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.

Postsurgical Pain & Treatment Options

What is postsurgical pain and what are the treatment options for it? After you’re through with successful surgery, your doctor’s next goal is to help relieve post-surgery pain as soon as possible. Postsurgical pain, also known as Postoperative pain, can affect numerous aspects of your life, depending on the type of surgery you choose. Pain control is important after surgeries, as it alleviates feelings of discomfort and speeds up recovery. It also reduces the risk of any further complications that you may experience. There are numerous ways to treat postsurgical pain. Medicinal treatments and physical treatments are available, but these are just the tip of the iceberg.

Your doctor will discuss the type of pain you will experience and what to do about it before you go into surgery, but to fully prepare yourself, read further below and learn more about this type of pain and treatment options.

Postsurgical Pain Treatment

Types of Pain You Will Experience Post Surgery

Experiencing pain after your surgery is quite normal. You may feel numb most of the time, especially if you were under anesthesia. You will sense pain in different places; the most common types of pain you will experience are:

  • Throat Pain: (itchy and sore throat)
  • Muscular Pain: (neck, chest, back, shoulder muscles) due to lying on the operation table for a long time
  • Movement Pain: You will find it difficult to walk, could and sit up straight after your surgery, and when you do, you will experience pain

Postsurgical Treatment Options

You can opt for some treatment options before you go in for your surgery. These treatments will help prevent pain post-op, but you will still experience a slight amount of pain after surgery. Mentioned below are some postsurgical treatment options:

Spinal Anesthesia

You may be under spinal anesthesia when going through your surgery, as this helps relieve pain after your surgery. Your doctor may also prescribe slow-release Opioids so you don’t experience pain for at least 24 hours.

Intravenous Pain Medication (IV)

You may be given a few pain medications before your surgery, inserted through a slender plastic tube. Medications such as opioids are injected into the IV catheter.

Nerve Block

Nerve blockers provide pain relief to a certain area of your body and prevent any pain from reaching your brain. Nerve blockers consist of a local anesthetic that gives pain relief for a few hours. To give this out, the doctor will use an injection and may insert it into your IV catheter for a longer pain control effect.

Postsurgical Postop Pain Treatment Options

Epidural Analgesia

Epidural analgesia involves injecting pain medications through a catheter that gets into the epidural space outside the spinal fluid and within the spinal canal. The epidural catheter will be left in for a few days depending on what your doctor says to help control the pain. There will be a constant flow of painkiller medication given through the catheter.


Not all surgeries follow with pain, especially minor ones. If you’ve gone through minor surgery, you will experience pain that you can easily control at home too. For this, your doctor will prescribe a few painkillers, such as NSAID, Opioids, and Acetaminophen. You must follow the dosage and take them regularly as prescribed by your doctor. This way, you control the pain and can continue day-to-day activities.


Mediation is also a form of post-surgery treatment, as it helps relax the patient’s muscles and help them with any trauma experienced after the surgery. Many patients tend to experience post-surgery depression, and meditation can help with this as well.

Wound Infiltration Anesthesia

During surgery, your doctor may give you an anesthetic drug by placing in it the catheter or on the wound. Local anesthesia helps with the pain and reduces the use of opioids.

Postsurgical Pain Treatment: Final Words

It is best to prepare yourself a bit about how to handle the pain, as once you come out of surgery, you won’t have the energy to find out. Though you will have the guidance of the hospital staff and your family, it is still best to always keep yourself prepared, as no one else can feel the pain you will go through after surgery. Sometimes, the pain isn’t that bad and is easy to manage, but in certain situations, it’s the exact opposite. If you’re still experiencing bad postsurgical pain, get in touch with one of New York’s finest pain management specialists, Dr. Matthew Grim.

Best Treatments for Chronic Pain

What are the best treatments for chronic pain? In general, the sensation of physical pain is your body telling you that something bad is happening. This is incredibly good in terms of self-protection and awareness. The feeling of pain is indicative of the brain signaling that something is wrong and you must protect yourself or get away from it. The problem begins when the pain does not go away and starts occurring more frequently for months without any external stimuli.

Chronic Pain

The pain that lasts you at least three months or more is chronic. Suffering from chronic pain is the worst, as it can take a serious toll on your physical and mental health. More importantly, it can disrupt your quality of life by making you lose focus.

Chronic pain can be the brick wall that comes between your pursuits, happiness, and career. Fortunately, different kinds of chronic pain have different kinds of treatments. With adequate knowledge and insight, you can describe the specific type of chronic pain to a professional.

Your accurate description of the pain is a crucial step that can help them find the best treatment for your chronic pain. Sensations can either be throbbing or achy and also stabbing and tingling. Both indicate a different type of pain that comes with a specific type of treatment.

Best Treatments for Chronic Pain

Chronic Pain Treatment

Initially, recognizing that you have chronic pain is your first step towards treatment. After that, you must identify the type of pain that you experience, its frequency, intensity, and sensation. The most common treatment of pain is over-the-counter medicines. However, the best ways to treat chronic pain involves a combination of many different methods, including medication.


There are two medications that you can take for chronic pain – non-prescription and prescription medication. Non-prescriptive medication is the milder one that may help with temporary pain relief of mild to low pain problems.

