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.

Epidural Injections

What is an Epidural?

You may have heard of the epidural injections, the pain-relieving shots given to pregnant women during childbirth. The medical name for these injections is epidural steroid injection (ESI). But doctors also use it for other purposes.

The doctor administers the injection in your epidural space, resting outside the membrane that protects your spinal cord. Usually, doctors use it to relieve pain during and after any type of surgery. They also use epidural injection to help patients manage chronic pain. It aids in relieving arm, neck, back, and leg pain that occurs due to inflamed spinal nerves because of disc herniation or spinal stenosis.

Epidural Injections

This procedure is not beneficial for every patient. But if your health professional recommends you, it will require a lower dose of medicine, leading to fewer side effects. Epidurals help you get long-lasting relief from pain and stay alert and mobile.

Conditions that May Require Epidural Steroid Injections (ESI)

The following are some conditions where doctors may use epidural shots to ease your pain.

Spinal Stenosis

It is the narrowing of the nerve root canal and spinal canal, which can cause leg and back pain, especially when you are walking.


It is a fracture or weakness between the lower and upper facets of a vertebra. When a vertebra slips forward, it causes pain by compressing the nerve roots.

Herniated Disc

The gel-like material present in the disc can burst or bulge through a weak area in the annulus. Pain, swelling, and irritation can occur when the material comes out and contacts your spinal nerve.

Degenerative Disc

It occurs when the intervertebral disc gets thinner, and the disc space begins to collapse. It also leads to abnormal bone growth and causes tears in the annulus.


This pain occurs because of the compression of the 1st sacral or the 5th lumbar spinal nerve.

The procedure of getting an epidural injection can take 15 minutes, and the numbing effect starts to work quickly after shot. The pain relief duration can vary from person to person. This injection doesn’t always give you relief for a lifetime, but it can relieve the symptoms causing the pain for a few months.

Doctors also use these injections to find the source of your pain. For this reason, they inject the solution into a specific nerve in your body. If you feel relief after that, your doctor will know that this nerve is the source of pain.

The most common side effect is you may feel more pain until the injection starts to work. Other side effects of epidural shots can be bleeding, infection, temporary numbness or weakness, nerve damage, or headache.

Epidural Steroid Injections Procedure

The doctor may ask the patients to change their clothes to examine and locate the nerve easily and get access to do the procedure. An epidural steroid injection takes 15 to 30 minutes and goes through some standard protocols. Here are the steps of the procedure, which usually every doctor follows.

Epidural Injections for Pain

  • You need to lie flat on the X-ray table and can put a small pillow under the stomach. If you feel uncomfortable with this position, you can sit or lie on the other side in a curled position.
  • The doctor will clean the skin from the low back area and numb with local anesthesia, similar to the one dentists use.
  • Doctors use fluoroscopy (live X-ray) for guidance. They insert a needle and direct it towards the epidural space. Fluoroscopy is important to administer the shot in the epidural space. Some studies have found that the doctors may inject the solution in the wrong nerve if they do not use fluoroscopy.
  • Once the doctor gets the needle in the proper position, he will inject contrast to determine the needle location. After the confirmation, he will inject the epidural steroid solution. Although doctors administer the solution slowly, some patients feel pressure due to the amount of medication used. However, the pressure of the injection is not usually painful.
  • After the procedure, the doctor will monitor your condition for around 15 to 20 minutes before discharging you.
  • You may feel tenderness at the needle insertion’s area for a few hours after the procedure. However, you can simply treat it by applying an ice pack for 10 to 15 minutes once or twice an hour.
  • Not to mention, your health professional may ask you to rest for the remaining day. You also have to avoid regular activities and resume from the next day of getting the injection. Patients sometimes feel more pain for several days after the process due to the local chemical irritation or fluid pressure.
  • Moreover, it is important to discuss with your doctor before getting this injection. It will help you to understand the protocols. Also, you need to understand what precautions you need to take.

Bottom Line

Epidural injections are common and very helpful for chronic pain. They often have fewer side effects than other treatment types. If you’re looking for a specialist to treat your pain, Dr. Matthew Grimm can help you. Call us at 646-862-5555 or visit our website for further details to book an appointment with our pain management specialist today.

Injections For Pain Info

Some people need injections for pain info to get relief from continuous irritation and discomfort. It becomes even more important when they face difficulty doing everyday work because of pain. Doctors recommend different injections depending on the location of the affected areas to help you return to normal life. In this post, we will discuss the types of pain injections and why a person needs them in detail for your better understanding.

Injections For Pain Info

Who Needs Injections for Pain?

