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.

What is Sciatica?

The simple answer to the above raised question is: back pain in the sciatic nerve. However, this raises additional questions. How can you identify sciatica? How can sciatica be treated? And what can be done to relieve sciatic pain?

How can you Identify Sciatica?

sciatic-nerve-pain-best-pain-doctor-nyc-03Thankfully, sciatica can be fairly easily self-diagnosed. Sciatica can be recognized by back pain along the sciatic nerve. The sciatic nerve runs along the lower end of the leg, from the hip down. Whenever pain is consistently experienced in the hip, buttocks, and posterior leg, sciatica is potential. The sensation is not necessarily strictly one of pain. It may also demonstrate numbness, tingling, or generalized weakness. However, not all pain in the lower back or upper leg is caused by the sciatic nerve. One tell tale signs of sciatic nerve pain is a radiating sensation that ranges from the upper leg to the foot. There are many reasons sciatica may develop, including overexertion, poor posture, or injury. Regardless of the cause of sciatica, many times it can be treated without the use of surgery. Typical treatments to relieve pain include gentle stretches, regular exercise, and proper ergonomic positioning when seated for an extended period of time. Any activity that puts excessive strain or pressure on the lower back or upper leg can see erratically cause sciatica. If you feel you have sciatica, talk to your doctor. They will be able to perform an examination that will provide a definite answer, as well as offering their expert opinion for treatment and prognosis.

How can Sciatica be Treated?

treatment-sciatica-medical-information-02Sciatica can be treated in a number of ways. Common treatments for sciatica include stretching, exercise, and education on ergonomics and body mechanics to improve posture when sitting, standing, or lifting. Any activity that can put additional pressure on the sciatic nerve can theoretically cause sciatic pain. Therefore, it is essential to understand the benefit of early intervention. Additionally, treatment may include use of medications, procedures such as nerve root blocks or numbing of the sciatic nerve, or- in extreme cases- surgery. However, typically sciatic pain can be relieved without invasive means.

What can be Done to Relieve Sciatic Pain?

top-nyc-doctor-for-Sciatica-treatment-info-01Once sciatic pain has been relieved, the primary stuff is maintaining pain relief. In instances where sciatic nerve pain was caused by injury, avoiding activities that can cause repeat injuries is essential. One common technique to avoid such injuries is the use of good ergonomic principles. For example, lifting with the legs as opposed to the back can decrease the risk of nerve impingement and sciatic pain. Alternatively, sciatica pain can come from something as simple as having a large wallet in one’s back pocket. Once the pain has subsided, maintenance includes nothing but removing the wallet in question. Occasionally, pregnant women may experience sciatic pain. Obviously, eventually this will go away once the baby is born. However, good ergonomic principle should still be maintained during pregnancy to ensure comfort and limit pain.


Are you experiencing sciatic pain? Schedule an appointment with Dr. Grimm to discuss the cause and possible treatments today.

Spinal Cord Stimulator

Those who experience regular pain may wish they could simply “turn off” the nerve causing the pain. Through the use of a spinal cord stimulator, something along these lines can be done. Although it is not as simple as flipping a switch, a spinal cord stimulator can relieve pain and increase function in one’s daily routine.

How a Spinal Cord Stimulator Works


A spinal cord stimulator provides electrical stimulation to the spinal cord. This electrical stimulation is that a precise frequency and in a precise location so as to interrupt the transmission of pain signals. While interrupting these pain signals, the spinal cord stimulator effectively shuts off the connection between the source of pain, in this case the spine, and the pain reception site in the brain. However, it must be noted that a spinal cord stimulator does not eliminate the source of pain. Instead, it serves as an inhibitor, limiting the amount of pain that is understood by the brain. It should also be noted that a spinal cord stimulator does not reduce 100% of the pain. On average, a spinal cord stimulator can be expected to relieve somewhere between half and three-quarters of the pain experienced. This is an excellent Improvement for many. These pain signals cannot simply be interrupted, but must be replaced with alternate signals. Some spinal cord stimulator devices replace this pain signal with a signal that the brain interprets as a tingling sensation. Some people do not feel that a spinal cord stimulator Works effectively enough to be used in a long-term basis. Therefore, it is typically recommended that a trial period of spinal cord stimulation is utilized first to establish whether or not it is an effective treatment for you.