On the other hand, for a more severe pain problem, you have to resort to steroidal and heavier medications that require a doctor’s prescription. These are higher doses that mostly account for numbing the pain and have side effects.

Moreover, there are also topical options, which are external-use creams and balms. These relieve pain by providing temporary relaxation by either heating or cooling down the specific area. Some have anti-inflammatory ingredients that can help alleviate inflammatory pain.


A specialist may also use trigger point injections to treat pain in a specific region of the body. Usually, this method comes into play when muscle knots form in the specific trigger points of a muscle.

The procedure requires the practitioner to inject an anesthetic into the muscular region so that the trigger point becomes inactive and unable to cause a painful sensation. This may only result in a brief relief of the pain until the anesthetic wears off.

Trigger points and injections are an effective treatment for chronic pain in the arms, back, neck, and legs. Furthermore, injections for pain are instrumental solutions for temporary relief so that you can properly perform physiotherapy exercising or recovery movements.

Intrathecal Pump Implant

This is another interventional treatment of chronic pain like injections. The intrathecal pumps refer to small devices that doctors surgically insert inside the skin so that they can provide pain relief medication directly to the source of pain whenever you experience it.

Doctors will consider this method when other methods such as medication and injections fail to provide relief. Unlike injections, this method is more invasive since it requires the refill of the pump after a couple of months.

The best part about this method is that you do not have to worry about the medicine wearing off; the pump provides consistent medication to the pain-infused area. The pump may also provide you freedom from any oral medications that you might be taking.


This method involves the use of X-ray guidance and an electrode. Radiofrequency Rhizotomy helps diffuse the nerves’ capability to send pain signals to the brain.

Radiofrequency ablation is not the sole treatment for chronic pain; however, it can help you get pain relief for a good couple of months. Doctors recommend that patients should follow this interventional technique with physiotherapy to get a long-lasting benefit.

Best Treatments for Chronic Pain | Specialist NYC


Although most people resort to resting when they are suffering from pain, keep in mind that too much resting can worsen chronic pain. Regular exercise helps add more muscle mass to your bones, which ultimately strengthens the bone.

Moreover, exercise also helps make you healthy overall. Not to mention, your body tends to release endorphins after a vigorous round of exercise. This is a chemical that the body releases, which eludes good feeling and acts as a natural painkiller.

Best Treatments for Chronic Pain: Conclusion

Chronic pain is one of the worst things that you can experience. If you have had pain for a couple of months, record details about your pain and report to a good pain management specialist.

If you suffer from chronic pain and you live in New York, Visit Dr. Mathew Grimm for a customized, personalized, and innovative pain relief treatment just for you. Call now at 646-862-5555 or visit our website for more information.

Back Pain Specialist

Do you need a back pain specialist? If you are one of many people that suffer from chronic back pain issues, you probably have problems with living life to the fullest. Mobility is the greatest gift to humans; it allows them to move to one place and the other without any obstructing pain. Most people head over to their general physician when they encounter back pain, however, for better treatment and consultancy, browse upon the different back pain specialists in the medical field.

Back Pain Specialists

Back pain and neck pain are now an increasing epidemic. Before, it was just something that came with old. Now, the younger population is also struggling with back pain, mostly because of their sedentary lifestyle and unhealthy choices.

One of the most contingent reasons for back pain is spine disorder. Since more people are now sitting upright in front of screens, they are starting to develop bad spine conditions. Having a weak spine means that you cannot maintain the posture for too long, and suffer from back and neck pain.

Fortunately, people with spine problems can now seek the help of interventional spine medicine. This is a subspecialty of diagnosing and treating back pain, which uses innovative methods to treat and recover from back pain without the help of intrusive surgery.

Back Pain Specialist

Interventional Spine Medicine

Interventional spine medicine uses minimally invasive methods to treat spine issues and technologically advances techniques to diagnose the cause of the pain and locate the region of pain.   Interventional techniques allow you to take a different route in terms of spinal treatment, whether it involves avoiding surgical procedures or Opioid-induced solutions.

However, you cannot avoid surgery in some circumstances. Fortunately, interventional spine solutions involve innovative and interventional surgical procedures as well. Conventionally, performing surgery on the spinal region involves a big incision. Alternatively, interventional surgery allows the specialists to perform the surgery using a small incision.

Apart from it being minimally invasive, it also encompasses other benefits such as:

  • Less pain
  • Lower risk of infection
  • Lesser risks of complication
  • Decreased reliability on post-procedural drugs
  • Quicker recovery
  • Lesser loss of blood

Specialists of interventional spine treatments are more extensive and comprehensive in their diagnosis of back pain.  Unlike other specialists, they do not go through the standard diagnosis procedure and prescribe a conventional treatment. Instead, they aim to formulate a personalized treatment for individuals.

They help patients improve their back pain so that they can take part in other holistic or medical solutions. For instance, if a person’s spine injury or pain is preventing them from performing rehabilitative exercises, then an interventional spine specialist will alleviate the person’s pain so that they can partake in the recovery exercises.

Interventional Spine Treatment Procedures

Numerous surgical and non-surgical treatments involve interventional spine medicine practice. Most of the time, patients suffering from sciatica, lumbar stenosis, or herniated discs need procedures that fall under interventional spine therapy.


