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.

Pain Management

What are the best methods for pain management? Did you know that 80% of Americans experience back pain in their lives? No doubt, back pain can cause great discomfort and frustration, especially if you have been experiencing it for longer. Nevertheless, most backaches are acute; it lasts for a few days to weeks.

Backaches may interfere with your work, regular activities, and sleep, inhibiting you from living a quality life. While considering that, it is essential for you to undergo pain management, so that it relieves the distressing backache, enabling you to live your life to the fullest.

What Causes Back Pain?

Accident, aging, and strenuous activity can lead to spinal pain. While these are the major causes, here are some other common sources of spinal pain:

  • Overstretching of ligaments
  • Compression in intervertebral discs
  • Tearing of muscles or tendons
  • Discs degeneration due to aging
  • Compression or inflammation in spinal nerve route
  • Discs become swelled due to compression
  • Dislocation of the lower spine
  • Wear and tear in bones, discs, and joints
  • Inflammation of the vertebrae
  • Curvature of backbone
  • Narrowing of the vertebral column

What are the Treatment Options for Pain Relief?

When it comes to back pain, there are several treatment options that your pain doctor will recommend, depending on your condition. However, most medical professionals use multiple treatments that include new methods.

Physical Exercises

Stretches can help alleviate your back pain by strengthening your muscles that support your spine. Performing specific exercises for backache will help improve your backbone posture while promoting flexibility and mobility.

Complementary Approaches

Spinal mobilization and manipulation may work in improving your back pain. Other than this, acupuncture, massage, and yoga have shown effective results for spinal ache.

Medications

Your pain doctor may give you muscle-relaxing analgesics such as aspirins and acetaminophen to relieve your backache. Besides, you need to take anti-inflammatory non-steroidal drugs, such as ibuprofen to lessen the pain.

Radiofrequency Ablation

Your pain doctor may administer the pain relief medicine through radio waves. A medical professional inserts a needle into the affected nerve and zaps it with electric current with radio waves, which create short-circuits to relief pain.

Behavior Adaption

By learning the ways to keep your body posture proper while performing daily activities can help with back pain. Not to mention, pulling, pushing, and weight lifting can help mitigate your pain. Besides, proper diet, regular sleep, relaxation, and exercises can also lessen your spinal ache.

Spinal Injections

In severe cases, a pain doctor administers the steroidal anti-inflammatory injection in your spine. However, it provides the patient with short-term relief. Therefore, you may need multiple injections from time to time to reduce the pain.

Surgery

If none of the above mentioned treatments could help improve your condition while reducing your pain, then you probably have to undergo surgery. Your pain doctor will recommend it, particularly when other conservative methods have failed.

Why Do You Need to See the Pain Doctor?

If you have been experiencing chronic back pain that could not get better with at-home techniques, then you must consider seeing the pain doctor urgently. Note that, neglecting a long-term pain can lead you to further complexities.

The treatment for back pain needs to be administered properly. Matthew Grimm, top Manhattan Pain Doctor, is a specialized doctor that provides the patients with safe and effective treatments for backaches and musculoskeletal pain.

Pain in Men vs. Women

In recent years there has been much research regarding differences experiencing pain in men vs. women. The expansive literature in this area signifies that men and women have different responses to pain. Higher pain sensitivity and risk for clinical pain is more common in women. Although there is no specific etiological basis that underlies the sex difference in pain. However, certain biological and psychosocial factors may contribute to different responses to pain.

Possible Factors for Sex Difference Regarding Pain

Studies also suggest that men and women differ in responsiveness to pharmacological and non-pharmacological pain intervention. The genes have an important role in pain sensitivity. Structural changes in genotype among men and women could be a possible factor. Endogenous opioid-functioning could be another factor. It regulates the receptors in your body that are responsible for pain. It is important to realize here that response to pain, however, can be a subjective matter as well.

Psychosocial factors such as early-life exposure to stress and suffering pain might elucidate the sex difference in pain. Moreover, the gender-stereotyping notion has also contributed to the difference in expressing and responding to pain. Much of this stereotyping is quite common in different countries and cultures of the world.

