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.

NYC Doctor For Sciatica

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

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

How Sciatica Works

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

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

Causes of Sciatica:

Other causes of Sciatica may include:

1.     Spondylolisthesis

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


Some of the common symptoms include:

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

2.     Lumbar Spinal Stenosis

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

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

Symptoms may include:

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

3.     Degenerative Disk Disease

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


Common signs of degenerative disk disease may include:

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

Call Dr. Matthew Grimm to Treat Your Sciatica

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

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

Sciatic Nerve Pain

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

Sciatic nerve pain

Common Causes of Sciatic Nerve Pain:

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

Diagnosis for Sciatic Nerve Pain:

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

Tests for Sciatic Nerve Pain:

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

1.     X-ray

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

2.     MRI

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

3.     CT Scan

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

4.     Electromyography (EMG)

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

Treatment of Sciatic Nerve Pain

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

1.     Medications

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

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

2.     Physical Therapy

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

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

Sciatic nerve pain - spinal diagram nerves3.     Steroid Injections

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

4.     Surgery

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

5.     Other Treatments

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

Consult Dr. Matthew Grimm to Treat Your Sciatic Nerve Pain

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

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

All About Rheumatoid Arthritis

Rheumatoid Arthritis is an autoimmune disease that causes joint pain and damage throughout your body. RA affects joints on both sides. It means that if RA affects one of your arms or legs, you will feel the same effects on the other side as well. This is one way of distinguishing RA from other conditions.

Rheumatoid Arthritis Doctor NYC

An early treatment of Rheumatoid Arthritis works best and can show long-term results. RA is a progressive, long-term, and disabling disease. This disease affects legs feet and hands first, but it can occur in any joint of the body. When your immune system does not work properly, it results in RA. Treatments of RA can stop swelling and pain in the joints and also prevent joint damage.

The Rheumatoid Arthritis Support Network provides an estimate that up to 1 percent of the world’s population and over 1.3 million people in America suffer from RA. It is the most disabling type of arthritis. RA is a chronic disease and it causes joint stiffness, swelling, pain and decreased movement of the joints. It can also affect your eyes, lungs, and skin, but most commonly, it affects small joints in the hands. The joint stiffness in the morning is hurtful and can stay for two hours or even the whole day. Stiffness is not a common condition. If you feel stiffness in the morning, you might have this condition. You can get rid of the stiffness with the movement of the joints.


Signs and symptoms of RA may also include:

  • Low appetite and weight loss
  • Fevers and weakness
  • Energy loss and unsteadiness in walking
  • Dry mouth and eyes
  • Rheumatoid nodules (firm lumps) grow beneath the skin in places such as the elbow and hands
  • Function and mobility loss


Causes of immune system malfunction are unknown. Some people have genetic factors that cause RA. There is a theory that bacteria or a virus causes this condition to people who have this genetic feature. In RA, antibodies, which are part of the immune system, attack the synovium, causing pain and inflammation. Synovium is the smooth lining of a joint. Inflammation causes thickness to the synovium. If not taken seriously, it can invade and destroy cartilage. RA also causes tendons and ligaments that hold the joint together to become weak and stretchy. The joint loses its shape, which can cause severe damage.

Types of Rheumatoid Arthritis

Types of Rheumatoid ArthritisRA is of different types. If you know the type you have, it will be helpful in treatments. You can find details about the different types of Rheumatoid Arthritis:

1.     Seropositive RA

This is the most common type of RA. In this condition, your blood has antibodies that attack your own body. These antibodies inflame your joints. These antibodies are anti-cyclic citrullinated peptides, or anti-citrullinated protein antibodies (ACPAs). To see if you have anti-CCPs in your body, the doctor does blood tests. Having these antibodies does not mean you have RA. The doctor will confirm once he checks the symptoms.

Symptoms of Seropositive RA:

Seropositive symptoms include:

  • Stiffness of joints
  • Pain in joints
  • Inflammation of the body other than joints
  • Fatigue
  • Body stiffness in the morning for about 30 minutes or more

2.     Seronegative RA

In this condition, you either may not have any anti-CCPs in your blood or you don’t have much of them. If your RF blood test is negative, but you still have RA, you may have seronegative RA. Once you develop antibodies, your diagnosis will change to seropositive RA. Symptoms of seronegative RA and seropositive RA are the same.