Long term continuous pain like the pain of an acute injury or back pain needs injections. In this case, you feel discomfort and irritation for days or weeks, but the pain gradually starts to decrease and completely ends after some time.

On the other hand, chronic pain is unrelenting and unpredictable. It can occur every day or can appear randomly. But it never seems that you are getting better. You sometimes feel that you are free from pain one day, and the other day you can barely move. Your life and activities get in flux because you can’t predict when and how the pain will come back.

Chronic pain does not go on its own and needs treatment. These types of pain are not only discomforting, but finding relief from them is even harder. It requires different procedures to find your pain source and treat it after lots of trials and error. This is when the pain-relieving injections can help. They are great to get relief without any severe risks and complications.

Different Types of Pain Injections

Doctors use injections to administer medications into the affected area to reduce pain. These are part of interventional pain management, which relieves pain and also plays a great role in pinpointing the source of the pain.

Doctors usually use X-Ray or MRI scans to identify pain. But it shows more than an area developing pain in your body. When your doctors selectively inject different areas in the spine structure with pain reliever injections, they will start to pinpoint the problem.

Injections For Pain Info

Interventional pain management doctors have the qualification, skills, and experience to perform pain injections. An orthopedic surgeon can inject medications or refer you to other specialists.

The following are the types of injections that help to relieve different pain.

Epidural Steroid Injection

Doctors commonly use this injection to give relief to patients suffering from back pain. The epidural steroid injection contains a powerful cortisone solution that your doctor injects directly into your spine. It helps to reduce inflammation and swelling around a nerve or an area of the spinal cord.

This injection is best as most patients who get epidurals feel less pain for several weeks or months. It allows them to take part in a rehabilitation program. Usually, doctors recommend repeating the injections when any symptom starts to surface again.

Selective Nerve Root Injection

This procedure requires X-ray guidance (fluoroscopy) before giving an injection. Doctors use X-rays to locate a specific nerve root. This injection targets the troubled nerve root rather than the entire spine. The procedure needs more tightly focused injection if doctors are using it for identifying the source of pain.

Lumbar Facet Joint injection

Facet joints connect the vertebrae (bones) of your spines. These joints are present, one on the left side and the other on the right side of the spine, on each vertebra. When doctors inject medications directly into these joints with the help of fluoroscopy or X-ray guidance, it helps them to pinpoint the specific area and relieve the source of the pain.

Sacroiliac Joint Injection

The end of your spine contains a tailbone or the sacrum. The sacroiliac joints in your body attach the sacrum to the pelvis. This can cause chronic pain in both lower back and legs. Getting an injection into the sacroiliac joint will help you get relief from pain. Doctors also use these injections to identify lower back pain.

Joint and Soft Tissue Injections

Your doctor will inject a pain reliever or corticosteroid directly into the problematic soft tissue or joint space between the bone and the muscle. This helps to give you relief for weeks to months, or even longer. Your pain management doctor may also use the joint and soft tissue injections to eliminate fluid build-up in the affected joint.

Medical History before Injection

Before giving injections for pain, doctors ask your medical history. If you have any allergies to antibiotics, drugs, seafood, latex, and others, it is important to tell your doctor. You also need to inform your health provider about the following things if you want better treatment and prevent any side effects.

  • Anticoagulation medication
  • Bleeding disorders
  • Aspirin
  • NSAIDs
  • Ticlid
  • Seizure disorders
  • Diabetes
  • Need for prophylactic antibiotics
  • Pregnancy and breastfeeding
  • Hepatitis C
  • HIV

Bottom Line

Injections for pain are necessary if the issue is getting worse with time. Doctors take your medical history, inspect your body, identify the pain source, and give you options for the treatment. In the case of chronic pain, your doctor may recommend pain injections.

Contact Matthew Grimm, MD, the best pain management doctor in NYC to treat your pain. For details, you can check our website or can contact us on 646-862-5555 to book an appointment and discuss treatment options with our pain management doctor.

Dealing with Chronic Pain

Having chronic pain is not less than having severe disease. People with this pain face difficulty in completing daily tasks. They find it hard to do regular chores, concentrate on their office work, and manage little things. This gets worse if you don’t try to deal with it. This is why we have mentioned some useful techniques to deal with your pain in an effective way.

Dealing with Chronic Pain

Dealing with Chronic Pain: Management

You may see your future living with pain and discomfort; keep in mind, it only happens in worst-case scenarios. In reality, most of the people live happy, healthy lives even with the pain.

This is because they find their own way to cope with chronic pain. People use different methods, such as medications, lifestyle changes, alternative treatments, and positive coping skills.

Take the Right Medication

Sometimes people need to try a couple of medications to find the best one for their pain. Yes, it is annoying to try several prescriptions, but sampling a variety of medications can help you control pain.

