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: Pain Doctor

NYC Doctor For Sciatica

Doctor for Sciatica 2020-2021There are many types of back pains. Some pains come up suddenly while others start slowly and get severe with time. Common medicine can be helpful to treat some types of pains, but others require powerful drugs and surgeries to get back to normal life. At times, it is hard to find the source of the pain, but you can easily identify sciatica.

Sciatica is the pain caused by the irritation of the sciatic nerve. When this nerve irritates, it can cause pain, ranging from light to severe. It is usually caused by a dense nerve. This nerve is in the lower spine and runs from your hips to your feet. The pain might be acute or chronic. It hurts you in your bottom, feet, toes and the back of your legs. You may also feel weakness, numbness, and tingling, and the pain may cause stabbing, burning and shooting reactions. A slip of the herniated disk is the main reason for this pain. It is not a condition, but a symptom.

How Sciatica Works

The slip of the herniated disk in your lumbar (lower) spine is the main reason behind Sciatica. The flat, flexible, round disks of the connective tissue cushion and separate your vertebrae. Either due to injury or years of usage, this disk wears down. As a result, its soft center begins to push out from the hard outer ring.

When a disk herniates, pressure on the sciatic nerves builds, causing severe pain. This nerve is the longest in your body, which starts from lower back and splits into a network to run through your hips, buttocks, legs, and feet. Spinal stenosis can also put pressure on these nerves.

Causes of Sciatica:

Other causes of Sciatica may include:

1.     Spondylolisthesis

Affecting your lower vertebrae, Spondylolisthesis is a spinal condition. This condition is really painful. To cure this disease, doctors may use therapeutic and surgical methods. To avoid this condition, you should incorporate proper exercise techniques.

Symptoms:

Some of the common symptoms include:

  • Lower back tenderness
  • Thigh pain
  • Lower back pain
  • Back and leg stiffness
  • Tight hamstring and buttock muscles

2.     Lumbar Spinal Stenosis

Doctor for Sciatica New YorkThe lumbar spine is a group of five vertebrae in the lower part of the spine in between the ribs and the pelvis. Lumbar Spinal Stenosis occurs when the spinal cord narrows, compressing the nerves traveling through the lower back into the legs. Commonly, this may affect younger patients due to the development process but may affect people who are 60 and older as a degenerative condition.

The spinal canal usually narrows slowly, over many years or decades. Due to aging, the disk becomes less spongy and results in the loss of disk height, and hardened disk in the spinal canal turns bulgy. Ligaments may become thick and turn into bone spurs. The narrowing of the central canal is due to these conditions. Inflammation and compression of the nerve may cause symptoms.

Symptoms may include:

  • Pain, numbness or weakness in the legs, calves or buttocks
  • Pain radiating into one or both legs and thighs
  • Loss of normal bladder or bowel function (happens less often)
  • Improvement in the condition when lying down or sitting
  • Calves becoming stiff while walking, compelling to take quick breaks

3.     Degenerative Disk Disease

This condition occurs when one or more disks between vertebrae break down or change, leading to pain. This is an age-related disease. Spinal disks work as shock absorbers between vertebrae or bones of your spine and you can bend or twist with the help of these disks as they keep your back flexible. It shows signs of wear and tears when you grow old.

Symptoms:

Common signs of degenerative disk disease may include:

  • It may occur in lower back, buttocks and upper thighs
  • It may come and go
  • It may be nagging or severe
  • It can last for a few days or maybe months
  • Your pain may be worse when you bend, lift or twist and you feel better when you change positions and lie down

Call Dr. Matthew Grimm to Treat Your Sciatica

Degenerative Arthritis, lumbar disk disease, trauma or injury to the lumbar spine are some of the causes of Sciatica. Consulting a doctor and getting proper treatment may give relief quickly. If you need a Pain Management Specialist, call to book an appointment with our Pain Management Doctor. Dr. Mathew Grimm is an expert in treating all kinds of pain.

Matthew Grimm, M.D.
160 E 56th St
11th Floor
New York, NY 10022
646-862-5555

Sciatic Nerve Pain

The irritation arising in the sciatic nerve causes sciatic nerve pain in the lower region. You may feel pain from the lower back (lumbar area) to the back thigh. This nerve is the largest in your body. It starts from nerve roots in the lumbar area from the spinal cord (lower back) and heads up to lower limb, passing through the buttock area. Sciatic nerve pain is sometimes referred to as Radiculopathy.