3.     Juvenile idiopathic arthritis (JIA)

This type of RA affects children aged 17 years and younger. JIA is most common in girls. In some situations, it is difficult to control.

Symptoms of Juvenile idiopathic arthritis

Juvenile idiopathic arthritis symptoms are as follows:

  • Joints get warm
  • Body feels tiring
  • On and off fever
  • A limp without injury
  • Swelling pain, and stiffness in joints


Treatment of rheumatoid arthritis at its earliest can help you in many ways. If you find any of the above symptoms, consult an expert. If you need a Pain Management Specialist, call us at 646-862-5555 and book an appointment with our Pain Management Doctor. Dr. Mathew Grimm is an expert in treating all kinds of pain.

Do You Need Joint Injections For Your Pain?

Do You Need Joint Injections For Your Pain? If you have joint pain, you will agree that the pain is sometimes unbearable. Such pain can make your chores impossible and you might not feel active throughout the day. Your doctor can treat you without pills and surgeries. Injections can also be an option if you are suffering from joint pain.

Injections can help reduce pain and inflammation. You can experience fewer symptoms for months with the help of these treatments. There are several options for injectables that can help manage or eliminate your joint pain. These options are:

  • Corticosteroid Injections
  • Hyaluronic Acid (HA) Injections
  • Platelet-Rich Plasma (PRP) and Stem Cell Therapy Injections
  • Placental Tissue Matrix (PTM) Injections

Do You Need Joint Injections for Pain 01

1.     Corticosteroid Injections

These types of injections are commonly known as Steroid injections. These injections can treat a variety of conditions and are anti-inflammatory. Corticosteroid injections are the first option for defense against osteoarthritis symptoms. These injections can reduce the pain for about 2 to 3 months. They can provide you relief and reduce inflammatory cells. Another benefit of steroid injection is reducing the activity of the immune system. Injecting these injections allows doctors to deliver a high dose of medications into the affected area directly. Other than knees, doctors can also give these injections in the following areas:

  • Hip Joint
  • Shoulder, hand, and elbow
  • Sacroiliac joint
  • Facet joints of the spine
  • Ankle and foot

2.     Hyaluronic Acid (HA) Injections

Do You Need Joint Injections for Chronic Pain 02When Corticosteroid does not work, doctors inject Hyaluronic Acid injections. If the lubricant between the joint is missing, an HA injection can help replace it. Food and Drug Administration (FDA) approve these for use in the knees but some doctors use these for shoulders and hips too. These injections help provide relief from pain and stiffness.

You get this injection like you get other ordinary injections. After cleaning the area, the doctor may inject a local painkiller if you have knee swollen with access fluid. After that, the doctor will withdraw any access fluid by inserting the needle. Then the doctor inserts hyaluronic acid into the knee joint by keeping the same needle in place. HA treatment has shown great effects in experiments and studies;, anti-inflammatory, analgesic, intra-articular lubrication, and chondroprotective effects are some examples. You can find below some advantages of hyaluronic acid:

  • Your skin will look more supple and healthier.
  • It hydrates the skin and reduces the appearance of wrinkles.
  • It plays a great role in healing wounds.
  • It keeps the joints between your bones lubricated.
  • It is a great pain reliever.

3.     Platelet-Rich Plasma (PRP) Injections

PRP Injections can also treat joint pain. To promote healing these injections use your blood and platelets. Platelets contain proteins that can help in healing soft tissues. They can help alter the immune system to reduce inflammation. PRP has also been useful in promoting cell regeneration. Some advantages of Platelet-Rich Plasma injections are:

  • This plasma comes from the patient’s body and contains lesser risks.
  • These are natural and autologous fluids.
  • There is no use of pharmaceutical chemicals, plumping agents and strong acids in this treatment.
  • Treatment with Platelet-Rich Plasma has long-lasting results.
  • It only takes a few minutes to complete.
  • It increases the production of collagen.

