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.

Chronic Knee Pain: Causes and Treatment Options

In the US, chronic knee pain is a common condition, with people suffering from it due to numerous causes and reasons. Severe pain and inflammation during this condition make it difficult for patients to function and walk normally. People also find difficulty in performing everyday tasks. Because the knee joint has a complex structure, many factors implicate chronic knee pain. Usually, people experience knee pain and inflammation because their knee stops functioning properly. The problems arise due to medical conditions and trauma. This article includes some common causes and treatment plans for knee pain. Read this article and seek knee pain relief.

Chronic Knee Pain
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Causes of Knee Pain

Temporary knee pain and chronic knee pain are two different conditions with different causes. People develop temporary knee pain due to accidents or injury. Once you recover from the injury, temporary knee pain will go away. But, chronic knee pain requires proper treatment, which will depend on the cause. Therefore, it is essential to learn about the cause of the pain. A pain management doctor diagnoses the affected knee and identifies the actual cause of the pain. Here are some causes of chronic knee pain:

  • Bursitis is inflammation of the knee due to overly used muscles. You may also develop this condition after an injury.
  • Tendinitis affects the front part of your knee. The pain grows worse when you climb up the stairs or walk up an inclined plane.
  • Osteoarthritis is a condition that occurs due to deterioration and degeneration of the joints, which causes inflammation.
  • You develop gout arthritis because of uric acid buildup.
  • Knee cap dislocation is another common cause of chronic knee pain.
  • Chondromalacia patella indicates that you have damaged cartilage under the kneecap.
  • Baker’s cyst also causes severe pain. This is a condition in which synovial fluid builds up behind the knee.
  • Meniscus tear is a rupture in knee cartilage.

Here are some factors that may increase the severity of pain:

  • Sprains and strains
  • Infection
  • Overuse
  • Bad posture
  • Improper muscle stretching
  • Injury affecting knee structure.

Treatment for Knee Pain

As we discussed above, you may develop chronic knee pain due to numerous reasons. Treating the cause of the pain eventually reduces the chronic pain. Here are a few effective treatment plans for chronic knee pain:

Medications

When you visit a pain management doctor, they will prescribe pain-relieving medications. For instance, if you develop knee pain because of gout or rheumatoid arthritis, complete recovery is possible with prescribed medication.

Therapy

Most doctors recommend physical therapy to strengthen the muscles. When the muscles around the knee are strong, they keep your knee joint stable. Furthermore, a pain management doctor may also suggest strengthening exercises to alleviate the pain. Participating in sports and other activities may also shift pressure away from your knee.

Injections

If medication and therapy don’t work, your doctor may inject medication directly into the knee joint. Here are some examples of substances that a pain management doctor may inject:

  1. Corticosteroids

Corticosteroid injections reduce the symptoms of arthritis flare-ups. These injections are meant to offer instant relief from pain.

  1. Hyaluronic Acid

Hydraulic acid works as a lubricant and eases pain, and improves mobility. Hyaluronic acid is a thick fluid and lubricates joints. Sometimes, a single dose is enough to provide relief, but it’s common for patients to require more doses. Consequently, the treatment process can last up to six months.

  1. Platelet-Rich Plasma (PRP)

PRP includes various factors or components that promote healing and reduce inflammation. According to various studies, PRP is helpful for osteoarthritis patients.

Chronic Knee Pain Doctor New York
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Surgery

When it comes to surgery, you shouldn’t make an uninformed decision. Consult with a professional pain management doctor such as Dr. Matthew Grimm in New York City. He can help you choose the best treatment methods with a high success rate. Here are a few surgical reconstruction procedures to reduce chronic knee pain:

  1. Arthroscopic Surgery

In this surgical method, doctors use a fiber-optic camera to evaluate the internal condition of the damaged joint. The doctor makes few incisions around the knee to insert the tool. Arthroscopy removes loose bodies from the joint. Furthermore, it helps with ligament reconstruction and damaged cartilage.

  1. Partial Knee Replacement Surgery

As the name suggests, partial knee replacement surgery involves removing the damaged part of the knee. After removing the portion of your knee, the surgeon will place insert a plastic or metal part to improve mobility.

  1. Total Knee Replacement

In this process, the doctor removes damaged cartilage and bone from your kneecap, shinbone, and thighbone and places an artificial joint instead. The material of artificial joints may vary from polymers, high-grade plastics to metal alloys.