Who Should Consider a Spinal Cord Stimulator?

spinal-cord-stimulator-back-pain-nyc-specialist-03Spinal cord stimulation should not be simply viewed as a one-size-fits-all treatment for any minor back pain. Instead, spinal cord stimulation can serve a necessary function in long-term pain relief for those who experience chronic pain that cannot be treated otherwise. Less invasive treatments such as exercise, therapy, massage, stretching, mild medications, and injections should be looked to first. If these treatments fail, the doctor must then look to see if the pain can be treated at the source and the problem can be solved. Additionally, some minor surgeries may provide longer-lasting outcomes. Spinal cord stimulators require electricity and are therefore run off of batteries. These batteries will regularly need replaced and can be an expensive solution. Therefore, spinal cord stimulation should be weighed heavily against alternative treatments. All of that being said, spinal cord stimulation can provide lasting relief, and that is priceless.

How a Spinal Cord Stimulator is Implanted


Spinal cord stimulator will be implanted once a test run has demonstrated that it is an effective option for pain relief. Your doctor will provide specific recommendations before this trial is completed. Typically, this will include going over blood test results, x-rays, electrocardiogram, medical history including allergies, reactions to anesthetics, current prescriptions and medications, and family history. Once all of these boxes have been checked, the surgery can be undergone. During the surgery, you will be lightly sedated. Anesthetics will be provided at the incision locations, as leads are placed into the back. These leads are carefully located around the side of pain to provide stimulation of specific nerves while not overflowing to other areas. Once in place, the leads are then tested and a generator will then be implanted. Typically, this generator is placed around the hip below the waist. Once all wires and pieces of equipment are properly in place, the incisions are sewn shut and the patient will wake up. The surgery is typically an outpatient operation, so you will be discharged the same day. It is important to note that whenever anesthetics or sedatives are used, one should not operate heavy machinery such as driving.

Do you think a spinal cord stimulator would help with long-term pain relief for you? Talk to Dr. Grimm today about your pain relief.

Sacroiliac Joint Injections

Sacroiliac Joint Injections

nyc-pain-doctor-for-sacroiliac-joint-injections-01Occasionally, pain can be found in the sacroiliac joint. This is the joint that connects the sacrum to the hips. The sacroiliac joint to may experience pain for any number of reasons. In addition, sacroiliac joint injections can be used to assist in diagnosing pain, finding the true source. When I sacroiliac joint injection is recommended, there is a specific procedure that must be followed. If this procedure is followed correctly, excellent results can be found.

What Causes Sacroiliac Joint Pain?


Sacroiliac joint pain can be caused by any number of things. One common cause of sacroiliac joint pain is poor ergonomic and body mechanics. Repetitive motions, especially those that are performed under strain, can put much pressure on the sacroiliac joint. In addition, poor posture when sitting can cause pain in the sacroiliac joint. injury can also cause damage to the sacroiliac joint. However, the true underlying cause of any sacroiliac pain is traditionally compression or pinching of the nerves. This compression cuts the signal that is directed from the brain towards the muscle. When this signal is not properly received, it instead returns a signal in the brain that the brain interprets as pain, tingling, or numbness. This is the most common cause of discomfort associated with iliosacral joints.

How do Sacroiliac Joint Injections Work?

sacroiliac-joint-pain-injections-expert-doctor-03Iliosacral joint injections work in two different ways. One role of these injections is to provide blockage of these nerve signals for a diagnostic purpose. When eye doctor is attempting to make a diagnosis of a certain problem, they can use sacroiliac joint injections to temporarily relieve pain. If a sacroiliac joint injection relieves all pain that one is complaining of, then they can be sure that a sake the sacroiliac joint is indeed the source of the problem. If the sacroiliac joint injection does not relieve pain. Then it can be assumed that there is another problem associated. Sacroiliac joint injections can also be used in an attempt to relieve pain on a longer-term scale. this can be done by relieving the pain that is associated with the sacroiliac joint itself. When sacroiliac joint pain is relieved through the use of a sacroiliac joint injection, a localized anesthetic is provided to the Joint to relieve the signal mentioned above. This can either work immediately after one treatment or May require multiple treatments to obtain the full effect. Either way, sacroiliac joint injections can be an effective and minimally invasive procedure to relieve pain.

