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

Back Pain Specialist

Do you need a back pain specialist? If you are one of many people that suffer from chronic back pain issues, you probably have problems with living life to the fullest. Mobility is the greatest gift to humans; it allows them to move to one place and the other without any obstructing pain. Most people head over to their general physician when they encounter back pain, however, for better treatment and consultancy, browse upon the different back pain specialists in the medical field.

Back Pain Specialists

Back pain and neck pain are now an increasing epidemic. Before, it was just something that came with old. Now, the younger population is also struggling with back pain, mostly because of their sedentary lifestyle and unhealthy choices.

One of the most contingent reasons for back pain is spine disorder. Since more people are now sitting upright in front of screens, they are starting to develop bad spine conditions. Having a weak spine means that you cannot maintain the posture for too long, and suffer from back and neck pain.

Fortunately, people with spine problems can now seek the help of interventional spine medicine. This is a subspecialty of diagnosing and treating back pain, which uses innovative methods to treat and recover from back pain without the help of intrusive surgery.

Back Pain Specialist

Interventional Spine Medicine

Interventional spine medicine uses minimally invasive methods to treat spine issues and technologically advances techniques to diagnose the cause of the pain and locate the region of pain.   Interventional techniques allow you to take a different route in terms of spinal treatment, whether it involves avoiding surgical procedures or Opioid-induced solutions.

However, you cannot avoid surgery in some circumstances. Fortunately, interventional spine solutions involve innovative and interventional surgical procedures as well. Conventionally, performing surgery on the spinal region involves a big incision. Alternatively, interventional surgery allows the specialists to perform the surgery using a small incision.

Apart from it being minimally invasive, it also encompasses other benefits such as:

  • Less pain
  • Lower risk of infection
  • Lesser risks of complication
  • Decreased reliability on post-procedural drugs
  • Quicker recovery
  • Lesser loss of blood

Specialists of interventional spine treatments are more extensive and comprehensive in their diagnosis of back pain.  Unlike other specialists, they do not go through the standard diagnosis procedure and prescribe a conventional treatment. Instead, they aim to formulate a personalized treatment for individuals.

They help patients improve their back pain so that they can take part in other holistic or medical solutions. For instance, if a person’s spine injury or pain is preventing them from performing rehabilitative exercises, then an interventional spine specialist will alleviate the person’s pain so that they can partake in the recovery exercises.

Interventional Spine Treatment Procedures

Numerous surgical and non-surgical treatments involve interventional spine medicine practice. Most of the time, patients suffering from sciatica, lumbar stenosis, or herniated discs need procedures that fall under interventional spine therapy.


With the advancements of advanced imaging, doctors can now diagnose inflammatory regions and locations in the spine much easily.  This also allows them to inject healing medication, and anti-inflammatory medicine directly into the spine. J

In the best of cases, the patient experiences an instant pain release after injection. This occurrence happens when the injected region of the spine is the main source of back pain. In circumstances such as this, the injection is diagnostic.

Top Back Pain Specialist NYC

Specialists will either inject your spine with anti-inflammatory corticosteroids or numbing medications. The anti-inflammatory medication has the power to treat spinal or back pain for months, making it a viable treatment for pain.


This interventional procedure treats herniated disk, by removing the bulging disc or parts of it.  This helps a patient find relief from the pain since it eradicates the pressure from the nerve. In other words, a surgical procedure is minimally invasive since it requires the specialist to make a small incision.  It involves the use of technologically advanced tools and special training to handle those types of equipment.


Radiofrequency neurotomy involves the use of X-ray to indicate the pain regions inside the spine. Once the specialist finds the region that is sourcing most of the back discomfort, they use a special needle to deliver heat and radiofrequency to that region.

This frequency allows the nerves in that area to suppress and numb. This stops them from stimulating pain signals in that specific area. As a result, the patient experiences an alleviation of pain.

Back Pain Specialist: To Conclude

If you or anyone you know suffers from back pain that is indicative of spinal issues, then you must consider seeing an interventional spine specialist. Dr. Mathew Grimm is one of the best and most experienced spine pain specialists in New York City.

We are the trusted choice towards a safe and quick recovery. Call today for an appointment at 646-862-5555. Visit our website for more details.

What are the Causes, Symptoms, and Treatment Options for Back Pain?