Chronic Knee Pain: Conclusion

Do you want to consult professional pain management in NYC for the best treatment? If so, contact Dr. Matthew Grimm and make an appointment. Upon your visit, Dr. Grimm will diagnose your knee to identify the actual cause of chronic knee pain. Then, he will recommend a suitable treatment plan depending on your condition.

To consult with one of NYC’s best pain management experts, give us a call at 646-862-5555.

Understanding Chronic Pain

Different factors affect our understanding of chronic pain. Aches and pains are common causes of discomfort. But pain is also a form of alert that indicates something is wrong with our body through the nervous system. When the pain signals from the nerves in our body reach the brain, that’s when we experience discomfort. The main passage of pain is through your spinal cord. Therefore, with chronic pain, your spinal cord may be flushing with pain signals from any part of your body that may not necessarily show a noticeable underlying medical condition.

Understanding Chronic Pain
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Understanding Chronic Pain

Chronic pain usually lasts up to 12 weeks and may persist for six months or longer. Chronic pain can come in various forms, such as stabbing, shooting, throbbing, pulsating, and others. Chronic pain can occur without any apparent or noticeable cause. While chronic pain is persistent and lasts longer than other types of pain, it can be intermittent and irregular.

Sources of chronic pain can include:

  • Arthritis pain
  • Cancer pain
  • Headaches
  • Lower back pain
  • Post-surgical pain
  • Neurogenic pain (nerve damage)
  • Post-trauma pain
  • Psychogenic pain

When you hurt yourself during a heavy task, fall in an accident, or receive minor injuries, you experience “acute pain”. It generally lasts no more than a few weeks and recovers easily. Once the body heals from the injury, damage, or a certain condition, acute pain resolves. However, when it persists and keeps becomes severe, it is important to see your primary healthcare doctor or a pain physician.

Possible Causes of Chronic Pain in the Body

Sometimes chronic pain can occur in different parts of the body without an apparent cause. Other times, patients might have a long-lasting and ongoing medical condition such as osteoarthritis, other forms of arthritis, or cancer that produce constant pain. Any injuries can leave your body susceptible to pain due to high sensitivity. It is worth noting that you may not fully recover from pain trigger points that arise due to high sensitivity even after the injury recovers. Minute problems such as infections, sprains, and broken bones can also give you chronic pain.

On the other hand, you may not have any form of physical complication at all. Psychogenic or psychosomatic pain can result in chronic pain as well. For instance, anger, anxiety, depression, stress, and other types of negative psychological factors. Overall, scientists and doctors believe that the low presence of endorphin in the blood can lead to the development of negative feelings and cause psychogenic pain.

Other Causes

When someone suffers from a sprain or muscle injury, they may experience chronic pain. When nerves suffer irreparable damage, you can experience chronic pain at some point. This means that you should always stay in touch with your doctor to find treatment options in prompt care of any symptoms that you may notice. Chronic pain can occur due to severe underlying medication conditions, a serious injury, previous surgeries, or without any obvious cause.

Here’s a list of some more causes that relate to chronic pain:

  • Fibromyalgia
  • Chronic Fatigue Syndrome
  • Inflammatory Bowel Disease
  • Endometriosis
  • Vulvodynia
  • TMJ Disorder

Treatment Options for Chronic Pain

Today, there are pain management and rehab programs that incorporate different forms of treatment options. Firstly, your pain doctor will determine which treatment option is best for you, depending on the underlying cause of chronic pain. If it’s due to any disease or serious condition, you will have to consult and get advice on which treatments to undertake. Altogether, chronic pain treatments aim to improve your life’s quality- socially, physically, and emotionally.

Understanding Chronic Pain
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Medicinal Chronic Pain Management

Medicine management involves the use of over-the-counter medicines, which include NSAIDs, acetaminophen, or aspirin. These medicines may not be effective or offer short lived pain relief. Furthermore, your pain doctor may prescribe certain medications and drug courses that will offer relief. While they may offer greater relief from chronic pain, only a certified pain doctor can prescribe them under their discretion.

Moreover, when severe pain starts having psychosomatic and psychological effects, pain doctors prescribe antidepressants. It helps in controlling the production of certain brain chemicals that boost negative feelings and increase pain sensations.

