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: neck pain doctor nyc

Cervical Radiculopathy

What is Cervical Radiculopathy?

Best-Pain-Doctor-NYC-3“Cervical radiculopathy” is the medical term for a “pinched nerve in the neck.” The nerves that control movement and sensation in the arms arise from the cervical spinal cord which is located in the neck. The spinal cord is surrounded and protected by the bony spine.

The spine is composed of the vertebrae and their bony projections. Between every two vertebrae is a “disc” which acts to absorb compressive forces on the spinal column. The spinal cord lies runs behind the column of vertebrae and is surrounded by the bony spinal column. In the neck area, the spine is called the cervical spine. The individual nerves that supply the arms leave the spinal cord and exit through small openings (see photos).

 Causes of cervical radiculopathyBest-Pain-Doctor-NYC-2

The spinal nerves are delicate. When a cervical spinal nerve is compressed (pinched), pain will result. This pain will typically spread from the neck into the arm. A pinched nerve can be caused by a protruding disc, also called a “slipped” or “ruptured” or “herniated” disc. Discs are made of a semi-fluid inner material enclosed in a ring of cartilage. The outer cartilage ring can bulge or even break and cause pressure on the spinal nerve. Arthritis of the cervical spine can also cause pressure against one or more nerves

Best-Pain-Doctor-NYC-1Signs and symptoms of cervical radiculopathy

A pinched nerve in the neck can lead to pain, numbness and weakness of the arm. The location of the pain, numbness and/or weakness will depend on which cervical nerve is involved.

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Treatment of cervical radiculopathy begins conservatively with nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin) and physical therapy. Physical therapy may include gentle cervical traction. The goal is to relieve irritation of the nerve root.

 

If the condition is unresponsive to this conservative treatment and a cervical disc herniation is suspected, the next course of action is often a trial of cervical epidural steroid injections. This procedure involves injecting corticosteroid medication into the space just outside of the outer membrane of the spinal cord near the location of the affected nerve. The purpose is to bathe the irritated nerve root with powerful anti-inflammatory medication.

BestPainDoctorNYC5Surgery is always a last resort. A decompressive discectomy involves the surgical removal of any disc material pressing against the cervical nerve.

Best pain doctor in NYC, Dr. Matthew Grimm, can be contacted for more information at: 646-862-5555.

 

What is cervical myofasciitis?

Cervical myofasciitis.

Best-Pain-Doctor-NYC-2Cervical myofasciitis is an inflammation of the muscles and fascia (connective tissue) of the neck. This can be due to sudden trauma (such as whiplash injury) or chronic stress or overuse. Unlike a single “pulled” muscle which improves with rest, myofasciitis tends to persist and worsen. Chronic inflammation can lead to scarring.

Signs and symptoms of cervical myofasciitis.Best-Pain-Doctor-NYC-3

Myofasciitis is characterized by pain and tenderness in a specific muscular region. Although it can affect various locations in the body (e.g., low back, buttocks, legs and arms), it is probably most common in the region of the neck.

Palpation of the affected muscle group(s) typically reveals deep-seated nodules and/or taut bands of muscle. These areas are hyperirritable and are called “trigger points.” Neck range of motion may be restricted. Patients frequently complain of poorly localized neck pain. They may also complain of radiation of the pain into the arm. The pain frequently interferes with sleep.

Best-Pain-Doctor-NYC-1Treatment of cervical myofasciitis.

Medications used in the treatment of cervical myofasciitis include nonsteroidal anti-inflammatory drugs (e.g., ibuprofen), muscle relaxants, tricyclic antidepressants and anticonvulsants. Physical therapy is used to stretch the tight muscle groups using massage, exercise and “spray-and-stretch” techniques. Trigger point injections with local anesthetic and steroid are used to “break up” the tension in these areas.

Contact us today to schedule an appointment with best doctor for trigger point injections in NYC, Dr. Matthew Grimm.

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