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.

Could Electrical Stimulation Offer Pain Relief?

ElectrotherapyMany people suffering from pain can benefit from electrical stimulation. It may not seem logical that the use of electrical pulses can actually improve pain, but that is, in fact, the case. Electrotherapy or neuromodulation is the type of treatment available today. The most common form used to treat pain is TENS, or transcutaneous electrical nerve stimulation. For those who are experiencing pain and want a more advanced option that may allow you to continue to live a higher quality of life, turn to a pain doctor in New York to learn more about this.

What Is TENS?

ElectrotherapyThere are a variety of types of pain relief options that focus on electrical stimulation. Perhaps one of the most innovative, though not readily used as of yet, is deep stimulation at the depth of the spinal cord or brain. However, TENS tends to be an ideal option because of how effective it can be for many people suffering from pain.

In short, it is a therapeutic tool for reducing pain. It centers around the use of a TENS unit, of which a variety of products now exist. This is a small and often battery operated device. Once put in place, it will create a low voltage electrical current. That current will run through your skin from the electrodes placed on the impacted area. Once this current runs through the body, it stimulates the impacted area. This helps to send a message to the brain. That message, in short, is meant to scramble the normal pain signals the brain receives from the area. In short, your brain no longer thinks that there is pain present and you feel better.

ElectrotherapyTENS is not a painful treatment. It can be helpful in a variety of situations. It can help to mask the pain from diabetic nerve pain, for example. It is also often helpful with joint pain or pain that’s unexplained. In some situations, it is not the ideal solution. It is up to your pain doctor to determine if the specific type of pain you have can be helped with this type of treatment.

If you are experiencing pain, TENS and other electrical stimulation is not necessarily the first line of treatment. However, it can be a solution for many people. Work with your New York pain doctor to learn more about what you can expect from it.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

What Should You Look for in a Pain Specialist?

pain specialistYou have pain. You’ve taken medication for it and it doesn’t seem to go away. You may need to see a pain specialist. You may know the underlying cause of the pain, or you may not. In many cases, individuals will seek out multiple types of pain treatments and talk to various doctors to find a solution. If you haven’t seen improvement, you may need to turn to a pain specialist. These professionals have the information and resources to offer you a wider range of treatment options for pain care. Keep in mind that pain management is far more than just taking medications. When you see our pain specialist in New York, you’ll learn about all of your options.

Who Should You See?

While a wide range of professionals are available to help you with the pain you feel, most people benefit from seeing a pain specialist that offers some key characteristics. Among those are the following:

pain specialist• Turn to a professional who has specific experience in pain management. Their in-depth understanding of the pain systems and care as well as how the nervous system works can really benefit you. You want a pain specialist, not just your average doctor providing you with care.

• Look for a professional that offers multiple options for pain care. Many times, patients only believe medications are a solution to their pain. That’s not the case. You need to have multiple options available to help you to get the care you need.

• You need someone that is going to listen to you and really wants to help you. Often, patients feel as though they cannot trust their doctor to really want to help resolve their pain. They believe the doctor doesn’t understand or doesn’t care how bad it is. Compassionate professionals are important.

pain specialistLook for a pain specialist that uses alternative care as well. This may include either offering or recommending acupuncture, massage, and chiropractic care. For some people, this really is effective.

• Select a pain specialist that you like. It is important to have a good relationship with the professional who is going to help control the pain you feel.

It takes a unique doctor to work as a pain specialist. When you come in to see our top-notch pain doctor in New York City, you’ll get the level of care you need to provide you with the best range of options for pain control and treatment.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

Seeking Out Psychological Support for Pain Management

pain managementPain management is not just about resolving the physical aspects of this condition. There is also a strong psychological component to pain management. That is not to say that the pain you feel isn’t real or isn’t very bad. Yet, there is a component of your mental health that can be impacted by chronic or severe pain especially when it lasts for a long time. This is why many times, when you see a pain doctor in New York City, you’ll need to also see a psychologist to talk about what is happening, why it is happening, and what can be done about it.

How Can Psychological Treatment Help You?