One must not ignore factors like behavioral responses to children when they complain about pain and their after effects on a person’s life. A child might stop complaining about pain altogether if a common response to his/her complain is scolding and shouting. A similar response to pain in children can be a result of parents telling them to face the pain toughly.

Sex hormones can also have an impact on pain. Testosterone is believed to have an analgesic effect and that’s why men’s response to certain pains is calmer than women’s. As a result of hormonal differences, women experience more chronic pain than men when they have back problems. Decreased levels of progesterone and estrogen after menopause can make a woman’s body vulnerable to inflammation and pain.

Regardless of the medical condition, women seem to report feeling more pain than men. Studies have suggested the same elevated sensitivity to pain in women when it comes to serious chronic illnesses like arthritis, diabetes, etc.

The difference in Backache and Spine Related Problems

Epidemiological stats tell us that women have complained more about acute and chronic pain.  Several factors make women a little more susceptible to backache and vertebral problems than men.

Pregnancy and childbirth increase the chances of a herniated disk. Lifting a heavy child for a long time can further elevate the risk of backache and vertebral disk problems.

Calcium deficiencies and bone-related diseases are twice as common as in men.  About one in every three women has a calcium deficiency. Change in diet and lifestyle has more contributed to calcium deficiencies resulting in weaker bones in women these days.

With weaker bones, risks of bone disparities, and pain becomes high. Osteomyelitis, osteoarthritis, and osteoporosis have become women-associated diseases. Women also get more knee replacement surgeries than men.

FINAL THOUGHTS

Backache problems and spinal conditions are serious for both men and women. If you have backache or pain in arms and legs that is causing you discomfort, then you must not ignore.  

Contact Dr. Matthew Grimm at 646-862-5555 to book a consultation. Spine New York City specializes in general pain and spinal conditions.

Neck Pain

Do you have neck pain? Your neck has muscles, namely gross motor muscles. These muscles allow you to move your neck and head in every direction with ease. When your neck is aching and the pain is unbearable, it makes it very hard for you to move your neck in any direction. It makes you uneasy and uncomfortable. Mainly, inflammation or injuries in the neck muscles or ligaments are the root cause behind the pain and stiffness.

Causes of Neck Pain

The most common cause is the straining of your neck muscles. This usually happens because of poor postures, accidentally jerking your neck while working out or lying under the air conditioner right after a sweaty work out session. Your body tends to get stiff, when you expose it to sudden temperature changes.

A neck injury after an accident, can be another cause of neck pain. It could be an indication of issues with your neck bones. There is a chance of a fracture as well.

Necks pains are typically not that severe and may heal in a week’s time. However, in some cases, neck injury can be alarming as well. Severe neck pain is a symptom of heart attack. It is important to note that if this symptom occurs with other heart attack symptoms, only then there is a high probability that they lead towards a heart attack. Other symptoms include, nonstop vomiting, excessive sweating and nausea. If you detect these symptoms in yourself or a loved one, please know that it requires immediate medical attention.

Rheumatoid arthritis can also be a cause of neck pain. It is a long term condition in which your joints get stiff and ache a lot. It causes a lot of swelling in the bone spurs and can result in unbearable neck pain.

Treatment

Taking pain relief medicines like Aspirin or Tylenol usually helps. It may vanish in a couple of days. If you spot redness and swelling, keep an icepack on your neck and shoulders. Or you could use a heating pad. Use either one of the two. Also, try getting a massage from a massage therapist. Make sure your neck aligns well with your body when you lie down. Use a neck pillow for sleeping and take hot water showers.

If you have tried every remedy there is and you still can’t find relief, you must seek medical help as soon as possible. We can guide you properly. Specialists thoroughly examine your condition, conduct blood tests, MRI scans or X rays. We go through a complete diagnosis process to ensure we put our finger on the right problem. You don’t know how severe your condition is, so it is better to get a proper checkup. After we have diagnosed the cause of your neck pain, we can recommend therapies, chiropractic treatment or acupunctures, depending on your condition.

Bottom-Line

To conclude, it is vital for you to consult a doctor if your pain is getting out of hand. While home remedies may successfully provide short term relief, they cannot be a long-term solution for the problem. In some cases, neck pain tends to reoccur. If that has happened with you, get in touch with us and we will help you with this condition. Make a decision before things get worse. Schedule your appointment with the best pain doctor in New York.

