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.

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.

Back Pain

Do you need a back pain doctor? Back pain is a very common symptom that almost everyone experiences in their lifetime. It was first very common in people who were aging but now even teenagers face this issue. Back pain can occur due to many reasons mainly revolving around our eating, physical behaviors and lifestyle habits. This type of pain is sometimes very excruciating and may cause many other problems that could affect some of your day-to-day tasks.


If you think you’re suffering from back pain and want to learn more about its causes and treatments, stick around and read this article further on as it will give you a better insight about back pains.

What Causes Back Pains?

Back pains can occur due to a number of reasons which we have mentioned below:

·       Arthritis

Arthritis can also occur in our spine, which leads to a narrower space around the spinal cord. Osteoarthritis is one of the main types of arthritis that may cause our back to ache.

·       Cracked Disks

You may have a cracked or split disk that could be one of the reasons for your back pain. Disks act like supports our bones in our spine. Sometimes the disk tends to crack, which could be the reason for your back pain.

·       Scoliosis

Scoliosis is a medical condition in which your spine tends to curve to the side. This condition can also lead to back pain.

·       Muscle Pull

Sometimes some activities that require a lot of stamina such as rowing, heavy-lifting, and exercising may lead you to have back pain as you may pull or put too much strain on your muscles. People who are physically weak may mainly experience them. Muscle strains always lead to back pain.

·       Osteoporosis

Osteoporosis is another medical disease that makes your bones extremely weak and brittle. Hence, your spine may get affected and develop compression fractures, eventually causing back pain.

Symptoms of Back Pain

Mentioned below are the different symptoms you may experience that could be a sign of back pain:

  • Difficulty in lifting, walking or bending due to pain
  • Sudden shooting pain
  • Pain in leg
  • Extreme muscle pain and stiffness
  • The need for constant back support while sitting or lying down straight

How to Treat Your Back Pain?

Mentioned below are the different treatments for back pain:

Traditional Back Pain Treatments

Traditional back pain treatments include many home remedies that you can try out on your own before opting for any medication or medical procedure. There are different types of home treatments, such as:

§  Exercising

There are different exercises you can incorporate into your workout routine to strengthen your core muscles and improve your posture. These exercises also help to improve the flexibility in your bones that will help you to fight back pain.

§  Hot Water Baths

Hot water is the best for muscle pain. Take frequently hot water baths and mix some Epsom salt in the water. The salt helps your body to absorb minerals that lightens your muscles, relieving pain.

§  Ice & Heat Therapy

For heat therapy, keep a warm compress on your back. Heat always eradicates pain from bones and muscles, making this one of the best and easiest therapies.  For ice therapy, you can keep a few ice cubes inside a cloth and just keep it on your back. The ice helps to eradicate inflammation, which in turn reduces your back pain.



§  Pain Killers

Pain killers such as ibuprofen and acetaminophen are the best, but avoid taking more than one.


Non-steroidal anti-inflammatory medications are among the strongest pain medicines for back pain. You can take NSAIDs such as naproxen and ibuprofen.

§  Creams/Ointments

You can also use medicated ointments or creams that will help to relieve back pain. Most of these creams contain ibuprofen and lidocaine.

§  Other Medication

Muscle relaxants, steroid injections, antidepressants, and opioids.


Your doctor may carry out a surgical procedure on your back if your pain keeps getting worse even after taking medication and home treatments. The surgery involves removing and replacing the disks, fusing them into one single bone.

Final Words

If you’re experiencing excessive back pain, don’t take it lightly. You can consult one of New York’s top pain management doctors, Dr. Mathew Grimm. He will guide you and formulate a treatment plan. So don’t waste time and contact us at our main website.


Arthritis is a very common disease that many of our elderly face. However, it has been growing and affecting many different ages due to their unhealthy lifestyles. Arthritis is a severe disease and can lead to many more complications that are life-threatening. It causes inflammation in your joints, which eventually leads to excessive pain and stiffness. These symptoms usually make it difficult for you to walk freely.


If you want to learn more about arthritis and want to know if you are suffering from it, you should definitely go through this article as it will give you a clearer insight into Arthritis.

What Causes Arthritis?

There are a few reasons mentioned below that lead to Arthritis:

§  Diet and Lifestyle

Unhealthy eating habits and lifestyles are one of the main causes that lead to arthritis. The less movement your body attains and the more pressure it gains, the higher the chances there are of you developing arthritis. There are certain types of fatty foods and high-purine foods that also pave the way towards arthritis.

§  Genetic

You can also genetically inherit arthritis, especially if your family members experience osteoarthritis.

§  Immune System Dysfunction

Rheumatoid arthritis is a type of arthritis that causes the immune system to disrupt the lining of your joints. This leads to excessive inflammation and swelling in your joints and might result in a disability to walk or perform different tasks.

§  Additional Factors

Certain incidents and bad habits can also aggravate your arthritis, such as smoking, a bad injury, type of infection or too much activity that involves constant physical movement.

Symptoms of Arthritis

There are different types of symptoms you may experience during arthritis; however, these symptoms vary on the type of arthritis you have:

  • Excessive Swelling
  • Sudden pain in Knees
  • Redness
  • Stiffness- unable to walk or move your leg
  • Body pace slows down

Treatments for Arthritis

Mentioned below are the treatments for arthritis that will help you deal with it and may also lessen the pain and stiffness.