Other Treatment Options

  • Massages
  • Occupational Therapies
  • Regular Exercise/Physical Therapy
  • Electrical Stimulation Treatments (TENS Therapy, Bioelectric Treatment, and more)
  • Biofeedback
  • Cognitive Behavioral Therapy
  • Surgery (Injections and Implants)
  • Acupuncture

Understanding Chronic Pain: Conclusion

Do you wish to receive maximum care to relieve chronic pain? Visit Spine New York City to get the best pain management and treatment services. Matthew Grimm M.D. is a top NYC pain physician with board certification in Interventional Pain Management and Physical Medicine and Rehabilitation.

Call us for a consultation today. Receiving early treatment for chronic pain symptoms can help you recovery more quickly.

Matthew Grimm, M.D.
160 E 56th St
11th Floor
New York, NY 10022
646-862-5555

Visit our official website for more info.

 


Reference Links:

https://www.webmd.com/pain-management/guide/understanding-pain-management-chronic-pain
https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/chronic-pain
https://www.ninds.nih.gov/Disorders/All-Disorders/Chronic-Pain-Information-Page
https://www.spine-health.com/conditions/chronic-pain/chronic-pain-a-disease-why-does-it-still-hurt

What Training Does A Pain Management Doctor Have?

A pain management doctor or specialist evaluates, examines, and treats different types of pain. A pain management doctor treats sudden and long-lasting pain. Sudden pain includes headache, while chronic pain, such as lower back pain, falls under long-lasting pain. Pain management doctors can relieve different types of pain conditions, allowing patients to go home the same day. Pain management doctors understand the mechanisms behind different types of pain. They suggest medications, plan therapies, and perform surgeries to treat painful conditions.

Pain Management Doctor NYC
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Different Types of Pain Management Treatment

Pain management specialists help patients with pain that falls under three major groups. When you develop tissue injury pain, such as in arthritis, you can visit a pain management doctor. They can also help you with conditions affecting the nervous system, as well as the pain related to these conditions, such as stroke. The third and last type of pain is associated with nerve and tissue injury, such as back pain.

1.     Disorders Related to Tissue Pain

  • Rheumatoid arthritis (arthritis related to autoimmune system in tiny joints such as wrists and fingers)
  • Osteoarthritis (arthritis related to wear and tear in the large joints such as hips and knees)

2.     Disorders Related to Nerve Pain

  • Multiple sclerosis
  • Stroke (post-stroke pain)
  • Neuropathy (nerve pain due to diabetes and HIV)
  • Spinal cord injury

3.     Mixed Pain Disorders

  • Back pain
  • Neck pain
  • Cancer

Education and Training of a Pain Management Doctor

Pain management doctors receive nine years of medical education and training. First, they gather basic knowledge from a medical school. Then, they gain four years of hands-on training in different fields such as anesthesiology, neurology, rehabilitation, and physical medicine. At last, they receive an additional one year of training that focuses on treating pain. Once they complete this one-year pain management course, they receive certification from the American Board of Pain Medicine.

Best Pain Management Doctor NYC
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A Diverse Treatment Approach

When a patient visits the general doctor for treatment, they start off with primary care. Patients receive pain medications and physical therapy, depending on the diagnosis. However, when a general doctor notices the complication of the pain, they recommend consulting with a pain management doctor. As pain management doctors have a higher degree in treating pain, they carefully examine the patient and suggest a suitable treatment plan.

  1. Upon visit, the doctor prescribes medications such as muscle relaxants, anti-inflammatory medicine, and anti-depressants. Furthermore, they also inject a numbing solution in the affected area to reduce pain. These solutions include spinal injections or nerve blocks. The doctor may use Transcutaneous Electrical Nerve Stimulators or TENS to generate electric impulses on the nerves.
  2. When the doctor doesn’t notice any effective results from the first line of defense, they move to the second. In this group, the doctor will perform advanced procedures such as viscosupplementation or radiofrequency ablation. During RFA, the doctor introduces chemicals and heat agents to block the pain signals. This technique is effective in chronic conditions, such as arthritis of the spine. On the other hand, viscosupplementation is a lubricating fluid that the doctor injects into joints. If you experience any unusual pain in the body, you can consult with Dr. Matthew Grimm, one of the best pain management doctors in NYC.
  3. The third line of treatment includes implants with a spinal cord stimulator or a pain pump. These treatments relieve different types of pain, such as spinal pain. When the cushion or cervical disk between your spinal bones degenerates, the doctor will implant a synthetic disc for flexibility and reducing pain.