Matthew Grimm, MD
646-862-5555

Methods to Manage Chronic Pain

If you are living with a physical discomfort arising from your back or spine for longer than three months, you have developed chronic back pain. While many people neglect the pain, it can lead to severe ailments. Therefore, it is necessary to visit a pain doctor to prevent severity. Discuss the symptoms with your doctor to identify the source of the condition. This way, your doctor will give you a comprehensive treatment plan. While over-the-counter (OTC) medications can help manage the pain, you may also need to undergo multiple treatments, which include:

  • Psychological counseling
  • Relaxation techniques
  • Exercise
  • Acupuncture
  • Physical therapy

No doubt, managing chronic pain is complex because what can work best for one patient may not be effective for another. However, besides these medical treatment options, your doctor may recommend you to practice at-home caring methods to manage the chronic pain.

Mediation and Deep Breathing

Meditation and deep breathing are one of the effective techniques that help your body relax, which further alleviates your chronic pain. While doing meditation, ensure to choose the techniques that are specifically useful for helping with aches.  Other than this, ignoring thoughts while focusing on breath will relax your body.

Reduce Stress

While having chronic back pain, you are like to be vulnerable to complexities. At this point, it is imperative for you to manage stress, anxiety, and depression with certain techniques. Not to mention, these negative feelings can make your body more susceptible and sensitive to pain, intensifying the ache. The techniques that help reduce anxiety and depression include listening to calming and soothing music. It will help improve your mood, making a living with chronic pain tolerable.

Exercise

You can boost the endorphins with exercising, a chemical in your body that may help reduce the pain. It is important to mention here that endorphins improve your mood while disrupting the pain signals. Therefore, performing physical exercise can have a positive effect; it will strengthen your muscles and prevent further severity.

Besides other exercises, you may practice yoga poses; it may help reduce the pain. Some medical professionals believe that doing yoga can provide patients with long-lasting benefits.

Stop Smoking and Drinking Alcohol

While pain already interferes with your sleep, drinking alcohol will make the problem worse. So, if you have been experiencing chronic pain, make sure to cut down alcohol from your life to prevent the pain creating more discomfort to you. Other than this, keep in mind that smoking can increase the risks associated with the condition; it will worsen your back pain and may result in severe illnesses, such as cancer and heart disease.

In Conclusion

If you have been experiencing chronic back pain that doesn’t get better in several days with home care, then you must seek out an experienced doctor immediately to help with your condition. In other words, if your pain does not go away in 3-months, it could indicate a sign that your condition has become complex. As a result, you need a professional’s consultation.

If you leave the chronic pain without treating it, you can develop serious medical conditions, including permanent physical disability. If you are having chronic back pain, schedule an appointment with Dr. Grimm. He will help diagnose and treat your chronic pain.

Call today: 646-862-5555

Doctor For Lower Back Pain

How do we find a good doctor for lower back pain? Let’s first learn about the subject. According to the National Institute of Neurological Disorders and Stroke (NINDS), around 80% of Americans experience lower back pain in their lifetimes. Not to mention, most low back pain occurs due to an injury, including strains and sprains resulting from poor posture or sudden movement while lifting heavy objects.

Besides, ruptured herniated disc, kidney infections, arthritis, sciatica, and cancer of spinal cord are some of the diseases that can lead to lower back pain. No matter the cause, lower back pain can create great discomfort for patients. Some people may experience acute lower back pain that usually lasts for a few weeks, whereas other patients have chronic lower back pain that lasts longer than three months.

The Causes of Lower Back Pain

Lower back pain usually occurs in adults between the ages of 30-50 years. With age, the fluid between the vertebrae reduces, which is partly responsible for causing lower back pain. As a result, your spine is likely to experience irritation. Since your body undergoes certain changes as you age, you lose some muscles tone, which further makes your back more susceptible to injury.