With the advancements of advanced imaging, doctors can now diagnose inflammatory regions and locations in the spine much easily.  This also allows them to inject healing medication, and anti-inflammatory medicine directly into the spine. J

In the best of cases, the patient experiences an instant pain release after injection. This occurrence happens when the injected region of the spine is the main source of back pain. In circumstances such as this, the injection is diagnostic.

Top Back Pain Specialist NYC

Specialists will either inject your spine with anti-inflammatory corticosteroids or numbing medications. The anti-inflammatory medication has the power to treat spinal or back pain for months, making it a viable treatment for pain.


This interventional procedure treats herniated disk, by removing the bulging disc or parts of it.  This helps a patient find relief from the pain since it eradicates the pressure from the nerve. In other words, a surgical procedure is minimally invasive since it requires the specialist to make a small incision.  It involves the use of technologically advanced tools and special training to handle those types of equipment.


Radiofrequency neurotomy involves the use of X-ray to indicate the pain regions inside the spine. Once the specialist finds the region that is sourcing most of the back discomfort, they use a special needle to deliver heat and radiofrequency to that region.

This frequency allows the nerves in that area to suppress and numb. This stops them from stimulating pain signals in that specific area. As a result, the patient experiences an alleviation of pain.

Back Pain Specialist: To Conclude

If you or anyone you know suffers from back pain that is indicative of spinal issues, then you must consider seeing an interventional spine specialist. Dr. Mathew Grimm is one of the best and most experienced spine pain specialists in New York City.

We are the trusted choice towards a safe and quick recovery. Call today for an appointment at 646-862-5555. Visit our website for more details.

What are the Causes, Symptoms, and Treatment Options for Neck Pain?

How many people have you seen with their hands on their necks, trying to adjust their posture to feel comfortable? They frown from pain, right? Well, neck pain is a common problem that arises in children, adults, and old people. Be it the office chair or your living room couch; there can be various causes of neck pain.

Treatment Options for Neck Pain

A cause for neck pain is rarely severe. Conversely, it does not necessitate that you ignore seeking medical care or home remedies to adjust your posture into the perfect shape and relieve minor neck pains. Studies show that neck pain can be recurring. Moreover, the prevalence rate of neck pain among American adults exceeds an approximate rate of 30%. Besides that, nearly one-quarter of the adult US population acknowledged the disturbance that neck pain caused in their daily life.

Symptoms of Neck Pain

Despite the tendency for neck pain to be chronic, although acute and non-recurring, there are symptoms that help in the early detection of some serious causes. Simply, there are symptoms ranging from a slightly stiff neck to a lack of range in motion. Take a look at the general classification of neck pain in accordance with how long they might persist.

  • Acute Neck Pain- a maximum of 4 weeks
  • Sub-Acute Neck Pain- a maximum of 12 weeks
  • Chronic Neck Pain– over three months

Usually, neck pain originates as a sharp pain point in the neck. Often, it feels slightly intense as it spreads to the shoulders and head. Below are the common neck pain symptoms:

  • Pain on the side or middle of your neck
  • Stiffness in the neck
  • Reduced neck motion
  • Headaches
  • Numbness
  • Clicking sounds in the ear
  • Tingling in neck
  • Muscle spasms around neck
  • Blackouts

Common Causes of Neck Pain

As your neck supports the weight and movement of your head, it is susceptible and highly prone to injuries and conditions that can lead to chronic pain. Common causes leading to acute and chronic neck pain in people are below.

  • Damaged Joints– similar to other joints in your body, your neck joints are prone to wearing down and deteriorating due to age. Osteoarthritis is a condition that causes the cartilage (present between the vertebrae) to deteriorate. Consequently, the buildup of bone spur occurs that restricts neck movement.
  • Head or Neck Injuries– when there are strains on the soft tissues of the neck, for example, due to a head-on collision, it can lead to whiplash injuries. Besides, the jolts that your neck experiences are enough to cause permanent dislocation of the vertebrae.
  • Nerve Compression– bone spurs, as well as herniated disks in the nerve branches dispersing outside of your spinal cord
  • Muscle Strains– in simple terms, just imagine someone sitting in front of a computer desk and slouching every minute. Got the idea, right? Gritting teeth, reading while lying, excessive straining of neck or back (vertebrae) during a sport, etc., are some examples.
  • Diseases– Cancer, meningitis, arthritis (varying kinds), etc.

Treatment Options for Neck Pain

A thorough examination of your previous medical history regarding diseases, injuries, or even disorders points your pain physician in the right direction. Hence, it enables the best treatments to relieve your neck pain and ensure that it doesn’t recur.

Treatment Options for Neck Pain MD NYC

Your pain physician may also direct blood tests, CT scans, X-rays, or MRI scans during diagnostics. Nevertheless, both conventional and modern treatment options for neck pain are as follows:

  • Spinal Tap (lumbar punctures)
  • Physiotherapy (stretching, relaxing, exercises, etc.)
  • Ice Therapies
  • Heat Therapies
  • OTC Medication
  • Corticosteroids (injections)
  • Neck Collar
  • Muscle Relaxants
  • Antibiotics (in case of infections)
  • Surgery (severe case, extremely rare)
  • Massage
  • Chiropractic Adjustments

Optimal Time to See a Pain Physician

Overall, the best time to see a pain physician is when your neck pain exceeds tolerance. In fact, opt for prompt medical attention in case of a recent head or neck injury (even minor).  Regardless of that, if you experience any symptoms of neck pain, visit the best pain physician in your area.