How to Maintain Pain Relief After a Sacroiliac Joint Injection

Once pain has been relieved through the use of sacroiliac injections, a patient’s top priority should be to maintain that pain relief. The most important thing to remember trying to maintain pain relief is to identify the cause of the original pain. If the original pain was brought on by poor posture or repetitive motion, these activities then brought pain should be modified or eliminated. For example, sacroiliac pain can commonly be traced back to sitting on one’s wallet in their back pocket. Maintaining pain relief could be as simple as moving your wallet or making use of a billfold!

Are you ready to try sacroiliac joint injections to relieve your pain? Call 646-862-5555 to schedule an appointment with Dr. Grimm to discuss sacroiliac joint injections in your case.

Lumbar Disc Decompression

Lumbar Disc Decompression

nyc-pain-doctor-for-lumbar-disc-decompression-01Pain in the lumbar region of the back can be caused by any number of problems. One common source of pain is due to compression of the lumbar discs. This compression can impinge muscles and nerves, causing pain. In order to relieve this pain, external means of lumbar disc decompression must be used.

How Lumbar Disc Decompression is Done

dr-for-lumbar-disc-compressed-pain-relief-02Lumbar disc decompression can be done in multiple ways. Typically, it is done in a surgical fashion. The method followed for lumbar disc decompression depends on the underlying cause of the lumbar pain. When the lumbar pain is caused due to spinal stenosis in the lumbar region, a laminectomy can be performed. This allows for more space for the root of the nerve. In spinal stenosis, there is a limited amount of space and lost there is compression of the nerve. This nervous compression causes pain and potentially weakness. Alternatively, lumbar pain can be caused by a herniated disc. In this case, a microdiscectomy can be completed. When a microdiscectomy is completed, part of the bone is removed. This allows for more space for the nerve and other contents of the spinal column to move. With a herniated disc, the herniation causes compression and pain. It is also common to see sciatic pain result from a herniated disc.

How Lumbar Disc Decompression Relieves Pain

As mentioned above, lumbar pain is commonly caused by compression. This compression can be due to a number of reasons. Whether it is secondary to swelling, skeletal problems, or muscular problems, the underlying issue presses against the nerve. When the nerve is pressed tightly, it is unable to operate the way it should. Frequently, this results in the nerve “short circuiting,” that is, creating a feedback loop. This feedback loop happens when the brain sends a motor signal to the nerve. The nerve should then relay the signal to the appropriate muscle. However, as it is unable to send the signal due to compression, it sends a signal to the brain expressing distress. This is typically interpreted as pain, but can also come across as weakness or tingling. Either way, the signal has been disrupted. In order to relieve this pain or tingling, the correct path for the signal must be restored. This can be done bye decompressing the spinal disc in question through the above-mentioned processes. When decompression has been completed, the pain should alleviate after time.

How to Maintain Lumbar Pain Relief

injections-for-disc-pain-nyc-03Once pain has been relieved through the use of spinal decompression, it is of the utmost importance that further pain and compression is prohibited. This can be done through appropriate body mechanics in ergonomics, exercises, and stretching. When these techniques are not followed, further pain may develop. For example, a herniated disc may be caused by repetitive, poorly sequenced movements. This includes lifting improperly, twisting to quickly, or slouching. Whatever the underlying cause of the impairment originally, this should be avoided at all costs. Although lumbar disc decompression has been completed, that does not mean it can never again. Care must be exercised to ensure that the pain relief associated with lumbar disc decompression is maintained.

Do you think that lumbar disc decompression may help you with pain relief? Schedule an appointment with Dr. Grimm to discuss whether or not it will help you.


