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: Back Pain

Pain Management: Thoracic Epidural

A thoracic epidural is an injection that helps curb excessive pain in the thoracic region. It refers to the upper to middle areas of the back. This area is prone to excessive pain due to old age or a major fracture. The injection goes through the epidural space, which is the area surrounding your spinal cord. If you feel like you or someone around you is suffering from this pain, and you want to learn more about the thoracic epidural, you have come to the right place. Spare a few minutes and continue to read further.

Thoracic Epidural
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What is Thoracic Epidural

As mentioned earlier, thoracic Epidural is an injection that helps relieve pain in your thoracic region. The doctor inserts the injection into the area around your spinal cord. Not to mention, the spinal cord is one of the most sensitive parts of the body and includes a bundle of nerves running from your brain to the lower back. The epidural space acts as a barrier around your spinal cord.

When the nerves in your spinal cord get irritated or inflamed, that’s when you feel uncomfortable and go through severe back pain. This could be due to any back injury as the interverbal disc may press into the spaces of the spinal cord, which in turn causes you unbearable back pain.

Thoracic Epidural Procedure

The thoracic epidural injection involves a simple procedure that your doctor will brief you about before you go for it. When you go in for the injection, the first thing you will have to do is lie on the side or your stomach on an x-ray table. The nurse or doctor may give you medicine to help you feel relaxed or sleepy during the procedure if needed.

Next, the doctor will numb the targeted spot or injection site and position the needle properly. Your health care provider will finally inject the required medicine into the injection and insert it into the epidural space. The injection is quite painful, and you may feel a bit uncomfortable, but you should let your doctor know if the pain is unbearable.

Pain Management: Thoracic Epidural
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Post Thoracic Epidural

After you receive the thoracic epidural injection, you will have to wait for at least an hour before you can go home. Your doctor or healthcare workers will monitor you during this time and check if your body has acted or reacted to the injection.

After the procedure, your pain management doctor will ask you to rest for the whole day at home and avoid all activities like cooking, going out, driving, etc. Many people feel relaxed after the injection as the pain goes away. However, some people may still feel pain or even more than the usual pain. The injection may last for a few days or months, but you can take them monthly.

Once you get home, you will feel a lot of body numbness, which is very common, as well as redness in the injection area. In case of any severe side effects, you must consult your doctor immediately. The doctor might ask you to come for a follow-up and might have to run a few blood tests to see any improvements or if any other issues you might be facing post-procedure.

Risks Associated with Thoracic Epidural Injection

The thoracic epidural injection is quite safe; however, there are a few risks involved in it. Your healthcare professional will discuss the associated risks with you before giving you the injection. The risks involved differ from person to person. Some people might not experience any side-effects, while some might feel more pain. Here are a few of the common risks:

  • Headaches
  • A slight increase in pain
  • Infection
  • Nerve Stiffness
  • Minor bleeding
  • Allergic reaction due to rash

How to Prepare Yourself for a Thoracic Epidural Injection

You need to take care of a few things before getting your shot. First, you must consult your doctor and let them know if you have any allergies, especially with any medicines. You must provide your healthcare worker with all the necessary CT scans or test results you have undergone before for diagnosis and treatment of your pain.

If you have any symptoms of flu or fever for a week, you must inform your doctor before getting the injection. Additionally, you may have to fast for a few hours before the procedure and also not take any medication. Your doctor will discuss all the required details with you.

Consult Dr. Matthew Grimm, Top NYC Pain Doctor

If you feel like you may require a Thoracic Epidural injection or have been struggling with excessive back pain, you must visit the best pain management doctor in New York. Get in touch with Dr. Matthew Grimm, MD, as he has the experience to treat all types of pain and perform different procedures.

Visit our website or call us at 646-862-5555 to book your in person or telemedicine appointment with our pain management doctor.

Chronic Back Pain

Are you suffering from chronic back pain and do not know what to do? In current times, almost every other person you meet is suffering from chronic back pain. The point to notice in this case is that these cases are starting to increase now. Back in the days, you would only find the elderly facing these issues.

A major reason for the increase in the cases is the exponential growth in working-class people. Most offices around the world do not provide their employees with ergonomically designed workplaces, which messes with their spinal cord, and you start experiencing chronic back pain. In other cases, you may experience a chemical reaction in your backbone, which is causing the pain or some other reason.

