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

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.