Facet Joint Pain

Facet Joint Injections


There are many regions in the back where one may experience pain. One common site of pain is the facet joint. This is the location where two vertebrae connect on either lateral side of the spine. There are many reasons this may become painful, such as injury, poor posture, and arthritis. Regardless of the cause, this pain can be unbearable.

Causes of Facet Joint Pain

Facet joint pain can be caused by many things. One common contributor to facet joint pain is the regular progress of aging. Overtime, the spine is slowly compressed. This compression takes a toll on the entire spine, but the joints of the facets take the burden of this compression the most. In addition, poor posture and body mechanics can have an effect on the facet joints, even years down the line. Frequent twisting of the spine and overexertion can cause this joint to wear down. Also, injury can cause da

mage to both the facet itself and the joint between the facets. Either way, this increased strain on the Facet Joint can cause pain and damage. This can cause inflammation and swelling, causing further nerve pain and damage as well. This damage can occur at any region of the spine, including the cervical, thoracic, and lumbar.

What Facet Joint Injections Are


Facet joint injections are, as the name would suggest, injections into the facet joint of the spine. Facet joint injections are a minimally invasive treatment for pain in the back on the lateral edge of the spine. These injections typically hold a localized anesthetic and a steroid medication to reduce swelling and relieve pain. the anesthetic serves to numb the immediate pain and limit swelling. Steroids also serve to reduce swelling in the area. The reduced swelling can also assist in pain relief by on other tissues in the spinal area, including nerves. This is performed as an outpatient procedure. That means that it is done in a clinic and the patient can return home upon completion. It is important to remember that whenever localized anesthetics are used, driving is not recommended for 24 to 48 hours. Results vary based on person. Some experience immediate and long-lasting benefits from simply experiencing one treatment. Others only see benefits after multiple attempts.

How to Maintain Pain Relief

top-nyc-doctor-for-pain-relief-injections-nyc-03Once the appropriate amount of facet joint injections have been completed, the pain will have subsided. However, this is not inherently a permanent solution. Much work must be done to keep the pain away. This includes improving body mechanics. If poor posture or excessive twisting is the cause of facet joint pain, these habits must be changed. When the root cause of facet joint pain is that of an injury, further additional injuries must be avoided. If arthritis or other medical problems have caused facet joint pain, talk to your doctor about treatment options to maintain pain relief associated with facet joint injections.

Are you ready to say goodbye to your facet joint pain? Call Dr. Grimm today to schedule an appointment to discuss facet joint injections and you.

Electromyography (EMG) Doctor NYC

Electromyography (EMG)

electromyography-EMG-best-doctor-nyc-01An electromyogram is a procedure that allows a doctor to analyze the effectiveness of a nerve. This is done through measuring the electrical stimulation sent to the muscle through the nerve. There are many reasons why a nerve may not be sending an effective electrical signal. This can be due to physical blockage, nerve damage, injury, or illness. Regardless of the reason for Limited nerve signal reception, an electromyogram will allow a doctor to objectively see how their patient is doing.

What is Electromyography?

Electromyography, as mentioned above, is a diagnostic test to determine how well both nerve and muscle systems are working. The way this is measured is through electrical signal. When the brain sends a signal to the body in order to act, it does so by stimulating neurotransmitters to release electrical signals. These electrical signals travel down the nervous system towards the muscle. When properly received through the nervous tissue, these signals are then transmitted two muscles. These muscles electromyography-EMG-information-procedure-specialist-nyc-02interpret the signal and use the electrical stimulation to activate movement. However, when there is clearly a lack of movement or weakness, an electromyogram can be done to determine the source. Alternatively, an electromyogram may be used to determine problems associated with sensory nerves. With sensory nerves, things are a little bit different. In this case, the electrical simulation is based on neurotransmitters provided from the sensory organs. This electricity then travels back up through the spinal cord toward the brain in order to relay important information. When this information isn’t received properly, an electromyogram may be recommended. Additionally, if sensations of numbness or tingling are reported, I may be able to determine the source of the problem.

How is Electromyography Used?