Chronic Back Pain
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Improve your Posture

Improving your posture helps a lot. It does not only make you look good, but it helps you with chronic pain as well. Whenever you are sitting or standing, keep your posture in mind. The moment you notice your posture is hunched or it is not right in any way, you can correct it.

If you recently started experiencing chronic pains, then it is high time that you start being mindful of your posture. The best way to improve your posture is by sitting on a stool. Sure, it will be difficult at first. Nonetheless, you become used to it with time.

Physical Therapy

Most people start experiencing chronic back pain because they do not provide their bodies with adequate motion. Therefore, many experts say that exercising is the key to treating chronic back pain. However, when you plan to get into exercising, make sure you take advice from your physician or physical therapist. Since you have compromised muscles already, you cannot take more risks with your wellbeing. They will specially design a routine for you to follow. Make sure you keep up with it in your routine life.

A therapy routine might include things like core strengthening exercises, aerobics, stretching, flexibility exercises, and testing your pain limits

Meditation

While you may not believe it, meditation can help with various sorts of pain, especially chronic back pain.

While meditating, your body releases stress and gains positive energy that can address various issues. Nevertheless, many people start experiencing physical pains only because they have been suffering from psychological problems like frustration, depression, psychological pressure, and much more. Meditating on a daily basis can help you balance your mood and retain energy.

You can resort to any meditation method from one-minute meditation to tai chi.

Change in Lifestyle

Sometimes, our bodies face health issues as a result of poor lifestyle choices. An unhealthy lifestyle can affect our wellbeing to a great extent. Most people you meet might be the target of a bad lifestyle. Therefore, when you feel like your choices are part of the problem, it’s time to make a few changes.

These changes might involve eating the right food, taking more trips while taking groceries to the house, taking breaks while working, and whatnot. However, if you have a habit of taking intoxicants or smoking cigarettes, try quitting them instantly. Further consumption of bad food, intoxicants, and cigarette smoke will worsen your back pain even more.

Diet

Your diet plays an important role in determining your health. Therefore, consuming foods that do not support a healthy living will ruin your health. Nevertheless, some foods might have nutrients that affect your entire health.

Best Pain Doctor in New York City

If no mentioned treatments work for you, then I suggest you take help from a board-certified physician. If you live in New York City, I have a great recommendation for you. Dr. Matthew Grimm is a board-certified physician and top NYC expert in chronic pain management.

He does not only treat chronic back pain but other chronic pain as well. He is a pain management specialist, and he will educate you about how you can manage your pain efficiently. He will explain different ways as to how you can improve your quality of life.

There are often multiple solutions to manage pain. You can choose from any treatments that suit your taste. Doctor Grimm will educate you on all treatments and how they work.

Treatment Chronic Back Pain NYC
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Final Feedback

Chronic back pain is a common problem that can heavily affect your normal lifestyle. It affects the way you sit, stand, and lay down. Needless to say, the quality of your life decreases a lot once you start experiencing them.

The sooner you contact a doctor to treat your issue, the better. Contact top NYC pain management specialist Dr. Matthew Grimm to treat your chronic pain.

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

646-862-5555

Do I Need to See a Doctor for my Chronic Back Pain?

doctor-for-chronic-back-pain-do-you-need-01Pain is one of the most common problems that face people today. According to some statistics, around 40 million Americans deal with chronic pain on a regular basis. When there’s something traumatic that causes pain, like breaking a bone, it is obvious that professional help is needed. The problem with pain is that it gradually builds over time.

If every day your pain only increases a little bit, you hardly notice until it’s too late. At what point should you go to the doctor for your chronic pain? To answer that question, we first need to identify what exactly chronic pain is and what we can do in the meantime.

Signs of chronic pain

Chronic pain can be a difficult diagnosis to receive. This is because everyone has aches and pains now and then. In order for pain to qualify as chronic pain, it has to last for an extended period of time. The exact amount of time may vary, but typically chronic pain is expected to have lasted for at least three months. Three months is an awfully long time to be dealing with pain, to begin with, so usually, our body has already begun a natural response in order to address this pain. For example, people dealing with chronic lower back pain may have developed a slouched posture. When sitting or standing and leaning forward, they may feel more comfortable. After a few months, they can be difficult to reverse this posture.