4.     Placental Tissue Matrix (PTM) Injections

Placental Tissue Matrix is useful for decreasing pain related to osteoarthritis. These injections contain placental tissue. These tissues, obtained after healthy baby delivery of a healthy mother, are helpful for knee pain. A number of growth factors in these tissues promote healing.

  • These tissues are safe and effective for the body.
  • These are easy to administer.
  • PTM tissues do not require extensive methods to obtain.
  • Not a really expensive method to reduce pain.
  • These are free of tissue rejection concerns. This happens because of amniotic cells immune-privileged status.


Joint injections can help you prevent pain for several months and substitute painful surgeries and pills. To know better how these injections can give you relief from joint pain, contact us.

Give us a call at 646-862-5555 or book an appointment with our Pain Management Doctor to get help with your condition.

What Is A Pain Management Specialist?

Physicians who get special training in treating all kinds of pain are pain management specialists. The reasons for pain may vary from person to person. The pain may be a result of injury, chronic conditions, surgeries or nerve damage.

Pain Management Specialist NYC

What Is Pain Management?

Pain management may be simple or it can be complex depending on the reasons of pain. To manage pains, like chronic pain, is a challenge for both pain management specialists and the patient. The main goals of pain management are:

  • To increase flexibility and mobility
  • To decrease pain
  • To helps in decreasing medical complications of pain
  • To provide relief to patients
  • To restore physical, social and emotional functions

What Does Pain Management Specialists Do?

A pain management specialist approaches the problem from every angle and recognizes the complex nature of pain. They minimize pain instead of eliminating it. These specialists improve the functions and increase the quality of life of the people who suffer. Pain management specialist uses various medications and techniques like nerve blocks, spinal cord stimulators, and similar treatments to help reduce pain.

Specialty Areas

Pain management specialists have certification in one of the following specialties.

1.     Neurology

In this specialized field, a neurologist focuses on treatment and the diagnosis of the spinal cord and brain. The common cause of chronic pain is spinal cord related injuries and diseases.

2.     Anesthesiology

Physicians who administer anesthetics are Anesthesiologists. Anesthetics are substances that eliminate or reduce the sensitivity of pain. To treat acute and chronic pain some, anesthesiologists go through additional training in pain management.

3.     Physical Medicine and Rehabilitation

To address painful conditions, physical medicine and rehabilitation doctors use a wide variety of nonsurgical treatments. These painful conditions are related to the musculoskeletal and nervous system. They recover patients’ quality of life by increasing function and decreasing pain.

Roles of Pain Management Specialist

Top Pain Management Specialist New YorkA pain management specialist has special training in treatment, evaluation, and diagnosis of types of pain. Pain can occur due to a variety of disorders that may include acute pain, cancer pain or chronic pain. The different causes of pain can be surgery, nerve damage, injury, metabolic problems like diabetes, etc. Pain can also occur without any specific reason. Roles of Pain Management Specialist include:

  • Having in-depth knowledge about the physiology of pain
  • Calculating complications of the patient’s pain
  • Conducting specialized tests for diagnosing conditions of pain
  • Prescribing the medications of pain problems
  • Performing procedures like nerve blocks, spinal injections, etc
  • Getting ongoing training to get knowledge of medications as new and complex drugs, techniques, and technologies become available every year

1.     Non-Drug, Non-Surgical Pain Management

These kinds of programs include:

  • Physical Therapy – These techniques help in correcting secondary problems of pain. Treatments include; Exercise, awareness, posture and to improve body mechanics. It helps to increase flexibility and strength.
  • Massage TherapyMassage Therapy helps to manipulate soft tissues.
  • Movement Therapy – It works by muscle movements and pain management specialists advise patients to do yoga and tai chi.
  • Transcutaneous Electric Nerve Simulation Therapy – These kinds of therapy can interfere with the body’s pain signals. It works by transmitting painless, mild electric shocks that pass through the skin to the source of pain.

2.     Medications for Pain Management

For the treatment of pain, a pain management specialist can also provide medications:

  • Muscle Relaxants – This type of medication helps the central nervous system relax. Different Muscle relaxants work differently.
  • Nonsteroidal Anti-Inflammatory Drugs – These medicines block the chemical cascade that causes pain and inflammation in the body. Most common medication includes; aspirin and ibuprofen.
  • Antiseizure Medications – These types of medications can treat nerve damage pain. It helps with interfering with the overactive transmission of pain signals to the brain.

