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.

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
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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
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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:

646-862-5555

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
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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.

Sciatica

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.

Spondylothesis

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.

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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.

https://www.spine-newyorkcity.com/

Lumbar Epidural Injection

Do you need a lumbar epidural steroid injection? Sciatica and lower back pain are very common, and many people experience these pains in their old-age or due to injuries. The pain in the lumbar region of the spine can be very unbearable at times and leaves you in discomfort.

It is important to find the root cause and get this pain treated. For this, you must consult your pain management doctor right away. The best non-surgical way to treat this pain is the use of a lumbar epidural injection. A lumbar epidural is an injection administered in the lower back region for instant pain relief.

Lumbar Epidural Injection
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A pain management specialist injects an anesthetic or steroid into a targeted spot in the lumbar region – located just above the tailbone and below your ribs. The lumbar epidural procedure is quite effective for many people. This injection may not be effective for some, as it differs from person to person. If you want to know more about the lumbar epidural injection, continue to read this article.

Reasons to Need a Lumbar Epidural Injection

A few conditions indicate the necessity of a Lumbar Epidural Injection. If you experience any of the following, you may need lumbar epidural shots:

Lumbar Spinal Stenosis

Lumbar spinal stenosis is a spinal cord issue that is quite painful. It develops when the narrowing of your spinal cord chokes off the spinal cord and the nerves in it, which in turn causes excessive pain.

Lumbar Disc Herniation

A lumbar disc herniation is another back pain condition caused when the nucleus of the disc pushes inside the annulus, which is the outer ring and goes through the spinal canal. It puts excessive pressure on the nerves and spinal cord.

Annular Tear

An annular tear is a very painful back pain condition that occurs when there is a tear in the disc’s outer layer.

Degenerative Disc

The degenerative disc is a disease that occurs when the disc space collapses and impinges the lower back nerves.

Cysts

Cysts are very common and appear in many areas of the body. But it’s pretty painful when it appears in the never roots or the facet joints as they tend to expand and squeeze the spinal structure.

Lumbar Epidural Injection Process

A lumbar Epidural process isn’t that difficult, and to some extent, it is quite successful. But the results vary from person to person; some people find instant relief while others may sense more pain than before. The whole process takes around 15-30 minutes.

Your doctor will perform the injection in the clinic, but you have to discuss the details with him/her beforehand. When you go for the procedure, your doctor will ask you to lie flat on an X-ray table on your abdomen. You can also lie sideways or whatever way you may feel comfortable.

Next, the healthcare professional will clean the area where they need to inject the solution and numb it with local anesthesia. After this step, the doctor will start to position the injection properly using a live X-ray screen, also known as a fluoroscopy, and slowly direct the needle towards the epidural space. This may take some time, depending on the skills of your doctor, as they have to make sure it gets inserted into the right area.

Once the needle is in place, the doctor will inject the lumbar epidural solution inside the injection and insert it in the right area. At this moment, you may feel a lot of pressure and needle poking as the solution amounts up to 10mL.

Once you receive the injection, you will have to stay for 15 to 20 minutes if you experience any severe pain or side effects. During this time your doctor will monitor you. If the injection causes no side-effects, the procedure is successful. Hence, you will get discharged after an hour or so the same day.

Common Risks of a Lumbar Epidural Steroid Injection

There are a few risks associated when getting a lumbar epidural injection. Your doctor will discuss the potential risks and side-effects with you before starting the procedure. Mentioned below are the common risks:

Bleeding

You may experience heavy bleeding; however, it is not very common and happens in rare cases. This is more common among those who already suffer from underlying bleeding disorders.

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Nerve Damage

When receiving an injection, your body is more prone to go through a slight trauma from the needle inserted. This is more likely to cause nerve damage, which becomes very painful; however, this is also rare. Make sure to discuss the underlying health issues you are already facing before you get an epidural injection.

Other Common Risks and Side-Effects:

  • Infection
  • Drowsiness
  • Facial Flushing
  • Anxiety
  • Ulcers
  • Cataract
  • High Blood Sugar
  • High Fever
  • Headaches
  • Low Immunity Levels
  • Hips Arthritis
  • May have an increase in back pain

However, all these side-effects last for a few hours only. So, you don’t have to worry, especially if you have chosen the best pain management doctor in town.

