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: PRP Injection

PRP Injection for shoulder pain – Case Study

Today I would like to share with you a case study in which a series of three PRP injections helped one of my patients with shoulder pain. The pain was debilitating and prevented her from working (She works as a server in a restaurant and could not carry trays).

imageThis patient is a 41 year old female that came to my office with a chief complaint of right shoulder pain for 10 weeks. She states she was working out on a machine at the gym more than she usually does and woke up the next day with significant pain in her right shoulder. She is right dominant. She reported severe pain with any range of motion of her shoulder.

She had been taking prescription anti-inflammatories prescribed by her internist. She had been out of work, avoiding the gym and resting. She had applied ice as well. None of these relieved the pain and it was not getting better at all.

Physical examination revealed pain and stiffness with range of motion. There was weakness and guarding. There was localized swelling and imagetenderness to touch.

MRI of the right shoulder revealed bursitis and a tear of the rotator cuff.

A steroid injection into the right shoulder failed to relieve the symptoms. After the steroid injection I performed a series of 3 PRP injections into the shoulder joint.

She got progressively better after each PRP injection and after the third injection she reported that she was pain free and back to the gym and work.

Platelet Rich Plasma Injections (PRP Injection)

I would like to share some information on PRP injections:

Lately I have been having great success with PRP injections for chronic pain, acute pain and injuries. I have been using PRP injections for pain of:

  • Lower Extremity: Achilles Tendon, Plantar Fasciitis, Knee Pain, Patella Tendinitis (“Jumpers Knee”), Hip Pain, Trochanteric Bursitis, Hamstring Tendinitis, Quadriceps Tendinitis,
  • Upper Extremity: Arm Pain, Biceps Tendinitis, Elbow Tendinitis/Tendinosis (“Tennis Elbow”), Wrist Tendinitis, Shoulder Pain, Rotator Cuff Tendinosis/Tendonapathy, Triceps Tendinitis.

What is PRP injection? image

imagePRP injection involves drawing blood from the patient, separating the plasma from the blood cells, and re-injecting the plasma into the site of pain or injury.

When the body has an injury there is a serious event that leads to healing. This natural process of repairing the damaged tissues involves growth factors imagederived from platelets. Platelets are the first cells to migrate to the site of injury in order to cause clotting of any bleeding. In addition to the clotting, these platelets also release a variety of growth factors that promote healing.

With new advances in medicine, techniques have been developed to isolate and concentrate the platelets and the growth factors that they release. By taking these concentrated growth factors and injecting them into a site of pain or injury, we are able to enhance the body’s capability for healing and tissue repair. This leads to quicker to return to activity and decreased pain.

In my next post I will discuss further information on platelet rich plasma (PRP) injections, stay tuned!