Sciatic nerve pain

Common Causes of Sciatic Nerve Pain:

Sciatica is the result of disc herniation in the lumbar area. Symptoms may also occur when inflammation and irritation are caused to the sciatic nerve. An abnormal vertebral disc resulting in irritation is also called Radiculopathy. Other causes of sciatic nerve pain are irritation of nerve due to adjacent bone, muscle, tumor, infections around or in the lumbar spine, internal bleeding, injury, etc. Women are prone to sciatic pain when they are pregnant.

Diagnosis for Sciatic Nerve Pain:

Doctors will check your reflexes and muscle strength during physical exams. They might ask you to walk on your toes or heels, to lift your leg one at a time and all those activities that can increase pain for examining the cause thoroughly.

Tests for Sciatic Nerve Pain:

After that, one of our doctors will conduct some tests to check the condition of your pain. With these tests, we will be able to know if there are any abnormalities. These tests will also locate the area of pain. In some conditions of herniated disks or bone spurs, you might not feel symptoms but tests will reveal your condition. We will only suggest those tests if your pain is severe or you are not recovering from the pain from weeks.

1.     X-ray

Maybe your bone is overgrowing and causing you pain. An X-ray of your spine may reveal that. When the bone overgrows or spurs, it might press up the nerve, causing you pain and numbness.

2.     MRI

With MRI, doctors produce cross-section images of your spine with the use of powerful magnets and radio waves. MRI can produce proper images of a herniated disk, soft tissues, and bones. You have to lie down on a table that moves inside the MRI machine.

3.     CT Scan

Doctors inject a contrast dye inside your spinal canal when they use a CT scan to create an image of the spine. This procedure is called myelogram. This dye circulates around your spinal cord and nerves and highlights in white when doctors scan.

4.     Electromyography (EMG)

EMG measures the electrical impulses which your nerve and muscle responses produce. With this test, nerve compression due to narrowing of your spinal canal or slipped disk can be confirmed.

Treatment of Sciatic Nerve Pain

When you are suffering from sciatic nerve pain, your doctor can suggest the following types of treatments:

1.     Medications

These are the types of medications your doctor may provide when you are having sciatic nerve pain:

  • Anti-Inflammatory medications
  • Narcotics
  • Muscle Relaxants
  • Anti-seizure medications
  • Tricycle anti-depressants

2.     Physical Therapy

Doctors may also suggest therapies, which can help you by improving your:

  • Flexibility
  • Core stability for back support
  • Posture
  • Muscle strength

Sciatic nerve pain - spinal diagram nerves3.     Steroid Injections

When the condition is worse and you are not recovering with medications and therapies, doctors then recommend corticosteroid injections. Doctors give these injections directly into the area that involves nerve root. These injections help in reducing pain and suppressing inflammation. The effects of these injections can wear off in a few months. Injecting too frequently can cause side effects.

4.     Surgery

When the compression of nerve leads to bowel or bladder loss, weakness, or when your pain is getting severe and not improving with other treatments, the doctor recommends surgeries. Surgeons remove the overgrown bone or bone spur or remove a herniated disk that is pressing the nerve.

5.     Other Treatments

Other treatments like cold and hot packs on the area, stretching and taking over-the-counter medications may also help in the treatment of the sciatic nerve pain.

Consult Dr. Matthew Grimm to Treat Your Sciatic Nerve Pain

Sciatic nerve pain may affect daily activities and may increase in severity over time. An early visit to the doctor may result in a better treatment. If you need a Pain Management Specialist, give us a call at 646-862-5555 or book an appointment with our Pain Management Doctor

Matthew Grimm, M.D.
160 E 56th St
11th Floor
New York, NY 10022
646-862-5555

What are Interventional Spine Skills?

What are Interventional Spine Skills? The back pain and spine-related problems are becoming more prevalent than ever. Back pain problems have accounted for almost 264 million lost days from work a year. Backache and spine conditions become serious when you began to feel radicular pain and symptoms. Radicular pain indicates problems such as compressed or fractured vertebra, spinal nerve root damage, and herniated vertebral risk.

To treat such problems, we have interventional spine procedures. Let us have a look at some interventional spine skills and how they relieve from pain.

Method of Treatments

Interventional spine skills include the following methods of treatment:

Medical Branch Block:

 Medical branch block is not only a pain management procedure but a method for primary diagnosis as well. It helps the doctor to find out if the facet joint is the source of the pain or not.