Another common problem associated with chronic pain is a decrease in the use of an affected extremity. What this means is that someone with a previous right-hand dominance now primarily uses their left hand to perform all needed tasks. Of course, the most predominant symptom is pain, but these signs can help you identify just how serious long-term chronic pain can be.

What You Can do Now

how-bad-is-back-pain-need-see-specialist-nyc-02In order to receive the diagnosis of chronic pain, that pain has to last for quite a long time. In the meantime, there are things that we can do. In order to determine the best treatment for your pain, we first have to figure out the cause of your pain. For example, is your pain a muscular ache? Ice packs or hot packs may be able to help. Other techniques, such as mindfulness and meditation, can take your mind off of the pain and lower the intensity you are feeling from the pain.

Of course, there are also over the counter pain relievers that can help to lessen the pain. It should be noted that these come with side effects. Make sure you carefully read any warning labels and instructions on medications. Admittedly, though, these are only short term solutions to a long term problem.

When to Call the Doctor

If you are dealing with pain, no doubt you want a quick fix that will take the pain away immediately. Unfortunately, the sad fact is that there is no miracle drug that would completely eradicate pain. That being said, there is a process that can lead to pain relief. If you have been dealing with pain for upwards of three months or have long-term pain and the above-mentioned suggestions just don’t seem to help, it may be time to call the doctor.

Have you been dealing with pain on a long-term basis? Call Dr. Grimm today to set up an appointment for a consultation to determine the best approach to deal with your pain.

How did I get Chronic Back Pain? Causes and Treatments

chronic-back-pain-causes-treatments-local-nyc-pain-dr-01Chronic back pain affects millions of people every day. For some people, the pain is so bad that they can’t do the things that they used to do. It may keep them from working, spending time with their family, or even just being able to sleep well. Clearly, those suffering from back pain are actively looking for relief. But before relief can be found for chronic back pain, you first have to identify the source of the pain. Since we have figured out the cause of chronic back pain, we can get started looking for a solution.

What Causes Back Pain?

The back is a very intricately designed system, made especially for dealing with heavy loads and constant stress. Between the 33 vertebral bones lie cartilaginous discs designed to absorb the shock and stress from regular use. However, over time and through overuse, these cartilaginous cushions can wear down. Once they have been worn down enough, the discs between the bones are not able to do their job properly, resulting in chronic back pain.

causes-of-chronic-back-pain-03There are three specific motions of the spine and back; bending, leaning, and twisting. Any of these motions can be overworked, resulting in pain. For example, we’ve all heard the expression “lift with your legs, not with your back.” This simple phrase can truly save us from a lot of pain. When we lift by bending our back, we put a stream on the skeletal system that supports us vertically. Over time, these bones can wear down, revealing the nerves beneath. These nerves are then easily irritated, causing swelling and pain.

Alternatively, if we overexert ourselves leaning to the side or twisting, the structures in the vertebrae designed to limit these movements can be damaged, causing lasting pain in a very similar manner. Another potential cause of back pain is through autoimmune disorders. Conditions like rheumatoid arthritis can cause all over pain, including me back. Other common elements include fibromyalgia and other pain syndromes. In these cases, there was not necessarily one specific event that triggered the pain.this can potentially be more difficult to treat, as the underlying cause is not as readily available.

Common Treatments for Back Pain

top-local-nyc-dr-for-back-pain-02The treatments available to help with back pain or just about as numerous as the potential causes for back pain. Some treatments are very mild, such as applying ice packs or hot packs to the affected area, meditating to take one’s mind off of pain, or a massage. some treatments are more involved, affecting one’s lifestyle.

Better implementation of ergonomic principles and job simplification can help reduce the risk of further pain. Dr. Grimm is able to provide more specific recommendations based on your case. Prescription medications, steroid injections, or other clinical approaches may be appropriate to help you find relief from your chronic back pain.

Before trying to figure out a plan of action, Dr. Grimm will make sure to talk with you and try to determine the original cause if your back pain. This will help us to treat the true, underlying cause of pain. When we do this, we can find more lasting effects.

Do you know where your back pain came from? Share your story of back pain with Dr. Grimm so that he can help you come up with an individualized treatment plan to get you feeling better.

Contact us today:

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How Do Spinal Cord Stimulators Aid In Pain Relief?

