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: Herniated Disks

HERNIATED DISC

doctor-for-herniated-disk-nyc-01There is a series of vertebrae or bones in your spinal column. The topmost column is a cervical spine, which consists of seven bones. The thoracic spine includes 12 bones. There are five in the lumbar spine, and in the last sacrum and coccyx, which are at the base. When you perform activities like lifting, walking, and twisting, these discs help in absorbing the shocks and create flexibility in the body.

Each of these discs has two parts: the inner portion, which is soft and gelatinous, and the outer ring, which is tough. When the inner portion protrudes through the outer ring due to injury or weakness, you call this condition herniated or slipped disc. This is a common condition and can lead to numbness, severe pain, and weakness in the limbs. The pain only occurs in situations where there is pressure on the nerve. When the case is severe, you need surgery to remove or repair this herniated disc.

Symptoms of Herniated Disc

The slipped disc may occur on any of the discs, from neck to lower back. The most common area is the lower back disc, where a slipped disc usually occurs. Your spinal column is a network of nerves and muscles. It can put extra pressure on your nerves and muscles. Symptoms of a herniated disc are as follows:

  • Pain in arms or legs
  • Pain and numbness in one side of your body
  • Severe pain while sitting and standing
  • Muscle weakness
  • Pain when walking

When you feel numbness and tingling, contact us immediately, as these sensations can affect your muscle movement.

Causes of Herniated disc

When the outer ring of a disc is weak, and the inner portion slips out, it causes a slipped disc. This may occur for various reasons. Some causes of the slipped disc are below:

  • Age factor
  • Lifting large and heavy objects
  • Weak muscles
  • Inactive lifestyle

Treatments of Herniated disc

The slipped disc may cure by medication, surgery, or therapy.

1.     Medication

i)              Nerve Pain Medications

These medications help in treating pain in the nerve. Medications include amitriptyline, pregabalin, gabapentin, and duloxetine, etc.

ii)             Narcotics

A doctor might prescribe you codeine or other narcotics if you still feel discomfort after taking OTC medications. Confusion, sedation, nausea, and constipation are some side effects of taking narcotics.

doctor-for-herniated-disk-nyc-02

iii)           Epidural Injections

Epidural space is the region surrounding your spinal cord. A doctor injects anti-inflammatory medications, anesthetics, and steroids in this area, which help to reduce swelling and pain.

iv)            Cortisone Injections

These injections help reduce pain and herniation, and doctors can inject them directly into the area.

v)             Muscle Relaxants

Relaxants can help reduce muscle spasms. You may feel sedation or dizziness after taking this medication as a side effect.

2.     Surgery

i)              Laminectomy

An opening in Lamina is made to remove pressure on nerve roots. Surgeons perform this surgery with the help of a small incision and microscope. The surgeon may remove Lamina, if necessary.

ii)             Artificial Disc Surgery

Artificial discs are made up of metal or biopolymers. The two types of disc replacements are; total disc replacement or disc nucleus replacement. The disc nucleus is a soft center present in the disc.

3.     Therapy

i)              Deep Tissue Massage

Deep tissue massage is the ideal option for the herniated disc to relieve muscle tensions and spasms. It helps in developing muscle motion in the area.

ii)             Hot and Cold Therapy

Both these therapies are good for a herniated disc. In heat therapy, a physical therapist uses heat to circulate blood flow to the target area. Blood delivers extra oxygen and nutrients and helps in healing. Blood also helps in removing waste byproduct.

Cold therapy reduces muscle spasm, inflammation, and pain. It slows blood circulation, and the therapist uses an ice pack or fluoromethane spray to cool tissues that are tender.

iii)           Transcutaneous Electrical Nerve Stimulation (TENS)

TENS is a machine that uses electric current and stimulates your body muscles. This is not a painful method. It releases endorphins that work as your body’s natural pain killer. TENS also helps in reducing spasms.

iv)            Traction

Traction reduces from your spine the effects of gravity. It works by gently pulling your bones apart, which results in reducing disc herniation. This can take place in the lumbar or cervical spine.

v)             Core Stability

Keeping your core muscle is also important to strengthen your back. It helps your back muscle to support your spine.

vi)            Flexibility

Exercises for flexibility help move the body easily. By learning stretching and flexibility can provide strength to your body. These techniques ward off stiffness.

vii)          Hydrotherapy

These therapies help in reducing stress. Active hydrotherapy helps in conditioning your body.

viii)        Muscle Strengthening

Strong muscles can provide support to the spine and to handle pain.

Conclusion

If you need a Pain Management Specialist, give a call at 646-862-5555 or book an appointment with our Pain Management Doctor, Dr. Mathew Grimm. Dr. Grimm can help you with advice, consultation, and the treatment of your condition. Call today.

Dekompressor Discectomy NYC

Dekompressor Discectomy

dekompressor-discectomy-procedure-information-prognosis-treatment-pain-relief-01A dekompressor discectomy is a procedure done to remove a painful region of a herniated disc. This procedure is shown to be effective and as minimally invasive, making it an excellent option for pain relief.A dekompressor discectomy is able to relieve pain and limit muscular discomfort.

What is a Dekompressor Discectomy?

A dekompressor discectomy is a procedure that removes part of a herniated disc. Herniated discs occur when the tissue surrounding the spinal column and between the vertebrae becomes inflamed and swollen. This can be caused by any number of stimuli, including injury, poor posture, and illness. Regardless of the cause, a herniated disc can be very painful. This is because the inflamed tissue can push on the spinal cord, nerves, and other tissues. In the spinal region, there is very limited space. When these tissues and Nerves are compressed, it can be very painful. Therefore, part of the herniated disc must be removed. This surgery is done to decompress the affected area. A needle is inserted aimed at the affected disc. Once the needle is closed, it effectively drills part of the disc away. This creates more space in the spinal region, relieving compression and pain. both before and after, pain and nerve testing can be completed through the use of an electromyogram. This electromyogram will be able to assess the functionality of both nerves and muscles in the affected region to ensure quality of life upon surgical completion.

How a Dekompressor Discectomy Aids Pain Relief

medical-options-for-severe-herniated-disk-top-nyc-doctor-specialist-02As mentioned above, a Dekompressor Discectomy is performed to relieve pain associated with herniated discs. Herniated discs can cause much pain due to compression and pinching of nerves send signal. Therefore, it sends out a sort of “distress signal” to the brain, to inform the body of impingement. This signal is interpreted as pain, and can be very distressing. Therefore, once the blockage is removed, the pain signal is terminated. This provides lasting pain relief, as it does not simply treat the symptoms. Instead, This resolves the problem of a herniated disc and can cause lasting relief. Tests can then be run to ensure proper completion of the procedure required. These tests will analyze the effectiveness of the nerve, the strength of the signal through muscle use, and the range of motion allowed. These should show positive results, with full recovery.

When Dekompressor Discectomy Should Be Used

herniated-disk-extreme-pain-dr-for-pain-management-relief-nyc-03Dekompressor discectomy should be used for those with herniated discs and complaints of pain. However, this might not be the most appropriate treatment for everyone. It is a minimally invasive, low-risk surgery that can be performed on an outpatient basis. That means that someone can come into a clinic, receive this treatment, and return home on the same day. prior to the procedure, the area is numbed with local anesthetic. Care should be exercised, and it is recommended that one not drive for 24 to 48 hours after this procedure is completed.

Do you think a Dekompressor Discectomy would help you? Call Dr. Grimm to schedule an appointment to discuss.