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.

Sciatic Nerve Pain

Sciatic Nerve Pain, more commonly known as Sciatica, refers to pain that originates in the lower back and radiates down the leg through the buttocks. Sciatica is a complex nerve pain disorder that requires proper diagnosis and treatment. For effective recovery, it is important to notice the early symptoms on time. When the pain and symptoms become worse, the treatments become ineffective.

Sciatic Nerve Pain | Sciatica
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What is the Sciatic Nerve?

Sciatica nerve pain initiates through the sciatic nerve disorder in the lower back. It is the largest and longest nerve. Moreover, it originates from the sacral plexus (lower back nerves network). It comprises the smaller nerves that distribute from the main nerve. These small nerves, known as “tibial” and “peroneal” nerves, are vital for sensory and motor functions in the lower part of the body. These enable sensations and movement in calves, ankles, toes, knees, and feet.

Understanding Sciatica

There are several reasons why sciatica can occur. These include spine bone spurs, spinal stenosis, or a herniated disk. It leads to pain, numbness, and inflammation in one side of the body, typically the affected leg. It is possible to receive non-operative treatments for sciatica cases. However, the pain is usually severe, and as not every individual has the same pain threshold, pain physicians may recommend surgery to improve bladder, bowel, and leg changes or weakness.

What are the Signs and Symptoms of Sciatica (Sciatic Nerve Pain)?

Sciatica is a rare symptom that depicts problems in your lower back and spinal cord structure. In case you are experiencing lower back pain, and the pain keeps increasing in intensity, you should consult a pain physician.

As mentioned, sciatica pain occurs due to sciatic nerve damage. However, there are other symptoms for this condition that include:

  • Numbness in the feet or legs
  • Loss of feeling and/or movement in legs or below thighs
  • Painful burning or tingling sensation in your feet and toes
  • Worsening pain due to movement
  • Incontinence
  • Bowel Changes/Disorders

What are the Causes of Sciatica?

There are multiple sciatica nerve pain causes that include damage and injuries to your spine and lower back. Sciatic nerve tumors, permanent falling injuries, spinal breaks, etc., are the most prominent causes of sciatica. Despite that, most cases of sciatica are due to herniated disk.

Disks comprise cartilage which is a resilient and strong material acting as a cushion between your vertebrae. It helps the flexibility of your spine and hence lets you move freely. When the herniated disk moves out of place due to any reason, for example, due to falling, it puts pressure on the sciatic nerve, which leads to compression. This can cause sciatica nerve pain and other symptoms. Some prominent causes of sciatica include:

  • Spine Injury
  • Spine Infection
  • Lumbar Spinal Stenosis
  • Cauda Equina Syndrome
  • Spine Tumors

What are the Treatment Options for Sciatic Nerve Pain?

It is advisable that you seek the best pain physician who has experience in treating sciatica nerve pain conditions. Besides, knowing the cause will determine which treatment is best for you. Here are some of the treatment approaches that pain doctors and surgeons take.

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OTC Medication

OTC medications can help with inflammation and offer short-term pain relief. This is beneficial for those who are suffering from constant pain and tingling (or any other) pain sensations. You should consult your pain physician regarding the OTC medication that you take up.

Surgery

Surgical intervention is necessary when the swelling, inflammation, and pain are intolerable. It can affect the lifestyle and make your day-to-day activities troublesome. Once you lose control over your bladder or bowel and develop severe weaknesses in muscle groups around your lower parts, your doctor may suggest that you undergo surgery.

Microdiscectomy and Discectomy are the major types of surgeries that help with a herniated disk. It helps to remove the compression over the sciatic nerve and prevents pain. Your surgeon may remove the disk after making minor incisions (Microdiscectomy). Furthermore, your surgeon may only remove the disk’s part compressing the sciatic nerve (Discectomy).

