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: Chronic Pain

How can a Doctor Help me Deal with Chronic Pain?

how-doctor-can-help-chronic-pain-01Pain seems to be an unavoidable factor in many of our lives. When we get up in the morning, getting out of bed may feel like an insurmountable obstacle. Going about our daily life can become a hassle, as just about every movement causes pain. Many people have given up things that they once loved to do because it causes them too much pain now. There is hope! Chronic pain can be dealt with. But what is chronic pain? How can we deal with chronic pain? And how will a doctor specifically help me?

What is Chronic Pain?

The simple definition of chronic pain is any pain that lasts more than about three months. That’s an awfully long time to be dealing with pain! Many people have been dealing with pain for much longer than that, and it seems that there is no end in sight. Chronic pain can vary greatly from one person to another.

For some people, their chronic pain is caused by arthritis. This condition causes inflammation of the joints and makes any movement feel incredibly painful. Other people deal with fibromyalgia or other pain syndromes. In these cases, it seems like there’s no reason for the pain to last as long as it has. Other people have dealt with a traumatic incident, like a car accident, and have never fully recovered. No matter what the cause of your chronic pain is, there are some distinct similarities in the treatments provided.

How Chronic Pain can be Dealt With

chronic-pain-treatment-shots-pharma-options-nyc-02Of course, the exact treatment to deal with your chronic pain will depend on the cause of your pain. Regardless of the actual underlying cause, there are some things that can help with pain management for everyone. Some of these things are very simple, like meditation or mindfulness. The simple act of thinking and focusing on something other than your pain can actually reduce the pain felt. Other things, like lifestyle modification and joint protection techniques, will help you to do your regular, daily routine with less pain. Using adapted tools, like a comfort grip jar opener or adaptive silverware, can I help you to do the things that you need to do with less pain. Ice packs, hot packs, and massage can help temporarily to deal with specific pain. But none of these solutions offer long-term help.

Dr. Grimm is able to provide more lasting help through the use of prescription medications that will help you, recommending specific procedures and treatments, and pointing you in the right direction to find resources that will help. We are also the experts in finding what works for you. For some people, one medication may help eradicate pain greatly, while for someone else that same medication does nothing. Open communication with your doctor is essential so that we can find you a solution that works.

How a Doctor Can Help With Chronic Pain

top-pain-doctor-nyc-dr-matthew-grimmWhen we have pain, we may tend to isolate ourselves, focusing on finding a solution that helps. Having a doctor to discuss your problems with will not only help you to find a more beneficial treatment but can help you emotionally as well.

A pain management clinic will be able to help. Dr. Grimm will be able to point you in the right direction and get you started with a treatment that will help you recover. But at the same time, having a listening ear and someone that genuinely cares about your case can be irreplaceable.

Are you ready to say goodbye to your chronic pain? Schedule a Consultation with Dr. Matthew Grimm so that we can discuss treatment solutions for you.

Chronic Pain & Treatment Solutions

chronic-pain-treatment-solutions-01For millions of people across the globe, chronic pain is simply a fact of life. For one reason or another, they wake up every morning to discomfort, aches, and pains. However, many forms of chronic pain are treatable. Below are listed a few examples of chronic pain that many people deal with and some treatment solutions that will help bring relief.

Arthritis

Arthritis is a chronic condition that causes pain, inflammation, and swelling of the joints. The severity of arthritis can vary greatly, with some people only lightly feeling the effects and other people feeling completely debilitated. Due to the location of the pain, people with arthritis typically find it easiest to just not move. arthritis tends to affect smaller joints more intensely, so the hands and fingers times to be painful and swollen. This can prevent people from doing even the simplest of tasks without pain.

Back Pain

Although we have all suffered from back pain at one point or another most likely, those who suffer from chronic back pain have dealt with this specific pain for a period of at least three months. Back pain can be caused by any number of triggers. Repetitive movements, poor body mechanics, or sudden trauma such as a car accident can cause pain that lingers for months. Because of the design of our body, just about every action requires back movement of some sort. People dealing with chronic back pain may find that they are frequently returning to bed, the only place they feel comfortable.