3.     Interventional Pain Management

Also by placing devices and injecting injectables, pain management specialists provide pain relief to the body. Some of the treatments are mentioned below:

  • Epidural Steroid Injections – These injections take minimum recovery time and their benefits include reduction of nerve inflammation and pain in the spine.
  • Joint, muscle/tendon injections – For joint and tendon injections, patients should be under ultrasound guidance along with different medications.


As pain management specialists, we can help you with pain to get back to normal life. We know what the causes of your pain are and if you have any diagnostic needs. To give a visit to our clinic for an experienced pain management specialist, simply call at 646-862-5555. Book an appointment with our Pain Management Doctor for further guidance about your pain.

Do You Have Knee Pain? Structure of Knee & Types of Conditions:

Knee pain is quite common, and it can affect you at any age. It may be due to an injury, such as torn cartilage or a ruptured ligament. Many medical conditions like infections, gout, and arthritis can be the reason for knee pain. Symptoms of knee pain may include stiffness, swelling, and pain.

Knee Pain: Types of Conditions

The function that knee joint performs is bending, strengthening, and bearing the weight of the body. The knee is not only a simple joint that hinges but also twists and rotates, which increases the functions that knee performs. The knee relies on several structures to perform all the actions and to support the entire body. These structures include tendons, cartilage, ligaments, and bones.

Structure of Knee

1.     Tendons:

Tendons are the bands that connect muscles to bones. These are fibrous bands. The quadriceps and patellar tendons are important tendons in the knee.

2.     Cartilage:

These cartilaginous structures are also called menisci. Cushioning knee joint is the primary job of menisci.

3.     Ligaments:

These are also the fibrous bands just like tendons and connect femur with the tibia. There are four important ligaments. Ligaments that provide rotational stability to the knee from front and back are the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). Those ligaments that provide medial and lateral stability to the knee are called medial collateral ligament (MCL) and lateral collateral ligament (LCL).  MCL provides constancy from inside and LCL from the outside.

4.     Bones:

There are four bones in the knee joint. The thighbone is in the top portion. The thighbone is also called the femur. The patella is present along the front femur. It is the kneecap. Tibia helps in the bottom weight of the joint and is in the lower leg. The remaining bone is the fibula, and it is present in the calf. It provides ligament attachments to create stability.

Conditions for Knee Pain

There are many reasons for knee pain. There is a list of few problems below:

1.     Dislocated Kneecap:

Doctors call it “patellar dislocation.” It occurs when your kneecap slides from its location, causing pain and swelling. Sometimes the knee bends, causing severe pain. This condition takes place when your knee is straight, and the lower leg is bent outwards when twisting. It also happens when the knee bends, and the kneecap is hit. For reduction, doctors push the patella towards the midline while straightening the knee.

2.     Bursitis:

A sac that holds fluid that’s under the skin above your joint is the bursa. The function of the bursa is to prevent friction when joints move. When you overuse, fall, or bend your knee a lot, it can irritate the bursa, leads to swelling and pain. Your doctor might call this condition prepatellar bursitis.

3.     Meniscal tear: 

Sometimes injury on your knee can cause the cartilage to rip. Cartilage has a rough edge, and if you get stuck in the joint can cause pain and swelling.

4.     Patellar Tendinitis: 

Your tendons are inflammatory if you have this condition. Tendon connects kneecaps with the shinbone. Overdo exercises can cause inflammation and sore. The most common cause is repetitive jumping; that is why it is also called “jumper’s knee.”Knee Pain - Types of Conditions

5.     Osgood-Schlatter Disease:

When you are young, the continuous change in your bones and other knee parts may cause this condition. When a tendon connects to the shin, it causes pain and bumps below the knee. This condition is prevalent in teenage boys and girls. Tibial tubercle sometimes makes the bottom of your knee hurt due to excessive exercise.