After your chosen pain physician or pain medicine specialist performs diagnostics, he will prescribe medications and therapies to provide relief from neck pain. Bear in mind that your pain physician needs to be licensed and legitimately registered in the state where you reside.

Treatment Options for Neck Pain: Conclusion

Poor postures, injuries, and diseases might contribute to your neck pain. So, what do you do? If you are a resident of NYC, you should preemptively contact Dr. Matthew Grimm at Spine New York City.

As a physical pain and medicine specialist, Dr. Grimm possesses excellence in treating of acute and chronic pain conditions. Give a call at 646-862-5555 now and schedule an appointment. Visit their official website for further inquiries, here.

All About Neurogenic Pain

The term neurogenic pain stems from the peripheral or nervous system as a result of nervous terminal stimulation that is usually the result of disease or trauma. In simpler terms, Neurogenic pain is pain that occurs as a result of a nerve. There are different types of neurogenic pain, such as neuropathic, central, and deafferentation pain. Neurogenic pain is a form of neuropathic pain and occurs due to a diseased or injured nerve.

Neurogenic pain is pretty common, but there are many ways to manage and get through it. You may need medical help, but before you consult a specialist, you must know about neurogenic pain itself. Continue to read further below and learn more about this type of pain.

All About Neurogenic Pain

What Is Neurogenic Pain?

As mentioned earlier, neurogenic pain occurs due to a damaged nerve, which may be the result of a disease or injury. The nerve could be the peripheral nerve or a median nerve compressed as in carpal tunnel syndrome. The nerve roots can also contribute to neurogenic pain. These nerves appear on both sides of the spinal cord. Central nerves are present in the brain and spinal cord. If you don’t receive proper treatment, neuropathic pain can worsen within time. This is a very common type of pain that you must treat immediately. According to a study conducted in 2014, 10% of Americans experience neuropathic pain.

Causes of Neurogenic Pain


Injury is one of the main causes of neurogenic pain, especially injury in the joints, tissues, and muscles. Sometimes, the injury heals, but the damage it causes to the nervous system doesn’t go away. This is one of the reasons many people may experience pain years after an accident.


Diseases such as multiple myeloma, sclerosis, and cancers, can cause neurogenic pain. Diabetes is also one of the reasons behind this type of pain, and its symptoms can get worse. Cancer treatments also cause neuropathic pain as chemo and radiation have a strong impact on the nervous system, leading to intense pain signals.

Limb Loss

Limb loss can cause a type of neuropathic pain, also known as Phantom limb syndrome, which occurs due to amputation of the leg or arm. Despite the body part no longer being there, your brain still receives motion signals from them. This means your nerves send false signals to the brain.


Infections are one of the less likely reasons for neuropathic pain, but viruses such as chickenpox reactivation and postherpetic neuralgia may retrigger neuropathic pain.

More Causes

Managing Neurogenic Pain

The only way to manage or treat your neurogenic pain is by identifying the reason behind it or the underlying disease that contributes to this type of pain.  Mentioned below are a few treatment options for neurogenic pain. Before trying any of these, make sure to consult your doctor first.

Lifestyle Changes

At times we don’t realize it, but our day-to-day activities have a great impact on the physical pain we experience. To avoid or reduce neurogenic pain, avoid jobs that require you to sit for prolonged periods. You can also get in touch with a physical therapist and engage in physical activities such as stretching to reduce pain. These treatments help relieve symptoms of neuropathic pain.

Prescription Medication

Your doctor will prescribe you a few medicines after diagnosing you with neurogenic pain. These medicines consist of pain relievers like strong ointments to apply on the painful spots, lidocaine patches, and capsaicin patches.

Over-The-Counted Medicines

OTC medication, such as NSAIDs, is perfect for relieving neurogenic pain. NSAIDs, such as Motrin and Aleve, are good treatment options. However, they are bifacial to a certain degree only.

Neurogenic Pain Diag and treatment options specialist


Anticonvulsants help treat neuropathic pain as well. Anti-seizure medications also help, but many professionals think that this type of medication may hinder pain signals.

Multimodal Therapy

You can use multimodal therapy to manage your neurogenic pain. This type of therapy involves physical therapy, psychological treatment, medication, and surgical implants, all in one. This combination can prove helpful in addressing severe pain.

Other Treatments

  • Antidepressants
  • Nerve Blocks
  • Implantable Device

Common Neurogenic Pain Symptoms

  • Insomnia
  • A “pins and needles” feeling
  • Burning sensation
  • Tingling and numbness
  • Shooting pain
  • Chronic sensations
  • Emotional Instability
  • Spontaneous Pains

The Takeaway: Consult An Experienced Physician

Neurogenic pain is something that everyone can experience depending on the causes mentioned above. This type of pain does worsen within time, which is why it is important to seek medical help at once.

For the best Neurogenic and chronic pain treatment, reach out to Dr. Matthew Grimm, the best in NYC.