Individuals who are facing pain, especially long term pain, need help. They struggle with many aspects of this condition including physical limitations. But they also struggle with the way they feel. You may be experiencing:

  • Hopelessnesspain management
  • Despair
  • Anger
  • Depression
  • Sadness
  • Frustration

And, when you have these feelings, and they last a long time, that impacts your overall wellbeing. It can also impact the way you sleep, your relationships personally and professionally, as well as your stress levels. In fact, for many people, ongoing pain that’s not treated can create depression and anxiety that actually worsens the way they feel. Psychological treatment aims to reduce this type of outcome.

What can it offer?

  • It is a safe and nonmedication method for reducing pain.pain management
  • It reduces high stress levels that worsen pain.
  • It offers an opportunity to give you a place to vent and to let go.
  • It teaches you how to cope in high stress and high pain instances.
  • It also helps you to learn how to manage a very difficult situation.

It is important to know that psychological treatment for pain isn’t often an option. It is often one of the most important components of a well-designed management program. That means that most pain doctors will encourage individuals to seek out this type of care. It not only can help you to feel better, but it also assures your doctor that you truly are experiencing pain that is impacting your quality of life. And, it can provide an avenue to improving your overall ability to manage your life as it is.

With the help of our pain doctor in New York City, we can offer you the right combination of care to improve your pain.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

How Can an Exercise Program Reduce Pain?

Exercise Program Reduce PainIt 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

Exercise Program Reduce PainExercise 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.
  • Exercise Program Reduce PainYou’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.
    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.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

What is TENS Therapy?

TENS TherapyHave you heard about TENS therapy? TENS, or Transcutaneous electrical nerve stimulation is a type of treatment for chronic pain relief. It is a type of non-medication treatment, which can provide many people with pain relief when medication is not working or is not working fully. It is often used for back or other types of chronic pain. It all comes from a small unit that is about the size of a pack of cigarettes and, in most cases, it can cost between $250 to $700, though options differ significantly. Could this be a tool for you?

How Does It Work?

TENS TherapyThis type of treatment works by allowing the user to select a high frequency level of stimulation. This is generally between 60 and 200 Hz or a low frequency setting of stimulation, usually more than 10 Hz. The most common option is the use of a high frequency stimulation, called conventional treatment. It generally is tolerable to the user for several hours, during which time the pain can be less. This level of treatment generally creates pain relief that lasts for a short period of time afterwards. The secondary option, low frequency stimulation, is often used because it can provide longer term relief. This secondary method is often referred to as acupuncture like treatment. It is more uncomfortable to the patient, but it can last longer after treatment.

Users will place electrodes on various areas until the right level and type of pain relief is achieved. These electrodes are generally positioned over areas where the pain is the highest or in the areas surrounding that spot. It can also be placed over the area where the nerve causing the pain is located or placed on a different area of the body.

TENS TherapyIt can be hard to know if TENS will work for any single person. Some patients report significant pain relief that lasts for hours. Other people do not have any results from it. Most people will need to use various placement options for the electrodes before finding a solution that works for them. Because this is not a medication, it can be safe to use when used properly and alongside medications in many individuals.

If you are suffering from chronic pain, it is a good idea to choose the right treatment for your specific concerns and needs. Turn to the best pain doctor in New York to get the relief you need.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

What Are Spinal Pumps for Chronic Pain?

pain pumpChronic pain minimizes quality of life. No matter what type of pain it is, it can interfere with your ability to move and function, but also with your emotions and mental health. For these reasons, you should seek out treatment and support from your doctor if you believe you are suffering from this condition. The good news is that there are often treatments and more advanced solutions that can help those even with severe chronic pain. One of the options for more long term and severe treatment is the use of a pain pump. While it may sound complex, this type of treatment has been used for years with good results.

What Is a Pain Pump?

pain pumpSpinal pumps, also known as pain pumps, help to provide you with pain medications in a more direct manner. These devices help to deliver the medication to the intrathecal space, which is a specific area of the spine located around the exterior of the spinal cord. This is done by implanting a pump under the skin during a surgical procedure. Though the pain medication can be customized to meet the patient’s needs, the most common type of treatment medication is the use of morphine.
Once in place, doctors can add the medication to the pain pump on a routine basis, usually about one time a month. This is done through an injection through the skin and into the reservoir.

When Are Pain Pumps Effective?

pain pumpBecause they are an invasive procedure and there are risks associated with the use of them, pain pumps are not commonly used unless other treatments are no longer effective. These are often used for those suffering axial somatic pain, pain from severe osteoporosis, and pain from other conditions not managed effectively with other treatments. Spinal pumps can also help in the treatment of multiple sclerosis, especially for painful spasticity.