6.     Osteoarthritis:

The main cause of pain after the age of 50 is due to this condition. People suffering from this condition may feel stiffness in the morning. This type of arthritis causes wear and tears.

7.     Patellofemoral Pain Syndrome:

The main causes of this condition are muscle tightness, imbalance, and misalignment of the legs. If you are suffering from this syndrome, your legs can’t bear your legs and feel knee pain. This condition is more common in women and is not due to an injury.


Knee pain may cause many reasons depending upon age, activities, and injury. The first step you should take is to consult a pain management doctor. To know further about knee pain and its conditions, contact us at 646-862-5555 or book an appointment with our Pain Management Doctor.

What Are Injections for Pain?

Do you need injections for pain? The pain management procedure requires the insertion of injections with image guidance. These procedures help you in pain relief and the goal is to bring you back to normal life. Pain injections are a perfect option for those who have chronic neck and back pain but are afraid of surgeries. Injections can help find the source of pain and provide relief. With the help of injections, the doctor can administer medications directly into the affected location of pain and provide relief when ordinary medicines don’t work.

What are injections for pain?

When a steroid or pain reliever medication goes into the affected area, it numbs the pain and reduces inflammation. It also creates a heat lesion on the nerve that transmits pain and prevents it from sending signals of pain to the brain. Some of the injections that help in relieving pain and inflammation in various body parts are as follows:

Spinal Injections for Treating Pain

spinal injections for painThe use of spinal injection is to diagnose and treat low back pain. The goal of the diagnostic injection is to find if the medication provides relief to your pain. Diagnosis injections provide temporary relief, usually just for a few hours and injections for treatment can provide long-lasting relief. You can few common spinal injections below:

1.     Selective Nerve Root Block:

These are the most common spinal injections. Your doctor can give you this injection if a damaged nerve root is causing leg or back pain. A nerve root serves the complete body and is a collection of nerves. When the nerve root gets compressed and irritated, it may result in leg pain. The technical name of this condition is radiculopathy and most people call it sciatica.

2.     Lumbar Facet Joint Nerve Blocks:

If the doctor suspects that your pain is heading from the joints at the back of your spine, he or she will probably recommend you facet injection. The facet joint is commonly responsible for adding integrity to the spine by allowing excessive movement. These joints are present at each side on each vertebral level and are quite small.

Neck and Back Injections for Treating Pain

When neck or back pain does not go away, your doctor will recommend you exercise and physical therapy. If the pain remains, the doctor will include injections in your treatment to ease your back and neck pain and inflammation. These injections contain steroids or numbing medicines. Common injections that doctors use to give you relief are:

1.     Epidural Injections:

Doctors deposit this medication or typically steroids in the epidural space inside the spine. It provides temporary or lasting relief. To place the needle in the right place for a better treatment, doctors use imaging guidance. Your doctor may tell you not to eat or drink a few hours before getting the injection.

2.     Selective Nerve Root Block Injections:

When doctors have to treat a spinal nerve separately, these injections are their first option. Rather than releasing medication right onto the nerve, the injection covers the area around it. . It is a long-lasting steroid. These injections are a great help in reducing pain or inflammation resulting from pressure on the nerve.

3.     Medial Branch Blocks:

It helps deposit medication around the medial branches of the spinal cord. The medial branch sends a pain signal to the brain from an arthritic facet joint. It is a type of nerve. These medial branches help relieve neck or headaches stemming from the neck.

4.     Sacroiliac (SI) Joint Injections:

These injections primarily help in diagnose or treat low back pain. The sacroiliac joints connect the sacrum with the hip on both sides and are present next to the spine.

Knee Injections for Treating Pain

1.     Corticosteroid Injections:

These steroids are similar to cortisol, which is a hormone that your body naturally produces. It helps to reduce inflammation.  These injections are effective if injected directly in the knee.

2.     Hyaluronic Injections:

Hyaluronic acid helps to provide lubrication and coats your cartilage to reduce friction when knee joints move. If you are suffering from osteoarthritis, you might be missing this lubricating substance and feel pain and inflammation. This injection introduces hyaluronic acid directly into your knee and reduces pain.