Pain Physicians: Specialties & Education

Who is a pain physician? People who have suffered from acute or chronic physical pain are well-aware of seeing a pain physician/ specialist. In the US, nearly 50 million people, i.e., approximately 20% of the adult American population, suffer from acute to chronic and high-impact physical pain.

pain physicians specialties education info

On the other hand, the US has over 800,000 active physicians, with the number of pain medicine and physical pain management specialists at around 15,000.

What’s the Role of a Pain Physician?

A pain physician (pain medicine specialist, as well) or an osteopathic doctor treats physical pains that occur for several reasons. The reasons can include trauma, diseases, or even rare disorders. Altogether, your pain physician diagnoses and creates a multi-disciplinary team to conduct appropriate therapies and relieve such pain and conditions.

Overall, the primary goal of your pain specialist is to create a diverse treatment plan that focuses on a single pain point of your body and influences the entirety of it.

Why See a Pain Physician?

Your pain physician extensively diagnoses and helps you manage your physical pain. Bear in mind that even if you’re suffering from acute pain, it can potentially progress, becoming chronic in the long term. As a rule of thumb, consider physical and mental health equally important for a fully functional life. Hence, you should seek a pain specialist who is capable of prescribing appropriate pain medication while conducting promising physical therapies.

What Pains Do They Treat?

Normally, pain physicians are capable of treating any sort of pain. Whether it’s acute or chronic, mild or severe, pain physicians can treat it all.

However, the treatment for progressed and chronic physical pains requires a combination of treatments for successive results. Below are some general types of conditions and disorders that pain physicians or physical pain medicine specialists can treat.

  • Spondylosis (Spinal Arthritis)
  • Sciatica
  • Facet Joints
  • Degenerative Disc Diseases
  • Spondylolisthesis
  • Whiplashes
  • Compression Fractures (Vertebral)
  • Spinal Stenosis (Lumbar and/ or Cervical)

Education of a Pain Physician

What might qualify a pain physician as a specialist to treat your acute or chronic physical pain conditions and disorders? Well, the answer lies in the extensive studies, educational practices, interventions, and of course, residencies that a pain physician undertakes.

Often, a doctor on the road to becoming a pain physician follows up the medical college graduation with a single-year internship. Subsequently, they enter a residency program in neurology and/ or psychiatry fields (or something pain-related such as physical medicine). To your knowledge, a typical residency program for a pain physician lasts three consecutive years. Conversely, they follow it up with advanced training and a single-year fellowship (prominently in pain medicine).

What are specialties education of pain physicians?

Pain medicine specialty is not limited to education and a few years of practice. In contrast, they continue throughout a pain physician’s career. This way, they improve their knowledge and learn up-to-date treatments. Furthermore, it is critical to make sure that your pain physician (either recommendation or personal choice) is board certified. By board, we’re referring to the leading authority responsible for conducting examinations.

Qualities of a Pain Physician

Now that you know the basic education necessary to become a pain physician/ specialist, here’s how you can choose the best pain physician. Below are some qualities to look for in the best pain physicians.

  • Communication (doctor-to-patient) of compassion, hope, and reliability
  • Medical experience that entails extensive researches and/ or expertise
  • Deep knowledge of pain conditions and disorders
  • Capability to compassionately evaluate varying conditions
  • Procedural and surgical skills (pain pumps, injections, nerve blockages)
  • Ability to detect your exact pain points
  • Medicine knowledge and appropriate prescriptions
  • Outside connections (i.e., with physical therapists, etc.)
  • Accurate treatments that value your desires and needs
  • Sympathetic staff
  • Latest equipment

What Should you Expect From the First Appointment?

An appointment with a pain physician is similar to that with a primary health care expert. However, the essential focus of a pain medicine specialist or a pain physician lies in the causes of your pain. Hence, they work to diagnose and, consequently, treat them. Their examinations comprise neurological and physical assessments. After reviewing your medical history, specifically any underlying medical conditions that may be causing you pain, your pain physician will start a session of questions to create appropriate criteria for diagnosis and treatment.

Likewise, the questions will relate to the pain levels, starting time periods, severity, intensity, your medication intake (and frequency), or any pain-worsening causes. Altogether, a complete analysis by the best pain physician will enable a steady and successful course of treatments and medications.

Conclusion: Consult a Top Pain Management Doctor

The best course of treatments and speedy recovery from pain conditions and disorders depend on one thing only – your choice of the best pain physician! As a resident of NYC or the Tri-State area, you can seek professional medical care from Dr. Matthew Grimm, who is a physical medicine expert at Spine New York City. What’s more, he possesses impeccable medical experience and expertise in treating pain conditions and disorders.

So, give us a call at 646-862-5555 to promptly schedule an appointment. Dr. Grimm’s in-depth knowledge, along with his procedural & therapeutic skills, can pave the way for your recovery from chronic and high-impact pain. Visit Spine New York City’s official website here

Chronic Pain: Causes & Treatment Options

Chronic pain is when you experience severe pain for longer periods. This pain can affect any part of your body, such as the head, lower back, and legs. Sometimes, the pain persists, and sometimes, it comes and goes. The drawback of chronic pain is that it interferes with your day-to-day activities and personal life, making it difficult for you to function properly.