You may be concerned that you will need to take medication your entire life and live with its side effects. Some people will also feel worried about painkiller addiction. However, it is not the case with every medication. Most of the pain relievers are safe and effective. And in case you feel concerned, you can consult your doctor. They will help you determine the advantages and disadvantages of it so that you can make the right decision.

If you have any problems or side effects, ask your pain management doctor to change your medication. Avoiding these signs are not good, as it can worsen your pain and health.

Do Exercise

Not moving your body can lead to more problems. Ask your physical therapist or doctor for the best exercises considering your pain and health. They should take your current fitness level and diagnosis into account.

Don’t think about hitting the gym, either. You can exercise at home and can take help from DVDs or videos. You can also find a rehabilitation center near your home.

If you are facing intense pain, exercise aids you in maintaining your mobility. It boosts your muscle’s health and makes your joints flexible, which can help reduce the symptoms and impacts of pain. Moving your body regularly can also help prevent disuse syndrome, a health problem that weakens the muscles due to inactivity. Your weak muscles are more prone to pain and even lead to other injuries. However, make sure to consult your doctor before starting any exercises.

Learn To Relax

Stress can lead to muscle tension, which can raise the intensity of your pain. Allowing your muscles to relax will decrease pain sensations and strain. You need to relax your body to control your pain without the help of more medications.

Top NYC Doctor for Dealing with Chronic Pain

Relaxation is a pain controlling method that you can apply on its own or in the combination of other treatments. You can do the following things to lower your stress level.

  • Tai chi
  • Yoga
  • Meditation
  • Qigong
  • Guided imagery

Get Some Complementary and Alternative Treatment

This is one of the most common ways to control chronic pain. You can use complementary and alternative treatments alone or with any type of mediations. Both ways it can help you a lot.

Some examples of CAM for high-intensity pain include:

  • Magnetic therapy
  • Massage therapy
  • Acupuncture
  • Cupping
  • Mindfulness
  • Energy medicines including Reiki
  • Herbal medicine

Look For Support

Chronic pain is a common problem in America. There are wide chances that someone close to you has suffered from the same condition. You both can share your pain problems and talk about your struggles to seek support.

You can join some support groups as well. You can get some advice and tips from other participants, but they can also become a sympathetic ear when you need to share your struggling story.

Do Some Research

It’s important to understand your pain, its reason, causes, and treatment. You can do this by searching for information about chronic pain. Many websites can help you with it. These sites are a great source to get credible information about medications and treatments. Some of them also offer book reviews.

Moreover, you can consult your pain management doctor to discuss your symptoms. Keeping yourself educated and informed about your condition can help you manage a quality life while living with your pain.

Dealing with Chronic Pain: Bottom Line

If you have chronic pain, the first thing you need to do is contact a specialist. In this case, Dr. Matthew Grimm, M.D., can help you. He has specialized in pain management and knows how to control and treat your pain.

For details, you can check our website or call us at 646-862-5555 to book an appointment with our pain management doctor.

Cortisone Shots for the Back

Cortisone shots for the back help reduce your pain and inflammation without side effects. These shots are pretty common to overcome certain health problems caused due to inflammation in body parts. People who have chronic back pain can take cortisone shots.

Cortisone Shots for the Back NYC Doctor

Here in this article, you will learn about the cortisone shots, its benefits, and much more.

What is Cortisone?

It is a hormone developed by a small gland on the top surface of the kidney, i.e., the adrenal gland. Cortisone helps in the function of your body, especially when you are in stress. Its absence is called Addison’s disease, which can cause death if you don’t treat it on time. Cortisone is a substance that your body naturally produces; hence, it does not trigger allergic reactions.

In the case of patients with serious allergies, it is one of the most effective treatments. Cortisone, by itself, is not commonly used because of its low potency and short-acting. Pain management doctors use semi-artificial cortisone derivatives such as Celestine, Depo-Medrol, Kenalog, and others, to increase the benefits which have fewer side effects.

How do Cortisone Shots work?

Cortisone shots contain various formulas and medicines. The most common combination is the numbing drug procaine hydrochloride, which patients with oral health problems know as Novocain. This element combines with the anti-inflammatory drug called cortisone.

When the cortisone injection finds its target, the numbing part of your body starts to get better within hours. When the Novocain wears off, you may feel the pain again for some time. After 24 to 48 hours of injection, you can expect to get its results.

How is Cortisone Effective?

Cortisone is useful to reduce inflammation in a short period of time. It also helps in dissolving scar tissues, speeding the healing process, stabilizing the body’s defenses, and effectively decreasing certain cysts.