If you are suffering from pain and inflammation, give a call at 646-862-5555 or book an appointment with our Pain Management Doctor. Our doctor, Dr. Mathew Grimm is an expert in treating all kinds of pain.


Osteoarthritis (OA) is the most common chronic joint condition and a type of arthritis. It is a long-lasting disease and a leading cause of disability. The point where two bones connect is a joint. A protective tissue that connects both the bones is cartilage. Cartilage is a tough but smooth, and slippery tissue that helps the bones to move. OA causes cartilage to break down, which makes both the bones rub together and leads to pain, stiffness and other symptoms. The bone starts to change, and the changes are usually slow, causing the condition to get worse with time.


Mostly, OA is an old-age disease but it can occur in adults of all ages. Wear-and-tear arthritis, degenerative arthritis, and degenerative joint disease are a few names of OA. It occurs in the hands, knees, and hips more often. In some cases, OA reduces body functions and can lead to disability.  In some people, its severity can prevent people from performing daily chores.

Symptoms of Osteoarthritis:

The main symptom is pain. Sometimes, it comes in the form of stiffness in the joint. The pain gets worse when you move your joint. Symptoms of OA may vary with no obvious reason.

Sometimes, muscles that are surrounding the joints seem thin. The joint may give way as your muscles get weak and joint structure becomes less stable. OA may occur in any joint but the most commonly affected areas are hands, fingertips, hips, knees, neck and lower back. Some of the common symptoms of Osteoarthritis include:

  • Pain
  • Tenderness
  • Inflammation
  • Stiffness
  • Loss of flexibility
  • Bone spurs
  • Swelling

Reasons of Osteoarthritis:

Causes of OA are primary OA and secondary OA:

1.     Primary OA

Primary OA is the result of aging. It is not the effect of any disease or injury. With aging, as a function of the biological process, the watery substance inside cartilage increases and protein makeup degenerates. The cartilage starts degenerating, which the doctors observe through the formation of tiny crevasses and flaking. However, in advanced OA cartilage, the cushion in the center of the joints and bones is completely lost. When the joints wear and you use them repetitively, you can mechanically inflame and irritate the cartilage. This condition can lead to swelling and pain. By losing cartilage cushion, which is in the middle of the bones, you experience friction, which limits joint mobility and can cause severe pain. Inflammation can also cause new bone structures to outgrow surrounding the joints. OA can be genetic and can build up in various members of the family.

2.     Secondary OA

When the cause of osteoarthritis is another condition or disease, it can be secondary OA. Conditions leading secondary OA are as below:

  • Obesity
  • Surgery and trauma to the structure of the joint
  • Diabetes
  • Hemochromatosis
  • Gout
  • Congenital Abnormalities
  • Other hormonal diseases

arthritis-doctor-nyc-painYou can take the example of obesity for a proper elaboration of secondary OA. When a person is obese, their weight causes extreme pressure on the joints when they move, walk, run, etc. The constant and repetitive stress on the bones can lead to OA. After aging, the common cause of OA is obesity. Among weight lifters, the early development of osteoarthritis is common due to massive body weight. In soccer players and army military personnel, continuous trauma to the tissues of joints (bones, cartilage, and ligaments) leads to premature osteoarthritis. In long-distance runners, no osteoarthritis risk is found according to health issues.

Deposits of crystal in cartilage can cause OA and cartilage degeneration. Early cartilage wear and osteoarthritis can also be a result of Hormone disturbances, like diabetes and disorders of growth hormone.


Osteoarthritis is the most common arthritic disease and treatment requires a lot of time, as it is a type of chronic pain. The biggest mistake you can make when you have the symptoms stated above is ignoring the condition and not seeing a specialist. You can always learn more about OA or the treatment of this condition by getting in touch with us.

Give us a call at 646-862-5555 and book an appointment with our pain management specialist Dr. Mathew Grimm. Dr. Grimm is a seasoned specialist who can help you manage pain associated with arthritis.


doctor-for-herniated-disk-nyc-01There is a series of vertebrae or bones in your spinal column. The topmost column is a cervical spine, which consists of seven bones. The thoracic spine includes 12 bones. There are five in the lumbar spine, and in the last sacrum and coccyx, which are at the base. When you perform activities like lifting, walking, and twisting, these discs help in absorbing the shocks and create flexibility in the body.