For this method, the doctor will inject a local anesthetic near the small medial nerves connected to a facet joint to relieve the pain. If the patient still feels pain and discomfort, the doctor will cancel out the facet joint as the source of the pain.

Epidural Steroid Injection:

It is perhaps the most common procedure for the interventional spine.  This procedure administers the most specific and targeted steroid injection to attain localized analgesia.

The steroid injections include a combination of anti-inflammatory and pain relief medicine. Your doctor will inject the epidural steroid in the nerve root, facet joint, and sacroiliac joints. Proper insertion of the injection requires the use of fluorescence or an X-ray. The procedure is effective for reducing inflammation and pain.

Kyphoplasty:  It is an effective procedure that treats vertebral compression fractures. Kyphoplasty can also restore the spinal height, which was reduced due to the vertebral collapse.

During Kyphoplasty, the surgeon will inject an image-guided needle on the fractured vertebra through your skin. The injection introduces a balloon, which inflates and restores some of or all of the spinal height. The balloon compresses the vertebra to its normal shape. Once the vertebra positions correctly, your surgeon will inject a medical bone-grade cement. It will provide strength to your vertebra and prevent further fractures.

Vertebroplasty: It is a simple out-patient procedure that involves injecting the medical bone-grade cement to stabilize the compression fractures of the spine.  The doctor gives injection after making a small incision in the skin. The cement hardens to provide pain relief and better stability to the vertebra.

What to do After an Interventional Spine Procedure?

You can go back to your normal routine after 24 hours of an interventional spine procedure. Take rest when you get back home. Although you are less likely to have your vertebra fractured or disc dislocated, but you must avoid lifting heavy objects. Avoid bending as it puts pressure on your spine. You must also not sit on the floor or any hard surfaces.

You may have heard that you can not take a bath, shower, or swim after an international spine procedure. However, it is a myth.  Taking a shower, bath, or a swim is not a risks after an interventional spine procedure. But, it is better for people who have diabetes, vascular disease, or low immunity to avoid swimming pools. There could be pathogens in the pool that can cause skin infection where they have received the injection.

We at Spine City New York provide a multi-disciplinary approach to relive your pain. We customize treatments for each of our patients depending upon their health, conditions, and cause of the pain. If you or a loved one is suffering from back pain and spine problems, call us at 646-862-5555 to book a consultation.

Fibromyalgia Diagnosis, Treatment, and Outlook

best-nyc-pain-doctor-for-fibromyalgia-02Fibromyalgia is a painful and largely misunderstood condition that affects millions of people around the world. With all of the misconceptions about fibromyalgia, it can be difficult to get an accurate diagnosis, find effective treatment, and have a realistic outlook for what the future may hold for those with fibromyalgia.

Diagnosis

Fibromyalgia is a difficult diagnosis to come by. With some medical conditions, such as a broken bone or inflammation, specific scans can be conducted that can provide visible confirmation of the condition. This is not the case with fibromyalgia. Fibromyalgia is a pain disorder that we, honestly, do not fully comprehend. However, through the use of certain criteria, doctors are able to make an inappropriate diagnosis. in the majority of cases, a diagnosis is found through open discussion with the doctor.

People with fibromyalgia experience regular pain across the body that lasts for at least 3 months. Obviously, there are other potential causes of pain. Once these potential alternative diagnoses have been ruled out, a doctor can settle on a diagnosis of fibromyalgia. Previous guidelines required the existence of “tender points” that are painful to the touch. This is no longer required, as many times the symptoms of fibromyalgia might not include these specific localized tender points.

Treatment

what-is-fibromyalgia-01Treatments for fibromyalgia can vary greatly. The first step in finding a treatment that will work for you is trying to identify an underlying cause, to the extent possible. This will also include trying to localize the pain to one area and finding what helps to relieve the pain. For some people, beneficial treatments would include stretching, physical exercise, massage, talking about underlying causes the pain, finding ergonomic solutions to daily problems or even something as simple does use an ice pack or a hot pack. For other people, though, we need a more dynamic approach. In cases like this, Dr. Grimm may recommend minimally-invasive surgical solutions, prescribed medicines, or make another clinical decision.

Regardless of the decision reached, the most important part of a treatment of fibromyalgia is open and clear communication. If you know something small that works, tell us! We may be able to use that to your advantage.