In order for electromyography to be used, the above criteria must be met. When one of these problems is being investigated, eye doctor will make use of electromyography. To do so, I need a needle electrode may be placed into a muscle so as to effectively read the electrical signal that is received by the muscle. Alternatively, electrode stickers can be placed across the skin to measure the speed and strength of electrical signals sent. This will allow doctors to get a glimpse of the nervous system and the ability to transmit the necessary electrical signal. Once these readings have been taken, a doctor can make a decision regarding treatment interventions required.

When Should Electromyography be Used?

EMG-test-for-extreme-cramping-other-symptoms-best-doctor-nyc-03There are certain conditions that may dictate the need for electromyography. This includes numbness, tingling, muscle weakness, or cramping. In addition, an electromyogram may be used to diagnose conditions such as carpal tunnel. Amyotrophic lateral sclerosis and polio can also be diagnosed with the help of an electromyography. Muscular dystrophy, myasthenia gravis, and even herniated discs can all be diagnosed with the help of an electromyogram. If you have a family history of any of the above-mentioned diseases, or feel you may have these conditions, an electromyogram can help get a definite answer.

Do you think electromyography would help you? Make an appointment today with Dr. Grimm to discuss electromyography.

Dekompressor Discectomy NYC

Dekompressor Discectomy

dekompressor-discectomy-procedure-information-prognosis-treatment-pain-relief-01A dekompressor discectomy is a procedure done to remove a painful region of a herniated disc. This procedure is shown to be effective and as minimally invasive, making it an excellent option for pain relief.A dekompressor discectomy is able to relieve pain and limit muscular discomfort.

What is a Dekompressor Discectomy?

A dekompressor discectomy is a procedure that removes part of a herniated disc. Herniated discs occur when the tissue surrounding the spinal column and between the vertebrae becomes inflamed and swollen. This can be caused by any number of stimuli, including injury, poor posture, and illness. Regardless of the cause, a herniated disc can be very painful. This is because the inflamed tissue can push on the spinal cord, nerves, and other tissues. In the spinal region, there is very limited space. When these tissues and Nerves are compressed, it can be very painful. Therefore, part of the herniated disc must be removed. This surgery is done to decompress the affected area. A needle is inserted aimed at the affected disc. Once the needle is closed, it effectively drills part of the disc away. This creates more space in the spinal region, relieving compression and pain. both before and after, pain and nerve testing can be completed through the use of an electromyogram. This electromyogram will be able to assess the functionality of both nerves and muscles in the affected region to ensure quality of life upon surgical completion.

How a Dekompressor Discectomy Aids Pain Relief

medical-options-for-severe-herniated-disk-top-nyc-doctor-specialist-02As mentioned above, a Dekompressor Discectomy is performed to relieve pain associated with herniated discs. Herniated discs can cause much pain due to compression and pinching of nerves send signal. Therefore, it sends out a sort of “distress signal” to the brain, to inform the body of impingement. This signal is interpreted as pain, and can be very distressing. Therefore, once the blockage is removed, the pain signal is terminated. This provides lasting pain relief, as it does not simply treat the symptoms. Instead, This resolves the problem of a herniated disc and can cause lasting relief. Tests can then be run to ensure proper completion of the procedure required. These tests will analyze the effectiveness of the nerve, the strength of the signal through muscle use, and the range of motion allowed. These should show positive results, with full recovery.

When Dekompressor Discectomy Should Be Used

herniated-disk-extreme-pain-dr-for-pain-management-relief-nyc-03Dekompressor discectomy should be used for those with herniated discs and complaints of pain. However, this might not be the most appropriate treatment for everyone. It is a minimally invasive, low-risk surgery that can be performed on an outpatient basis. That means that someone can come into a clinic, receive this treatment, and return home on the same day. prior to the procedure, the area is numbed with local anesthetic. Care should be exercised, and it is recommended that one not drive for 24 to 48 hours after this procedure is completed.

Do you think a Dekompressor Discectomy would help you? Call Dr. Grimm to schedule an appointment to discuss.