However, repeated use or larger doses can weaken the tendons if you inject cortisone injections directly. Moreover, it can soften cartilage when you inject it into a joint.

How Many Injections Do You Need?

As mentioned, repeated use with larger doses can lead to cartilage damage. Due to such practical concerns, pain management doctors usually inject a limited number of shots into a joint. However, if it works in the beginning, cortisone is greatly effective, and you will not need many shots.

Cortisone Shots for the Back | Top Pain Doctor

There is a limit to the amount of cortisone you can use in a single dose. Even if you are injecting it in several areas of the body, the dosage varies depending on the area and intensity of pain. You should not get cortisone shots for back pain more than three to four times a year.

Advantages of Cortisone Injections

When your joints get inflamed, the doctor removes the joint fluid to administer cortisone injection. Removing the fluid helps doctors analyze from laboratory testing and determine what causes the swelling. This is an accurate and powerful diagnostic test.

Another great advantage of this injection is that it gives you relief from inflammation in a particular area like your back quickly and effectively than any other traditional anti-inflammatory drugs, such as aspirin.

The injection is so effective that even a single shot is enough and doesn’t have any side effects that usually OTC oral anti-inflammatory medications have. Moreover, you can get a cortisone injection in the doctor’s office. Besides, cortisone injections offer other advantages, including rapid medication results, dependability, minimal side effects, and high success rate.

Are Cortisone Injections Painful?

This injection is not only useful but doesn’t give you pain as others do. You will feel minimal pain and get quick relief from the inflammation. Occasionally, cortisone injections for joints that are damaged or are small can feel minor pain at the time of the injection. You may feel sensation due to the needle sting or by the corticosteroid medicines. Again, pain is not common when you get this injection.

How long does a Cortisone Injection Last?

Mostly, you will feel better immediately after getting the cortisone injections, but it can take a few days to give you complete relief. A cortisone injection can help heal some medical conditions completely, such as mild trigger finger or bursitis. But some health problems can come back after a few weeks and months, such as back pain. In this case, you may want another cortisone injection to get better; however, it is better to consult your pain management doctor.

Bottom Line

If you have chronic pain in your back, which you can no longer tolerate, consult our pain management specialist to get cortisone shots. Dr. Matthew Grimm, MD, is one of the best doctors in NYC with experience in treating different types of pain. He knows exactly how to identify and ease your pain.

Contact us at 646-862-5555 to book an appointment or tele-medecine consultation to discuss treatment options for your back pain with our pain management doctor.

Pain Management: Thoracic Epidural

A thoracic epidural is an injection that helps curb excessive pain in the thoracic region. It refers to 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.

Pain Management: Thoracic Epidural

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.

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.

Consult Dr. Matthew Grimm, Top NYC Pain Doctor

If you feel like you may require a Thoracic Epidural injection or have been struggling with excessive back pain, you must visit the best pain management doctor in New York. Get in touch with Dr. Matthew Grimm, MD, as he has the experience to treat all types of pain and perform different procedures.

Visit our website or call us at 646-862-5555 to book your in person or telemedicine appointment with our pain management doctor.

Different Types of Pain

This article will help you understand different types of pain and their reasons. If you experience any symptoms, consult your pain management doctor.

Types of Pain

Your body may experience different types of pain due to any underlying health problem or without any cause. Either way, they are painful and disturb your daily life. If you face any type of pain mentioned below, you need to consult your doctor as early as possible to get treatment before it gets worse.

Types of Pain

Acute Pain

This is one of the most common types of pain, which is a short term pain. In this case, you will feel a sudden pain due to a specific cause, typically tissue injury. Mostly, it lasts for six months and completely goes when you get it treated.

You may also feel sharp or intense pain when it is improving. The common causes of acute pain can be:

  • broken bones
  • dental work
  • surgery
  • cuts
  • labor and childbirth
  • burns

Chronic Pain

Chronic pain is the one that lasts for more than six months, even when your injury gets healed. Moreover, you may feel this pain for years; the intensity can range from mild to severe. According to a study, chronic pain is common in adults in the United States.

Past damages or injuries can lead to chronic pains. However, sometimes it can happen without any cause. Without treatment, chronic pain can greatly affect your quality of life. As a result, patients with chronic pain start to suffer from depression and anxiety.

Symptoms that can accompany this pain include:

  • Tense muscles
  • Limited mobility
  • Lack of energy

Following are some common examples of this type of pain:

  • Frequent headaches
  • Fibromyalgia pain
  • Low back pain
  • Nerve damage pain
  • Arthritis pain

Nociceptive Pain

You may have heard about the nociceptive pain. It occurs because of the stimulation of nociceptors sensory receptors due to tissue injury. You have these pain receptors throughout your body, especially in your internal organs and skin.