Other forms of treatments and remedial solutions include:

  • Epidural Steroid Medication
  • Physical Therapies
  • Regular Exercise

Sciatic Nerve Pain: Conclusion

Do you struggle with sciatic nerve pain? Getting in touch with a pain physician and professional likeMatthew Grimm MD can help. Experience in pain management and treatment has helped Dr. Grimm find the best treatment options for every patient.

Matthew Grimm MD offers individualized attention to every patient. He provides the best plan to meet the medical needs and requirements of each patient according to their current condition.

Call us at 646-862-5555 for an appointment. Remember, early identification is key to a speedy recovery and also helps prevent other problems. Find more information on our official website Spine New York City.

 


References

https://www.webmd.com/back-pain/what-is-sciatica
https://www.spineuniverse.com/conditions/sciatica/sciatica-causes
https://www.spine-health.com/conditions/sciatica/sciatic-nerve-and-sciatica
https://www.spineuniverse.com/conditions/sciatica

Spinal Pain: Causes & Pain Management Options

In this article, we will discuss the causes and effective treatment for spinal pain. Spinal pain occurs in the lumbar and cervical region and can seriously disrupt a person’s quality of life. One of the main reasons for lower back pain is lumbar muscle strains and sprains. You can also develop spinal pain in the thoracic spine.

While pain in the thoracic spine is uncommon due to its rigid structure, cervical and lumbar spine pain is pretty common. It can also radiate throughout your legs, arms, and rib cage.

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4 Top Causes of Spinal Pain

Sudden pressure on the spinal cord can cause spinal pain and strains. It is important to identify the actual cause behind the pain for proper treatment. You should visit a pain management doctor so they can identify the cause and suggest the best treatment plan. Here are some conditions that link with spinal pain:

1.     Muscle or Ligament Strain

Consistently lifting heavy weights without proper movement can cause pressure on the spinal ligaments and back muscles. If you are in poor physical health, you may develop painful muscle spasms.

2.     Bulging or Ruptured Disks

Between your spinal bones or vertebrae, there are cushions responsible for creating flexibility. In some conditions, the soft material between disks becomes bulgy and ruptures. Sometimes, bulging and ruptured disks aren’t painful, but they cause immovability to the spine.

3.     Arthritis

Osteoarthritis can cause spinal pain in the lower back. When you leave this condition untreated, it will turn into spinal stenosis.

4.     Osteoporosis

When the bones become brittle and porous, they develop painful fractures in the spine vertebrae, causing severe pain.

Risk Factors for Spinal Pain

Everyone is at the risk of developing pain in the spine, whether they’re teenagers or adults. Read these risk factors to learn if you are prone to spinal pain:

·       Age

The risk of developing spinal pain increases with time. Many people after the age of 30 or 40 develop chronic back pain.

·       Lack of Exercise

Low body movement can also cause body pain. When you have weak or unused muscles in your abdomen and back, it could lead to back pain.

·       Excess Weight

Excessive weight adds pressure to your spine, damaging the cushions between cervical discs.

·       Diseases

Diseases such as cancer and arthritis increase the risk of developing back pain.

·       Improper lifting

When lifting weights, pressure on the back instead of legs can damage your spine. This can trigger intense pain.

·       Psychological Conditions

People with anxiety and depression develop spinal pain.

·       Smoking

Smokers have a high risk of developing back pain. Excessive smoking leads to coughing, which puts pressure on cervical disks. This can cause herniated discs. Furthermore, smoking decreases blood flow in the spinal region, increasing the risk of osteoporosis.

Pain Management Options for Spinal Pain

Non-Surgical

A herniated disc can cause structure neural compression, sprains, and strains. Spinal pain is one of the symptoms of a herniated disc. You can reduce your activities to naturally treat disc herniation. You can also opt for bed rest. However, you should avoid prolonged bed rest as it can increase muscle stiffness and cause loss of muscle strength. In the long run, this increases the intensity of pain in the spine.