1.     Self Treatment

Before you opt for medications or surgery, you should always try and improve your sickness on your own by changing your lifestyle. For arthritis, you have to take care of:

·       Diet

There are certain foods that you should avoid to lessen the inflammation. This includes foods that contain a lot of sugar, red meat, high-dairy products, and tomatoes.

Three are some types of foods that will give you energy and help to reduce inflammation in your joints, such as beans, fish, fruits, vegetables, whole grains, nuts, and olive oil.

·       Physical Activity

Staying physically active helps you to keep your arthritis under control and also helps with your overall health. Participate in activities such as cycling, swimming, and walking. These activities help you to boost your energy and increase your heart rate allowing more blood to flow throughout your body.

·       Physical Therapy

There are certain amounts of exercises that help to loosen up your joints. The doctor will recommend most of these therapies for you to do it on your own, or sometimes a specialized body therapist helps you with it. Physical therapy also involves warm water therapy which you have to carry out in a swimming pool.

2.     Medications

There are many types of medications for arthritis, depending on the type of arthritis you have.


o   Creams

There are some creams and ointments that help to relieve pain, such as creams that specifically include capsaicin and menthol.

o   Painkillers

You can take painkillers such as tramadol, acetaminophen, and narcotics. These painkillers help to relieve excessive pain; however, it does not reduce inflammation.

o   NSAIDs

Non-steroidal anti-inflammatory drugs (NSAIDS) help with both pain and inflammation. These include ibuprofen and naproxen sodium. You can get some in gels or creams as well.

o   Biologics

These drugs help to target various protein molecules that get in the way of our immune system. You can avail biologics such as infliximab and etanercept.

3.     Surgery

If your arthritis worsens, your doctor may recommend surgery for your joints. This surgery will involve replacing your joint with an artificial one.


If you feel like you might suffer from arthritis or need help with the excessive symptoms. You can head on over to Dr. Grimm as he will give you the best help and advice for your arthritis. Visit our website and contact us today!

When to Seek a Specialist to Manage Your Chronic Pain

What is Chronic Pain?

There is a difference between acute (minor) pain and chronic pain. Acute pain tends to go away in a few weeks whereas chronic pain is intensely severe and may last for 6 to 12 months or more. Chronic pain is typically due to an injury, nerve damage or muscle spraining.

The science behind this shooting pain is that when you sense it, the nerves in your brain detect that there is a problem. Once detected, the brain then sends signals back to your body to heal the pain and solve the ‘problem’. If you are suffering from chronic pain, this movement of signals coming back and forth confuses your body. Your body does not respond to the signals and becomes even more sensitive to pain, hence the severity of chronic pain.

Signs & Symptoms

If you feel shooting pain in a specific area of your body and you can simply not bear it, you are suffering from chronic pain. That area will sting, burn, swell up and there will be soreness as well. This will result in sudden mood changes and lack of hunger and sleep. You may also feel drained and tired all the time.

Types of Specialists you can Consult for Therapy

Chiropractors are specialists that treat all kinds of chronic pains, especially back pain. They detect spinal manipulation and try to properly align the patient’s body. Chiropractic care certainly does help heal chronic pains.

Physical Rehabilitations specialists ensure better quality of life to patients and deal with injuries related to spinal cord, nerves, muscles or tendons.

Physical Therapists are specialists who guide you and give an exercise plan for pain relief. They will help you exercise to increase your mobility. They also do hot oil massages and place ice packs on the affected areas in order to ease your pain

Seeking a Specialist

Some of the most common types of chronic pains are; arthritis pain, back pain, post trauma pain or cancer pain. Whatever the reason of your pain, seek medical help if things go out of hand and the pain becomes uncontrollable.

Chronic pain tends to interfere with your mental state as well. It stays with you for long so causes you to be low and lose hope. Depression and chronic pain are inter related that’s why most doctors prescribe anti-depressant pills to help you get rid of your pain and depression. This is important because the combination of excessive stress and lack of sleep enhances your pain even more.

Moreover, you don’t know what your symptoms are leading towards. We can guide you better. Chronic pain can even mean cancer, so don’t take prolonged pain lightly. Your condition will be carefully checked, tests and scans will be conducted so that proper diagnosis can be done. Tailor made plans will be designed for your recovery.

It is very important for you to understand your problem so you don’t repeat the same mistakes. For example, if you are overweight and obesity is the main cause of your chronic knee pain, you should address this problem. Make yourself healthier so you can easily do physical activities to keep your body in shape and your weight in check.


Nerve block, acupuncture and electrical stimulation are just some examples of the medical procedures that exist to tackle this health problem. You can only find out about them if you visit a specialist and discuss the matter in detail.  Electrical stimulation procedure aims to reduce pain by sending mild electric shocks into your muscles, which is quite fascinating don’t you think? Thanks to research in medical sciences.

To conclude, it is vital to connect with a specialist for a better understanding of your problem and to look for suitable solutions as well. So, do not wait for your condition to worsen! Schedule your appointment with the best pain specialist in Manhattan.