Different Types of Pain

When they detect signals from the damaged tissue or any other harm, such as a cut, they send electrical signals to the brain, making you feel the pain. Nociceptive pain usually occurs when you suffer from any type of injury or inflammation. This pain can be either chronic or acute. Doctors can further classify it as somatic or visceral.


Visceral pain is not a common pain as it occurs from damages or injuries to your internal organs. Patients can feel it in the trunk of their bodies, including the abdomen, chest, and pelvis. Generally, it is hard to identify the location of this pain.

Visceral pain can also feel like:

  • Pressure
  • Squeezing
  • Aching
  • Cramping

You can also feel other symptoms such as vomiting, nausea, as well as various changes in body heart rate, blood pressure, and temperature. Some of the examples of diseases or disorders that can cause visceral pain include:

  • Gallstones
  • Irritable bowel syndrome
  • Appendicitis


It occurs when pain receptors in your tissue start to stimulate instead of stimulation in your internal organ. This includes muscles, skin, connective tissues, joints, and bones. Generally, it is easy to identify the location of the pain.

You may feel a continuous gnawing pain or aching sensation. It can also be deep or superficial than visceral pain. For instance, a tear in a tendon can lead to deep somatic pain, and a canker sore on the inner cheek can make you suffer from superficial somatic pain.

Examples of this pain include:

  • Bone fractures
  • Connective tissue diseases
  • Strained muscles
  • Skin cuts, burns, and scrapes
  • Cancer that affects the skin or bones
  • Joint pain, such as arthritis pain

Neuropathic Pain

Neuropathic pain occurs because of the damages or dysfunction of your nervous system. The damaged or dysfunctional nerves send pain signals. You may feel pain in the response of things which were not painful before, such as clothing or cold air stringing on your skin.

Neuropathic pain can feel like:

  • Burning
  • Numbness
  • Electric shocks
  • Freezing
  • Tingling
  • Stabbing
  • Shooting

Diabetes is one of the most common reasons for neuropathic pain. Other causes can be nerve dysfunction. Injuries or factors that lead to neuropathic pain also include:

  • Accidents
  • High level of alcohol consumption
  • Infections
  • Facial nerves problems, including Bell’s palsy
  • Shingles
  • Spinal nerve compression or inflammation
  • HIV
  • Carpal tunnel syndrome
  • Radiation
  • Chemotherapy drugs
  • Central nervous system diseases or disorders, such as Parkinson’s disease or multiple sclerosis

Consult the Spine Center of NYC for Pain Management

All these types of pain can make you suffer for longer periods. They can get worse if you don’t consult a pain management doctor to get treatment. Call Matthew Grimm, MD, the best pain management specialist in NYC.

Visit our website or call us on 646-862-5555 to book an appointment with our pain management doctor. We have qualified and experienced doctors who help you eliminate your pain at its source.

Chronic Back Pain

Are you suffering from chronic back pain and do not know what to do? In current times, almost every other person you meet is suffering from chronic back pain. The point to notice in this case is that these cases are starting to increase now. Back in the days, you would only find the elderly facing these issues.

A major reason for the increase in the cases is the exponential growth in working-class people. Most offices around the world do not provide their employees with ergonomically designed workplaces, which messes with their spinal cord, and you start experiencing chronic back pain. In other cases, you may experience a chemical reaction in your backbone, which is causing the pain or some other reason.

Chronic Back Pain

Improve your Posture

Improving your posture helps a lot. It does not only make you look good, but it helps you with chronic pain as well. Whenever you are sitting or standing, keep your posture in mind. The moment you notice your posture is hunched or it is not right in any way, you can correct it.

If you recently started experiencing chronic pains, then it is high time that you start being mindful of your posture. The best way to improve your posture is by sitting on a stool. Sure, it will be difficult at first. Nonetheless, you become used to it with time.

Physical Therapy

Most people start experiencing chronic back pain because they do not provide their bodies with adequate motion. Therefore, many experts say that exercising is the key to treating chronic back pain. However, when you plan to get into exercising, make sure you take advice from your physician or physical therapist. Since you have compromised muscles already, you cannot take more risks with your wellbeing. They will specially design a routine for you to follow. Make sure you keep up with it in your routine life.

A therapy routine might include things like core strengthening exercises, aerobics, stretching, flexibility exercises, and testing your pain limits


While you may not believe it, meditation can help with various sorts of pain, especially chronic back pain.

While meditating, your body releases stress and gains positive energy that can address various issues. Nevertheless, many people start experiencing physical pains only because they have been suffering from psychological problems like frustration, depression, psychological pressure, and much more. Meditating on a daily basis can help you balance your mood and retain energy.