Within time, you might get used to the pain, or it could get worse. It is important to treat chronic pain, but for the proper treatment, you must learn of the cause behind your chronic pain. Mentioned below are some possible chronic pain causes and treatments.

Chronic Pain Causes & Treatment Options

What Causes Chronic Pain?

Chronic pain can occur either knowingly or unknowingly. In some cases, the pain develops suddenly and persists for as long periods until you start getting it treated properly. The intensity of the pain can get worse, and it’s a must to receive medical help, especially when you’re not sure about the cause behind the pain. Mentioned below are some common causes behind chronic pain.

1.     Injuries

Chronic pain can derive from any injury, even if it has already healed. The pain from an injury can spark up anytime, causing severe discomfort. Chronic injury pain can also be the result of surgical incisions and different infections. Mentioned below are the types of injuries that most commonly cause chronic pain:

  • Back pain
  • Arthritis
  • Nerve Damage
  • Lyme Disease
  • Acid Reflux
  • Irritable Bowel Syndrome (IBS)
  • Broken Bones
  • Endometriosis
  • Migraines
  • Fibromyalgia

2.     Psychological Causes

Chronic pain has a lot to do with the way we think and act, as nerve impulses keep triggering the brain. In some cases, psychological and social factors play a major role in causing chronic pain. When you’re in a state of emotional sadness and feel anxious, these emotions signal chronic pain. Sometimes, they can even worsen it. Social factors, such as poor job satisfaction, financial issues at home, or family issues, can aggravate chronic pain as you’re in a constant state of stress. Stress doesn’t just worsen chronic pain, but it can also cause it. This is why it’s a must to treat it if it’s due to psychological factors.

How to Treat Chronic Pain

Mentioned below are different treatment options for chronic pain:

Physical Exercise

Before asking your doctor for medication, it’s good to make a few good lifestyle changes that might help relieve chronic pain. The best way to manage pain is through regular physical exercise. You need exercise to treat chronic pain as it helps relieve body pain, gets you better sleep at night, releases endorphins, and strengthens muscles.


Chinese medicine, such and acupuncture, and acupressure are a few options to relieve pain as well. These methods prompt the body to release endorphins, which block pain signals going to the brain.

Over-The-Counter Medication

You can start off with some common OTC medications, such as Tylenol and NSAIDs. NSAIDs include medication such as ibuprofen, naproxen, and aspirin. These can provide mild relief from chronic pain and help with swelling and inflammation. You can combine these medicines with other treatments, such as physical therapy and relaxation techniques.

Prescribed Medication

If the pain is unbearable, your doctor will prescribe stronger medication. According to The American Chronic Pain Association (ACPA), different medication types specifically target chronic pain. These are Opioids such as morphine, adjuvant analgesics such as antidepressants, and non-opioid such as NSAIDs. Antidepressants are the best form of prescribed medication to treat chronic pain as they also help improve psychological symptoms such as depressive mood and anxiety.

Chronic Pain Treatment Options

Surgical Procedure

You may have to get a surgical implant if medications don’t work. Different surgical implants are available to treat chronic pain. You can get one such implant in your spinal cord. The implant adjusts the pain signals that go to the brain.


Biofeedback is a common pain management technique that uses relies on physical characteristics, such as brain activity, muscle tension, skin temperature, and heart rate. This technique keeps you aware of how you can keep both physical and emotional pain under control.

Other Treatment Options

  • Relaxation techniques such as yoga, massage, and meditation
  • Cannabis
  • Transcutaneous Electrical Nerve Stimulation (TENS)
  • Cognitive Therapy

Conclusion: Consult A Specialist to Help Manage Your Chronic Pain

It is important to seek medical help the moment you start experiencing chronic pain. Hopefully, these chronic pain causes and treatments will help you understand the pain better so you can treat it properly. For the best chronic pain treatment services in New York, get in touch with Mathew Grimm, M.D.

What are the Causes, Symptoms, and Treatment Options for Back Pain?

Even hearing the word “back pain” makes people uncomfortable. Isn’t it one of the most debilitating health conditions that obstruct our daily lives? Well, nearly half the working population of the US suggests that they experience more than one back pain symptom every year.

Treatment Options for Back Pain

Overview of Back Pain

You must be aware of the structure of your back, right? Your spine consists of a column (bones that form the vertebrae) that stays in shape/ formation due to the presence of ligaments, muscles, and tendons—moreover, the cushions in your back act as shock-absorbing discs. However, damage to your spine (any part) can lead to back pain.

Back pain can be severe or acute, depending on the underlying cause of it. It has the tendency to deprive a person of the ability to complete simple tasks. Although back pains are recurrent and go away on their own, chronic back pain can potentially lead to the need for surgery and intense treatments.

In fact, it is one of the leading causes of disability and life disturbances in adults, which prevent them from conducting normal working schedules. Do you experience back pain? Then you must realize the need for prompt medical attention and the importance of preventative measures. With thorough interventions, you can limit the severity of back pains.

Causes of Back Pain

Let’s take a look at some of the most common causes that lead to back pain in people of all ages, but mostly adults.


Arthritis is a common reason for back pain, especially in older people. It occurs due to weakened joints. In fact, deterioration of cartilage (joints around the vertebrae) in your back (i.e., lower) can cause back pain. What’s more is that over time, back pain can progress and lead to narrowing of the entire spinal column!