Pain Disorders

treatments-for-chronic-types-of-pain-doctor-nyc-02There are many disorders, such as fibromyalgia, multiple sclerosis, or chronic pain syndrome that cause pain to the body. Although the exact mechanisms may differ from diagnosis to diagnosis, much of the pain feels the same. People with one of the above-mentioned conditions may experience “flare-ups” in which certain areas of the body become swollen, inflamed, or especially painful. During these times, just engaging in a real regular daily routine can be limited.

Treatment Solutions

top-nyc-doctor-for-chronic-pain-relief-03Thankfully, having chronic pain does not have to be a permanent thing. Many people who have suffered from chronic pain have recovered and lead full lives. There are many treatment options available. some treatments are very conservative and do not require much to begin. For example, some people have found benefit through the use of mindfulness or meditation. This can be an effective way to take your mind off of the pain. Focusing on something else, such as the rising and falling of your chest as you breathe, can help you to take your focus off of the pain.

Other treatments include therapy, stretching, and exercise to help support the areas that are painful. For example, people with back pain can strengthen the muscles around the areas that are painful and potentially help to support the body in a more ergonomic way. medications are available that can help relieve pain, reduce swelling, or promote healing of chronic conditions.

Clearly, there are plenty of possible treatment solutions. The problem we face is that we don’t know what would be best for our condition. Dr. Grimm is an expert in pain management and will be able to help guide you in your process to find relief.

Are you dealing with regular, chronic pain? Call us today at 646-862-5555 to make an appointment with Dr. Grimm to start your path to recovery and feeling good again!

What is TENS Therapy?

TENS TherapyHave you heard about TENS therapy? TENS, or Transcutaneous electrical nerve stimulation is a type of treatment for chronic pain relief. It is a type of non-medication treatment, which can provide many people with pain relief when medication is not working or is not working fully. It is often used for back or other types of chronic pain. It all comes from a small unit that is about the size of a pack of cigarettes and, in most cases, it can cost between $250 to $700, though options differ significantly. Could this be a tool for you?

How Does It Work?

TENS TherapyThis type of treatment works by allowing the user to select a high frequency level of stimulation. This is generally between 60 and 200 Hz or a low frequency setting of stimulation, usually more than 10 Hz. The most common option is the use of a high frequency stimulation, called conventional treatment. It generally is tolerable to the user for several hours, during which time the pain can be less. This level of treatment generally creates pain relief that lasts for a short period of time afterwards. The secondary option, low frequency stimulation, is often used because it can provide longer term relief. This secondary method is often referred to as acupuncture like treatment. It is more uncomfortable to the patient, but it can last longer after treatment.

Users will place electrodes on various areas until the right level and type of pain relief is achieved. These electrodes are generally positioned over areas where the pain is the highest or in the areas surrounding that spot. It can also be placed over the area where the nerve causing the pain is located or placed on a different area of the body.

TENS TherapyIt can be hard to know if TENS will work for any single person. Some patients report significant pain relief that lasts for hours. Other people do not have any results from it. Most people will need to use various placement options for the electrodes before finding a solution that works for them. Because this is not a medication, it can be safe to use when used properly and alongside medications in many individuals.

If you are suffering from chronic pain, it is a good idea to choose the right treatment for your specific concerns and needs. Turn to the best pain doctor in New York to get the relief you need.

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.

What Are Spinal Pumps for Chronic Pain?

pain pumpChronic pain minimizes quality of life. No matter what type of pain it is, it can interfere with your ability to move and function, but also with your emotions and mental health. For these reasons, you should seek out treatment and support from your doctor if you believe you are suffering from this condition. The good news is that there are often treatments and more advanced solutions that can help those even with severe chronic pain. One of the options for more long term and severe treatment is the use of a pain pump. While it may sound complex, this type of treatment has been used for years with good results.

What Is a Pain Pump?

pain pumpSpinal pumps, also known as pain pumps, help to provide you with pain medications in a more direct manner. These devices help to deliver the medication to the intrathecal space, which is a specific area of the spine located around the exterior of the spinal cord. This is done by implanting a pump under the skin during a surgical procedure. Though the pain medication can be customized to meet the patient’s needs, the most common type of treatment medication is the use of morphine.
Once in place, doctors can add the medication to the pain pump on a routine basis, usually about one time a month. This is done through an injection through the skin and into the reservoir.