Each of these discs has two parts: the inner portion, which is soft and gelatinous, and the outer ring, which is tough. When the inner portion protrudes through the outer ring due to injury or weakness, you call this condition herniated or slipped disc. This is a common condition and can lead to numbness, severe pain, and weakness in the limbs. The pain only occurs in situations where there is pressure on the nerve. When the case is severe, you need surgery to remove or repair this herniated disc.

Symptoms of Herniated Disc

The slipped disc may occur on any of the discs, from neck to lower back. The most common area is the lower back disc, where a slipped disc usually occurs. Your spinal column is a network of nerves and muscles. It can put extra pressure on your nerves and muscles. Symptoms of a herniated disc are as follows:

  • Pain in arms or legs
  • Pain and numbness in one side of your body
  • Severe pain while sitting and standing
  • Muscle weakness
  • Pain when walking

When you feel numbness and tingling, contact us immediately, as these sensations can affect your muscle movement.

Causes of Herniated disc

When the outer ring of a disc is weak, and the inner portion slips out, it causes a slipped disc. This may occur for various reasons. Some causes of the slipped disc are below:

  • Age factor
  • Lifting large and heavy objects
  • Weak muscles
  • Inactive lifestyle

Treatments of Herniated disc

The slipped disc may cure by medication, surgery, or therapy.

1.     Medication

i)              Nerve Pain Medications

These medications help in treating pain in the nerve. Medications include amitriptyline, pregabalin, gabapentin, and duloxetine, etc.

ii)             Narcotics

A doctor might prescribe you codeine or other narcotics if you still feel discomfort after taking OTC medications. Confusion, sedation, nausea, and constipation are some side effects of taking narcotics.


iii)           Epidural Injections

Epidural space is the region surrounding your spinal cord. A doctor injects anti-inflammatory medications, anesthetics, and steroids in this area, which help to reduce swelling and pain.

iv)            Cortisone Injections

These injections help reduce pain and herniation, and doctors can inject them directly into the area.

v)             Muscle Relaxants

Relaxants can help reduce muscle spasms. You may feel sedation or dizziness after taking this medication as a side effect.

2.     Surgery

i)              Laminectomy

An opening in Lamina is made to remove pressure on nerve roots. Surgeons perform this surgery with the help of a small incision and microscope. The surgeon may remove Lamina, if necessary.

ii)             Artificial Disc Surgery

Artificial discs are made up of metal or biopolymers. The two types of disc replacements are; total disc replacement or disc nucleus replacement. The disc nucleus is a soft center present in the disc.

3.     Therapy

i)              Deep Tissue Massage

Deep tissue massage is the ideal option for the herniated disc to relieve muscle tensions and spasms. It helps in developing muscle motion in the area.

ii)             Hot and Cold Therapy

Both these therapies are good for a herniated disc. In heat therapy, a physical therapist uses heat to circulate blood flow to the target area. Blood delivers extra oxygen and nutrients and helps in healing. Blood also helps in removing waste byproduct.

Cold therapy reduces muscle spasm, inflammation, and pain. It slows blood circulation, and the therapist uses an ice pack or fluoromethane spray to cool tissues that are tender.

iii)           Transcutaneous Electrical Nerve Stimulation (TENS)

TENS is a machine that uses electric current and stimulates your body muscles. This is not a painful method. It releases endorphins that work as your body’s natural pain killer. TENS also helps in reducing spasms.

iv)            Traction

Traction reduces from your spine the effects of gravity. It works by gently pulling your bones apart, which results in reducing disc herniation. This can take place in the lumbar or cervical spine.

v)             Core Stability

Keeping your core muscle is also important to strengthen your back. It helps your back muscle to support your spine.

vi)            Flexibility

Exercises for flexibility help move the body easily. By learning stretching and flexibility can provide strength to your body. These techniques ward off stiffness.

vii)          Hydrotherapy

These therapies help in reducing stress. Active hydrotherapy helps in conditioning your body.

viii)        Muscle Strengthening

Strong muscles can provide support to the spine and to handle pain.