Even hearing the word “back pain” makes people uncomfortable. Isn’t it one of the most debilitating health conditions that obstruct our daily lives? Well, nearly half the working population of the US suggests that they experience more than one back pain symptom every year.

Treatment Options for Back Pain

Overview of Back Pain

You must be aware of the structure of your back, right? Your spine consists of a column (bones that form the vertebrae) that stays in shape/ formation due to the presence of ligaments, muscles, and tendons—moreover, the cushions in your back act as shock-absorbing discs. However, damage to your spine (any part) can lead to back pain.

Back pain can be severe or acute, depending on the underlying cause of it. It has the tendency to deprive a person of the ability to complete simple tasks. Although back pains are recurrent and go away on their own, chronic back pain can potentially lead to the need for surgery and intense treatments.

In fact, it is one of the leading causes of disability and life disturbances in adults, which prevent them from conducting normal working schedules. Do you experience back pain? Then you must realize the need for prompt medical attention and the importance of preventative measures. With thorough interventions, you can limit the severity of back pains.

Causes of Back Pain

Let’s take a look at some of the most common causes that lead to back pain in people of all ages, but mostly adults.


Arthritis is a common reason for back pain, especially in older people. It occurs due to weakened joints. In fact, deterioration of cartilage (joints around the vertebrae) in your back (i.e., lower) can cause back pain. What’s more is that over time, back pain can progress and lead to narrowing of the entire spinal column!

Structural Deformities

Injury to the discs (shock-absorbing cushions that make up the vertebrae) is a relatively common cause of back pain. Bulging, rupturing, or herniation of the vertebrae disks can compress the spinal nerve roots, leading to severe back pain. The sensations that you might feel in this condition are:

  • Tingling
  • Numbness
  • Excessive pain

Furthermore, structural deformities can pave the way to sciatica, which progresses from the lower back to the legs, causing more pain.


Compression fractures (osteoporosis) occur due to thinning of the bones. In simple words, diminishing bone density can cause minor fractures in the vertebrae. Hence, severe back pains.


Experiencing strain in your back muscles is a prime cause of back pain in the youth and adult population. Soreness and stiffness are common symptoms of muscle strains. Can you think of the reasons that lead to back muscle strains? Well, excessive weight lifting, sudden body movements, over-activity, and sports injuries, are a few of the many.

Extremely Rare Causes for Back Pain

Your pain physician will opt for further diagnostics if he or she is unable to determine the cause for your back pain from the list of the general ones above. The rare conditions, disorders, or accidents that might take you to the road of back pain are as follows:

  • Cancer and Tumors in the Back
  • Kidney Diseases (stones or infections)
  • Fungal infections on your spine
  • Tuberculosis, E. coli, etc.
  • Spine nerves dysfunction (cauda equina syndrome)
  • Vertebral displacement

Symptoms of Back Pain

  • Fevers
  • Vertebral swelling or inflammation
  • Weight loss
  • Back pain in every posture
  • Urinating trouble
  • Traumas (head, neck, or back)
  • Leg pain
  • Urinary infections or incontinence
  • Knee pain

On the other hand, here are some rare symptoms that severe back pain conditions might manifest:

  • Bowel movement disruptions/ fecal incontinence
  • Numbness and tingling in either the anus, genital, or buttock surrounding areas

Diagnosis and Treatments

Your pain physician/pain medicine specialist will conduct diagnostic in various methods that are inclusive of blood tests, MRI and CT scans, X-rays, and bone examinations (testing density, strength, measurements, etc.) Below are some treatment options, including medications and therapies.

  • Narcotics/ Opioids
  • Muscle relaxants (in case the OTC medications don’t work)
  • Over-The-Counter (OTC) medication under your pain physician’s prescriptions
  • Anti-depressants

Surgical Procedures

  • Radiofrequency Neurotomy
  • Nerve Stimulators
  • Cortisone Injections (Interventional Pain Management)
  • Surgeries (nerve compression and structural deformities’ treatment)

Physical Therapy

Strength and flexibility exercise therapy under the supervision of a licensed physiotherapist is a no-medication way to treat back pain and generate long-term relief.

Causes, Symptoms, Treatment Options for Back Pain


Conclusion: Consult the Top NYC Pain Management Doctor

In order to create the best recovery plans, medication courses and return to the same functional level in daily activities, you should consult a top pain physician. Why? Because only the best professional medical care can enable you to get relief from your back pain once and for all.