You can resort to any meditation method from one-minute meditation to tai chi.

Change in Lifestyle

Sometimes, our bodies face health issues as a result of poor lifestyle choices. An unhealthy lifestyle can affect our wellbeing to a great extent. Most people you meet might be the target of a bad lifestyle. Therefore, when you feel like your choices are part of the problem, it’s time to make a few changes.

These changes might involve eating the right food, taking more trips while taking groceries to the house, taking breaks while working, and whatnot. However, if you have a habit of taking intoxicants or smoking cigarettes, try quitting them instantly. Further consumption of bad food, intoxicants, and cigarette smoke will worsen your back pain even more.


Your diet plays an important role in determining your health. Therefore, consuming foods that do not support a healthy living will ruin your health. Nevertheless, some foods might have nutrients that affect your entire health.

Best Pain Doctor in New York City

If no mentioned treatments work for you, then I suggest you take help from a board-certified physician. If you live in New York City, I have a great recommendation for you. Dr. Matthew Grimm is a board-certified physician and top NYC expert in chronic pain management.

He does not only treat chronic back pain but other chronic pain as well. He is a pain management specialist, and he will educate you about how you can manage your pain efficiently. He will explain different ways as to how you can improve your quality of life.

There are often multiple solutions to manage pain. You can choose from any treatments that suit your taste. Doctor Grimm will educate you on all treatments and how they work.

Treatment Chronic Back Pain NYC

Final Feedback

Chronic back pain is a common problem that can heavily affect your normal lifestyle. It affects the way you sit, stand, and lay down. Needless to say, the quality of your life decreases a lot once you start experiencing them.

The sooner you contact a doctor to treat your issue, the better. Contact top NYC pain management specialist Dr. Matthew Grimm to treat your chronic pain.

Matthew Grimm, M.D.
160 E 56th St
11th Floor
New York, NY 10022


Caudal Injections for Pain Management

Caudal injections are best for curing lower back pain and leg pain, usually caused by sciatica, spinal stenosis, spondylosis, and other back-related issues. The doctor administers this injection into your lower back, into the space between the membrane. This membrane consists of the spinal fluid and the strongest ligament between your vertebrae. If you‘re suffering from unbearable back or leg pain, your doctor will most likely prescribe you this injection. If you want to learn more about caudal injection and its effectiveness, you must read further.

Caudal Injections for Pain Management

What is a Caudal Injection?

A caudal injection is a type of steroid injection that gets administered in the lowest area of your epidural space. This injection helps reduce lower back pain as well as leg pain caused by major back problems like sciatica, bone spurs, herniated discs, stenosis, and other related problems. The pain occurs when the nerve roots, running from your spinal cord to your back and legs, get inflamed, which could be due to a damaged disc or another condition. The only way to reduce this terrible pain is by getting a caudal injection as it helps saturate the inflammation.

The Caudal Injection Process

The process of administering a caudal injection is pretty simple, but it is painful to a certain extent. A pain management specialist injects the caudal shot in the affected area to relieve the patient of the pain and discomfort. It takes around 15 minutes, depending on the expertise of the doctor. For the injection, you will have to lie straight on an x-ray table on your abdomen. Next, the doctor will give you some intravenous medication and numb the skin on your lower back with a local anesthetic.

After this, the doctor will administer a thin needle into your lower back, above your tail bone. Next, the specialist will inject the dye and a mixture of anesthetic or steroids for pain relief. As soon as you get the injection, the medicines will then spread into the caudal and epidural spaces, which will give you some relief from the pain.

Caudal Injections

Effectiveness of Caudal Injection

Caudal injections are quite effective, especially when it comes to getting rid of severe back pain. Many people wonder how long and effective the injection is. It starts to work within 30 minutes after you get the dose. However, you might start to experience some pain again as the local anesthetic starts to wear off after a few hours.

You will begin to experience longer-term relief in two to three days when the steroid starts working. The time limit differs from person to person. For some people, the relief lasts longer than usual. If the injection helps relieve your pain, you can get the shots periodically to stay away from pain.

Potential benefits of caudal injections:

  • Instant back or leg pain relief
  • Fast recovery
  • Fewer risks involved
  • Can go home within 30mins after the injections

Potential Risks Involved

There are a few risks involved when you get the caudal injections. These risks are usually explained to you by your doctor before going in for the procedure. However, they do not last long in most cases, and your pain management doctor will help you deal with these side-effects:

  • Bleeding
  • Chance of the back area getting infected (rarely)
  • Numbness
  • May experience excessive pain
  • Headaches
  • Insomnia
  • Drowsiness
  • Nerve problems
  • Stroke
  • Spinal Cord Injury

How to Prepare For Your Caudal Injection

Whenever you plan on getting a caudal injection, you must prepare yourself mentally and physically and keep all the required information ready. There are a few things you can do to stay fully prepared for your injection.

