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: cervical injection doctor nyc

Cervical and Lumbar Epidural Steroid Injections

An epidural steroid injection brings numbing anesthetics and steroids in the epidural space surrounding the spinal nerve roots. Epidural steroid injection is useful for reducing the pain and inflammation resulting from irritated spinal nerves that have become the source of the pain.  The dislocation of the disc (herniated disc) or a bone spur are usually the causes of irritated spinal nerves.

An epidural steroid injection works by delivering steroids to the painful area to decrease the inflammation and pain. It is possible that the flushing effect of injecting the steroid causes the inflammatory agents to flush or move out form the nerves. Removal of inflammatory agents also helps in quick healing, relieving from pain, and irritation. The doctors give epidural injections in the epidural space of either cervical nerves or lumbar.

When Do You Need an Epidural Injection

You will need a cervical epidural injection if you have either of these: Cervical Disc Herniation, Cervical Radiculopathy or Cervical Spondylosis. You are most likely going to get a lumbar epidural injection if you have lower back pain, leg pain or sciatica.

What Happens After an Epidural Steroid Injection

The procedure for an epidural injection is the same for the cervical and lumbar. Only the administration of the epidural varies.  Following are the steps for the procedure:

  • The surgeon will start an IV so they can give you medication if you need it for relaxation.
  • You will lie on your back on an X-ray table. They will clean your skin with an antiseptic.
  • The injection site will receive a numbing chemical to avoid the pain.
  • Fluoroscopy ensures the accuracy of insertion, movement, and placement of the needle.
  • FDA approved contrast dye helping in identifying that the medicine has spread through the epidural space and reached the target nerve.
  • The surgeon will then insert the needle carefully in the epidural space.
  • The procedure takes around 30 -45 minutes. Next, there will be a recovery time of 45 minutes at the clinic. You should not drive right after you have had an epidural injection.

What Happens After an Epidural Steroid Injection

After the epidural injection, you may experience some numbness in your arms or legs. It is the result of the anesthetics. You are more likely to feel partial numbness that wears off in a few hours after the surgery.

When the effect of steroid wears of you will feel pain. The pain may last for several days. Improvement in pain would occur within ten days. Keep a record of all the pain and relief you experience. Show the record to your surgeon when they call you for a follow-up. Your surgeon would then suggest tests or further treatment accordingly if they need to.

You can go back to your normal routine after 24 hours. But it is better to take rest the following day. Do not lift heavy objects or bend as this would cause pressure on your spine and may increase the pain. You can do light exercises and gradually increase them over one or two weeks.

Do You Need Epidural Steroid Injections?

Just because you are getting old does not mean you have to bear with the pain. Contact us at 646-862-5555 to book a consultation. Spine City New York treats each patient differently according to their medical history and present conditions. We will guide you better as to whether you need epidural injections or other pain-relieving procedures.

Cervical Epidural Steroid Injections Doctor NYC

Cervical Epidural Steroid Injections

cervical-epidural-steroid-injections-dr-nyc-pain-specialist-01Many people suffer from intense pain in the upper spine. There are any number of potential treatments for this issue, such as medications, Chiropractic treatment, and even surgery. Obviously, each one of these comes with its own level of risk. surgery is an extreme measure to take, but occasionally an essential one for relieving pain. Before surgery is attempted, most other potential options for relief should be looked into. One commonly used form of pain relief with excellent results is that of cervical epidural steroid injections. Cervical epidural steroid injections allow for relieved pain in the upper part of the spine and neck.