When Are Pain Pumps Effective?

pain pumpBecause they are an invasive procedure and there are risks associated with the use of them, pain pumps are not commonly used unless other treatments are no longer effective. These are often used for those suffering axial somatic pain, pain from severe osteoporosis, and pain from other conditions not managed effectively with other treatments. Spinal pumps can also help in the treatment of multiple sclerosis, especially for painful spasticity.

The first step in getting pain relief is to turn to a professional who offers specialized care. You need to examine all of the options available to you in managing pain in the method that fits the type of injury or disease you have. To have access to the latest treatments and the most effective solutions available, turn to our pain doctor in New York. You’ll find we have the solutions you need to most types of pain problems and concerns. Call us today.

 

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.

What is Fibromyalgia?

Chronic pain can be extremely difficult for anyone to deal with and fibromyalgia affects millions of people all across the country. While most people have heard of this condition before, few people actually know what it really is. Considering that 10 million people in the U.S. alone have this condition, it’s important that you take the time to learn about it.

What Is Fibromyalgia?

fibromyalgiaFibromyalgia is a condition that causes chronic pain that is typically felt throughout the entire body. Those who have this condition can experience pain in one area and then another over time. The symptoms can increase and decrease in severity over a period of years. Approximately 2-4% of the entire U.S. population has been diagnosed with fibromyalgia.

Symptoms

There are a number of symptoms that someone with fibromyalgia can experience. Some of the more common symptoms associated with this condition include:

  • painMuscle pain (burning, aching, twitching)
  • Increased sensitivity to pain
  • Severe fatigue
  • Difficulty concentrating on simple tasks
  • Trouble getting to sleep
  • General nervous or anxious feeling
  • Depression

The symptoms of fibromyalgia vary greatly from person to person. Some people experience very mild symptoms for a long time followed by intense bursts of pain. It can be difficult to diagnose this condition, but doctors typically look for the symptoms listed above. Most people who have fibromyalgia feel tired and weak almost all the time.

Treatment

While there is currently no cure for fibromyalgia, there are various treatments that have proven to be quite effective at managing the symptoms it causes.

Many people with this condition use over-the-counter pain medications to help with the inflammation and muscle aches that are associated with fibromyalgia. Since depression is also a common symptom of fibromyalgia, antidepressants are often prescribed by a doctor.fibromyalgia

Some anticonvulsant medications have also proven effective when it comes to managing the dizziness, weight gain, swelling, and dry mouth that many of these people experience.

The three main pain medications that are prescribed to many fibromyalgia patients include Duloxetine, Milnacipran, and Pregabalin. It’s important to keep in mind that while there are effective medications for managing this type of pain, opioids are typically not a viable long-term solution.

If you suffer from fibromyalgia and need help with managing your symptoms, make an appointment with us right away. We have one of the best NYC pain doctors in the country to help relieve your symptoms effectively.

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.

Living with Chronic Pain: How to Cope

There is no question that living with chronic pain can be extremely difficult, but there are numerous ways that you can cope with it. It is absolutely essential that anyone with this type of problem learns how to deal with in a healthy way, as soon as possible.

Practice Deep Breathing

 

One of the best things that you can do when it comes to coping with chronic pain is to practice deep breathing. Certain breathing exercises can help you relax your body physically and mentally, allowing the pain to melt away, at least for a little while. While this is just a short-term solution, it can help a lot if you are trying to find a way to cope with chronic pain.

Find Ways to Cut Down on Stress

chronic pain

The better you become at managing your stress levels, the easier it will be to cope with your pain. Mental or emotional stress can quickly translate to real physical pain, so it is imperative that you learn how to do this. There are many ways to reduce the amount of stress you experience on a daily basis, such meditating or listening to soothing music when you feel yourself getting worked up.

Stay Physically Active

It is a fact that exercising can release endorphins in the brain, which in turn can produce a euphoric state of mind. If you want a quick way to feel good in every possible way, you will definitely want to try hitting the gym. While you may be somewhat limited in the things you can do because of your condition, you should be able to find numerous ways to stay physically active.

