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.

All About Neurogenic Pain

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

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

All About Neurogenic Pain
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What Is Neurogenic Pain?

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

Causes of Neurogenic Pain

Injury

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

Disease

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

Limb Loss

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

Infection

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

More Causes

Managing Neurogenic Pain

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

Lifestyle Changes

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

Prescription Medication

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

Over-The-Counted Medicines

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

Neurogenic Pain Diag and treatment options specialist
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Anticonvulsants

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

Multimodal Therapy

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

Other Treatments

  • Antidepressants
  • Nerve Blocks
  • Implantable Device

Common Neurogenic Pain Symptoms

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

The Takeaway: Consult An Experienced Physician

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

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

Pain Physicians: Specialties & Education

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

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

What’s the Role of a Pain Physician?

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

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

Why See a Pain Physician?

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

What Pains Do They Treat?

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

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

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

Education of a Pain Physician

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

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

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

Qualities of a Pain Physician

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

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

What Should you Expect From the First Appointment?

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

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

Conclusion: Consult a Top Pain Management Doctor

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

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

Chronic Pain: Causes & Treatment Options

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

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

Chronic Pain Causes & Treatment Options
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What Causes Chronic Pain?

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

1.     Injuries

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

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

2.     Psychological Causes

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

How to Treat Chronic Pain

Mentioned below are different treatment options for chronic pain:

Physical Exercise

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

Acupuncture

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

Over-The-Counter Medication

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

Prescribed Medication

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

Chronic Pain Treatment Options
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Surgical Procedure

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

Biofeedback

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

Other Treatment Options

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

Conclusion: Consult A Specialist to Help Manage Your Chronic Pain

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

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

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

Treatment Options for Back Pain
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Overview of Back Pain

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

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

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

Causes of Back Pain

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

Arthritis

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

Structural Deformities

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

  • Tingling
  • Numbness
  • Excessive pain

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

Osteoporosis

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

Strain

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

Extremely Rare Causes for Back Pain

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

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

Symptoms of Back Pain

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

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

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

Diagnosis and Treatments

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

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

Surgical Procedures

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

Physical Therapy

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

Causes, Symptoms, Treatment Options for Back Pain

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Conclusion: Consult the Top NYC Pain Management Doctor

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

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

646-862-5555

Visit our official website to learn more here.

Thoracic Epidural

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

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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.

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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.

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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.