Jonathan Aarons M.D.

Tired of Chronic Pain?

Author Archives: Jonathan Aarons MD

Do Epidural Steroid Injections Affect the Efficacy of m-RNA COVID-19 Vaccines

COVID-19 Vaccine and Epidural Ste Do Epidural Steroid Injections affect the efficacy of m-RNA COVID 19 Vaccines.  Click on the link to see the full article.  Epidural steroid injections should be administered no less than two weeks prior and not less than one week after the m-RNA COVID-19 vaccine.

Topical Pain Medications for the Treatment of Chronic Pain

The use of topical pain medications for the treatment of chronic pain is widely adopted due to the lack of systemic effects of many of these preparations.  Many painful conditions can be treated in this manner.  Topical formulations of non-steroidal anti-inflammatory medications (NSAIDS) are often used.  Voltaren gel and Pennsaid are a topical formulation of […]

When Do Epidural Steroids Work for Low Back Pain?

The question of when do epidural steroids work for low back pain is complicated.  Not all types of back pain are responsive to epidural steroids.  Back pain can be radicular, meaning that it is due to nerve root irritation from a bulging or herniated disc.  Back pain can also be axial, meaning that there is […]

Botulinum Toxin for Chronic Pain Management

  Most people are familiar with Botulinum Toxin, or BoTox, for cosmetic surgery but many are not aware of its application for the management of chronic pain.   It can be used for migraine as well as cervical dystonia among others.  We know that botulinum toxin prevents the release of acetylcholine from the presynaptic vesicles at […]

Spinal Cord Stimulation for Treatment of Chronic Pain

Spinal Cord stimulation for the treatment of chronic pain is useful for those patients who have failed conservative management. It involves the implantation of a stimulation catheter near the spine. Patients with neuropathic pain, or pain caused by damaged nerves, are the ideal candidates for this procedure. The mechanism by which spinal cord stimulation works […]