Find a Qualified Pain Management Doctor

While searching for a pain management doctor, you need to ensure that the doctor has a board certificate in pain management. The board includes the American Board of Psychiatry and Neurology, American Boards of Physical Medicine and Rehabilitation, or the American Board of Anesthesiology. If your state doesn’t require board certification, you need to check if the physician has appropriate training in the field of pain management. Also, ensure that they have published peer-reviewed research in the field. These factors can identify if a pain management doctor is reputable, qualified, and credible to treat conditions related to pain.

Pain Management Doctor: Conclusion

If you are looking for a pain management specialist in New York City, consult with Dr. Matthew Grimm. Dr. Grimm is highly trained in managing acute and chronic conditions.

Call for an appointment or consultation at 646-862-5555.

What Makes a Good Pain Doctor?

What qualities, education and experience makes a good pain doctor? You may experience pain in the body due to various reasons. It can be acute or chronic or a symptom of some underlying medical condition. No matter the reason, it can cause discomfort and may interfere with your daily life. Therefore, pain management doctors and specialists help treat problems such as sudden pain, pain-induced headaches, chronic pain, acute pain, lower back pain (a form of chronic pain), etc. They are knowledgeable and have experience in treating various pain symptoms and conditions. These symptoms often reveal an underlying medical condition that requires special care. Pain doctors offer plans that comprise medicine, surgical (injections), therapeutic, and other types of treatment.

What Makes a Good Pain Doctor?
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What Kind of Pain Does a Pain Doctor Treat?

There are three distinct groups of pain that pain doctors specialize in. This means that finding the right pain doctor for any following pain conditions and disorders is important.

  • Nervous System Pain Disorders such as spinal cord injuries, neuropathy, stroke, multiple sclerosis
  • Tissue Injuries Pain Disorders such as rheumatoid arthritis, osteoarthritis, and more
  • Mixed Pain Disorders such as back pain, neck pain, cancer, and more

Skills and Qualities of a Good Pain Doctor

Since you can experience pain due to various conditions, disorders, and issues, it is imperative that you only get in touch with the right doctor to receive specialized care. We have outlined the main qualities to look for in a good pain doctor.

Empathic Approach and Interaction

Being efficient is not enough when it comes to a good pain doctor. They should be empathetic, which is essential to providing pain management and similar treatments. They should be friendly manner beside all the professional knowledge and etiquette. Patients prefer a physician who can empathize with their condition and have friendly behavior in consulting them. Experts believe that the empathic behavior of a pain doctor can help alleviate the symptoms much faster.

An empathic pain doctor must spend extra time with you to understand and address your concerns and understand you well. A good pain doctor will be willing to go the extra mile with you, show significant support, and require honest feedback so they can help you in the best possible way.

Communication Skills

Communication skills are the foundation of every other skill set. It is a good pain doctor’s responsibility to listen to their patients with compassion and care. By listening to all the concerns of a patient, a good pain doctor offers individualized attention and care. Moreover, they inquire about your concerns, condition, and your thoughts to help you feel better than how you feel now. Maintaining eye contact, along with proper listening skills (not interrupting you), is extremely important.

Pain Management and Treatment Experience

Empathic behavior and listening skills will not help unless a pain doctor possesses relative experience in pain management and treatment. Most of the pain conditions are often in correlation which makes it difficult for an inexperienced pain doctor or a layman to detect. This makes it critical for a good pain doctor to identify the cause and develop the right treatment methods to help their patients. It is important that they have performed the same treatments and encountered the same pain problems before.

Urgent Availability and Response

A good pain doctor is readily available for their patients whenever they require. More importantly, you should never have to wait for a scheduled appointment when you are experiencing sudden symptoms and extreme discomfort without any noticeable cause. A good pain doctor can operate on an emergency basis rather than referring their patients to other doctors.

What Makes a Good Pain Doctor | New York
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Knowledge of the Latest Pain Management Treatments and Developments

Lastly, your pain doctor should have the right knowledge regarding the extensive range of pain conditions. Moreover, it is best if they stay updated on the modern and latest pain management and treatment options. The medical industry is advancing at a far higher pace than before.

Newer pain management breakthroughs are making their way into the operational and treatment field. To determine the best treatment plan for a patient, specific to their pain condition, a good pain doctor can use the latest research, treatment remedies, and guidance from multiple sources. Therefore, keeping in touch with the latest updates helps in devising the best treatment plans and using the latest resources to help patients.