Join a Support Group

Sometimes it really helps to be around other people who are going through the same thing as you. A lot of people with chronic pain feel as though nobody understands them, so joining a group specifically for people who have chronic pain issues can definitely be beneficial.

Try Massage Therapy

Massage therapy can be very effective at temporarily relieving even the worst chronic pain, so it’s definitely something you should at least look into. The right professional will have you feeling relaxed in no time at all.

While it’s certainly not easy to cope with chronic pain, there are quite a few options available. Make an appointment with our office today to see the best pain doctor in NYC, so you can get help with your chronic pain issues.

The Relationship Between Chronic Pain and Depression

There is a well-established connection between chronic pain and depression. This connection is physical and very real. Numerous scientific studies have revealed that chronic pain sufferers are four times more likely to develop some sort of mood disorder, including depression. It has also been established that people who are depressed are also more likely to have issues with chronic pain. The more pain a person is in, the more likely they are to struggle with depression.

The Structure of the Brain

Imaging studies have revealed that there are numerous parts of the brain that relate to both pain and the development of various mood disorders like depression. This conclusively proves a connection between chronic pain and depression at a scientific level. There are also certain neurotransmitters that receive signals telling us that we are in pain that also regulate our moods.

Managing Your Pain and Depression

chronic painIt can be very difficult to manage chronic pain by itself, but it becomes even more challenging when depression is an issue as well. A combination of medication and therapy can be extremely effective for treating chronic pain sufferers who also struggle with a mood disorder. There are many natural treatments that should be explored as well. Relief can seem impossible to some people with these problems, but there are lots of effective treatments that exist.

Techniques for Reducing Stress

chronic painSometimes, reducing one’s stress level can be enough to get a significant amount of relief from both physical and mental pain. There is a multitude of ways that you can reduce your stress level, including meditation, exercise, listening to relaxing music, and many others. Studies have proven that when a person’s overall stress level decreases, they also get relief from the pain they are in.

Symptoms of Depression

There are a number of telltale signs that a person with chronic pain is depressed, and it’s important that you are aware of them.

  • Changes in sleeping habits
  • Eating more or less than usual
  • Feeling tired all the time (fatigue)
  • Irritability/mood changes
  • Feelings of guilt and/or despair

If you find that you are experiencing any of these symptoms, it is important that you seek out help immediately. Let us help you with the pain you are experiencing, whatever kind it may be. The best pain doctor in NYC is in our office, and he will help you to feel better overall.

What Are Nerve Blocks?

What Are Nerve Blocks?If you suffer from pain, you may be looking for any type of pain solution. You cannot think about anything you are doing because the pain is intense. Nothing you take seems to help. The pain continues and puts you at a constant level of discomfort. This is when you may need more advanced treatment options for your pain. Nerve blocks may be something your pain doctor in New York City offers to you. What is it? How can it work to reduce the amount of pain you feel even if there are other treatment options that have not worked for you?

Understanding Nerves

The nerves in the body are a complex network that links every component, organ, and area of your body to the brain. They send messages from that area to the brain to tell it when something is not right. These nerves are what tell your brain there’s pain  and to do something to resolve it. However, sometimes these nerves become damaged. They may over communicate with the brain. And, in some cases, there just is no treatment for the pain. When this happens, your doctor may encourage you to use a nerve block, which, in essence, helps stop the communication between the brain and the nerves.

What Are Nerve Blocks?How Can They Help You?

Nerve blocks can help to turn off the pain signals that are causing you the discomfort your feel. There are various types of nerve blocks available and each works in its own way. Some of the ways that nerve blocks can work include the following:

    • They can treat painful conditions using a local anesthetic. This is a therapeutic function.
    • Diagnostic nerve blocks can help doctors to determine what the underlying cause of the pain is.
    • Doctors can also use nerve blocks called prognostic nerve blocks to produce the outcome of a specific type of treatment they are using or considering, such as whether or not surgery would help.
    • Preemptive nerve blocks work as they seem, to prevent pain from occurring as it relates to a procedure that is approaching.
    • They can also be used as a treatment. This may help a patient to avoid the use of surgery for care.