Spine New York City
Dr. Matthew Grimm
160 E 56th St 11th Floor
New York, NY 10022


Visit our official website to learn more here.

Cortisone Shots for the Back

Cortisone shots for the back help reduce your pain and inflammation without side effects. These shots are pretty common to overcome certain health problems caused due to inflammation in body parts. People who have chronic back pain can take cortisone shots.

Cortisone Shots for the Back NYC Doctor

Here in this article, you will learn about the cortisone shots, its benefits, and much more.

What is Cortisone?

It is a hormone developed by a small gland on the top surface of the kidney, i.e., the adrenal gland. Cortisone helps in the function of your body, especially when you are in stress. Its absence is called Addison’s disease, which can cause death if you don’t treat it on time. Cortisone is a substance that your body naturally produces; hence, it does not trigger allergic reactions.

In the case of patients with serious allergies, it is one of the most effective treatments. Cortisone, by itself, is not commonly used because of its low potency and short-acting. Pain management doctors use semi-artificial cortisone derivatives such as Celestine, Depo-Medrol, Kenalog, and others, to increase the benefits which have fewer side effects.

How do Cortisone Shots work?

Cortisone shots contain various formulas and medicines. The most common combination is the numbing drug procaine hydrochloride, which patients with oral health problems know as Novocain. This element combines with the anti-inflammatory drug called cortisone.

When the cortisone injection finds its target, the numbing part of your body starts to get better within hours. When the Novocain wears off, you may feel the pain again for some time. After 24 to 48 hours of injection, you can expect to get its results.

How is Cortisone Effective?

Cortisone is useful to reduce inflammation in a short period of time. It also helps in dissolving scar tissues, speeding the healing process, stabilizing the body’s defenses, and effectively decreasing certain cysts.

However, repeated use or larger doses can weaken the tendons if you inject cortisone injections directly. Moreover, it can soften cartilage when you inject it into a joint.

How Many Injections Do You Need?

As mentioned, repeated use with larger doses can lead to cartilage damage. Due to such practical concerns, pain management doctors usually inject a limited number of shots into a joint. However, if it works in the beginning, cortisone is greatly effective, and you will not need many shots.

Cortisone Shots for the Back | Top Pain Doctor

There is a limit to the amount of cortisone you can use in a single dose. Even if you are injecting it in several areas of the body, the dosage varies depending on the area and intensity of pain. You should not get cortisone shots for back pain more than three to four times a year.

Advantages of Cortisone Injections

When your joints get inflamed, the doctor removes the joint fluid to administer cortisone injection. Removing the fluid helps doctors analyze from laboratory testing and determine what causes the swelling. This is an accurate and powerful diagnostic test.

Another great advantage of this injection is that it gives you relief from inflammation in a particular area like your back quickly and effectively than any other traditional anti-inflammatory drugs, such as aspirin.

The injection is so effective that even a single shot is enough and doesn’t have any side effects that usually OTC oral anti-inflammatory medications have. Moreover, you can get a cortisone injection in the doctor’s office. Besides, cortisone injections offer other advantages, including rapid medication results, dependability, minimal side effects, and high success rate.

Are Cortisone Injections Painful?

This injection is not only useful but doesn’t give you pain as others do. You will feel minimal pain and get quick relief from the inflammation. Occasionally, cortisone injections for joints that are damaged or are small can feel minor pain at the time of the injection. You may feel sensation due to the needle sting or by the corticosteroid medicines. Again, pain is not common when you get this injection.

How long does a Cortisone Injection Last?

Mostly, you will feel better immediately after getting the cortisone injections, but it can take a few days to give you complete relief. A cortisone injection can help heal some medical conditions completely, such as mild trigger finger or bursitis. But some health problems can come back after a few weeks and months, such as back pain. In this case, you may want another cortisone injection to get better; however, it is better to consult your pain management doctor.

Bottom Line

If you have chronic pain in your back, which you can no longer tolerate, consult our pain management specialist to get cortisone shots. Dr. Matthew Grimm, MD, is one of the best doctors in NYC with experience in treating different types of pain. He knows exactly how to identify and ease your pain.

Contact us at 646-862-5555 to book an appointment or tele-medecine consultation to discuss treatment options for your back pain with our pain management doctor.

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

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

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

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


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.


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

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


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

pain doctor

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.