What Makes a Good Pain Doctor? Conclusion

There is a broad range of pain types, conditions, disorders, and other issues that can arise due to a variety of reasons. At Spine New York City, Dr. Matthew Grimm helps his patients using a multi-disciplinary approach. He has years of experience in the pain management field and has been helping patients with multiple types of pain disorders and conditions.

If you are struggling with pain and similar problems, it is best to get in touch with the right physician. Therefore, you should contact Dr. Grimm to receive specialized care for all your acute or chronic pain conditions. He is a board-certified physician in Interventional Pain Management and Physical Medicine and Rehabilitation. Call us to book an appointment today. You can also visit our official website to learn more.

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

646-862-5555

https://spine-newyorkcity.com/


References:

https://www.healthgrades.com/right-care/chronic-pain/8-tips-for-choosing-a-pain-medicine-doctor
https://www.webmd.com/pain-management/pain-clinics-all-about
https://www.spineuniverse.com/treatments/pain-management/role-pain-management-specialist
https://www.spineuniverse.com/treatments/pain-management

What are My Options to Reduce Serious Pain?

What are some of the top medical options to reduce serious pain? Pain is a common condition that makes it easy to treat with a prompt response and proper diagnosis. Moreover, as people age, they become prone to pain conditions and symptoms. However, not everyone experiences it. Further, experts classify noticeable and persistent pain in two distinct types:

  • Chronic Pain usually lasts from a couple of weeks to 12 weeks and above
  • Acute pain lasts no more than a few weeks, such as 2-3. It usually gets better on its own as it is short-lived

Pain can be in all forms and effects, such as sharp, shooting, throbbing, thrashing, and more. Pain may start only on one side of the body and then move to other parts as it spreads if you do not get proper treatment.

Options to Reduce Serious Pain
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Are There Many Options to Reduce Serious Pain?

There are multiple options for treating pain conditions and disorders in people of all ages. However, it is important to pay attention to the cause of pain, which can be anything from a minor injury to a serious underlying medical condition. Treatments comprise medications, prescriptions, surgeries, therapies, and more. No single option can treat the condition completely; therefore, a pain doctor will usually use a multi-disciplinary approach. In many cases, serious pain that experts regard as “chronic pain” requires treatment through effective and special techniques. Here are some of them for your information.

Cognitive Behavior Therapy (CBT)

Cognitive Behavior Therapy is a popular approach to treating a diverse range of problems that include misophonia, pain conditions, and many more. It is a form of psycho-social intervention that aims to treat the conditions through readjusting the psychological behavior and thus the response against the conditions.

It readjusts the emotional regulation and cognitive distort and develops strategies that help patients ignore the symptoms of pain conditions and carry on with their usual life with minimal disturbance. Overall, under the supervision of the right pain physician, this technique helps to control how you behave in response to pain.

Transcutaneous Electrical Nerve Stimulation (TENS) Therapy

TENS Therapy is effective in many cases since it passes a low-voltage current through the body via the skin using electrodes. It generates a pain-relieving sensation and response in the body.  While there isn’t much evidence and scientific studies are still in progress, the experts believe that TENS therapy can effectively treat chronic pain.

Spinal Cord Stimulation Implants

This option includes passing low-intensity electric signals through the spinal cord or to the specific part of the body where nerve block is present. The electrical signals block the pain signals’ passage to the brain. Since the spinal cord is the main focus of this treatment, it is suitable for chronic limb or back pain.

Trigger Joint Injections

Injections are effective in treating pain conditions and controlling the passage of pain signals to the brain. Knots can form in the muscles when they don’t relax, while there are multiple trigger points in the body, mostly due to problems with the nerves, which result in pain. The trigger joint injections affect the nerve blocks and specific pain areas in the body. The injection usually contains a steroid, while other times, it may also be a sterile saltwater solution to make the trigger area on the body inactive.

Your pain doctor will suggest a course of treatment through this method to make sure that you get relief. There are many other types of injections available to treat muscle and nerve chronic pain.

Bioelectric Therapy

This therapy also involves using electrical signals to block the passage of pain signals to the brain. This keeps the patient from experiencing constant pain. Bioelectric therapy induces the production of endorphins in the body. It is a chemical that our body often produces when we exercise. These chemicals effectively block the pain signals through the nerves and hinder their passage to the brain. From TMJ disorder and migraines to diabetic neuropathy and other chronic pain conditions, bioelectric therapy is useful for a wide range of chronic pain disorders and conditions.

Although this treatment option doesn’t offer total relief from pain, it can be an effective component of a complete pain management program.