Takeaway: Consult A Pain Management Doctor

If you need the right consultation and solution for your back pain, you must immediately get in touch with Dr. Matthew Grimm, M.D., for effective pain management treatment. You must not take your back pain lightly and get the best treatment. Call us at 646-862-5555 to book an appointment with our pain management doctor.

Sciatica Doctor NYC

What is Sciatica?

Do you need a sciatica doctor in NYC? You can feel back pain anywhere and at different intensity. It can trigger after a few minutes of an injury or appear slowly over a period of months. It can be acute (short-lived) or chronic (long-lived).

Sciatica Doctor NYC
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Over-the-counter medicines can help control some types of back pain, but doctors fix others by surgery and drugs. Sometimes doctors find it difficult to identify the source of your pain; other times, even you can identify it easily. Sciatica is the type of back pain you can easily pinpoint. The irritation of the sciatic nerve triggers this pain, and it may range from mild to severe.

Sciatica nerve is in the lower spine; it runs from the hips to your feet. You may feel acute or chronic pain in your bottom, toes, feet, and legs. Numbness, tingling, stabbing, and burning reactions are some of the symptoms.

Generally, people treat these problems with home remedies, but if you feel pain for a longer time, you need to consult a doctor.

What Type of NYC Doctor Can Treat Sciatica?

Sciatica can be difficult sometimes. You can’t easily predict its causes. In this case, you need a doctor to identify the cause and treat your problem. A family doctor is a wise choice to consult. But a family physician should be able to pinpoint the cause of your nerve pain and start your treatment. This means that you might need a more qualified person other than a usual family doctor.

If your family doctor is unable to help you or tells you that you may need additional help for the treatment, he will recommend the following types of doctors to visit.

  • Orthopedic doctor
  • Neurologist
  • Chiropractor

Neurologist

A neurologist has the qualification to deal with the human nervous system. Sciatica is a nerve, and a neurologist will diagnose the cause of nerve pain and give you a treatment that a primary care physician can’t do. Plus, pain management specialists also have the expertise to identify and treat sciatica.

Moreover, your sciatica doctor will recommend you to take some tests for your back. This will help them diagnose the pain source accurately. Some of the common tests are:

X-Ray

This is the most common method in the health care field. It will give some images to your doctor to take a good look at your anatomy.

MRI

This imaging method requires magnets and radio frequencies to get an extremely precise picture of your body.

NCV/EMG

This nerve conduction test involves taking a record of electrical activity in your body. Also, this test confirms that all nerves are working perfectly.

Orthopedic Doctor

If you have sciatica that needs more aggressive intervention, for instance, degenerative disk or herniated disk disease, an orthopedic or pain management doctor can help you.

These doctors can suggest a surgical procedure to reduce the pressure on your sciatic nerves, such as disk fusion or microdiscectomy. In case you visit an orthopedic doctor and suggest surgery, it’s better to take one more opinion. Medical science is getting advanced, which allows you to get a non-surgical solution to treat sciatica pain. Remember that surgery should be your last option.

Chiropractor

Strictly speaking, a chiropractor is not a medical doctor, but they can help you overcome your back pain if the cause is muscle tightness or weakness.

One of the most common causes of sciatica is the knots or trigger points in your muscles that create problems in the sciatica nerve. If you are having these issues because of over sitting or overstimulation, a chiropractor can help you. Even more, than medication can do.

Top Sciatica Doctor in NYC
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Generally, you have to visit the chiropractor at least four times to fix your problems related to sciatic pain. These types of physical rehabilitation have some limitations. You can seek your pain management doctor’s advice to get in touch with the best chiropractor or they can also suggest ways to deal with your nerve pain.

When Should You See A Sciatica Doctor in NYC?

Sciatica with lower intensity resolves over time. Consult a pain management doctor if any remedy or self-care measures are not helping you and also if your pain lasts longer than a week. Visit the doctor immediately if you find that it is getting worse with the time.

Get immediate medical if the following thing happens:

  • You face sudden and intense pain in your lower back or leg and numbness or weak muscles in your leg.
  • The pain is due to an injury, such as a traffic accident.
  • You have trouble managing your bladder or bowels.

Bottom Line

Sciatica pain may seem mild initially, but if you don’t get treatment, it can worsen with time. If you are having severe pain in your lower back, it’s best to seek medical care immediately. But don’t forget to visit the best sciatica doctor for your pain, as less experienced doctors can create more troubles for you.