First, when you visit your doctor, he/she will take your medical history. So keep a list of all the medications you are taking and X-ray reports of your CT scan, MRI, and any other tests you have undergone for the diagnosis and treatment of your pain.

It is best to avoid taking any medications before the process, especially if the injection is for diagnosis. This way, you can tell if the injection has worked or not. You may have to fast a few hours before your injection, but you must confirm this with your doctor.

When going for your injection, make sure to wear the comfiest clothes in your closet. Don’t wear anything tight that would stick to your body, especially the area where you’re getting the injection on.

If you feel sick or are suffering from mild flu or fever the day before your procedure, you must inform your doctor as they will guide you as to whether you should get the injection the same day or after you feel better.


If you’re struggling with severe back pain and feel like you may need a caudal injection to relieve the symptoms,  consult Dr. Matthew Grimm. He is one of the best pain management doctors in NYC and knows how to treat all types of pain. It is best not to delay the treatment as it may lead to other issues.

Visit our website or call us at 646-862-5555 to book an in person or telemedicine appointment today!

NYC Doctor For Sciatica

Doctor for Sciatica 2020-2021There are many types of back pains. Some pains come up suddenly while others start slowly and get severe with time. Common medicine can be helpful to treat some types of pains, but others require powerful drugs and surgeries to get back to normal life. At times, it is hard to find the source of the pain, but you can easily identify sciatica.

Sciatica is the pain caused by the irritation of the sciatic nerve. When this nerve irritates, it can cause pain, ranging from light to severe. It is usually caused by a dense nerve. This nerve is in the lower spine and runs from your hips to your feet. The pain might be acute or chronic. It hurts you in your bottom, feet, toes and the back of your legs. You may also feel weakness, numbness, and tingling, and the pain may cause stabbing, burning and shooting reactions. A slip of the herniated disk is the main reason for this pain. It is not a condition, but a symptom.

How Sciatica Works

The slip of the herniated disk in your lumbar (lower) spine is the main reason behind Sciatica. The flat, flexible, round disks of the connective tissue cushion and separate your vertebrae. Either due to injury or years of usage, this disk wears down. As a result, its soft center begins to push out from the hard outer ring.

When a disk herniates, pressure on the sciatic nerves builds, causing severe pain. This nerve is the longest in your body, which starts from lower back and splits into a network to run through your hips, buttocks, legs, and feet. Spinal stenosis can also put pressure on these nerves.

Causes of Sciatica:

Other causes of Sciatica may include:

1.     Spondylolisthesis

Affecting your lower vertebrae, Spondylolisthesis is a spinal condition. This condition is really painful. To cure this disease, doctors may use therapeutic and surgical methods. To avoid this condition, you should incorporate proper exercise techniques.


Some of the common symptoms include:

  • Lower back tenderness
  • Thigh pain
  • Lower back pain
  • Back and leg stiffness
  • Tight hamstring and buttock muscles

2.     Lumbar Spinal Stenosis

Doctor for Sciatica New YorkThe lumbar spine is a group of five vertebrae in the lower part of the spine in between the ribs and the pelvis. Lumbar Spinal Stenosis occurs when the spinal cord narrows, compressing the nerves traveling through the lower back into the legs. Commonly, this may affect younger patients due to the development process but may affect people who are 60 and older as a degenerative condition.

The spinal canal usually narrows slowly, over many years or decades. Due to aging, the disk becomes less spongy and results in the loss of disk height, and hardened disk in the spinal canal turns bulgy. Ligaments may become thick and turn into bone spurs. The narrowing of the central canal is due to these conditions. Inflammation and compression of the nerve may cause symptoms.

Symptoms may include:

  • Pain, numbness or weakness in the legs, calves or buttocks
  • Pain radiating into one or both legs and thighs
  • Loss of normal bladder or bowel function (happens less often)
  • Improvement in the condition when lying down or sitting
  • Calves becoming stiff while walking, compelling to take quick breaks

3.     Degenerative Disk Disease

This condition occurs when one or more disks between vertebrae break down or change, leading to pain. This is an age-related disease. Spinal disks work as shock absorbers between vertebrae or bones of your spine and you can bend or twist with the help of these disks as they keep your back flexible. It shows signs of wear and tears when you grow old.


