pain relief. To find out more about this treatment option and if it is right for you, schedule an appointment with the best pain doctor in New York today.

Why See a Specialist for Pain?

Why See a Specialist for Pain?Many men and women suffer from pain. For most people, pain comes and goes, as an injury heals. For others, there is a constant and chronic level of pain present. There are multiple reasons for this. In some situations, it is a direct result of injuries or disease.

In others, it is due to a neurological condition. In all situations, chronic pain is hard to simply live with, but most people don’t have to do so. With the help of a pain specialist, it is possible to get some help in dealing with the pain you feel.

What Can You Expect

There are about 50 million Americans in the United States living with chronic pain. This may make quality of life a concern. The thought of being able to do the things you love can make it difficult for you to see the long term in a good light. With the help of a pain specialist in New York, it may be possible to get those levels under control and find a way to improve not only quality of life but also your mobility.

Why See a Specialist for Pain?A pain specialist can help in multiple ways. Generally, visiting this type of specialist means having a full physical and medical history. It is then necessary to learn what the underlying cause is and create a customized treatment plan that works for you. When you visit a specialist, you’ll be given the ability to learn about multiple pain treatment options.

Not all options work for everyone. In nearly all cases, the goal will be to understand the cause, treat the cause, and reduce the pain, but long term pain management may be necessary.

Most doctors do not see pain medications as a solution. When you work with your pain care specialist, you’ll learn of all of the options available to you for treating the condition and improving your pain levels. It’s important to know that a pain specialist focuses on the whole person, not just the one area of pain. That’s often one of the best ways to understand the underlying cause and treatment options that can provide you with the best level of care.

Why See a Specialist for Pain?For those suffering from chronic pain, seeing a pain specialist is nothing short of essential. With the help of a specialist for pain in New York City, it is possible to gain more control over your own quality of life.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

What Is Biofeedback for Pain Relief?

Biofeedback is an interesting and often helpful type of pain relief tool. If you are an individual who has experienced pain on a routine basis, this may be one of the best treatment options for your specific needs. Biofeedback focuses on providing you with what you cannot control on your own. By understanding how it works, you may be able to gain some sense of how this type of treatment may be right for your needs. Biofeedback focuses on providing a method for controlling what you do not usually control within your body. For example, your nervous system controls your heart rate, the temperature of your skin, and your pain. You do not consciously control what your blood pressure is, in other words. However, biofeedback is a type of therapy that works to give you more ability to harness the power of your mind to control pain that’s otherwise not commonly controlled in this manner. How Does Biofeedback Work in This Way? Biofeedback has been effective in the treatment of many conditions including migraines, incontinence, and chronic pain. It allows your brain to become aware of what’s happening within your body so that you gain better control over it. Doctors don’t know why it works for some people. However, it does help to improve relaxation and can help individuals who are experiencing worsening pain as a result of stress. During this process, electrodes are placed on the skin. These work to send signals to a monitor. That monitor will display information in a sound, flash or image. This represents your heart and breathing rate. It also relates to the temperature of your skin, your blood pressure, your muscle activity, and sweating. With the help of a therapist, you’ll learn how to control the various body functions. In this method, it allows you to turn down the brainwaves associated with the pain in your body. There are a variety of different methods used in biofeedback. Some may use deep breathing. Others benefit from muscle relaxation techniques. Imagery can also be helpful as can mindfulness meditation. The goal is to relax your mind so that you gain better clarity over what is happening within your brain. This, in turn, allows you to control your pain. For those experiencing pain that isn’t treated well otherwise, talk to your New York City pain doctor about the benefits of biofeedback.Biofeedback is an interesting and often helpful type of pain relief tool. If you are an individual who has experienced pain on a routine basis, this may be one of the best treatment options for your specific needs. Biofeedback focuses on providing you with what you cannot control on your own.

By understanding how it works, you may be able to gain some sense of how this type of treatment may be right for your needs.

Biofeedback focuses on providing a method for controlling what you do not usually control within your body. For example, your nervous system controls your heart rate, the temperature of your skin, and your pain. You do not consciously control what your blood pressure is, in other words. However, biofeedback is a type of therapy that works to give you more ability to harness the power of your mind to control pain that’s otherwise not commonly controlled in this manner.

How Does Biofeedback Work in This Way?

What Is Biofeedback for Pain Relief?Biofeedback has been effective in the treatment of many conditions including migraines, incontinence, and chronic pain. It allows your brain to become aware of what’s happening within your body so that you gain better control over it. Doctors don’t know why it works for some people. However, it does help to improve relaxation and can help individuals who are experiencing worsening pain as a result of stress.

