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: Spinal cord stimulator doctor nyc

Spinal Cord Stimulator

Those who experience regular pain may wish they could simply “turn off” the nerve causing the pain. Through the use of a spinal cord stimulator, something along these lines can be done. Although it is not as simple as flipping a switch, a spinal cord stimulator can relieve pain and increase function in one’s daily routine.

How a Spinal Cord Stimulator Works

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A spinal cord stimulator provides electrical stimulation to the spinal cord. This electrical stimulation is that a precise frequency and in a precise location so as to interrupt the transmission of pain signals. While interrupting these pain signals, the spinal cord stimulator effectively shuts off the connection between the source of pain, in this case the spine, and the pain reception site in the brain. However, it must be noted that a spinal cord stimulator does not eliminate the source of pain. Instead, it serves as an inhibitor, limiting the amount of pain that is understood by the brain. It should also be noted that a spinal cord stimulator does not reduce 100% of the pain. On average, a spinal cord stimulator can be expected to relieve somewhere between half and three-quarters of the pain experienced. This is an excellent Improvement for many. These pain signals cannot simply be interrupted, but must be replaced with alternate signals. Some spinal cord stimulator devices replace this pain signal with a signal that the brain interprets as a tingling sensation. Some people do not feel that a spinal cord stimulator Works effectively enough to be used in a long-term basis. Therefore, it is typically recommended that a trial period of spinal cord stimulation is utilized first to establish whether or not it is an effective treatment for you.

Who Should Consider a Spinal Cord Stimulator?

spinal-cord-stimulator-back-pain-nyc-specialist-03Spinal cord stimulation should not be simply viewed as a one-size-fits-all treatment for any minor back pain. Instead, spinal cord stimulation can serve a necessary function in long-term pain relief for those who experience chronic pain that cannot be treated otherwise. Less invasive treatments such as exercise, therapy, massage, stretching, mild medications, and injections should be looked to first. If these treatments fail, the doctor must then look to see if the pain can be treated at the source and the problem can be solved. Additionally, some minor surgeries may provide longer-lasting outcomes. Spinal cord stimulators require electricity and are therefore run off of batteries. These batteries will regularly need replaced and can be an expensive solution. Therefore, spinal cord stimulation should be weighed heavily against alternative treatments. All of that being said, spinal cord stimulation can provide lasting relief, and that is priceless.

How a Spinal Cord Stimulator is Implanted

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Spinal cord stimulator will be implanted once a test run has demonstrated that it is an effective option for pain relief. Your doctor will provide specific recommendations before this trial is completed. Typically, this will include going over blood test results, x-rays, electrocardiogram, medical history including allergies, reactions to anesthetics, current prescriptions and medications, and family history. Once all of these boxes have been checked, the surgery can be undergone. During the surgery, you will be lightly sedated. Anesthetics will be provided at the incision locations, as leads are placed into the back. These leads are carefully located around the side of pain to provide stimulation of specific nerves while not overflowing to other areas. Once in place, the leads are then tested and a generator will then be implanted. Typically, this generator is placed around the hip below the waist. Once all wires and pieces of equipment are properly in place, the incisions are sewn shut and the patient will wake up. The surgery is typically an outpatient operation, so you will be discharged the same day. It is important to note that whenever anesthetics or sedatives are used, one should not operate heavy machinery such as driving.

Do you think a spinal cord stimulator would help with long-term pain relief for you? Talk to Dr. Grimm today about your pain relief.

Implantable Spinal Cord Stimulator Doctor NYC

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Spinal cord stimulator implantation NYC for Chronic Pain.

Spinal cord stimulation is a safe and effective method of blocking chronic spinal pain that uses low voltage electrical currents to stimulate the spinal nerves. It helps patients to better manage their pain and decrease the use of pain medication. It is an option for patients who have chronic leg or arm pain, failed back surgery syndrome, complex regional pain syndrome, and other severe nerve-related pain or numbness.

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How Spinal Cord Stimulation Works

A small battery-powered spinal cord stimulator is implanted in the body to transmit an electrical current to the spinal cord. A trial stimulator used percutaneously (through the skin) may be done to give the treatment a trial run. If patient response is successful, a ‘permanent’ stimulator may be implanted under the skin of the abdomen, with the small, coated wires (leads) inserted under the skin to the point where they are placed into the spinal canal.

After the procedure, the patient and the doctor determine the best pulse strength to be applied. The patient is instructed on how to use the stimulator at home, which usually consists of stimulation for 1 to 2 hours, 3 to 4 times a day. Spinal cord stimulation creates a tingling feeling, which blocks the pain signals to the brain. The goal of treatment is a 50-70% reduction in pain. Patients benefit even with incomplete removal of pain, which allow them to resume normal activities and undergo rehabilitation or physical therapy while healing takes place.

General Procedure – Spinal Cord Stimulator Implant Procedure

Implantation of a spinal cord stimulator is an outpatient procedure performed by a qualified Chronic Pain Specialist who is an expert with the treatment. The patient is initially briefed about the procedure and prepared beforehand so that he is relaxed. He may be lightly sedated or placed under general anesthesia during the procedure.

The patient is placed lying on his side or on his stomach on the operative table. The areas of your back and abdomen where the leads and the generator are to be placed are shaved and sterilized. Local anesthetic is injected where incisions are to be made to numb the area.

The placement of surgical leads is performed with x-ray guidance (fluoroscopy). A small skin incision is made in the middle of the back and the leads are inserted in the epidural space above the spinal cord using a small needle or through a small incision. The generator is usually implanted in the abdomen.Spinal cord stimulator doctor nyc 03

The patient is monitored in the recovery area after the procedure. Most patients are discharged on the same day, but some physicians request an overnight stay in the hospital. The pulse generator will be programmed before the patient leaves. He will receive instructions on how to care for the incision area and how to program and regulate the device.

Contact Us to schedule a consultation for a spinal cord stimulator  implant.

Spinal Cord Stimulation is a safe and effective means of treating chronic spinal pain that is unresponsive to other forms of treatment. If you want more information about treating chronic spinal pain, contact our Pain Management Specialist who will examine you and conduct tests to determine the cause of your pain.  Make an appointment with the NYC’s top board-certified interventional pain management physician to know if Spinal Cord Stimulation is a treatment option for you.