What Are Nerve Blocks?Nerve blocks are one source of pain management available to doctors. It is important to consider that this is not always the best solution for each person. When you meet with your NYC pain doctor, you’ll learn more about your options.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.

What Is Cognitive-Behavior Therapy for Pain Management?

cbt_partsCognitive behavior therapy is one of the options your doctor may recommend for the treatment of pain. Pain management is the goal of finding a way to reduce the amount of pain felt by a person. What we know about pain is that it occurs for many reasons and for some people, it is more severe than for others. In some situations, there is an emotional or mental connection to pain. In some of these situations, the use of cognitive behavior therapy can be helpful in overcoming those intense, painful moments.

What Is Cognitive Behavior Therapy?

Cognitive behavioral therapy is a type of psychotherapy. It is a type of therapy in which the thoughts and behaviors of an individual are believed to be contributing to the negative way a person feels. The negative feelings experienced in these individuals leads to more sensitivity to pain. That is not to say he pain isn’t real. In this type of treatment, the goal is to reduce pain by reducing negative feelings.

There are many strategies that can be utilized as a part of cognitive behavioral therapy in the treatment of pain. Generally, it takes time for doctors to determine the best possible treatment option for the patient, since some methods may not work as well. The goal of this therapy is to:

  • man-gestures-as-he-speaks-to-therapistImprove coping skills of the individual in dealing with pain
  • Increase the individual’s level of confidence
  • Improve self efficiency in the management of pain
  • Aid in changing how you behave and respond when pain occurs

Is this type of treatment right for everyone? Most people can benefit from a pain management program that does address some level of cognitive therapy. However, the type and amount of help it offers will differ from one person to the next. Keep in mind that this should be just one-step in your treatment, not the only step.

To find out if cognitive behavior therapy for pain management is right for you, come in to our offices to discuss your condition. When your doctor talks to you, you’ll learn more about how this and other pain management methods can help to improve the way you go through your life and aid in reducing the amount of pain that you feel. For many people, it is quite life changing. Let us help you. Call our New York offices today to learn more.

What Medications Are Being Used to Improve Chronic Pain?

chronic painChronic pain can be one of the most difficult of all types of disease and illness to live with. If you are struggling with pain, you don’t have to. More advanced treatment options are becoming available, including the use of a new type of medication.

Take a closer look at some of the medications being used to improve chronic pain in many people today.

Nonsteroidal Anti-inflammatory Drugs

One of the most common medications used as a first line of treatment for chronic pain is NSAIDs. These are over-the-counter medications, prescription strength products are also available. Generally, this type of medication is ideal for acute types of muscle and bone pain. However, taking them chronically can lead to negative effects o the kidneys, the body’s ability to clot blood, and other concerns.

Antidepressants

One of the latest types of medications used to treat chronic pain is a line of antidepressants. Older antidepressants are often very helpful in controlling pain. They are beneficial because patients can often get pain relief at lower doses with the use of tricyclic antidepressants. They are often taken on an as-needed basis. They treat most types of pain, depending on the severity of the condition.

Anticonvulsants

Anticonvulsants, also known as anti-seizure medications, can work for some types of pain, specifically nerve pain such as shooting pain or a burning feeling. These products can help with minimal side effects in many people, though some can develop weight gain and glaucoma if they are overused. There is the need to carefully monitor liver and kidney health when taking these medications.

Muscle Relaxants

In some situations, the use of muscle relaxants can be beneficial, especially in those who have the same type of pain but not consistently. These products can make people drowsy, but most are safe to use on an as-needed basis.

Which Type of Medication Is Right for You?

Those experiencing chronic pain and discomfort want a solution. That solution may come from one of these types of medications. In some situations, over-the-counter products are effective. In other cases, doctors need to increase the amount and type of medication being taken to improve your day to day pain level.

chronic painEvery situation is very different. For pain medication and treatment, come in to see the best pain doctor in New York. Schedule an appointment with our team today to discuss your needs.

Call us at 646-862-5555 to schedule a consultation.