When you visit a professional pain management doctor such as Dr. Matthew Grimm, they will perform a complete diagnosis. After examining the condition, they will prescribe appropriate NSAID medication. These medications are effective for mild to moderate pain. The doctor may also suggest narcotic medication and muscle relaxants for severe pain.

You can also undergo physical therapy for pain management. The pain management doctor will evaluate your condition and develop a preferable treatment plan to ease your spinal pain. There are different types of therapies such as gentle massage, pelvic traction, ice and heat therapy, electrical muscle stimulation, ultrasound treatment, and stretching exercises. The doctor will suggest the best one according to your condition.

Causes of spinal pain and management

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Surgical

A doctor may suggest surgery in case of spinal pain due to a herniated disc. With growing age, the ligaments, discs, and muscles surrounding the spine grow weak. The degeneration of these parts increases strain and sprain. This leads to disc rupture and severe pain in the spine. People suffering from disc problems can undergo surgery and replace the damaged disc with a synthetic one. Your doctor will examine your condition and suggest the best surgical procedure for disc replacement.

Spinal Pain: Conclusion

Are you looking for a doctor in New York City to help manage your spinal pain? If so, give us a call and schedule an appointment with our professional and highly skilled pain management doctor, Dr. Matthew Grimm.

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

646-862-5555

Severe Neck Pain Causes and Treatment Options

Your neck consists of vertebrae stretching from the upper torso to the skull. Cervical discs between vertebrae create flexibility and absorb excess shock. The neck muscles, bones, and ligaments support your head, allowing motion. Inflammation, injury, or abnormalities in this section causes neck stiffness and pain. Neck pain and stiffness is a common condition, but when the pain becomes severe, it’s time to visit a pain management doctor. Identifying the actual cause of neck pain is not possible at home as numerous reasons could play a role in it.

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Sometimes, neck pain arises due to a poor sleeping position. In these situations, you can relieve pain with home remedies and OTC medication. However, you should still visit a pain management doctor for a proper diagnosis. The doctor will confirm if the reason for your pain is an illness, injury, or some other condition. If the neck pain continues for more than a week, it is severe and immediately needs medical attention.

Do you live in New York City? If so, you should visit Dr. Matthew Grimm for a consultation and diagnosis. After your diagnosis, Dr. Grimm will suggest the best treatment plan according to your condition.

Causes of Severe Neck Pain

Neck pain and stiffness can be the result of various conditions. Here are some major factors that trigger it:

1.     Muscle Tension and Strain

Muscle tension and strain can occur due to behaviors and activities including:

  • Working on the desk without changing position.
  • Poor posture
  • Bad sleeping position
  • Jerking of the neck while exercising

2.     Injury

Injuries can force your muscles and ligaments to move beyond their normal range. For instance, when you’re involved in a car accident, fall, or sports injury, you will notice strain and pain in your neck. Vibration and fracture in the neck bones can damage the spinal cord. Whiplash or sudden neck jerks can also lead to a neck injury.

3.     Heart Attack

Neck pain is a symptom of a heart attack. Therefore, when you experience neck pain, make sure to check for the other symptoms as well, such as:

  • Excessive sweating
  • Shortness of breath
  • Vomiting
  • Nausea
  • A jaw or arm pain

If you notice other symptoms as well as neck pain, immediately contact an ambulance and rush to the emergency room.

4.     Meningitis

You may also experience neck pain due to meningitis. In this condition, the tissue around the spinal cord and brain suffers from inflammation. Besides neck pain, you will also notice headaches and fever. Meningitis is a life-threatening disease that requires immediate medical attention.

Treatment Options for Severe Neck Pain

Whether you have mild or moderate neck pain, self-care activities can offer relief. If the neck pain still affects your quality of life, consult with a pain management doctor in NYC. When you visit an experienced doctor, they will diagnose and suggest effective treatments.