Options to Reduce Serious Pain | Pain doctor NYC
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Intrathecal Drug Delivery

This procedure involves a surgeon inserting a medicine pump in a skin pocket that they make around the spinal cord. Through the pump, they insert a catheter that delivers pain medicine to the intrathecal space towards the spinal cord. The medicine or implant may involve any form of muscle relaxant or morphine to relieve the pain signals in your body.

What are My Options to Reduce Serious Pain?: Conclusion

Dr. Matthew Grimm is passionate and committed to treating patients with discomforting pain conditions. If you are struggling with any pain conditions and/or disorders, you should seek the help of Dr. Grimm at Spine New York City. After going through your previous medical history and assessing your medical conditions, he will develop a treatment plan specific to you and your pain conditions.

It is true that you cannot treat pain conditions with a single treatment method. This is where the experience of Dr. Grimm comes into play. He ensures that you get the best treatment to regulate your pain conditions and live a peaceful life. Ring us at 646-862-5555 to schedule an appointment or visit our official website for more information.

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

646-862-5555

 


References:

https://www.nhs.uk/live-well/healthy-body/10-ways-to-ease-pain/
https://www.arthritis-health.com/blog/11-ways-relieve-pain-naturally
https://www.healthline.com/health/muscle-aches
https://www.health.harvard.edu/pain/8-non-invasive-pain-relief-techniques-that-really-work

Sciatic Nerve Pain

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

Sciatic Nerve Pain | Sciatica
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What is the Sciatic Nerve?

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

Understanding Sciatica

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

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

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

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

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

What are the Causes of Sciatica?

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

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

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

What are the Treatment Options for Sciatic Nerve Pain?

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

Sciatica | Sciatic Nerve Pain
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OTC Medication

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

Surgery

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

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

Other forms of treatments and remedial solutions include:

  • Epidural Steroid Medication
  • Physical Therapies
  • Regular Exercise

Sciatic Nerve Pain: Conclusion

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

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

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

 


References

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

Spinal Pain: Causes & Pain Management Options

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

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

Spinal pain management
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4 Top Causes of Spinal Pain

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

1.     Muscle or Ligament Strain

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

2.     Bulging or Ruptured Disks

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

3.     Arthritis

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

4.     Osteoporosis

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

Risk Factors for Spinal Pain

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

·       Age

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

·       Lack of Exercise

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

·       Excess Weight

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

·       Diseases

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

·       Improper lifting

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

·       Psychological Conditions

People with anxiety and depression develop spinal pain.

·       Smoking

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

Pain Management Options for Spinal Pain

Non-Surgical

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

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

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

Causes of spinal pain and management

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Surgical

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

Spinal Pain: Conclusion

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

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

646-862-5555

Severe Neck Pain Causes and Treatment Options

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

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

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

Causes of Severe Neck Pain

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

1.     Muscle Tension and Strain

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

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

2.     Injury

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

3.     Heart Attack

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

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

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

4.     Meningitis

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

Treatment Options for Severe Neck Pain

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

Medications

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

Therapy

  1. Physical Therapy

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

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  1. Transcutaneous Electrical Nerve Stimulation (TENS)

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

  1. Traction

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

  1. Short-Term Immobilization

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

Surgical and Other Procedures

  1. Steroid Injections

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

  1. Surgery

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

Severe Neck Pain: Conclusion

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

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

11th Floor
New York, NY 10022

646-862-5555

What Is Sciatica Pain?

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

Sciatica Pain
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What is Sciatica Pain?

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

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

What Leads You To Experience This Pain?

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

Being Overweight

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

Work in an Active Cooperate Field

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

Poor Posture

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

Poor Core

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

Other Conditions

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

How to Treat Sciatica Pain?

Over-The-Counter Medications

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

Use Hot Packs or Ice

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

Practice Stretching

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

Physical Therapy

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

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Prescribed Medications

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

Spinal Injections

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

Sciatica Pain: The Bottom-Line

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

Injections for Pain: Types, Process, and Diagnosis

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

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

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

Process of Pain Relief via Injections

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

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

6 Types of Pain Management Injections

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

1.     Facet Joint Injections

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

2.     Major Joint Injections

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

3.     Epidural Steroids

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

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

4.     Occipital Nerve Blockages

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

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5.     Sacroiliac (Joint Block) Injection

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

6.     Selective Nerve Root Block

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

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

Injections for Pain: Conclusion

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

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