  • Strains, which involves tearing of muscles or ligaments
  • Discs injury stemming from compression of nerve root
  • Sciatica that occurs due to the herniated disc
  • Spinal Stenosis in which your spinal columns narrow
  • Curvatures in the spine because of lordosis, kyphosis, and scoliosis
  • Arthritis, the inflammation in bones
  • Chronic pain and tenderness in the joints
  • Inflammation of the spinal bones joints
  • Ovarian cysts
  • Endometriosis
  • Uterine fibroids
  • Pregnancy
  • Bladder and kidney problems

When it comes to diagnosis, most pain doctors conduct a physical examination to determine the severity. Also, the symptoms include weight loss, fever, weakness, and lack of bowel control. Therefore, if you are experiencing any of the mentioned symptoms along with lower back pain, seek out to a lower back pain specialist to address your problem.

The Treatment Options for Lower Back Pain

If you are having acute lower back pain, it may alleviate with simple home care. For home care, give yourself full relaxation and apply icepacks to your lower back. Along with that, take over-the-counter (OTC) pain medication, such as acetaminophen and ibuprofen. However, keep in mind that if you notice no improvement in your pain for the first seventy-two hours, then you should consider visiting your doctor.

Medical Treatment

As mentioned before, lower back pain can occur due to a variety of conditions, including spinal cord misalignment, weakness, pinched nerves, and muscles strain. There are several medical treatment options, including physical therapy, medical appliances, and medications. Depending on your condition, your pain doctor will examine your symptoms and prescribe the appropriate dosage for you.

Some of the medications that prove to be useful in alleviating lower back pain include NSAID’s, muscles relaxants, corticosteroid injections, and narcotic drugs. In addition to medication, your medical professional may prescribe physical therapy that includes spinal manipulation, stretching, massage, and strengthening exercises. In severe cases, you may need to undergo surgery, particularly when all other treatments fail.

In Conclusion

Lower back pain is one of the most prevalent conditions among Americans. Therefore, whether you are experiencing acute or chronic lower back pain, consult visiting Matthew Grimm Manhattan Pain Doctor in NYC.


Matthew Grimm, M.D.
West Side
343 West 58th Street
Suite 11
New York, NY 10019
—-
East Side
160 E 56th St
11th Floor
New York, NY 10022

646-862-5555

Doctor for Pain Management: What to Look For

What do you look for in a doctor for pain management? Every pain has a different story. Pain is real and makes its presence felt. The intensity and frequency of pain vary from person to person, depending on the root cause. Some pains are temporary and get better with time while others can stay for a lifetime.  Pain has different forms; it may be acute, chronic, cancerous, or a combination of all.

Sometimes an injury, a surgical treatment, or a damaged-nerve, may trigger excruciating pain. You will be surprised to know that nearly 1.5 billion people around the world suffer from chronic pain. One hundred million affectees live in America only.

Pain Management

Living with chronic pains is tough. It may not completely vanish, but you can manage your pain. Physical, psychological, and behavioral therapies work well to manage the pain.

While home remedies can help with acute pain, you will need special assistance in dealing with chronic pains. Note that you can’t treat pain unless you diagnose the trigger. Physiology of pain is a vast field. The increasing pain complications have given rise to the need for specialized pain managing doctors.

Pain Management Specialists

A pain management specialist has expertise in evaluating, diagnosing, and treating pains of all kinds. They can identify the pain condition and prescribe the right treatment. A specialist in pain management has the skills to perform medical procedures to relieve the pain.

For treating complex pains, there are several new drugs and techniques. A pain management specialist knows how to use the knowledge for helping his patient. A physician with proper pain management training adopts a multidisciplinary approach combining different therapies with primary care.

An Ideal Pain Management Specialist

Sometimes the experience with a pain management specialist itself becomes “painful.” Finding the right specialist for managing your pain is tricky and emotionally challenging. Here are some qualities to look for in your pain management physician.

·       Training and Certification

Make sure that your doctor has the specific training for managing the pain you are facing. After graduation in pain management, a physician has to complete a one-year fellowship program. Once a doctor receives certification in a primary field of his choice, he/she may apply for board certification in pain management.

Based on the fellowship training, he/she has to pass the exam from either of these boards; The American Board of Anesthesiology, The American Board of Psychiatry and The American Board of Neurology, or the American Board of Physical Medicine and Rehabilitation.

·       Experienced in Pain Management

It is important to know if your doctor has chronic pain management experience –especially the ailment you are facing. An experienced doctor can understand your condition better. Go through the websites and read reviews of the patients your doctor has treated.