How Cervical Epidural Steroid Injections Work

spinal-steroid-Injections-top-pain-management-doctor-nyc-ny-02Cervical epidural steroid injections are able to relieve pain in the cervical region of the spine and neck through inflammation reduction. By reducing the amount of swelling and inflammation in the cervical region, associated pain due to compressed nerves is reduced. In order to inject the steroids into the neck, doctors use a small needle applied directly into the inflamed area. this makes cervical epidural steroid injections a minimally invasive treatment with few side effects. Localized anesthetics will be provided, so there will not be a pain when the needle is inserted. Once the needle is been inserted, doctors can use x-ray and dye injections to ensure correct needle placement. Since patients are typically awake for the procedure, they are also able to assist the physician in locating the inflamed area. As this procedure utilizes anesthetics and occasionally mild sedatives, one should not operate Machinery directly after. Occasionally, only a single treatment will provide lasting relief cervical neck pain. If not, multiple treatments can be used to achieve the same results.

What Causes Cervical Neck Pain?

Once neck pain has been relieved, it is important to take action to limit additional pain to the cervical region. How can this be done? The first and most important step is identification of sources of pain. One common source of neck pain is associated with poor posture. Poor posture is particularly troublesome in that it creates a feedback loop. The poor posture and positioning creates pain in the neck. This pain can increase when proper posture is attempted, so continued improper posture is demonstrated. Overtime, slouching and bending of the cervical spine gets worse and worse, until there is noticeable pain and potentially deformity. Clearly, quick remediation of poor posture is essential.

Another source of neck pain is inflammation of the tissue surrounding the spine. This can either be brought on by an autoimmune disorder, a genetic disorder, or an infection. these cannot simply be treated through strengthening exercises and posture. Instead, proactive medical measures must be taken. This includes cervical epidural steroid injections. These injections Target the inflammation of the neck To provide immediate pain relief. This does not solve the overall problem, however it does provide necessary relief so that further treatment can be pursued.

How to Maintain Neck Pain Relief

back-neck-pain-mgmt-injections-nyc-03Now that we know what causes neck pain, the solutions for neck pain relief are much easier to find. One common problem facing the American workforce today is the increased amount of desk and computer work. While this is unavoidable, utilizing good ergonomic and body mechanic principles. One important technique to remember is keeping the computer monitor, or whatever the focus of your attention is, directly in line with the eyes. Slouching and bending of the neck increases the amount of strain on one’s neck and therefore the risk of cervical pain. Regardless of the source of pain, simple exercises can be provided by a physician to limit pain and improve function.

Are you ready to get rid of your cervical pain? Call Dr. Grimm to schedule an appointment to discuss cervical epidural steroid injections.

What is cervical myofasciitis?

Cervical myofasciitis.

Best-Pain-Doctor-NYC-2Cervical myofasciitis is an inflammation of the muscles and fascia (connective tissue) of the neck. This can be due to sudden trauma (such as whiplash injury) or chronic stress or overuse. Unlike a single “pulled” muscle which improves with rest, myofasciitis tends to persist and worsen. Chronic inflammation can lead to scarring.

Signs and symptoms of cervical myofasciitis.Best-Pain-Doctor-NYC-3

Myofasciitis is characterized by pain and tenderness in a specific muscular region. Although it can affect various locations in the body (e.g., low back, buttocks, legs and arms), it is probably most common in the region of the neck.

Palpation of the affected muscle group(s) typically reveals deep-seated nodules and/or taut bands of muscle. These areas are hyperirritable and are called “trigger points.” Neck range of motion may be restricted. Patients frequently complain of poorly localized neck pain. They may also complain of radiation of the pain into the arm. The pain frequently interferes with sleep.

Best-Pain-Doctor-NYC-1Treatment of cervical myofasciitis.

Medications used in the treatment of cervical myofasciitis include nonsteroidal anti-inflammatory drugs (e.g., ibuprofen), muscle relaxants, tricyclic antidepressants and anticonvulsants. Physical therapy is used to stretch the tight muscle groups using massage, exercise and “spray-and-stretch” techniques. Trigger point injections with local anesthetic and steroid are used to “break up” the tension in these areas.

Contact us today to schedule an appointment with best doctor for trigger point injections in NYC, Dr. Matthew Grimm.