If you need a Pain Management Specialist, give a call at 646-862-5555 or book an appointment with our Pain Management Doctor, Dr. Mathew Grimm. Dr. Grimm can help you with advice, consultation, and the treatment of your condition. Call today.


Pain is a natural phenomenon. You feel pain when you get a cut or if you crack your bone. Your nervous system tells you that something is wrong and after healing, you are pain-free. Pain signals travel through your spinal cord and reach your brain.

Chronic pain is different than the pain that we feel usually, which becomes less severe as the injury heals. Chronic pain keeps sending your brain signals after you have completely recovered from the wound. This can last up to weeks or years and can affect your strength, flexibility, and endurance, disturbing your daily tasks and activities. It also has an effect on your mental health.


You may feel sharp or dull pain and it can cause an aching or burning sensation in the affected area. This pain may last for at least 12 weeks. It may come or go without any specific reason. This can affect any part of the body and you may feel pain differently in different areas.

Causes of Chronic Pain

Causes of chronic pain include pulled muscle or back sprain. It’s believed that chronic pain is due to nerve damage. The damage in the nerve makes it long-lasting and intense. Treating the injury doesn’t help in these cases.

Chronic Pain may also begin without any reason. Some of the main causes of chronic pain are:

1.     Endometriosis

Endometriosis is different from usual menstrual pain. This is chronic pain. It happens during your menstrual period repeatedly. Pain is so severe that sometimes OTC pain relievers or aspirin doesn’t work. The pain does not occur only around your uterus but spreads to your legs and back.

2.     Injuries or Surgeries

nyc-doctor-chronic-pain-management-02These injuries are the result of repetitive or prolonged motion like in sports, such as swimming, cycling, and running. When you overuse one body organ too much while playing a sport or working for a long time, you could end up with this type of pain. An injury while playing may cause you tennis elbow, runner’s knee, heel inflammation, stress fractures or shin splint. The most frequent cause of chronic pain is surgery. It significantly affects the quality of life and daily activities of sufferers.

3.     Inflammatory Bowel Disease

Chronic inflammation of your digestive tract is also called inflammatory bowel disease. There are two types of IBD: Ulcerative colitis and Crohn’s disease.

4.     Neuropathic Pain

Shooting or burning pain is sometimes called neuropathic pain or nerve damage. It can go easily but sometimes it is chronic. Nervous system malfunctioning and nerve damage may result in neuropathic pain. The main causes of this pain are chemotherapy, HIV AIDS, diabetes, alcoholism, etc. Symptoms of this condition are burning and shooting pain, and tingling and numbness.

5.     Interstitial cystitis

This condition is a chronic bladder health issue. The bladder area feels pain and pressure. Pain may also occur in other areas like lower abdomen, urethra, lower back, and pelvic perineal area. Women may feel pain in the vulva or the vagina and men may feel it in scrotum, penis or testicles. Pain may come and go or stay constant.

6.     Back Problems

Most people in their lives experience back pain. Chronic back pain is the pain that occurs after injury or surgery and can stay for weeks and months. Prolonged poor posture is the main and usual cause of this pain.

7.     Fibromyalgia

Fibromyalgia is a chronic disease and is medically unexplained. Other than chronic pain, symptoms of this condition are sleep disturbance, joint stiffness, and fatigue. Life is tough for chronic fibromyalgia patients.

8.     Chronic Fatigue Syndrome

Characterized by fatigue or tiredness, chronic fatigue syndrome doesn’t go away with rest and is hard to explain medically. You and your docto, have to treat causes for your fatigue because many other conditions also show similar symptoms.

9.     Infections

There are many types of chronic infections. These infections are slow to resolve. Some bacteria can create life-long infections in the host body. The different types of chronic infections are; fungi chronic infection, prion chronic infection, bacteria chronic infection, and viruses’ chronic infection depending on an antigen that is responsible for the infection.


Chronic pain may stay for a long time. If not taken seriously, it can last for years. For chronic pain management and consultation regarding conditions and symptoms, you can contact us. Give a call at (646) 862-5555 or book an appointment with our pain management doctor to get help with your condition.