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: Types Of Pain

The 4 Major Types of Pain

You may have different types of pain due to various reasons. It is somewhat important for us, an experience that acts as a defense mechanism. It becomes a problem when it starts to persist and last.

While everyone experiences some sort of physical pain or discomfort, most people do not bother getting to the cause of that pain. In most cases, it tends to diminish with time, but other times, it can develop into great severity and ruin your quality of life. Understanding the specific type of pain is crucial when it comes to treating it.

Major Types of Pain

Once you understand the difference between the different types of pain, you can better identify them, which will ultimately make the job of your physician easier. The practical and consequential causes of pain can be multiple. However, physiologically, there are four major types of pain.

4 Major Types of Pain

The four major types of pain are nociceptive Pain, inflammatory pain, neuropathic pain, and dysfunctional pain. Each of these pains has different physiological tendencies and, because of that, their diagnosis, treatment, and experiences differ from each other.

Nociceptive Pain

You may begin to wonder how we feel a certain pain, such as a joint or knee injury from a sporting activity. Special nerve endings in our body are responsible for the pain to initiate. Another name for these nerve endings is Nociceptors.

These nerve endings indicate pain in response to an injury or external physical damage. Thus, the throbbing, aching, and sharp pain that you feel after collision or damage is the Nociceptive pain. Anytime a person experiences a physical injury, the Nociceptors in the body stimulate and send pain signals to the brain.

This type of pain is indicative of an injury, and you can feel it exactly in the region of damage. To activate these nerve cell endings, you have to break the threshold of activation of these nerve cells. In other words, when slight discomfort turns into severe pain, that is when the activation of the Nociceptors is most evident.

Like all the other nerves in your body, they also generate electrical signals, or “action potential,” which relays into the spine and eventually travels to the brain. However, it is not important that you feel pain after an electrical signal travels.

Instead, the upcoming signal needs to be important enough for your brain to recognize it. This type of pain, or Nociceptive pain, is vital for the human body. It warns us of a potential threat to our physiological being. Hence, it is crucial for survival.

Neuropathic Pain

Neuropathic pain occurs when there is damage to your nervous system. It may seem similar to Nociceptive pain, where certain nerves stimulate the occurrence of an injury and send signals to the brain, which interprets those signals as pain.

However, there is a difference. In Nociceptive pain, the pain occurs from external stimuli, such as an injury or damage. This is completely unlike the nature of Neuropathic pain.

In this type of pain, the receptors do not respond to external stress; instead, the pain occurs because they develop problems within themselves. It is a result of the irritable and dysfunctional behavior of nerve endings.

One of the most common Neuropathic conditions is Sciatica. In this condition, the nerves in the spine experience compression, usually by a disc. This leads them to become internally faulty and causes you to experience pain. Neuropathic pain may even be distinctive to the condition that is causing it. It has unpredictable behavior.

Inflammatory Pain

Inflammation is a chemical reaction in which our body releases certain inflammatory mediators in response to an unwanted injury or bacterial invasion. These mediators can cause two outcomes; they will result in making our blood vessels enlarge, more commonly known as “swelling.”

Secondly, the same inflammatory mediators can cause the stimulation of the Nociceptors in the injury site. This means that you will experience the same discomfort and pain that you experience in an injury. However, this type of inflammation is not long-lasting and may diminish in three to four days.

Best Doctor for Major Types of Pain NYC

Dysfunctional Pain

Dysfunctional pain occurs when a person’s pain processing system acts abnormally. This pain can occur even when there is no diagnosis of an injury or fault in a person physically. Due to the faulty pain processing centers, a person may experience a higher or lower intensity of pain.

This change in the typical nature of pain is what you can refer to as Dysfunctional pain. For example, a sports injury hurts initially; however, it can diminish over time. If that pain persists and refuses to lower in intensity, then that pain is dysfunctional.

The 4 Major Types of Pain: Conclusion

Suffering from pain is the worst thing that can happen to you regardless of its type. If you or anyone you know suffers from the excruciating pain that they want to treat, then book an appointment with Dr. Mathew Grimm, one of the best pain specialists in New York. Call now at 646-862-5555 or visit our website for more information.

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


An Overview of the Different Types of Pain

There are many different types of pain that a person can experience. Pain can vary greatly in severity, as well as how it is experienced by people. The more you know about pain, the easier it will be to describe what you are feeling to a doctor.

The following is a list that describes each type of pain in detail. You will find that each type of pain has its own defining characteristics and qualities.

Chronic Pain

Chronic pain is experienced over a long period of time, whether it is a matter of weeks or years. This type of pain typically lasts three months or more. There are a number of conditions that can cause chronic pain to occur, but for most people, it all begins with some sort of injury or physical trauma.

Nerve Pain

painNerve pain, also known as neuropathic pain, usually presents as a stabbing or burning sensation. Sometimes it goes away without any real treatment, but it can also be chronic. This is one of the worst types of pain a person can experience, and it often occurs as a direct result of damage to the nerves.

Psychogenic Pain

Psychogenic pain is pain that has some sort of psychological component to it. Many people who experience this type of pain say that the physical sensations they are experiencing don’t fit with their symptoms. Some of the more common ways that psychogenic pain can present include back pain, muscle aches, stomach pain, and migraines. A person can only be diagnosed with psychogenic pain once all other explanations have been excluded.

Musculoskeletal Pain

painMusculoskeletal pain is often caused by regular wear and tear of the muscle tissue over a long period of time. This type of pain is felt in tendons, muscles, ligaments, and bones in the body. Some of the common causes of musculoskeletal pain include car accidents, slip-and-fall accidents, and dislocations. Someone with this kind of pain might complain that everything in their body aches.

Joint Pain

painJoint pain affects the joints in the body, which are the areas between the bones. There are a lot of conditions that can cause joint pain to occur, including rheumatoid arthritis, gout, and sprains. This type of pain can be very mild to severe, depending on the cause.

If you are experiencing any type of pain at all, we highly encourage you to call us today at 646-862-5555 to schedule an appointment with the best pain doctor in all of New York City.