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.

Category Archives: Cervical injection

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

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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

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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.

Facet Joint Injections, Cervical and Lumbar

 

BestPainDoctorNYC1Facet joint injections are safe and effective non-surgical treatments used to relieve pain and inflammation in the facet joints of the spine.  The bones of the spine (vertebrae) are connected to each other at the facet joints, which are located at the top and bottom of each vertebra. These joints allow the spine a range of motions. However, conditions like spinal stenosis, sciatica, herniated disc, and arthritis can cause damage to these joints, leading to chronic pain and inflammation. These may also be accompanied by limitation in spine movements, especially in the neck (cervical) and lower back (lumbar) areas. Aside from these areas, pain may be referred to other parts of the body such as the shoulders, upper back, buttocks, hips, groins, or down to the knee. A Chronic Pain Specialist may recommend facet joint injections to manage these symptoms and allow proper healing.

How Facet Joint Injections WorkBestPainDoctorNYC2

Facet joint injections aim to reduce the inflammation of the joints in the spine. Cervical facet injections reduce neck pain, as well as pain that spreads to the back of the head, shoulder or upper back. Lumbar facet injections, on the other hand, reduce the low back pain, as well as pain that spreads to the buttocks, hips, groins and knees.

Facet joint injections are administered into the lining of the spinal joints where a soft membrane called synovium can become inflamed, causing pain and muscle spasm. The painful area is targeted and a combination of a local anesthetic and an anti-inflammatory drug (steroid) is injected to bathe the affected joint. The treatment has a localized effect, thus avoiding the widespread effects of oral medications. The result is a significant reduction of inflammation and pain over time, which allows one’s muscles to relax and consequently improves one’s mobility for a period of weeks or months. It also facilitates healing and improves a patient’s ability to resume normal activities as well as exercise.

BestPainDoctorNYC3General Procedure

Facet joint injections are usually performed as an outpatient procedure by a qualified Chronic Pain Specialist who is an expert with the treatment. After thorough evaluation, the patient is briefed about the procedure and prepared beforehand so that he is relaxed. He may be given an oral medication to relax.

The patient is asked to lie face down on the examination table.  The injection site is first sterilized and then numbed using a local anesthetic. Using an imaging device to guide the placement of the needle, the doctor targets the affected facet joint and carefully injects the medication.

The patient is monitored for about an hour before they are discharged. They will be asked to evaluate their improvement in the succeeding week and report for follow-up. Repeat injections may be performed up to three times a year if needed.

BestPainDoctorNYC4Contact Us

Facet joint injection is a minimally invasive, safe, and effective means of treating neck and back pains that are unresponsive to other forms of treatment. If you want more information about treating chronic neck and back pain, contact our Pain Management Specialist who will examine you and conduct tests to determine the cause of your pain.  Make an appointment with the NYC’s top board-certified interventional pain management physician to know if facet joint injections are a treatment option for you.Hives Treament Top Allergist NYC4