·       Good Listener

When you are going through excruciating pain, you look for someone who can address your concerns. You want your doctor to diagnose the pain and suggest suitable treatment carefully. If he does not have good listening skills, a pain management doctor may miss out some important details. Hence, he won’t be able to help you effectively.

·       Empathetic

Efficiency and empathy is an ideal combination, but it is difficult to find.  Your doctor may be efficient but may lack empathy. Admit it that you feel comfortable with a doctor you have a good rapport. The friendly manner of the doctor relieves half of the stress and pain. An indifferent doctor may excavate your pain instead of relieving it.

·       Abreast with Medical Advancements

Pain management has completely transformed over the years with technological advancement. Who could have thought a spinal cord stimulator would ease the chronic pain? Find a physician having a keen interest in all these advanced treatment options. They will have a better solution for your pain issues.

So, if you are going through any pain and can’t handle on your own, it’s time to get the expert’s help.  Book an appointment today with Spine New York City for a pain-free, healthy life.

646-862-5555

Chronic Knee Pain

What is Knee Pain?

Knee pain is a very common complaint. Someone who is suffering from intense knee pain would notice swelling in their knees. Individuals from all ages can be the victims of chronic knee pain. Knee pain can be very irritating because it may hinder your routine activities. You will be unable to walk with ease. However, the effects of knee pain vary from person to person.

It is important to know about your knee structure. Your knee itself is a joint that holds together your thigh bone, shinbone and your knee cap. Ligaments also help connect the three firmly. Then, there is cartilage which is a fluid that lubricates and allows movement. The structure also has tendons.

Causes

The main cause of knee pain is injury. A bad accident or slipping usually results in a damage of the knee joint. The rupturing of your ligaments can also result in severe knee pain. Obesity is another factor that leads to unbearable knee pain. This is when your body weight increases excessively and your legs find it hard to carry all the weight as you stand.

Arthritis is one major cause of chronic knee pain. This is a condition in which one or both of your knee joints see abnormal inflammation, causing stiffness and pain. Sometimes, intense trauma (Such as: Traumatic injury while doing sports) leads to the dislocation of your knee cap. This makes it hard for you to walk or move your leg in any direction.

Another factor leading to knee pain could be, having a strained muscle. This problem may be fixed by doing a couple of knee exercises or getting a hot oil massage done. However, if still no relief is found, the sufferer must get in touch with a doctor.

Treatment

Doctors prescribe pain killers for relief. Patients with arthritis need drugs with anti inflammatory properties that help lessen the swelling. In some cases, physical therapy sessions can be of great help as well. However, you have to be regular with these sessions to see an obvious improvement in your condition. In these sessions, the available staff will teach you exercises that apply to your condition and would help you heal. Other than that, your specialist will also give you a proper and detailed exercise plan.

Trying home remedies can also provide instant but short term relief. Yes, they can be a great help to nip the pain that’s causing discomfort, but you should visit a doctor as soon as possible too. Try keeping an ice pack on the swollen parts to get rid of the inflammation. You must also shed some weight and work on improving your eating habits. Cardio exercises and taking a walk at the park in the morning helps immensely. Do not walk too fast if your weight is causing pain in your needs and joints.

Bottom-Line

To conclude, it is always wise to get in touch with a doctor before your situation worsens. We can guide you and help you solve the problem after thorough examination. Do not suffer in silence, especially when the best help is not too far from you. You might not know the severity of your condition and what your symptoms maybe leading towards. We advise you to connect with us and schedule your appointment with the best Manhattan pain doctor.

Matthew Grimm, M.D.

646-862-5555

Cervical and Lumbar Epidural Steroid Injections

An epidural steroid injection brings numbing anesthetics and steroids in the epidural space surrounding the spinal nerve roots. Epidural steroid injection is useful for reducing the pain and inflammation resulting from irritated spinal nerves that have become the source of the pain.  The dislocation of the disc (herniated disc) or a bone spur are usually the causes of irritated spinal nerves.

An epidural steroid injection works by delivering steroids to the painful area to decrease the inflammation and pain. It is possible that the flushing effect of injecting the steroid causes the inflammatory agents to flush or move out form the nerves. Removal of inflammatory agents also helps in quick healing, relieving from pain, and irritation. The doctors give epidural injections in the epidural space of either cervical nerves or lumbar.