Medications

The first line of defense includes OTC medication. However, before you take these medications, consult with a doctor. You can take tricyclic antidepressants and muscle relaxants for pain relief.

Therapy

  1. Physical Therapy

A pain management doctor can also help correct your posture. They will share neck-strengthening and alignment exercises. Electrical stimulation along with ice and heat therapy is an effective way to help ease your pain and eliminate the risk of recurrence. Other times, the doctor may refer you to a professional physical therapist to help treat your condition.

Severe Neck Pain Treatment  | Physical Therapy
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  1. Transcutaneous Electrical Nerve Stimulation (TENS)

The doctor may also place electrodes on your skin near painful areas. These devices generate electrical impulses that help relieve pain.

  1. Traction

Traction is a technique that involves pulleys, weights, and air bladder. These tools help gently stretch your back. It’s important that you undergo this therapy under the supervision of a trained pain management doctor and physical therapist. Because these exercises stretch nerve roots, you need to be careful about the procedure.

  1. Short-Term Immobilization

The doctor may also suggest a neck support collar to support the neck structure and help relieve pain. Remember that wearing a collar for more than three hours can create more stiffness. It is important to keep moving your neck muscles after a while. Therefore, take off the collar every three hours and let your muscles relax.

Surgical and Other Procedures

  1. Steroid Injections

Injecting steroid solutions such as corticosteroid medications in the bones of the cervical spine can help ease the pain. Lidocaine or other numbing medications are also effective for pain relief in the neck.

  1. Surgery

In rare conditions, the doctor may recommend surgery for neck pain. However, surgeries are highly effective for spinal cord and nerve root compression.

Severe Neck Pain: Conclusion

For extreme neck pain and stiffness, you should consult with a professional pain management doctor in for pain relief. Dr. Matthew Grimm diagnoses and identifies the root causes of the pain to ensure long-term relief. Once they understand the underlying cause of the pain, they will recommend the best treatment method suitable for your condition.

Matthew Grimm, M.D.
160 E 56th St

11th Floor
New York, NY 10022

646-862-5555

What Is Sciatica Pain?

Sciatica pain is a condition that affects the sciatica nerve along your lower back through the hips, buttocks, and legs. The pain emerges when there is a bone spur or herniated disk on the spine that compresses part of the sciatica nerve. When this happens, a part of your body becomes inflamed and numb. The pain often increases over time, especially if you don’t get it treated. Fortunately, This type of pain is often successfully treated by experienced pain doctors. Read further below to learn more about sciatica pain and how to treat it.

Sciatica Pain
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What is Sciatica Pain?

Sciatica pain stems from the sciatica nerve whenever it faces an injury. This is one of the thickest and longest nerves in your body, consisting of 5 nerve roots. Two of these appear in the lower back, known as the lumbar spine region, and the other three lie in the sacrum, which is the final section of your spine. The sciatic nerves run on both sides of your body through the hips, buttocks, and down to your leg, and end at the knee.

It’s more like a branch of nerves that flow to the remaining part of your leg. The first thing you will experience during sciatica pain is inflammation, pinching, and irritation in your lower back.  The pain levels differ from person to person, and you will experience a weird sensation in your thighs and legs.

What Leads You To Experience This Pain?

These are a few conditions mentioned below that put you at a bigger risk of sciatica pain:

Being Overweight

When you’re overweight, a lot of pressure goes towards your back muscles, which leads to back pains and other issues. All the pressure goes towards your spine when you’re overweight, and this could definitely put you at a greater risk of developing this pain.

Work in an Active Cooperate Field

Jobs that require you to lift heavy machinery or sit for longer periods of time are likely to cause sciatica pain because of the effect these jobs can have on the lower back.

Poor Posture

Keeping the right posture is very important, especially when you engage in physical activity, such as exercising with weights. Failure to maintain a good posture makes you prone to sciatica.

Poor Core

If you have poor core muscles, your lower back won’t have much support, making you more susceptible to sciatica pain.