The first step in getting pain relief is to turn to a professional who offers specialized care. You need to examine all of the options available to you in managing pain in the method that fits the type of injury or disease you have. To have access to the latest treatments and the most effective solutions available, turn to our pain doctor in New York. You’ll find we have the solutions you need to most types of pain problems and concerns. Call us today.

 

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

Who Benefits From Corticosteroid Injections?

corticosteroid injectionsIf you suffer from pain, your pain doctor may recommend the use of corticosteroid injections. Pain that is constant or frequent is often due to an underlying circumstance in which the nerve present is damaged or constantly inflamed. There are some situations in which physical therapy and time can help to heal this type of pain, but in others, that’s just not the option. This is when it comes necessary for your doctor to offer more advanced treatment options including the use of corticosteroid injections.

When Are They Used?

Cortisone shots or injections can help to treat and relieve pain and inflammation in various areas of the body. Most commonly this type of pain relief can help with joint point including in areas such as:

• Elbowscorticosteroid injection
• Hips
• Knees
• Shoulders
• Ankle
• Spine
• Wrist

In addition, these types of shots can be given in smaller joints including those located in the wrist, hand, and even in the jaw. Your doctor will talk to you about the specific benefits that this type of pain treatment can offer. Many people will feel near instant relief from pain as long as the corticosteroid is effective and working.

This type of treatment is usually made up of a combination of a local anesthetic and a corticosteroid medication. There are some risks of side effects and this treatment may not work long term for everyone. However, it can be helpful in reducing the pain you feel from conditions such as:

Rheumatoid arthritis • Gout

• Plantar fasciitis
• Psoriatic arthritis
• Reactive arthritis
• Rheumatoid arthritis
• Tendinitis
• Bursitis

Overall, the treatment process is very safe. It is also very common for this treatment to work. However, the overuse of these shots can be troublesome. In some situations, individuals can develop an infection in the joint. Nerve damage, thinning skin, tendon weakening or rupture, and bone thinning can be some of the highest risks for this process. Additionally, these shots only can be used a limited number of times and in a limited dosage. That’s because the medication itself can deteriorate the cartilage present in the joint further, worsening the pain you may have there.

Is this the right type of pain management for you? That depends on many factors. Generally, with the help of your pain doctor in New York City, you’ll learn what each of your options are. Many people do benefit from this particular type of pain treatment.

Arthritis, What is it?

It is estimated that 350 million people all over the world suffer from arthritis, including roughly 40 million in the U.S. This condition can range greatly in severity and there are different types of arthritis. Even some very young people get diagnosed with this condition due to their genetic makeup. It can be a mildly irritating condition for some, and a constant debilitating struggle for others.

What Is Arthritis?

arthritisArthritis is essentially inflammation of the joints that causes the cartilage tissue on the ends of the bones to deteriorate over time. Rheumatoid arthritis, the most common type, is classified as an autoimmune disorder that affects the lining of the joints.
Certain conditions, including lupus and psoriasis, can eventually lead to a person developing arthritis. Most people with arthritis experience joint pain to some degree, and it is called arthralgia. It is known as polyarthritis when four or more of a person’s joints are affected. Many people with this condition inherited it from their parents.

Symptoms

There are many different symptoms that a person can experience, including:

  • Stiffnessarthritis
  • Difficulty walking (limping)
  • Swelling of the joints
  • Warm sensation in the joints
  • Decreased range of motion
  • Weakness
  • Tenderness of the joints

A vast majority of people experience inflammation of the joints. Some people experience severe pain while others don’t have any pain at all. Sometimes, arthritis can actually affect a person’s organs, leading to swelling of the lymph nodes, fatigue, weight loss, and fever.

Treatment

Treatment depends entirely on the type of arthritis a person has. The more accurate the diagnosis is, the more effective the treatment will be.

arthritisDoctors often recommend that patients take over-the-counter pain medication like Ibuprofen and Tylenol to manage their joint swelling and discomfort. These medications can be quite effective for many people with this condition.

