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: Facet Joint Syndrome Doctor NYC

Facet Joint Pain

Facet Joint Injections


There are many regions in the back where one may experience pain. One common site of pain is the facet joint. This is the location where two vertebrae connect on either lateral side of the spine. There are many reasons this may become painful, such as injury, poor posture, and arthritis. Regardless of the cause, this pain can be unbearable.

Causes of Facet Joint Pain

Facet joint pain can be caused by many things. One common contributor to facet joint pain is the regular progress of aging. Overtime, the spine is slowly compressed. This compression takes a toll on the entire spine, but the joints of the facets take the burden of this compression the most. In addition, poor posture and body mechanics can have an effect on the facet joints, even years down the line. Frequent twisting of the spine and overexertion can cause this joint to wear down. Also, injury can cause da

mage to both the facet itself and the joint between the facets. Either way, this increased strain on the Facet Joint can cause pain and damage. This can cause inflammation and swelling, causing further nerve pain and damage as well. This damage can occur at any region of the spine, including the cervical, thoracic, and lumbar.

What Facet Joint Injections Are


Facet joint injections are, as the name would suggest, injections into the facet joint of the spine. Facet joint injections are a minimally invasive treatment for pain in the back on the lateral edge of the spine. These injections typically hold a localized anesthetic and a steroid medication to reduce swelling and relieve pain. the anesthetic serves to numb the immediate pain and limit swelling. Steroids also serve to reduce swelling in the area. The reduced swelling can also assist in pain relief by on other tissues in the spinal area, including nerves. This is performed as an outpatient procedure. That means that it is done in a clinic and the patient can return home upon completion. It is important to remember that whenever localized anesthetics are used, driving is not recommended for 24 to 48 hours. Results vary based on person. Some experience immediate and long-lasting benefits from simply experiencing one treatment. Others only see benefits after multiple attempts.

How to Maintain Pain Relief

top-nyc-doctor-for-pain-relief-injections-nyc-03Once the appropriate amount of facet joint injections have been completed, the pain will have subsided. However, this is not inherently a permanent solution. Much work must be done to keep the pain away. This includes improving body mechanics. If poor posture or excessive twisting is the cause of facet joint pain, these habits must be changed. When the root cause of facet joint pain is that of an injury, further additional injuries must be avoided. If arthritis or other medical problems have caused facet joint pain, talk to your doctor about treatment options to maintain pain relief associated with facet joint injections.

Are you ready to say goodbye to your facet joint pain? Call Dr. Grimm today to schedule an appointment to discuss facet joint injections and you.

Facet Joint Syndrome

What Is Facet Joint Syndrome?

Best-Pain-Doctor-NYC-1The spine is composed of a column of vertebrae interposed by cushioning intervertebral discs. Each vertebra also abuts the vertebra above and the one below via the facet joints (one on each side). The facet joints are true joints just like the knee or the shoulder. This means that they are lined with cartilage, contain joint fluid and are encased by a fibrous capsule.

Causes of facet joint syndromeBest-Pain-Doctor-NYC-2

Just like any other joint in the body, the facet joints are susceptible to arthritis. Arthritis of the facet joints can lead to neck or low back pain.

Signs and symptoms

Signs and symptoms of facet joint arthritis often mimic those of a herniated disc. If the cervical spine is involved, neck pain radiating into the shoulder or arm may be observed. In the lumbar spine, low back pain which radiates into the buttock and/or leg is commonly observed.


Best-Pain-Doctor-NYC-3Injection of an anesthetic combined with a corticosteroid medication into the facet joint itself is both diagnostic and therapeutic. In other words, relief of neck or low back pain symptoms following a facet joint injection confirms the diagnosis and also treats the condition.

In cases of persistent facet joint syndrome, a radiofrequency rhizotomy may be considered. This is where the nerves that supply the facet joint are heated with radiofrequency current thus blocking the transmission of pain signals to the brain. Pain relief can last anywhere from six months to two years.Best-Pain-Doctor-NYC-5

 Contact Dr. Matthew Grimm, best pain doctor in New York City, to schedule an appointment today.