Outlook

The long-term outlook for those suffering from fibromyalgia can be hard to determine. Fibromyalgia is not a disease with a predictable course. Instead, it is a syndrome but can vary from person to person. All in all, fibromyalgia is not typically “cured” the way we might think. Instead, those with fibromyalgia are helped to find solutions to help them deal with pain and manage their lives so that pain can be avoided. This may include using adaptive equipment that will help them more easily do what they need to do, adapting the way they do things, or asking for help for specific tasks. It should be noted that some recent studies have shown a potential mortality risk associated with fibromyalgia.

Even though fibromyalgia itself does not lead to death, it can make it harder to deal with stress and problems in one’s daily life. This stress can affect the heart and lead to a higher risk of heart attack, stroke, or another traumatic incident that can be fatal. Therefore, it is urgent the fibromyalgia treatment is started as soon as possible and followed through as closely as you can.

Are you suffering from fibromyalgia? Call today to make an appointment with Dr. Grimm so that we can start finding a solution that works for you.

How Does Biofeedback Work for Muscle Pain?

How Does Biofeedback Work for Muscle Pain?There are many ways to treat pain. In some people, pain management is very easy and effective with medication. For others, the body works naturally to slow pain as a person relaxes and the injury passes or heals. For many others, chronic pain becomes ongoing and the severity may not improve even with medication. Biofeedback may be a type of treatment option that works in these situations.

What Is Biofeedback?

Biofeedback is a type of method that allows an individual to learn how to control the way the body works. In this treatment option, it is possible to control, for example, your heart rate. With biofeedback, the individual learns to control the electrical sensors that help you receive information about your body. When you successfully use this method, it is possible to make small changes in your body, such as relaxing a painful muscle, to give you some type of benefit, such as minimizing the pain you receive. In short, people who learn how to use biofeedback are able to use their thoughts to control the body’s actions. This can be used both as a healing tool as well as a way to improve performance.

How Does Biofeedback Work for Muscle Pain?Types to Consider

There are various types of biofeedback. Your selection of which to use is ultimately determined by the underlying goal you hope to achieve. A few options include the following:

    • Brainwave treatment uses scalp sensors to monitor the way your brain waves work using an EEG.
    • Heart rate methods uses a finger or earlobe sensor with a device called a photophethysmograph. These are placed on the chest or lower torso and an ECG is used to measure your heart rate.
    • Muscle treatment uses sensors placed over the skeletal muscles of your body using an EMG to monitoring the electrical activity through that area when muscles contract.

How Does Biofeedback Work for Muscle Pain?There are various biofeedback devices available today. Some are FDA approved. Some are used in the home while others are used in specialist’s offices. Will this work for you? It really depends on who is performing the treatment, how well you learn the process, as well as the overall devices used. For some people it provides significant improvement in overall health and pain relief. To find out more about this treatment option and if it is right for you, schedule an appointment with the best pain doctor in New York today.

Why See a Specialist for Pain?

Why See a Specialist for Pain?Many men and women suffer from pain. For most people, pain comes and goes, as an injury heals. For others, there is a constant and chronic level of pain present. There are multiple reasons for this. In some situations, it is a direct result of injuries or disease.

In others, it is due to a neurological condition. In all situations, chronic pain is hard to simply live with, but most people don’t have to do so. With the help of a pain specialist, it is possible to get some help in dealing with the pain you feel.

What Can You Expect

There are about 50 million Americans in the United States living with chronic pain. This may make quality of life a concern. The thought of being able to do the things you love can make it difficult for you to see the long term in a good light. With the help of a pain specialist in New York, it may be possible to get those levels under control and find a way to improve not only quality of life but also your mobility.

Why See a Specialist for Pain?A pain specialist can help in multiple ways. Generally, visiting this type of specialist means having a full physical and medical history. It is then necessary to learn what the underlying cause is and create a customized treatment plan that works for you. When you visit a specialist, you’ll be given the ability to learn about multiple pain treatment options.

Not all options work for everyone. In nearly all cases, the goal will be to understand the cause, treat the cause, and reduce the pain, but long term pain management may be necessary.

Most doctors do not see pain medications as a solution. When you work with your pain care specialist, you’ll learn of all of the options available to you for treating the condition and improving your pain levels. It’s important to know that a pain specialist focuses on the whole person, not just the one area of pain. That’s often one of the best ways to understand the underlying cause and treatment options that can provide you with the best level of care.

Why See a Specialist for Pain?For those suffering from chronic pain, seeing a pain specialist is nothing short of essential. With the help of a specialist for pain in New York City, it is possible to gain more control over your own quality of life.

Contact our New York pain doctor today at 646-862-5555 to discuss your needs and to find out what treatment options may be exactly what you need.