When Do You Need an Epidural Injection

You will need a cervical epidural injection if you have either of these: Cervical Disc Herniation, Cervical Radiculopathy or Cervical Spondylosis. You are most likely going to get a lumbar epidural injection if you have lower back pain, leg pain or sciatica.

What Happens After an Epidural Steroid Injection

The procedure for an epidural injection is the same for the cervical and lumbar. Only the administration of the epidural varies.  Following are the steps for the procedure:

  • The surgeon will start an IV so they can give you medication if you need it for relaxation.
  • You will lie on your back on an X-ray table. They will clean your skin with an antiseptic.
  • The injection site will receive a numbing chemical to avoid the pain.
  • Fluoroscopy ensures the accuracy of insertion, movement, and placement of the needle.
  • FDA approved contrast dye helping in identifying that the medicine has spread through the epidural space and reached the target nerve.
  • The surgeon will then insert the needle carefully in the epidural space.
  • The procedure takes around 30 -45 minutes. Next, there will be a recovery time of 45 minutes at the clinic. You should not drive right after you have had an epidural injection.

What Happens After an Epidural Steroid Injection

After the epidural injection, you may experience some numbness in your arms or legs. It is the result of the anesthetics. You are more likely to feel partial numbness that wears off in a few hours after the surgery.

When the effect of steroid wears of you will feel pain. The pain may last for several days. Improvement in pain would occur within ten days. Keep a record of all the pain and relief you experience. Show the record to your surgeon when they call you for a follow-up. Your surgeon would then suggest tests or further treatment accordingly if they need to.

You can go back to your normal routine after 24 hours. But it is better to take rest the following day. Do not lift heavy objects or bend as this would cause pressure on your spine and may increase the pain. You can do light exercises and gradually increase them over one or two weeks.

Do You Need Epidural Steroid Injections?

Just because you are getting old does not mean you have to bear with the pain. Contact us at 646-862-5555 to book a consultation. Spine City New York treats each patient differently according to their medical history and present conditions. We will guide you better as to whether you need epidural injections or other pain-relieving procedures.

Injections for Pain

Neck and back pains can become a source of discomfort, interrupting your daily routine. You may face some serious trouble in small activities like sitting, standing, or even walking. Back pains may grow down to arms or legs and may lead a person to disability.

Your neck and back muscles may strain because of a poor posture – especially when you are in front of a screen. Sometimes the pain gets better with time, but chronic pains may be excruciating. Doctor visits for pain management are common worldwide.

You may relieve the pain with exercise, over-the-counter pain relievers, therapies, or oral medications. However, your doctor may give you a shot to ease your pain and inflammation.

How do Injections Help?

Injecting shots is a non-surgical treatment. Injections may treat your acute or chronic spinal pain, providing relief. Doctors use injections for diagnosis as well as treatment purposes.

The doctors inject the suspected area with numbing drugs, such as anesthesia. If the patient experiences pain relief, it confirms that the specific joint, or part is the pain source.

Compared to oral medications, injections may provide instant relief in your inflammatory or damaged nerve. Injections also help in case of spinal stenosis –narrowing of the spine.

Common Pain Injections

For treating neck and back pains, doctors generally use therapeutic injections. The pain may stem from a facet joint, a spinal nerve, or an intervertebral disc. Here are some common pain reliever injections.

·      Epidural Steroid Injections

The injections contain corticosteroid; a common steroid; and a numbing drug. The shots help to reduce inflammation.

For Back Pain: The doctor injects the medicine in the epidural space – the area around the spinal cord.

For Neck Pain: The doctor injects the shot in the facet joint located in the cervical spine bones or neck muscles.

·      Selective Nerve Block Injections

Selective nerve blocks numb a specific spinal nerve. The doctors mostly inject lidocaine (common anesthesia) around the targeted nerve. The numbness provides instant relief from the pain and lasts for several hours.

·      Medial Branch Nerve Blocks

The physician deposits the medicine around medial spinal nerve branches. Medial branch nerve is responsible for sending pain signals from the arthritic facet joints to the brain. Medial branch nerve blocks can provide instant relief from neck pain. They may also comfort and ease the headaches stemmed from the neck.