Some people with rheumatoid arthritis have to take certain prescription medications that can negatively impact their immune systems. Arthritis in the lower back can irritate the spinal nerves, sometimes requiring a surgical procedure to alleviate symptoms.

There is no cure, but there are a number of effective treatments for managing the symptoms on a daily basis.

If you are struggling with joint pain caused by arthritis, let us help. Make an appointment with us today so our nationally renowned NYC pain doctor can relieve your discomfort.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

What is Fibromyalgia?

Chronic pain can be extremely difficult for anyone to deal with and fibromyalgia affects millions of people all across the country. While most people have heard of this condition before, few people actually know what it really is. Considering that 10 million people in the U.S. alone have this condition, it’s important that you take the time to learn about it.

What Is Fibromyalgia?

fibromyalgiaFibromyalgia is a condition that causes chronic pain that is typically felt throughout the entire body. Those who have this condition can experience pain in one area and then another over time. The symptoms can increase and decrease in severity over a period of years. Approximately 2-4% of the entire U.S. population has been diagnosed with fibromyalgia.

Symptoms

There are a number of symptoms that someone with fibromyalgia can experience. Some of the more common symptoms associated with this condition include:

  • painMuscle pain (burning, aching, twitching)
  • Increased sensitivity to pain
  • Severe fatigue
  • Difficulty concentrating on simple tasks
  • Trouble getting to sleep
  • General nervous or anxious feeling
  • Depression

The symptoms of fibromyalgia vary greatly from person to person. Some people experience very mild symptoms for a long time followed by intense bursts of pain. It can be difficult to diagnose this condition, but doctors typically look for the symptoms listed above. Most people who have fibromyalgia feel tired and weak almost all the time.

Treatment

While there is currently no cure for fibromyalgia, there are various treatments that have proven to be quite effective at managing the symptoms it causes.

Many people with this condition use over-the-counter pain medications to help with the inflammation and muscle aches that are associated with fibromyalgia. Since depression is also a common symptom of fibromyalgia, antidepressants are often prescribed by a doctor.fibromyalgia

Some anticonvulsant medications have also proven effective when it comes to managing the dizziness, weight gain, swelling, and dry mouth that many of these people experience.

The three main pain medications that are prescribed to many fibromyalgia patients include Duloxetine, Milnacipran, and Pregabalin. It’s important to keep in mind that while there are effective medications for managing this type of pain, opioids are typically not a viable long-term solution.

If you suffer from fibromyalgia and need help with managing your symptoms, make an appointment with us right away. We have one of the best NYC pain doctors in the country to help relieve your symptoms effectively.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.

An Overview of the Different Types of Pain

There are many different types of pain that a person can experience. Pain can vary greatly in severity, as well as how it is experienced by people. The more you know about pain, the easier it will be to describe what you are feeling to a doctor.

The following is a list that describes each type of pain in detail. You will find that each type of pain has its own defining characteristics and qualities.

Chronic Pain

Chronic pain is experienced over a long period of time, whether it is a matter of weeks or years. This type of pain typically lasts three months or more. There are a number of conditions that can cause chronic pain to occur, but for most people, it all begins with some sort of injury or physical trauma.

Nerve Pain

painNerve pain, also known as neuropathic pain, usually presents as a stabbing or burning sensation. Sometimes it goes away without any real treatment, but it can also be chronic. This is one of the worst types of pain a person can experience, and it often occurs as a direct result of damage to the nerves.

Psychogenic Pain

Psychogenic pain is pain that has some sort of psychological component to it. Many people who experience this type of pain say that the physical sensations they are experiencing don’t fit with their symptoms. Some of the more common ways that psychogenic pain can present include back pain, muscle aches, stomach pain, and migraines. A person can only be diagnosed with psychogenic pain once all other explanations have been excluded.

Musculoskeletal Pain

painMusculoskeletal pain is often caused by regular wear and tear of the muscle tissue over a long period of time. This type of pain is felt in tendons, muscles, ligaments, and bones in the body. Some of the common causes of musculoskeletal pain include car accidents, slip-and-fall accidents, and dislocations. Someone with this kind of pain might complain that everything in their body aches.

Joint Pain

painJoint pain affects the joints in the body, which are the areas between the bones. There are a lot of conditions that can cause joint pain to occur, including rheumatoid arthritis, gout, and sprains. This type of pain can be very mild to severe, depending on the cause.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.