Cervical Nerve Root Blocks

Cervical Nerve Root Blocks

best-nyc-doctor-for-pain-management-injections-relief-specialist-03Pain in the neck or spine can be difficult to pinpoint. Pain can radiate and come from a variety of sources. Due to the complexity of the spinal cord and nervous system, the utmost care must be exercised when medical treatment is provided in this area. Cervical nerve root blocks can be used both to diagnose the source of pain and to eliminate pain.

How Cervical Nerve Root Blocks Helps Diagnose Pain


A cervical nerve block serves to inhibit all signal coming to and going from the region treated. This allows doctors to correctly identify the location and cause of cervical pain. This is done by injecting a small needle into the region of the spine suspected. The region of the spine this medication is applied to is determined based on patient reports of pain, visible signs of swelling, and distal reports of pain and regions of the body innervated by that section of the spine. For example, if nerve pain is suspected to be affecting the legs, the cervical region of the spine would not likely be the cause. Instead, the patient may report pain in the thoracic or lumbar region of the spine. Once the region is grossly identified, the doctor May inject an anesthetic to numb a specific region of the spine. Once this part of the spine is numb, the doctor will use sensory testing to determine if the area questioned is indeed the cause of pain. This procedure is done on an outpatient basis, meaning the patient will be able to coming to a clinic, undergo the procedure, and leave. It is still recommended that someone accompany them, as one should not drive for 24 to 48 hours after receiving anesthetics.

How Cervical Nerve Root Blocks Help Treat Pain


Cervical nerve root blocks can also be used to effectively treat pain. Once the source and region of the pain has been correctly identified, cervical nerve root blocks can numb the region of pain and reduce further swelling. The medication injected in the case of a cervical nerve root block is a localized anesthetic. The same anesthetic will reduce the pain signal leaving the nerve to the brain. For some, this treatment is very effective on the first dose and has long-lasting effects. For others, more frequent treatment is needed in order to see results. Dr. Grimm will be able to give you an anticipated schedule for treatment, but every case is different. It is important to regularly communicate progress and potential side effects in order to ensure safety. As with diagnostic cervical nerve root blocks, this treatment can be done on an outpatient basis. Still, someone else should always accompany the patient to drive. Whenever anesthetics or sedatives are used, it is vitally important that one not operate heavy machinery or drive until the effects have worn off.

Would you benefit from cervical nerve root blocks, either to diagnose or to treat pain? Call Dr. Grimm and schedule an appointment to talk about it.

Thoracic Epidural Steroid Injections Doctor NYC

Thoracic Epidural Steroid Injections

nyc-top-doctor-for-thoracic-epidural-steroid-injections-01Roughly 20% of all people will experience acute thoracic pain in their life. Clearly, this is a common problem. Many treatments exist to relieve the pain associated with thoracic inflammation. These treatments include use of medications, exercise, massage, and surgery. These vary in degree of invasiveness and amount of potential risk involved. In order to provide the best treatment possible, the least invasive option should be attempted first. This includes thoracic epidural spinal injections. Thoracic epidural spinal injections are a minimally-invasive low-risk treatment that provide effective results.

How Thoracic Epidural Steroid Injections Work

lower-thoracic-epidural-steroid-injection-information-specialist-02Thoracic epidural steroid injections are provided by an approved physician on an outpatient basis. This means that the treatment will be completed within the day and the patient will return home afterwards. To begin, localized anesthetic is provided around the injection site so that the steroid injection itself will not cause any pain. Once the target area is numb, the doctor will use x-rays along with colored dye, as well as patient report to target the exact tissues in need of steroid treatment. The steroids act to reduce inflammation which causes swelling and pain. Once the correct area has been located, steroids will be injected and the needle will be removed. What’s the treatment is complete, the patient is free to go. It should be noted that whenever anesthetics or sedatives are used, driving should be limited until the effects have completely worn off.

What Causes Thoracic Pain?


The causes of thoracic pain are numerous and varied. Potential reasons include poor posture, injury, health issues, and more. Common sources for posture related thoracic pain include poor ergonomic and body mechanic technique implementation in the workplace and the car. One important and underrated risk of injury related to the thoracic spine is that involved in twisting. The anatomy of the spine allows for limited rotational movement, such as twisting. However, once this limit has been reached, further twisting or bending will cause injury. The body’s natural response to this injury will include inflammation, providing vital nutrients to the affected area. However, this inflammation also is commonly associated with swelling and pain. Therefore, movements of the entire body should be used as opposed to quick, jerking twisting motions.