·      Discography

Nerve blocking injections also serve as diagnostic injections sometimes. The doctors inject the shots to identify the root cause of back pain. Discography helps the physician to outline the best treatment. He may inject both a steroid and anesthetic drug in the epidural space of your spine or may choose another option.

·      Sacroiliac (SI) joint injections

There are two sacroiliac joints in our lower back on either side of the spine. These joints connect our lower spine and pelvis. A pain may stem from the lower back advancing to the buttock region. The pain triggers when inflammation of SI joint occurs. Sacroiliac joints injections provide relief for several months.

Some of the injections provide instant relief, while some become effective in a week or two. Depending upon the type of shot you have received, you may need to rest. Your doctor may ask you to limit your physical activity. The above mentioned and other injections help to strengthen your muscular system.

Bottom Line

Pain injections can help with acute and chronic Spinal and musculoskeletal pains. With proper pain management, you can prevent surgical intervention. Contact us today and book an appointment with Spine New York City for your spinal treatment.

Matthew Grimm, MD
646-862-5555

Sciatica: Definition, Causes & Treatments

Sciatica is an incredibly common, but mostly misunderstood, condition. Some estimates show that up to 40% of the population will deal with some kind of sciatic pain. That risk gets even higher the older we get. But what exactly is sciatica? What causes it? And what can be done to treat sciatica?

What Exactly is Sciatica?

sciatica-definition-causes-treatments-info-01Sciatica is the name for pain in the sciatic nerve. Due to the size, shape, and location of the sciatic nerve, it is prone to pinching and irritation. This causes pain that can radiate down the lower back, hip, knee, ankle, and foot. However, sciatica is commonly used as a catch-all term for lower back pain. Not all low back pain is caused by the sciatic nerve.

A few telltale signs of sciatica are lower back pain or pain radiating to the to the ankle, knee, or hip. This pain is usually exacerbated by bending at the lower back, twisting, coughing, or lifting with the back. If this sounds like you, make an appointment with Dr. Grimm so that you can find out for sure.

What Causes Sciatica?

what-causes-sciatica-02Sciatica can be caused by any number of underlying problems. Common problems include bulging or herniated vertebral discs, spinal stenosis, and spondylolisthesis. Additionally, there are a number of systemic problems that can lead to compression of the sciatic nerve. A growth, such as a hematoma, can potentially put pressure on the sciatic nerve and cause sciatic pain radiating down through the lower back and leg.

After a traumatic event, such as a car accident, shifting structures in one’s body can add additional pressure and cause sciatica. It is also possible for sciatica to be caused by poor body mechanics and ergonomics. Sitting in a tight position for too long can put pressure on the sciatic nerve. One important concept to understand about sciatica is that pain can be referred. This means that pain will be felt in one location, but the actual site of the cons of the pain is another. It is essential to know the underlying cause of your sciatica in order to treat it effectively.

How Sciatica is Treated

treatment-options-for-sciatica-positive-prognosis-03Thankfully, sciatica is a very treatable condition. The exact treatment pursued will depend on the severity of the pain, the cause of the pain, and the exact location the pain originates from. For some people, sciatica can be treated simply through stretches and physical therapy treatments. For others, surgical intervention may be required.

As a general rule of thumb, we like to begin with the least invasive possible treatment and work our way through treatment alternatives. This will allow us to find the treatment for you that allows for a quick and painless recovery. Another commonly used treatment intervention is a prescribed painkiller. This medication will bring down the swelling that may be causing the nerve to be pinched and will help with current pain as well. In the meantime, many have found that using ice packs and regular physical exercise keeps sciatic pain to a minimum. In addition, any environmental causes of swelling or pinching of the nerve should be identified and eliminated.

It should be noted that the majority of people who deal with sciatica do not need to have surgery to eliminate their pain. The sooner treatments begin, the more effective they are and the more likely it is that a less invasive treatment will be effective.

Are you dealing with sciatica? Come make an appointment with Dr. Grimm to develop a treatment plan for you.

Matthew Grimm, M.D.
West Side:
343 West 58th Street
Suite 11
New York, NY 10019

East Side:
160 E 56th St
11th Floor
New York, NY 10022
646-862-5555