If you are looking for the best sciatica doctor in nyc, consult Dr. Matthew Grimm, M.D. He is a top NYC specialist in treating these problems. You can visit our website or call us on 646-862-5555 to book an appointment with our pain management doctor.

Pain Management Doctor

What is a Pain Management Doctor?

A pain management doctor is a physician with special training in diagnosis, evaluation, and treatment of all types of pain. Pain is a wide spectrum of disorders such as chronic pain, acute pain, cancer pain, and a combination of all these.

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You can also suffer from pain because of many reasons such as injury, nerve damage, surgery, and metabolic problems such as diabetes. Sometimes, pain can be a problem itself, without causing any other problem.

What Does a Pain Management Doctor Do?

As medical technology is advancing, we are getting information about the complexities of pain. Thus, it is important to take help from a person with special knowledge and skills to treat pain. A pain management specialist has in-depth knowledge of the physiology of pain, the ability to determine the reason for pain, and conduct tests to diagnose the pain.

They give appropriate recommendations and prescribe medications and have the skills to perform different procedures. Moreover, experts are working on various new treatments for the pains and conditions in the human body. The researchers are formulating complex and new drugs, technologies, and techniques every year to treat the pain more efficiently.

The pain management specialist has the expertise to use all this knowledge effectively and safely to help patients. Not to mention, these health providers play an important role in giving and suggesting additional care such as physiological therapy, physical therapy, and rehabilitation programs.

Types of Pain

Pain management doctors can treat different types of pain that usually fall into three separate groups. The first group indicates the pain caused by direct tissue injury, such as arthritis. The second type of pain is due to nervous system injury or nerve injury, such as stroke. Finally, the last group includes the pain that happens due to tissues and nerve injury both, such as back pain.

Disorders due to Tissue Injury

  • Osteoarthritis is the wear and tear arthritis in the large joints, including hips and knees.
  • Rheumatoid arthritis occurs due to the autoimmune reaction. Patients feel it in joints like wrists and fingers.

Disorders due to Nerve or Nervous System

  • Multiple sclerosis
  • Stroke
  • Neuropathy caused by HIV, shingles, diabetes
  • Spinal cord injury

Disorders due to Mixed pain

  • Neck pain
  • Cancer
  • Back pain

What Qualities to Look for in Your Doctor?

Effective communication is important to build a good relationship between doctors and patients, leading to great treatment results. But there are other qualities your doctor must have

Look for the following qualities in pain management doctor.

  • Wide knowledge of pain disorders
  • Ability to diagnose patients with serious and difficult pain problems
  • Prescribing the right medications
  • An ability to conduct specialized tests to identify the source of pain
  • Skills in different procedures
  • Have a good network of doctors to recommend patients for physical therapy, surgical evaluation, and psychological support.
  • Up to date equipment
  • Helpful office staff

Best Pain Management Doctor NYC
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What Should You Expect on Your First Visit to a Pain Management Specialist?

  • On your first visit, your doctor will try to understand your condition and begin to evaluate your pain problems. This involves taking your detailed history, reviewing tests, and conducting a physical exam. Pain management specialists want to identify the source of the pain, which is why they ask so many questions.
  • Sometimes they give you a questionnaire even before your first visit that contains detailed questions about your problems and where it occurs in your body. They may also ask you to bring any medical history you have, such as computed tomography (CAT) scans, X-rays, or magnetic resonance imaging (MRI) scans. Before going to a doctor, you should also know whether you have enough energy to go through this process by driving yourself. If not, then take someone with you to help you.
  • Most importantly, your first visit is only an opportunity for your doctor to analyze you from head to toe and discuss the initial assessment of your pain problem. Your doctor may get an idea in the first evaluation of your pain, or they can ask you to do more tests for better understanding. No matter what pain you have, you should consider this first visit as the first step of many steps to get relief from pain.

Bottom Line

Pain management doctors have a responsibility to diagnose your pain and treat it most accurately and effectively. If they fail to identify or treat the main source of pain, you may face further problems or complications.

Consult with Dr. Matthew Grimm, MD, who has years of experience treating all types of pain. Call us at 646-862-5555 or book an appointment with our pain management specialist to get help in managing your pain.

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
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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.

Spondylolisthesis

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.

Sciatica

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.

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  • 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.

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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.

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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
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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
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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
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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
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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
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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.

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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.