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: Thoracic Epidural Steroid Injections

Pain Management: Thoracic Epidural

A thoracic epidural is an injection that helps curb excessive pain in the thoracic region. It refers to the upper to middle areas of the back. This area is prone to excessive pain due to old age or a major fracture. The injection goes through the epidural space, which is the area surrounding your spinal cord. If you feel like you or someone around you is suffering from this pain, and you want to learn more about the thoracic epidural, you have come to the right place. Spare a few minutes and continue to read further.

Thoracic Epidural

What is Thoracic Epidural

As mentioned earlier, thoracic Epidural is an injection that helps relieve pain in your thoracic region. The doctor inserts the injection into the area around your spinal cord. Not to mention, the spinal cord is one of the most sensitive parts of the body and includes a bundle of nerves running from your brain to the lower back. The epidural space acts as a barrier around your spinal cord.

When the nerves in your spinal cord get irritated or inflamed, that’s when you feel uncomfortable and go through severe back pain. This could be due to any back injury as the interverbal disc may press into the spaces of the spinal cord, which in turn causes you unbearable back pain.

Thoracic Epidural Procedure

The thoracic epidural injection involves a simple procedure that your doctor will brief you about before you go for it. When you go in for the injection, the first thing you will have to do is lie on the side or your stomach on an x-ray table. The nurse or doctor may give you medicine to help you feel relaxed or sleepy during the procedure if needed.

Next, the doctor will numb the targeted spot or injection site and position the needle properly. Your health care provider will finally inject the required medicine into the injection and insert it into the epidural space. The injection is quite painful, and you may feel a bit uncomfortable, but you should let your doctor know if the pain is unbearable.

Pain Management: Thoracic Epidural

Post Thoracic Epidural

After you receive the thoracic epidural injection, you will have to wait for at least an hour before you can go home. Your doctor or healthcare workers will monitor you during this time and check if your body has acted or reacted to the injection.

After the procedure, your pain management doctor will ask you to rest for the whole day at home and avoid all activities like cooking, going out, driving, etc. Many people feel relaxed after the injection as the pain goes away. However, some people may still feel pain or even more than the usual pain. The injection may last for a few days or months, but you can take them monthly.

Once you get home, you will feel a lot of body numbness, which is very common, as well as redness in the injection area. In case of any severe side effects, you must consult your doctor immediately. The doctor might ask you to come for a follow-up and might have to run a few blood tests to see any improvements or if any other issues you might be facing post-procedure.

Risks Associated with Thoracic Epidural Injection

The thoracic epidural injection is quite safe; however, there are a few risks involved in it. Your healthcare professional will discuss the associated risks with you before giving you the injection. The risks involved differ from person to person. Some people might not experience any side-effects, while some might feel more pain. Here are a few of the common risks:

  • Headaches
  • A slight increase in pain
  • Infection
  • Nerve Stiffness
  • Minor bleeding
  • Allergic reaction due to rash

How to Prepare Yourself for a Thoracic Epidural Injection

You need to take care of a few things before getting your shot. First, you must consult your doctor and let them know if you have any allergies, especially with any medicines. You must provide your healthcare worker with all the necessary CT scans or test results you have undergone before for diagnosis and treatment of your pain.

If you have any symptoms of flu or fever for a week, you must inform your doctor before getting the injection. Additionally, you may have to fast for a few hours before the procedure and also not take any medication. Your doctor will discuss all the required details with you.

Consult Dr. Matthew Grimm, Top NYC Pain Doctor

If you feel like you may require a Thoracic Epidural injection or have been struggling with excessive back pain, you must visit the best pain management doctor in New York. Get in touch with Dr. Matthew Grimm, MD, as he has the experience to treat all types of pain and perform different procedures.

Visit our website or call us at 646-862-5555 to book your in person or telemedicine appointment with our pain management doctor.

Thoracic Epidural Steroid Injections Doctor NYC

Thoracic Epidural Steroid Injections

nyc-top-doctor-for-thoracic-epidural-steroid-injections-01Roughly 20% of all people will experience acute thoracic pain in their life. Clearly, this is a common problem. Many treatments exist to relieve the pain associated with thoracic inflammation. These treatments include use of medications, exercise, massage, and surgery. These vary in degree of invasiveness and amount of potential risk involved. In order to provide the best treatment possible, the least invasive option should be attempted first. This includes thoracic epidural spinal injections. Thoracic epidural spinal injections are a minimally-invasive low-risk treatment that provide effective results.

How Thoracic Epidural Steroid Injections Work

lower-thoracic-epidural-steroid-injection-information-specialist-02Thoracic epidural steroid injections are provided by an approved physician on an outpatient basis. This means that the treatment will be completed within the day and the patient will return home afterwards. To begin, localized anesthetic is provided around the injection site so that the steroid injection itself will not cause any pain. Once the target area is numb, the doctor will use x-rays along with colored dye, as well as patient report to target the exact tissues in need of steroid treatment. The steroids act to reduce inflammation which causes swelling and pain. Once the correct area has been located, steroids will be injected and the needle will be removed. What’s the treatment is complete, the patient is free to go. It should be noted that whenever anesthetics or sedatives are used, driving should be limited until the effects have completely worn off.

What Causes Thoracic Pain?


The causes of thoracic pain are numerous and varied. Potential reasons include poor posture, injury, health issues, and more. Common sources for posture related thoracic pain include poor ergonomic and body mechanic technique implementation in the workplace and the car. One important and underrated risk of injury related to the thoracic spine is that involved in twisting. The anatomy of the spine allows for limited rotational movement, such as twisting. However, once this limit has been reached, further twisting or bending will cause injury. The body’s natural response to this injury will include inflammation, providing vital nutrients to the affected area. However, this inflammation also is commonly associated with swelling and pain. Therefore, movements of the entire body should be used as opposed to quick, jerking twisting motions.

Another common source of thoracic pain is associated with internal health problems. For example, developmental issues at any stage can create properly formed bones or tissues in the spinal region. In addition, autoimmune disorders can cause overactive inflammation in the spinal region which results in pain. For any of the above-mentioned concerns, thoracic spinal epidural injections are an excellent potential treatment

How to Maintain Thoracic Pain Relief

The solution to spinal pain concerns lies and the source of the problem. For those who have experienced thoracic pain in conjunction with injury or overuse, home and lifestyle modifications can be done so that further injuries do not occur. This may include something as simple as adjusting the seat in your car. When seated and driving, one should keep their feet around a 45° angle, their knees bent around a 45° angle, and their hips at a 90 degree angle with their back pointed straight. The positioning of the legs has a direct impact on the positioning and strain on the thoracic spine. In addition, massage and exercises can be provided to reduce inflammation and relieve pain.

Are you ready to end your thoracic spinal pain? Call Dr. Grimm to schedule an appointment to discuss thoracic epidural steroid injections to provide you with pain relief.