Another common source of thoracic pain is associated with internal health problems. For example, developmental issues at any stage can create properly formed bones or tissues in the spinal region. In addition, autoimmune disorders can cause overactive inflammation in the spinal region which results in pain. For any of the above-mentioned concerns, thoracic spinal epidural injections are an excellent potential treatment

How to Maintain Thoracic Pain Relief

The solution to spinal pain concerns lies and the source of the problem. For those who have experienced thoracic pain in conjunction with injury or overuse, home and lifestyle modifications can be done so that further injuries do not occur. This may include something as simple as adjusting the seat in your car. When seated and driving, one should keep their feet around a 45° angle, their knees bent around a 45° angle, and their hips at a 90 degree angle with their back pointed straight. The positioning of the legs has a direct impact on the positioning and strain on the thoracic spine. In addition, massage and exercises can be provided to reduce inflammation and relieve pain.

Are you ready to end your thoracic spinal pain? Call Dr. Grimm to schedule an appointment to discuss thoracic epidural steroid injections to provide you with pain relief.


Lumbar Steroid Injections Doctor NYC

Lumbar Steroid Injections

nyc-doctor-specialist-for-lumbar-steroid-injection-01Pain in the lumbar region of the spine can be difficult to eradicate. Millions of people suffer from acute lumbar pain every year. There are many available treatments, ranging from something as minimal as occasional medications or massage, to more extreme steps such as surgery. When treating lumbar pain, and one should begin with them most minimally invasive and lowest risk potential treatments. If these do not work, further treatments can be looked into along the scale. Before surgery is attempted, all other options should be looked over. One option that many people make use of with great success is lumbar steroid injections. This is a minimally-invasive low-risk treatment that can offer lasting results.

How Lumbar Steroid Injections Work

lumbar-steroid-injection-information-nyc-02Steroids can be injected into the lumbar region of the spine through a minimally-invasive process. This procedure can be undertaken by a physician on an outpatient basis. What this means is that the patient will not be required to stay on-site overnight, but will be able to come into a clinic for the procedure, undergo the procedure, then return home. However, it must be noted that this procedure involves the use of anesthetics and potentially sedatives. Whenever these types of medications are in use, care must be demonstrated when using Motor Vehicles. It is recommended that one not operate machinery for the next 24 to 48 hours. Dr. Grimm will give you more specific instructions on your personal case.

What Causes Lumbar Pain?

lumbar-steroid-injection-graphic-information-nyc-03Lumbar pain can be caused by any number of potential problems. This includes injury, poor posture, or medical reasons. Injuries to the lumbar region are frequently caused by simple, repetitive motions completed improperly. This includes things like bending over, twisting, lifting. The human body is designed to be able to complete these necessary motions, however when we do them improperly they can cause damage to the spine and surrounding tissues. For example, the phrase “lift with your legs, not with your back” is more commonly said than done. All too often, people can be seen lifting while using the muscles in their back. When overexerted, the back will swell with redness and pain. This pain can be alleviated with the use of lumbar steroid injections.

Other causes of lumbar pain can be more medically based. Problems that arise during growth, autoimmune disorders, and tumors can cause swelling and pain in the lumbar region of the back. These symptoms can also be treated through lumbar steroid injections.

How to Maintain Lumbar Pain Relief

Once lumbar pain has been dealt with through lumbar steroid injections, it is essential that every step possible is taken to keep the pain away. The way this is done varies depending on the underlying cause of initial pain. If the pain is caused by poor posture, such as slouching when sitting, exercises and lifestyle modifications can be undertaken to reverse symptoms and prevent further pain in the future. If the underlying cause is a medical diagnosis that is systemic, individual steps to be taken can be discussed.

Are you ready for a life without lumbar pain? Call Dr. Grimm to schedule an appointment to discuss lumbar steroid injections for you.