For those people who are suffering from significant pain, finding a treatment option can be difficult to do. Oral medications tend to be the first line of care. Doctors may also use nerve blocks to help minimize the pain and control the function of the nerves that are sending pain signals to the brain. In some cases, these are also ineffective. When that occurs, more advanced treatment options become necessary. The use of implantable systems can be helpful to some people in these chronic pain conditions.

What is Spinal Cord Stimulation?Spinal-Cord-Stimulator

In some situations, the goal of these systems is to interrupt the transmission to the brain. When a nerve feels pain, such as in the fingertips, the nerve sends an electrical impulse to the brain. These tools work to interruption that flow of messages from the spinal cord to the brain. In doing so, it may work to reduce the amount of information the brain has about the pain, thus helping the individual to feel better.
Spinal cord stimulation is a type of pain control method like this. In this method, the device works to provide low levels of electrical current. This current is applied to the dorsal portion of the spinal cord. In doing this, it creates a block to the pain. The pain slows and stops while the stimulation is occurring and the individual feels significant relief.

The spinal cord stimulation device is implanted under the skin during a surgical procedure. This device can sometimes have an internal or external power source, depending on the model selected by the doctor. It is often used in conditions in which the pain is severe and other treatment options are not effective. There are some risks to using this type of device, but for those that receive some level of improvement from pain, it can be well worth it.

Could This Be a Treatment for You?

LowBackPiainEvery individual’s pain is different. The best course of treatment for you is one that is going to help you to find relief and it may take trying a variety of methods to get to that point.

 

Call us at 646-862-5555 and schedule a consultation to meet with Mathew Grimm the best New York pain doctor in the area. Take a few minutes to learn more about your options.

Epidural Injections for Back Pain: Good or Bad?

Epidural Steroid Injections (ESIs) are commonly used for treating pain in lower back and sciatica. They have been used since the 1950s and have become an important part of non-surgical pain management for back pain and sciatica. For many patients, the injections are enough to relieve the pain. But as in any pain management treatment, there are pros and cons to epidural injections.

How epidural injectionsLong Does an Epidural Injection Last?

The effect of an epidural injection can range from temporary or can last from a week to even a year. For patient with an acute episode of back pain or leg pain, an epidural injection can provide immediate pain relief. Typically, three injections are used on a patient who finds relief with the first shot. Most pain doctors require 4-6 months between each injection.

Epidural Injections Focus on the Pain

With painkillers and steroids, the relief is not easily focused. With Epidural Steroid Injections, the exact area is targeted. Patients know right away if the injection is working.

Epidural Injections Flush out Chemicals

Back pain is mostly caused by chemical inflammation, which also leads to swelling in the affected area. Epidural Steroid Injections flush out the harmful chemicals like inflammatory proteins,, while significantly relieving the pain and swelling.

What Is the Success Rate of Epidural Steroid Injections?

The success rates of the epidural injections are always dependent on a patient’s condition and the level of pain they have. The benefits provided by Epidural Steroid Injections are substantial. When properly done using x-ray or fluoroscopic guidance, over 50% of patients suffering from back pain reported pain relief.

Risks Associated With Epidural Steroid Injections

There is a certain amount of risk involved with all medical procedures and lumbar epidural is no exception. But, the risks associated with ESIs are uncommon, but they must be mentioned so individuals are aware of them before and after an Epidural Steroid Injectionprocedure:

  • Nerve Damagepain doctor epidural injections for back pain 4
  • Bleeding
  • Infection
  • Dural Puncture

What Are The Side Effects Associated With Epidural Steroid Injections?

As in any medical procedures, there can be side effects dependent on the patient’s age, health and other medical conditions. Side effects from Epidural Steroid Injections are rare, but they can include:

  • Increase in localized pain.
  • Headaches that go away after 24 hours.
  • Flushing of the face.
  • Sleep problems.
  • Fever on the night the injection
  • Anxiety.
  • A high level of blood sugar.
  • Stomach ulcers.

In the end, only a patient can decide if Epidural Steroid Injections are the best option for relieving back pain. Contact us today at 646-862-5555 to learn more about ESIs and to schedule an appointment with the best back pain doctor in NYC.

