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: Arthritis

Different types of Arthritis

different-types-of-arthritis-01From the root word Arthro, meaning joint, and the suffix -itis, meaning inflammation, arthritis refers to inflammation in any joint. This inflammation comes with swelling, redness, and pain. The exact joints affected may vary from person to person, but the overall symptoms are generally the same. However, there are a couple of different types of arthritis that present in different ways. The two most common are discussed below. There are also a few key treatment opportunities to help those suffering from arthritis.


The more common of the two primary forms of arthritis, osteoarthritis is a disorder that causes degeneration of the joint. Typically, this is due to wear and tear on the cartilage in the joint. Eventually, the cartilage is so worn down but it is unable to cushion the movement of the joint. At this point, it is simply bone moving against bone when the joint is used. This is incredibly painful, both when the joint is being moved and when the joint is still. Typically, osteoarthritis affects older people or those who have undergone repetitive high impact movements. Even something as simple as walking can, over time, have a serious effect on the joint. As the cartilage is worn down, more nerves are exposed and aggravated as the bones grind together making movement uncomfortable.

Rheumatoid Arthritis

xrays-scans-different-arthritis-top-pain-doctor-nyc-03As opposed to osteoarthritis, where the cartilage is worn down through youth and overtime, rheumatoid arthritis is actually an autoimmune disorder. In cases of rheumatoid arthritis, the body itself identifies the lining of the joint as a potential threat and works to attack it. This attack can cause pain, redness and swelling, and difficulty in moving the joint. Rheumatoid arthritis has a genetic component, meaning that a history of rheumatoid arthritis makes it more likely that you will suffer from rheumatoid arthritis. Rheumatoid arthritis can affect people of any age and can begin at any time.

Similarities and Differences in Types of Arthritis

These two forms of arthritis, while both causing inflammation of the joint, work in very different ways. Both forms of arthritis can also make it more difficult for people to get moving, especially in the morning. However, as rheumatoid arthritis is an autoimmune disease, it tends to affect the body symmetrically. Osteoarthritis, being caused by repeated injury or fatigue, tends to have one side more affected than the other. In addition, rheumatoid arthritis tends to affect the smaller joints first. People with rheumatoid arthritis typically have swollen, painful joints in their fingers. People with art osteoarthritis tends to find the most affected joints are the larger joints, like the hips or the knees.


areas-body-for-arthritis-02There are many treatment opportunities for arthritis, ranging from less intensive and invasive solutions to surgery. Some of the simplest things that you can do to treat both rheumatoid and osteoarthritis include making changes in one’s lifestyle. Cutting out fatty, greasy foods will help reduce inflammation in the entire body. Regular participation in exercise will increase the body’s response rate to inflammatory conditions. If these simple solutions don’t seem to help, over the counter pain relief medication may be able to help. In more severe cases, Dr. Grimm will be able to make a more specific recommendation with regard to specific medications, surgical procedures, or other treatments to help reduce the pain caused by arthritis.

Are you dealing with arthritis? Make an appointment with Dr. Grimm to go over treatment solutions that may help you. 

Arthritis, What is it?

It is estimated that 350 million people all over the world suffer from arthritis, including roughly 40 million in the U.S. This condition can range greatly in severity and there are different types of arthritis. Even some very young people get diagnosed with this condition due to their genetic makeup. It can be a mildly irritating condition for some, and a constant debilitating struggle for others.

What Is Arthritis?

arthritisArthritis is essentially inflammation of the joints that causes the cartilage tissue on the ends of the bones to deteriorate over time. Rheumatoid arthritis, the most common type, is classified as an autoimmune disorder that affects the lining of the joints.
Certain conditions, including lupus and psoriasis, can eventually lead to a person developing arthritis. Most people with arthritis experience joint pain to some degree, and it is called arthralgia. It is known as polyarthritis when four or more of a person’s joints are affected. Many people with this condition inherited it from their parents.


There are many different symptoms that a person can experience, including:

  • Stiffnessarthritis
  • Difficulty walking (limping)
  • Swelling of the joints
  • Warm sensation in the joints
  • Decreased range of motion
  • Weakness
  • Tenderness of the joints

A vast majority of people experience inflammation of the joints. Some people experience severe pain while others don’t have any pain at all. Sometimes, arthritis can actually affect a person’s organs, leading to swelling of the lymph nodes, fatigue, weight loss, and fever.


Treatment depends entirely on the type of arthritis a person has. The more accurate the diagnosis is, the more effective the treatment will be.

arthritisDoctors often recommend that patients take over-the-counter pain medication like Ibuprofen and Tylenol to manage their joint swelling and discomfort. These medications can be quite effective for many people with this condition.

Some people with rheumatoid arthritis have to take certain prescription medications that can negatively impact their immune systems. Arthritis in the lower back can irritate the spinal nerves, sometimes requiring a surgical procedure to alleviate symptoms.

There is no cure, but there are a number of effective treatments for managing the symptoms on a daily basis.

If you are struggling with joint pain caused by arthritis, let us help. Make an appointment with us today so our nationally renowned NYC pain doctor can relieve your discomfort.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.