Other Conditions

  • Diabetes
  • Smoking
  • Lazy Lifestyle
  • Previous Injuries
  • Old Age

How to Treat Sciatica Pain?

Over-The-Counter Medications

You can treat inflammation and swelling due to sciatica pain using OTC medications such as NSAIDs like aspirin, naproxen, and ibuprofen. Before you start taking any of these medications, make sure to consult your pain management doctor, especially if you’re prone to allergies.

Use Hot Packs or Ice

To instantly reduce pain to a certain degree, apply ice packs on the area with the swelling. Make sure to wrap the ice bag in a thin cloth and keep it on the swelled up areas for around 20 minutes every three hours. You can also use a heating pad or hot pack if you’re still experiencing pain. You can keep switching between the two and adjust to whichever gives you the most comfort.

Practice Stretching

Stretching is a good way to relieve lower back pain. You should engage in regular stretches by asking a professional instructor to show you some activities for sciatica pain relief.  By stretching regularly, you maintain your core muscles, improving your overall health.

Physical Therapy

Physical therapy is very effective for sciatica pain as this program involves different exercises for greater muscle flexibility. You will receive guidance from a physical therapist who will only suggest exercises that address your physical needs and improve your stamina.

Sciatica Pain Doctor NYC
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Prescribed Medications

If your pain gets out of hand and continues to persist, your doctor will prescribe stronger medications like cyclobenzaprine, which helps with muscle spasm relief. Your doctor will allocate the type of medication that suits your pain level as, in some cases, they may prescribe antidepressants.

Spinal Injections

Your doctor may also advise that you get a spinal injection. Such an injection includes anti-inflammatory compounds. Once your pain physician injects it into your lower back, it alleviates swelling and pain. You will receive this type of injection under local anesthesia and may experience a few side effects.

Sciatica Pain: The Bottom-Line

Now that you’re aware of sciatica pain, it’s best to keep yourself physically active and healthy to avoid this pain if you haven’t experienced it as yet. If you are experiencing excruciating sciatica pain or know someone who is, get in touch with one of New York City’s best pain management doctors Mathew Grimm MD for the best treatment.

Injections for Pain: Types, Process, and Diagnosis

Are you considering injections for Chronic physical pain is a prevailing condition that arises due to several dozen reasons in seniors, adults, and even children. In fact, 50 million Americans (approximately 20% of the adult population) suffer from chronic pain conditions, which become highly probable after the age of 65. Did you do the math yet? That’s one in every five American adults!

In general, chronic pain conditions cause complications in your daily routine and the tasks within. In simple terms, you experience difficulty performing regular tasks. There’s a wide variety of causes for chronic pain, which necessitate precise diagnostics and treatment courses.

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For one, if the therapeutic and other non-medication treatments yield no results towards recovery, what’s your next option? Injections! Of course, under the prescription and supervision of your pain physicians, they can offer long-lasting or even short-term relief.

Process of Pain Relief via Injections

Injections are extremely precise in delivering medication to the exact location (i.e., anatomic) to relieve chronic pains (e.g., back, neck, shoulders, arms, etc.). What’s more? Injections to the spine can assist in detecting structural deformities or the presence of injuries. One example of such a situation is herniated disks.

Firstly, the precise insertion of medication into the pain source via injections reduces inflammation. Secondly, it creates heat gashes that prevent the pain-source (nerves) from delivering pain signals to the brain.

6 Types of Pain Management Injections

If other treatment methods fail to provide significant results, interventional pain management can incorporate the use of injections to provide relief. But, what are the different types of injections for pain management? What are their effects? Most importantly, what application compels the use of a certain injection type for pain management? Let’s take a look.

1.     Facet Joint Injections

The facet joint injections deliver local anesthetics and minute dosages of corticosteroids under the guidance of live X-rays. While their prime application is the diagnosis of the pain source, they are also applicable in various treatment courses to alleviate the pain. Common places of chronic pain suitable for facet joint injections include the lower and upper back, neck, and buttocks.