Spinal Pain Doctor

Spinal Pain Doctor

There are many types of pain doctors that care for patients experiencing pain due to spinal conditions. Choosing the most appropriate type of health care provider greatly depends on the patient’s symptoms, such as the duration and severity of the spinal pain. Most patients first discuss their spinal pain symptoms with a primary care provider such as a medical doctor, chiropractor or doctor of osteopathic medicine, but if the patient’s spinal or back pain does not respond to initial treatment, the services of a spine specialist may be the best option.pain doctor

Spinal Disc Problems

Spinal disc problems can lead to symptoms of back pain and/or sciatica. Back pain with sciatica is a common back pain complaint. Most patients have a “simple” back pain where serious underlying issues are unlikely. However, a skilled spinal pain doctor will always be aware of warning signs which may justify investigation or even an emergency admission to further diagnose and treat the spinal pain. Spinal disc problems can include:

  • Disc herniation

  • Degenerative disc disease

  • Infection

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Three Groups of Health Providers Who Treat Back Pain

For many people with back pain, the first contact for most back pain sufferers is the general doctor. The first group includes primary care physician, family practice doctor, internist, pediatrician, chiropractor and Doctor of Osteopathy. They are also the medical practitioners that usually diagnose a spinal problem and refer their patients to spine specialists.

The second group of health care providers is composed of spine specialists have a specific area of expertise in diagnoses and treatments for spinal and back pain. These specialists are surgeons, physiatrists, anesthesiologists, neurologists and rheumatologists.

For patients with chronic spinal problems or back pain, the third group includes therapists for back pain or psychological help:

  • Physical Therapist

  • Occupational Therapist

  • Clinical Psychologist

The first step in finding the best spinal pain doctor is to have an examination so a proper diagnosis for care and treatment can be made. Contact us today to schedule an appointment with the best spinal pain doctor in NYC.

When to See a Doctor for Back Pain

back painSometimes a little back pain comes into every person’s life. Milder backaches can generally be successfully managed by simple back pain treatments such as rest, medicines, therapeutic massage, physical therapy, exercise and weight loss. But when back pain is persistent and affects the quality of your life, it indicates the need for an evaluation and possibly surgery. Avoiding a visit to a back pain doctor might allow the underlying condition of your back pain to worsen. If you are experiencing back pain that has any of the following symptoms, it’s time to see a doctor for back pain:

  • Back pain that follows an accident, such as a car collision or a slip and fall.

  • The pain is constant and getting worse.

  • Back pain that continues for more than 4 weeks.

  • The pain is severe and does not improve after a few days of rest and ice.

  • Does not respond to common pain relievers (ibuprofen or acetaminophen).

  • The pain worsens at night, as opposed to alleviating the pain after resting.

  • Severe pain that wakes one up from deep sleep.

  • Numbness or altered sensation in the upper inner thighs, groin area, buttock or genital area.

  • Neurological problems, such as weakness, numbness or tingling in one or both legs or arms.

If you are facing any of the following serious scenarios along with moderate to severe back pain, immediate medical attention is usually needed:

  • back painPersistent back pain in cancer patients.

  • Back pain in a younger people (under 20).

  • Individuals who have osteoporosis.

  • Steroid users.

  • Individuals who have HIV.

  • Any obvious deformity of the spine that shows up suddenly or over time.

  • Blood in the urine, possibly burning during urination with (or without) one-sided back pain

  • Major, unexplained weight loss with back pain and neurological impairment

Finally, these symptoms along with back pain should never be ignored and do warrant going to the emergency room and immediately being evaluated by a pain doctor:

  • Abdominal pain

  • Progressive leg weakness

  • Uncontrolled bladder and bowels

While the above described symptoms and possible conditions may seem unnerving, it is important to remember that most causes of back pain are not life threatening and will usually get better in several weeks with proper diagnosis and treatment.

If you or a family member is experiencing acute or chronic back pain, contact us today to schedule an appointment with the best pain doctor in NYC.

How to avoid the need for disc surgery. Alternatives to neck or low back surgery:

What are my alternative options to disc surgery?

 

Treatment options for neck or low back pain

When a patient presents with a herniated cervical or lumbar disc with clinical evidence of nerve root irritation (cervical or lumbar radiculopathy), he or she has several choices: no surgery, traditional open surgery, microscopic surgery or micro-endoscopic surgery. If he or she chooses no surgery, evidence shows that the herniated disc may decrease in size or disappear within a few weeks or months. Epidural injections may also prevent the need for neck or back surgery.

Types of surgical treatment: open discectomy vs. micro-discectomy

Surgery is generally reserved for patients who fail to respond to conservative treatment or have significant or progressive weakness or loss of sensation due to irritation of a nerve root by a herniated disc.

