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: Lumbar Steroid Injections

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.

Lumbar Steroid Injections Doctor NYC

Lumbar Steroid Injections

nyc-doctor-specialist-for-lumbar-steroid-injection-01Pain in the lumbar region of the spine can be difficult to eradicate. Millions of people suffer from acute lumbar pain every year. There are many available treatments, ranging from something as minimal as occasional medications or massage, to more extreme steps such as surgery. When treating lumbar pain, and one should begin with them most minimally invasive and lowest risk potential treatments. If these do not work, further treatments can be looked into along the scale. Before surgery is attempted, all other options should be looked over. One option that many people make use of with great success is lumbar steroid injections. This is a minimally-invasive low-risk treatment that can offer lasting results.

How Lumbar Steroid Injections Work

lumbar-steroid-injection-information-nyc-02Steroids can be injected into the lumbar region of the spine through a minimally-invasive process. This procedure can be undertaken by a physician on an outpatient basis. What this means is that the patient will not be required to stay on-site overnight, but will be able to come into a clinic for the procedure, undergo the procedure, then return home. However, it must be noted that this procedure involves the use of anesthetics and potentially sedatives. Whenever these types of medications are in use, care must be demonstrated when using Motor Vehicles. It is recommended that one not operate machinery for the next 24 to 48 hours. Dr. Grimm will give you more specific instructions on your personal case.

What Causes Lumbar Pain?

lumbar-steroid-injection-graphic-information-nyc-03Lumbar pain can be caused by any number of potential problems. This includes injury, poor posture, or medical reasons. Injuries to the lumbar region are frequently caused by simple, repetitive motions completed improperly. This includes things like bending over, twisting, lifting. The human body is designed to be able to complete these necessary motions, however when we do them improperly they can cause damage to the spine and surrounding tissues. For example, the phrase “lift with your legs, not with your back” is more commonly said than done. All too often, people can be seen lifting while using the muscles in their back. When overexerted, the back will swell with redness and pain. This pain can be alleviated with the use of lumbar steroid injections.

Other causes of lumbar pain can be more medically based. Problems that arise during growth, autoimmune disorders, and tumors can cause swelling and pain in the lumbar region of the back. These symptoms can also be treated through lumbar steroid injections.

How to Maintain Lumbar Pain Relief

Once lumbar pain has been dealt with through lumbar steroid injections, it is essential that every step possible is taken to keep the pain away. The way this is done varies depending on the underlying cause of initial pain. If the pain is caused by poor posture, such as slouching when sitting, exercises and lifestyle modifications can be undertaken to reverse symptoms and prevent further pain in the future. If the underlying cause is a medical diagnosis that is systemic, individual steps to be taken can be discussed.

Are you ready for a life without lumbar pain? Call Dr. Grimm to schedule an appointment to discuss lumbar steroid injections for you.