2.     Major Joint Injections

Normally, the insertion of major joint injection occurs in the shoulders, knees, and /or hips to treat numerous chronic pain causes. Although they require ultrasound or live X-ray guidance, they are able to deliver anesthetics, corticosteroids, and/ or hyaluronan into the exact source of pain.

3.     Epidural Steroids

The administration of Epidural steroids injection entails the treatment of shoulder, back, leg, or even arm pain due to spinal nerve (roots) inflammation. Applicable for insertion under local anesthesia, epidural steroids are less harmful in the form of injections rather than oral intakes. Hence, they relieve pain while allowing detection of the source.

Combined with anti-inflammatory medicines, small dosages of corticosteroids are proficient in relieving pain, with effects lasting several months.

4.     Occipital Nerve Blockages

The back of the head (where your doctor will insert an occipital nerve blockage injection) is home to the occipital nerves, which connect your spinal cord to your scalp. Occipital Nerve blockage injections treat various headaches, as well as migraines. Generally, it is a 30-second procedure under local anesthesia that rarely contains any corticosteroids.

Injections for Pain NYC
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5.     Sacroiliac (Joint Block) Injection

SI Injections treat pain in the lower back joint, which connects to the pelvis. Moreover, it functions to diagnose and treat chronic pain conditions. However, your pain physician will use fluoroscopic guidance to administer steroids following the initial delivery of lidocaine (a numbing agent). SI injection also paves the way for physical therapies and chiropractic adjustments.

6.     Selective Nerve Root Block

SNRB injection is applicable to treat pain from inflamed or compressed nerve roots of the cervical area because of a herniated or degenerating disk. SNRB injections allow the detection of the pain’s source, starting from your shoulders down to your hands. The insertion of SNRB Injection results in long-term relief from the chronic pain in the nerve root.

Despite long-term effects, administration begins with the delivery of a contrast dye. Why? To establish a correct placement for the follow-up injection that contains cortisone and lidocaine.

Injections for Pain: Conclusion

After your pain physician considers your medical history and test results (imaging, diagnostics, physical and neurological exams), a pain doctor can use injections to seriously improve the quality of life of someone suffering from intense chronic pain.

Call 646-862-5555 to schedule an appointment with a physical medicine expert and pain physician, Matthew Grimm MD. Visit Spine New York City’s official website for more info here.

Chronic Pain from Sports Injuries

Sports injuries are one of the most painful instances in an athlete’s life. Sports injuries come under two types; chronic and acute. Chronic sports injury pain is a consistent type of pain that mainly derives from sports like swimming, running, and cycling. These usually occur when your body is constantly moving. Sometimes the pain from these injuries can be quite intense, stopping you from taking part in your day-to-day activities. It’s important to seek medical help if your chronic sports injury pain worsens. Mentioned below is everything you need to know about chronic pain from sports injuries.

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Types of Chronic Pain Sports Injuries

Symptoms of Chronic Pain Sports Injuries

Chronic pain derives from a sports injury when you engage in constant body movement for a long time.  Sometimes it’s confusing to tell whether you’re experiencing acute or chronic sports injury pain. If you notice specific symptoms, then you’re most likely experiencing chronic pain. These symptoms include sudden swelling in an area that keeps building up or experiencing pain during a specific activity. You may also experience sudden dull aches when trying to rest or sleep.

The symptoms of acute sports injury pain are quite different from that of chronic sports injury pain. The symptoms for acute injuries include swelling, tenderness on the injured area, and no motion range. Other symptoms include sudden shooting pain or no weight support from injured leg or arm. A sign of an acute injury can also be a weird angle on a broken bone. It’s important to tell the difference between acute and chronic sports injuries. By differentiating between both, you will know what type of treatment your pain management doctor will offer.