Traditional Open Discectomy

A traditional open discectomy causes considerably more disruption of spinal tissues than a microsurgical procedure usually resulting in a longer recovery time.

Microsurgical Discectomy

A microsurgical discectomy is minimally invasive and is less disruptive of spinal tissues usually resulting in a shorter recovery time.

The goal of surgery is the removal of any material (usually disc material) pressing on the spinal nerve. At the least, the portion of the disc which protrudes into the spinal canal is removed. More aggressive surgery involves exploring the ruptured disc for any loose fragments. The aim of the more aggressive approach is the prevention of recurrent disc herniation.

Micro-endoscopic discectomy

An even less invasive form of cervical or lumbar disc surgery involves the use of endoscopes. An endoscope is a long thin tube which contains a light and a video camera allowing the surgeon to visualize the spinal structures on a monitor. The surgery is performed using very fine instruments through the same tube (also called a cannula).

How to avoid the need for disc surgery

Dr. Grimm often will prevent the need for disc surgery by performing epidural injections and/or prescribing physical therapy.

Contact us today to schedule an appointment with best back pain doctor in NYC, and hopefully avoid the need for disc surgery.

Trigger Point Injections

 

Best Pain Management Doctor NYC3Trigger point injections are used to treat chronic pain in discrete, focal muscle groups in the neck, arms, legs, and lower back. These multiple muscle groups have trigger points, which are hyperirritable knots of muscle that are taut and which fail to relax. These cause local pain, which may also radiate or spread to other parts of the body. Although trigger points may be treated using nonsteroidal anti-inflammatory drugs, antidepressants, physical therapy and acupuncture, their effects are often short lasting compared to trigger point injections.

Trigger point injections may also be used to treat a variety of conditions, including fibromyalgia, tension headaches, temporomandibular joint pain, and myofascial pain syndrome.

How Trigger Point Injections WorkBest Pain Management Doctor NYC2

Trigger-point injection is a minimally invasive, safe, and effective way to inactivate trigger points and provide prompt, symptomatic pain relief. The procedure involves inserting a small needle into the patient’s trigger points, which are located in muscle groups in the neck, arms, legs and lower back. The injection contains a local anesthetic and may include a corticosteroid to reduce inflammation. Usually, a brief course of treatment that is given in a doctor’s office will result in sustained relief. Since the treatment uses locally administered medications, it does not have a widespread effect on the body; rather, only painful areas are targeted, and no systemic side effects are expected.

Patients benefit from this procedure because after the injection, trigger points are inactivated and inflammation and pain are reduced for several months, allowing the patient to resume normal activities and undergo rehabilitation or physical therapy while healing takes place.

Best Pain Management Doctor NYC4General Procedure

A trigger point injection is an outpatient procedure performed by a qualified Chronic Pain Specialist who is an expert with the treatment. The patient is initially briefed about the procedure and prepared beforehand so that he is relaxed.

The patient is placed in a comfortable recumbent position (either prone or supine) to allow muscle relaxation. Trigger points are located by palpating the muscles and finding knots under the skin. Once a trigger point is located the overlying skin is cleansed. The doctor isolates the point with a pinch between the thumb and index finger to stabilize it and inserts a needle directed to the point. The doctor warns the patient of the possibility of a sharp pain, muscle twitching, or unpleasant sensation when the needle touches the tight muscular band.

A small amount of local anesthetic is injected into the trigger point. The doctor then withdraws the needle a little and redirects it in different directions under the skin, injecting small amounts of anesthetic in each direction. This is done until the local twitch response is no longer elicited or muscle tautness is no longer felt. Pressure is applied on the skin after the needle is completely withdrawn to stop any bleeding. A simple bandage is applied to cover the area.

Post-injection soreness may be experienced, but this is expected to resolve in a few days. Patients are encouraged to remain active, using a full range of motion in the muscles, but are advised to avoid strenuous activity a few days after injection.

Contact Us

Trigger Point Injection is a minimally invasive, safe, and effective means of treating muscle pain that is unresponsive to other forms of treatment. If you want more information about treating painful trigger points, contact our Pain Management Specialist who will examine you and conduct tests to determine the cause of your pain.  Make an appointment with the NYC’s top board-certified interventional pain management physician to know if trigger point injections are a treatment option for you.

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