Structural Deformities

Injury to the discs (shock-absorbing cushions that make up the vertebrae) is a relatively common cause of back pain. Bulging, rupturing, or herniation of the vertebrae disks can compress the spinal nerve roots, leading to severe back pain. The sensations that you might feel in this condition are:

  • Tingling
  • Numbness
  • Excessive pain

Furthermore, structural deformities can pave the way to sciatica, which progresses from the lower back to the legs, causing more pain.


Compression fractures (osteoporosis) occur due to thinning of the bones. In simple words, diminishing bone density can cause minor fractures in the vertebrae. Hence, severe back pains.


Experiencing strain in your back muscles is a prime cause of back pain in the youth and adult population. Soreness and stiffness are common symptoms of muscle strains. Can you think of the reasons that lead to back muscle strains? Well, excessive weight lifting, sudden body movements, over-activity, and sports injuries, are a few of the many.

Extremely Rare Causes for Back Pain

Your pain physician will opt for further diagnostics if he or she is unable to determine the cause for your back pain from the list of the general ones above. The rare conditions, disorders, or accidents that might take you to the road of back pain are as follows:

  • Cancer and Tumors in the Back
  • Kidney Diseases (stones or infections)
  • Fungal infections on your spine
  • Tuberculosis, E. coli, etc.
  • Spine nerves dysfunction (cauda equina syndrome)
  • Vertebral displacement

Symptoms of Back Pain

  • Fevers
  • Vertebral swelling or inflammation
  • Weight loss
  • Back pain in every posture
  • Urinating trouble
  • Traumas (head, neck, or back)
  • Leg pain
  • Urinary infections or incontinence
  • Knee pain

On the other hand, here are some rare symptoms that severe back pain conditions might manifest:

  • Bowel movement disruptions/ fecal incontinence
  • Numbness and tingling in either the anus, genital, or buttock surrounding areas

Diagnosis and Treatments

Your pain physician/pain medicine specialist will conduct diagnostic in various methods that are inclusive of blood tests, MRI and CT scans, X-rays, and bone examinations (testing density, strength, measurements, etc.) Below are some treatment options, including medications and therapies.

  • Narcotics/ Opioids
  • Muscle relaxants (in case the OTC medications don’t work)
  • Over-The-Counter (OTC) medication under your pain physician’s prescriptions
  • Anti-depressants

Surgical Procedures

  • Radiofrequency Neurotomy
  • Nerve Stimulators
  • Cortisone Injections (Interventional Pain Management)
  • Surgeries (nerve compression and structural deformities’ treatment)

Physical Therapy

Strength and flexibility exercise therapy under the supervision of a licensed physiotherapist is a no-medication way to treat back pain and generate long-term relief.

Causes, Symptoms, Treatment Options for Back Pain


Conclusion: Consult the Top NYC Pain Management Doctor

In order to create the best recovery plans, medication courses and return to the same functional level in daily activities, you should consult a top pain physician. Why? Because only the best professional medical care can enable you to get relief from your back pain once and for all.

Spine New York City
Dr. Matthew Grimm
160 E 56th St 11th Floor
New York, NY 10022


Visit our official website to learn more here.

Thoracic Epidural

A thoracic epidural injection is a medical treatment that helps curb excessive pain in the thoracic region, or the upper to middle areas of the back. This area is prone to excessive pain due to old age or a major fracture. The injection goes through the epidural space, which is the area surrounding your spinal cord. If you feel like you or someone around you is suffering from this pain, and you want to learn more about the thoracic epidural, you have come to the right place. Spare a few minutes and continue to read further.

Thoracic Epidural

What is Thoracic Epidural

As mentioned earlier, thoracic Epidural is an injection that helps relieve pain in your thoracic region. The doctor inserts the injection into the area around your spinal cord. Not to mention, the spinal cord is one of the most sensitive parts of the body and includes a bundle of nerves running from your brain to the lower back. The epidural space acts as a barrier around your spinal cord.

When the nerves in your spinal cord get irritated or inflamed, that’s when you feel uncomfortable and go through severe back pain. This could be due to any back injury as the interverbal disc may press into the spaces of the spinal cord, which in turn causes you unbearable back pain.

Thoracic Epidural Procedure

The thoracic epidural injection involves a simple procedure that your doctor will brief you about before you go for it. When you go in for the injection, the first thing you will have to do is lie on the side or your stomach on an x-ray table. The nurse or doctor may give you medicine to help you feel relaxed or sleepy during the procedure if needed.

Next, the doctor will numb the targeted spot or injection site and position the needle properly. Your health care provider will finally inject the required medicine into the injection and insert it into the epidural space. The injection is quite painful, and you may feel a bit uncomfortable, but you should let your doctor know if the pain is unbearable.

Post Thoracic Epidural

After you receive the thoracic epidural injection, you will have to wait for at least an hour before you can go home. Your doctor or healthcare workers will monitor you during this time and check if your body has acted or reacted to the injection.

After the procedure, your pain management doctor will ask you to rest for the whole day at home and avoid all activities like cooking, going out, driving, etc. Many people feel relaxed after the injection as the pain goes away. However, some people may still feel pain or even more than the usual pain. The injection may last for a few days or months, but you can take them monthly.

