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.

Category Archives: alternatives to back surgery

What Is a Decompressive Discectomy?

Spine Anatomy

Best-Pain-Doctor-NYC-1The spine is composed of a column of vertebrae that houses the spinal cord. The bony vertebrae are separated by intervertebral discs. The discs, in turn, are composed of a semi-fluid gelatinous material surrounded by a cartilaginous outer ring. The discs permit movement of the vertebrae and act as cushions which absorb compressive and rotational forces.

Disc diseaseBest-Pain-Doctor-NYC-2

Over time, repetitive loading forces on the disc structures lead to degenerative disc changes. The outer cartilaginous ring (annulus fibrosus) undergoes microscopic tears which can cause “bulging” of the disc. An accumulation of these small tears can sometimes lead to a “rupture” of the annulus (also called a disc herniation). When a disc “herniates,” the inner semifluid material (nucleus pulposus) can escape the confines of the disc and enter the spinal canal. The herniated material can press on the spinal nerves as they leave the spinal cord.

Best-Pain-Doctor-NYC-3Symptoms and signs of disc disease

Pressure on the spinal nerves can cause pain which “radiates” into the arm (in the case of cervical disc rupture) or leg (in the case of lumbar disc rupture). Spinal nerve root irritation can cause numbness and/or weakness of the arm (cervical disc disease) or leg (lumbar disc disease).

Treatment of a herniated disc: decompressive discectomyBest-Pain-Doctor-NYC-4

When conservative measures fail to control neck/arm or low back/leg pain, the aim of surgery is to relieve pressure against the spinal nerve. This surgical procedure is called a decompressive discectomy. The herniated portion of the disc is removed which “decompresses” the spinal nerve. Sometimes, the interior of the offending disc is explored and any loose fragments within the disc are also removed with the intention of preventing “repeat” herniation.

The initial goal of treatment is to prevent the need for surgery including decompressive discectomy. Dr. Grimm specializes in non surgical treatments that help relive back pain and alleviate the need for surgery.

Please contact the best pain doctor in NYC, Dr. Matthew Grimm, to schedule an appointment.