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: Hip injection nyc

Piriformis Injections

Severe buttock and leg pain.

Leg and buttock pain doctor nyc 01Piriformis injections are indicated for patients who experience severe buttock and posterior leg pain characteristic of Piriformis Syndrome, a chronic condition that involves the lower sacral muscle. Piriformis syndrome may constitute up to 6-8% of low back pain conditions associated with sciatica, which refers to pain, weakness, numbness, or tingling in the leg. Tightness of the piriformis muscle may cause nerve and vessel entrapment because of its proximity to the large sciatic nerve and blood vessels, causing a deep aching sensation in the mid-gluteal region (buttock) that is associated with pain radiating down the back of the leg.

How Piriformis Injections Work

A piriformis injection involves deposition of a mixture of local anesthetic and steroid medication into the muscle, which will helps reduce pain and inflammation around the nerves that pass near the piriformis muscle. This will also reduce other symptoms such as numbness, tingling or swelling. Since the treatment uses locally administered medications, it does not have a widespread effect on the body; rather, only painful areas are targeted, and no systemic side effects are expected.

Patients benefit from this procedure because after the injection, inflammation and pain are reduced for several months, allowing the patient to resume normal activities and undergo rehabilitation or physical therapy while healing takes place.

General Procedure Piriformis Injection

buttock and leg pain doctor nyc 02A piriformis injection is an outpatient procedure performed by a qualified Chronic Pain Specialist who is an expert with the treatment. The patient is initially briefed about the procedure and prepared beforehand so that he is relaxed.

The patient is asked to lie prone (on their abdomen) on the table. The skin on the affected buttock is sterilized. Next, a small area of skin is injected with numbing medicine (local anesthesia). When ready, the physician directs a small needle into the piriformis muscle, using x-ray guidance. Other imaging techniquesbuttock and leg pain doctor nyc 03 may be used, such as ultrasound, or electromyography to identify the muscle and the sciatic nerve. A small amount of dye is injected to insure proper needle position. The physician asks the patient to move their leg during the procedure. This consists of rotating the leg outward and moving it straight to the side away from the other leg. A mixture of local anesthetic and anti-inflammatory (steroid) is injected into the muscle. The needle is then slowly withdrawn.

Patients are then monitored in the recovery area and discharged on the same day. Numbness or weakness in the leg are temporary and will disappear in a few hours. After discharge, patients are asked to evaluate the relief they experience during the next week and report for follow-up. It may take at least 72 hours before the full effect of the steroid is observed. Repeat injections may be performed up to three times, if needed, every two weeks.

Contact Us

A Piriformis Injection is a minimally invasive, safe, and effective means of treating buttock and leg pain that is unresponsive to other forms of treatment. If you want more information about treating chronic low back pain, contact our Pain Management Specialist who will examine you and conduct tests to determine the cause of your pain.  Make an appointment with the NYC’s top board-certified interventional pain management physician to know if piriformis injections are a treatment option for you.

Hip Joint Injections for Chronic Hip Pain –Top Pain Doctor NYC

Hip joint injections are safe and effective means of treating chronic hip pain that does not respond to conventional medical treatment.

Best Pain Doctor NYC for Hip Joint Injections for Chronic Hip Pain 01The hip joint is a large ball-and-socket joint where the thighbone joins the pelvis. The ball (upper end of the femur or thighbone) is held in the socket of the pelvic bone by a group of ligaments that form a capsule around the joint. The cartilage between the two bones allows them to move against each other without friction.

Best Pain Doctor NYC for Hip Joint Injections for Chronic Hip Pain 02The most common disease affecting the hip joint is arthritis, a degenerative, inflammatory condition that results in loss of joint cartilage, erosions of the joint, formation of bone overgrowth (or ‘spurs’), and ultimately leads to chronic pain and instability of the joint. Injury or mechanical stress can also result in inflammation and pain in the hip joint. Aside from the joint, the patient may also experience chronic pain in the buttocks, lower back, and leg, which are commonly known as referred pain from the hip.

Hip joint injections may be considered for patients experiencing these symptoms. These injections can help relieve the pain, as well as help diagnose the cause of pain.

How Hip Joint Injections Work

Hip joint injections involve depositing of medicine, consisting of a mixture of a local anesthetic and a steroid, directly into the joint. These injections can help diagnose the source of pain, because by placing the medicine into the joint, the amount of pain relief experienced will help confirm whether the joint is the source of pain. Complete pain relief in the hip joint confirms that this area is likely to be the source of pain.

Along with the local anesthetic, time-release steroid is also injected into the hip joint to reduce inflammation, which often provides long-term pain relief. Since the treatment uses locally administered medications it does not have a widespread effect on the body; rather, only painful areas are targeted, and no systemic side effects are expected.

Patients benefit from this procedure because after the injection, inflammation and pain are reduced for several months, allowing the patient to resume normal activities and undergo rehabilitation or physical therapy while healing takes place.

General Procedure

Best Pain Doctor NYC for Hip Joint Injections for Chronic Hip Pain 03A hip joint injection is an outpatient procedure performed by a qualified Chronic Pain Specialist who is an expert with the treatment. The patient is initially briefed about the procedure and prepared beforehand so that he is relaxed.

The patient is placed on a lying position and the affected hip is sterilized. After the exact area to be injected is located using live x-ray guidance (fluoroscopy), the skin overlying the hip joint is numbed with a local anesthetic.

A needle is advanced into the hip joint. A small amount of water-soluble dye may be injected to confirm proper needle position. Once this is confirmed, a mixture of anesthetic and anti-inflammatory medication (steroid) is injected into the joint space. The needle is then slowly withdrawn.

After the procedure, the patient is monitored in the recovery area and discharged on the same day. Upon discharge, they will be asked to evaluate their improvement in the succeeding week and report for follow-up. Repeat injections may be performed up to three times, if needed, every two weeks.

Contact Us

A Hip Joint Injection is a minimally invasive, safe, and effective means of treating chronic hip joint pain that is unresponsive to other forms of treatment. If you want more information about treating chronic hip joint pain, contact our Pain Management Specialist who will examine you and conduct tests to determine the cause of your pain.  Make an appointment with the NYC’s top board-certified interventional pain management physician to know if hip joint injections are a treatment option for you.