Once you get home, you will feel a lot of body numbness, which is very common, as well as redness in the injection area. In case of any severe side effects, you must consult your doctor immediately. The doctor might ask you to come for a follow-up and might have to run a few blood tests to see any improvements or if any other issues you might be facing post-procedure.

Thoracic Epidural Injection | Best Pain Doctor NYC 2021

Risks Associated with Thoracic Epidural Injection

The thoracic epidural injection is quite safe; however, there are a few risks involved in it. Your healthcare professional will discuss the associated risks with you before giving you the injection. The risks involved differ from person to person. Some people might not experience any side-effects, while some might feel more pain. Here are a few of the common risks:

  • Headaches
  • A slight increase in pain
  • Infection
  • Nerve Stiffness
  • Minor bleeding
  • Allergic reaction due to rash

How to Prepare Yourself for a Thoracic Epidural Injection

You need to take care of a few things before getting your shot. First, you must consult your doctor and let them know if you have any allergies, especially with any medicines. You must provide your healthcare worker with all the necessary CT scans or test results you have undergone before for diagnosis and treatment of your pain.

If you have any symptoms of flu or fever for a week, you must inform your doctor before getting the injection. Additionally, you may have to fast for a few hours before the procedure and also not take any medication. Your doctor will discuss all the required details with you.

Conclusion: Consult A Pain Management Specialist

If you feel like you may require a Thoracic Epidural injection or have been struggling with excessive back pain, visit the best pain management doctor in NYC Dr. Matthew Grimm, M.D. He has many years of experience treating all types of chronic pain.

Visit our website or call us to book an appointment:


Spinal Injections for Pain

Do you need spinal injections for pain? Since more people have started experiencing chronic back pain, the use of spinal injections has become common as well. Spinal injections, more commonly known as epidural steroid injections, are minimally invasive. They are the most effective way to relieve joint pains in parts like back, arms, legs, and legs.

The injections play an effective role in reducing inflammation in different parts of the body. You can get different dosages when it comes to spinal injections. The injection’s effect may last for a few weeks, or it may last for a year. Different kinds of epidurals will have different effects.

In this article, I will talk more about spinal injections. What are they? How do they work? Who should use them? Moreover, when should you consider taking them?

Spinal Injections for Pain

What Are the Spinal Injections?

Spinal injections consist of various steroids. In most cases, the injection contains methyl-prednisolone, dexamethasone, triamcinolone, which are the types of corticosteroids.  The injection also contains a few various anesthetics and numbing agents such as bupivacaine or lidocaine. The doctor injects the epidural into the gaps between in your joints, where there is fat.

The corticosteroid is playing an effective role in reducing inflammation in the area. It directly targets it and provides instant results. However, the injections do not help with the size of the spinal disc. Therefore, if you are feeling pain because of your disc has increased in size, you should opt for some other treatment.

The injections only help with reducing inflammation and swelling because it flushes the extra protein present in the area. The effect is temporary, but you can boost it with regular exercise and physical therapy.

When should you Consider Spinal Injection

Spinal injections are perfect for people who deal with chronic pain in their back, neck, arm, and leg joints. However, spinal injections help you with a few bone and nervous conditions as well.


If you deal with sciatica, the condition when you feel excruciating pain along your sciatic nerve, the injection will help you a lot. During the condition, you feel excruciating pain in your buttocks, which runs down to your legs. You feel it triggering while walking.


The injection will help you with spondylolisthesis. The cause of the condition might occur if your lower or upper vertebra has a fracture or it is weakening. Vertebra’s forward slip is also a cause of this condition. When the vertebra slips, it compresses the nerve root, which causes the pain.

Herniated Disc

Spinal injections help with the herniated disc as well. A herniated disc is a condition when you develop a gel-like substance between your discs. The substance can potentially rupture or create a bulge, which weakens the annulus of the joint. The injection helps in flushing the swelling. The steroid in the injection squeezes the substance out of the joint.

Spinal Stenosis

You can treat spinal stenosis with spinal injections as well. Spinal stenosis is a condition in which your spinal canal narrows down. The narrowing of the spinal canal causes severe back and leg pain—most elderly people start facing this issue. However, spinal injections are an effective temporary solution for it.

Degenerative Disc

The degenerative disc is another common spinal issue that causes chronic pain. It is a breakage in the intervertebral disc. The breakage occurs as a result of age or weakness. However, injections can boost that function.

Unfit Candidates for Spinal Injections

Spinal injections are not for everyone. They only work for people with inflammation in joints. However, they might be deadly for people who suffer from bleeding or infection. The injection elevates blood sugar levels. Therefore, if you have diabetes, you should not opt for spinal injections. On the other hand, the injections also put a little pressure on the eyes as they have glaucoma.

Spinal Injections for Pain Specialist

Spinal injections come with several risks. Therefore you should never self-administer a spinal injection.

Injections For Pain Management: Consult A Pain Doctor

Spinal injections are the ultimate solution for getting rid of chronic pains. They are temporary. However, you can get long-term epidurals as well.

If you are looking for the top NYC pain doctor, contact Dr. Matthew Grimm at 646-862-5555.