During this process, electrodes are placed on the skin. These work to send signals to a monitor. That monitor will display information in a sound, flash or image. This represents your heart and breathing rate. It also relates to the temperature of your skin, your blood pressure, your muscle activity, and sweating. With the help of a therapist, you’ll learn how to control the various body functions. In this method, it allows you to turn down the brainwaves associated with the pain in your body.

What Is Biofeedback for Pain Relief?There are a variety of different methods used in biofeedback. Some may use deep breathing. Others benefit from muscle relaxation techniques. Imagery can also be helpful as can mindfulness meditation. The goal is to relax your mind so that you gain better clarity over what is happening within your brain. This, in turn, allows you to control your pain.

For those experiencing pain that isn’t treated well otherwise, talk to your New York City pain doctor about the benefits of biofeedback.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

What Can a Pain Doctor Do for You?

What Can a Pain Doctor Do for You?For those individuals suffering from pain, getting help – as soon as possible – is generally the only thing you can think about. It’s not easy to do, though. Often, over the counter medications do not provide long term relief and they have bad side effects when used too long. This, coupled with ongoing or increasing pain, makes the need to see a pain specialist very important. Yet, many people suffering with chronic pain fail to make the decision to see a pain specialist. They don’t realize the benefits that this type of provider can offer. The good news is a multitude of options exist.

 

Pain specialists can offer many types of help for you. Every person’s needs are different, though. The goal is always to provide comprehensive support based on your specific goals. What options can they offer? Options may include:

    • Diagnosis of chronic pain and the underlying causes of it; this is the heart of the process of resolving your pain
    • Support for management of chronic pain;
    • Treatment of the underlying condition if and when possible
    • Physical therapists work one-on-one with these professionals to address any concerns with mobility and improving functionality
    • Psychologists can help to deal with the impact on mental health that pain management often requires.
    • Alternative therapists can offer treatment options such as massage and acupuncturists, these are proven methods for improving pain levels

What Can a Pain Doctor Do for You?What is right for your individual situation? This depends, of course, on the cause and severity of your pain. For many men and women, it seems impossible to imagine a situation in which their health is better or improved. However, with the help of a pain specialist, there is hope in nearly all cases to see better ways to manage your pain. And, when it is not possible to resolve the pain at the cause, it is possible to learn methods for living your life. Teaching you alternative methods for achieving the same goals is often something pains specialists can offer to you.

What Can a Pain Doctor Do for You?If you are struggling in pain, reach out to a specialist. Find out what your options are and look for a way to resolve the underlying pain. For those who are in this situation right now, scheduling an appointment with our pain management team in New York City is the first step towards creating improvement in your quality of life and your pain levels.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

What Is Cognitive-Behavior Therapy for Pain Management?

cbt_partsCognitive behavior therapy is one of the options your doctor may recommend for the treatment of pain. Pain management is the goal of finding a way to reduce the amount of pain felt by a person. What we know about pain is that it occurs for many reasons and for some people, it is more severe than for others. In some situations, there is an emotional or mental connection to pain. In some of these situations, the use of cognitive behavior therapy can be helpful in overcoming those intense, painful moments.

What Is Cognitive Behavior Therapy?

Cognitive behavioral therapy is a type of psychotherapy. It is a type of therapy in which the thoughts and behaviors of an individual are believed to be contributing to the negative way a person feels. The negative feelings experienced in these individuals leads to more sensitivity to pain. That is not to say he pain isn’t real. In this type of treatment, the goal is to reduce pain by reducing negative feelings.

There are many strategies that can be utilized as a part of cognitive behavioral therapy in the treatment of pain. Generally, it takes time for doctors to determine the best possible treatment option for the patient, since some methods may not work as well. The goal of this therapy is to:

  • man-gestures-as-he-speaks-to-therapistImprove coping skills of the individual in dealing with pain
  • Increase the individual’s level of confidence
  • Improve self efficiency in the management of pain
  • Aid in changing how you behave and respond when pain occurs

Is this type of treatment right for everyone? Most people can benefit from a pain management program that does address some level of cognitive therapy. However, the type and amount of help it offers will differ from one person to the next. Keep in mind that this should be just one-step in your treatment, not the only step.

To find out if cognitive behavior therapy for pain management is right for you, come in to our offices to discuss your condition. When your doctor talks to you, you’ll learn more about how this and other pain management methods can help to improve the way you go through your life and aid in reducing the amount of pain that you feel. For many people, it is quite life changing. Let us help you. Call our New York offices today to learn more.