Treating Chronic Pain Sports Injuries

You can do a few things to relieve chronic pain. However, if these treatment options don’t work or make your condition worse, you must seek out medical help immediately. Mentioned below are the common treatments for chronic pain sports injuries:

Apply Ice

The first treatment to help chronic pain from a sports injury is ice. Take a block of ice and apply it to the area where you’re experiencing pain for 10-20 minutes. You must do this every 3 hours as this will help eliminate any swelling and redness while soothing the pain.

Rest It Out

The moment you’re experiencing chronic pain, it’s best to sit back and rest, especially if it’s in your leg. Resting also means you must restrict yourself from performing any physical activities, especially anything sports-related. The more you rest, the more time your muscles get to relax and rewind. Don’t pressure yourself by saying something like the pain won’t stop me from anything. While it’s good to be strong in such situations, not resting will only make the pain worse.

Chronic Pain from Sports Injuries | NYC Doctor
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Medications

You can use anti-inflammatory medication to reduce the pain to some extent and also blur away any inflammation. Make sure to consult your doctor before taking any kind of medication.

Limit Sports Activities

You will need to take a break from sports activities or reduce the intensity to help your injured muscles recover and reduce the chronic pain to some extent.

Exercise

You must elevate the injured part of your body by raising it above the heart. If you experienced a sports injury in your leg, elevate your leg by lying down or even sitting. By elevating the legs over your chest, you will reduce swelling in those areas. Additionally, sports physical therapy is often used to treat sports injuries.

Chronic sports injuries are surely curable, but the process is slow and long. Chronic pain usually develops over time which is why it takes longer to manage the pain. Everyone’s chronic pain intensity is different. Therefore, before engaging in any of the treatments mentioned below, it’s best to take an opinion from your doctor first.

Signs That It’s Time to See a Doctor

Chronic pain is a very serious condition that tends to worsen and become life-threatening if you don’t care for it. You might’ve tried all the treatments at home, but none of them are working well. At this point, you need to go see your doctor as the issue could be bigger than just chronic pain. Other signs include severe pain, discoloration, swelling, and visible bruising.

Chronic Pain from Sports Injuries: Final Words

Chronic sports injury pain is something you can’t take lightly, especially if you want to go back to playing sports. To get better quickly, start treating your sports injury right away and seek professional medical treatment. You can achieve effective pain management guidance in New York from Matthew Grimm, M.D.

Postsurgical Pain & Treatment Options

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

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

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Types of Pain You Will Experience Post Surgery

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

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

Postsurgical Treatment Options

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

Spinal Anesthesia

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

Intravenous Pain Medication (IV)

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

Nerve Block

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

Postsurgical Postop Pain Treatment Options
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Epidural Analgesia

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

Medications

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

Meditation

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

Wound Infiltration Anesthesia

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

Postsurgical Pain Treatment: Final Words

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

Best Treatments for Chronic Pain

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

Chronic Pain

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

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

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

Best Treatments for Chronic Pain
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Chronic Pain Treatment

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

Medication

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

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

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

Injections

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

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

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

Intrathecal Pump Implant

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

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

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

Radiofrequency

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

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

Best Treatments for Chronic Pain | Specialist NYC
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Exercise

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

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

Best Treatments for Chronic Pain: Conclusion

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

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

Back Pain Specialist

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

Back Pain Specialists

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

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

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

Back Pain Specialist
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Interventional Spine Medicine

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

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

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

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

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

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

Interventional Spine Treatment Procedures

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

Injections

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

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

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

Discectomy

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

Radiofrequency

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

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

Back Pain Specialist: To Conclude

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

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

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

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

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

Symptoms of Neck Pain

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

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

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

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

Common Causes of Neck Pain

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

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

Treatment Options for Neck Pain

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

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

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

Optimal Time to See a Pain Physician

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

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

Treatment Options for Neck Pain: Conclusion

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

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