Common signs of degenerative disk disease may include:

  • It may occur in lower back, buttocks and upper thighs
  • It may come and go
  • It may be nagging or severe
  • It can last for a few days or maybe months
  • Your pain may be worse when you bend, lift or twist and you feel better when you change positions and lie down

Call Dr. Matthew Grimm to Treat Your Sciatica

Degenerative Arthritis, lumbar disk disease, trauma or injury to the lumbar spine are some of the causes of Sciatica. Consulting a doctor and getting proper treatment may give relief quickly. If you need a Pain Management Specialist, call to book an appointment with our Pain Management Doctor. Dr. Mathew Grimm is an expert in treating all kinds of pain.

Matthew Grimm, M.D.
160 E 56th St
11th Floor
New York, NY 10022

Sciatic Nerve Pain

The irritation arising in the sciatic nerve causes sciatic nerve pain in the lower region. You may feel pain from the lower back (lumbar area) to the back thigh. This nerve is the largest in your body. It starts from nerve roots in the lumbar area from the spinal cord (lower back) and heads up to lower limb, passing through the buttock area. Sciatic nerve pain is sometimes referred to as Radiculopathy.

Sciatic nerve pain

Common Causes of Sciatic Nerve Pain:

Sciatica is the result of disc herniation in the lumbar area. Symptoms may also occur when inflammation and irritation are caused to the sciatic nerve. An abnormal vertebral disc resulting in irritation is also called Radiculopathy. Other causes of sciatic nerve pain are irritation of nerve due to adjacent bone, muscle, tumor, infections around or in the lumbar spine, internal bleeding, injury, etc. Women are prone to sciatic pain when they are pregnant.

Diagnosis for Sciatic Nerve Pain:

Doctors will check your reflexes and muscle strength during physical exams. They might ask you to walk on your toes or heels, to lift your leg one at a time and all those activities that can increase pain for examining the cause thoroughly.

Tests for Sciatic Nerve Pain:

After that, one of our doctors will conduct some tests to check the condition of your pain. With these tests, we will be able to know if there are any abnormalities. These tests will also locate the area of pain. In some conditions of herniated disks or bone spurs, you might not feel symptoms but tests will reveal your condition. We will only suggest those tests if your pain is severe or you are not recovering from the pain from weeks.

1.     X-ray

Maybe your bone is overgrowing and causing you pain. An X-ray of your spine may reveal that. When the bone overgrows or spurs, it might press up the nerve, causing you pain and numbness.

2.     MRI

With MRI, doctors produce cross-section images of your spine with the use of powerful magnets and radio waves. MRI can produce proper images of a herniated disk, soft tissues, and bones. You have to lie down on a table that moves inside the MRI machine.

3.     CT Scan

Doctors inject a contrast dye inside your spinal canal when they use a CT scan to create an image of the spine. This procedure is called myelogram. This dye circulates around your spinal cord and nerves and highlights in white when doctors scan.

4.     Electromyography (EMG)

EMG measures the electrical impulses which your nerve and muscle responses produce. With this test, nerve compression due to narrowing of your spinal canal or slipped disk can be confirmed.

Treatment of Sciatic Nerve Pain

When you are suffering from sciatic nerve pain, your doctor can suggest the following types of treatments:

1.     Medications

These are the types of medications your doctor may provide when you are having sciatic nerve pain:

  • Anti-Inflammatory medications
  • Narcotics
  • Muscle Relaxants
  • Anti-seizure medications
  • Tricycle anti-depressants

2.     Physical Therapy

Doctors may also suggest therapies, which can help you by improving your:

  • Flexibility
  • Core stability for back support
  • Posture
  • Muscle strength

Sciatic nerve pain - spinal diagram nerves3.     Steroid Injections

When the condition is worse and you are not recovering with medications and therapies, doctors then recommend corticosteroid injections. Doctors give these injections directly into the area that involves nerve root. These injections help in reducing pain and suppressing inflammation. The effects of these injections can wear off in a few months. Injecting too frequently can cause side effects.

4.     Surgery

When the compression of nerve leads to bowel or bladder loss, weakness, or when your pain is getting severe and not improving with other treatments, the doctor recommends surgeries. Surgeons remove the overgrown bone or bone spur or remove a herniated disk that is pressing the nerve.

5.     Other Treatments

Other treatments like cold and hot packs on the area, stretching and taking over-the-counter medications may also help in the treatment of the sciatic nerve pain.

Consult Dr. Matthew Grimm to Treat Your Sciatic Nerve Pain

Sciatic nerve pain may affect daily activities and may increase in severity over time. An early visit to the doctor may result in a better treatment. If you need a Pain Management Specialist, give us a call at 646-862-5555 or book an appointment with our Pain Management Doctor

Matthew Grimm, M.D.
160 E 56th St
11th Floor
New York, NY 10022