Integrative Health: Acupuncture

Posted on March 27, 2026 by Patrick Hercules

Integrative health combines modern and holistic medicines that can help prevent the onset of disease, address existing chronic conditions, and promote healing in patients.

This approach places the patient at the center of a treatment plan, considering the physical, emotional, and social needs of that individual.

Treatment plans may also include the use of conventional medicine, such as prescriptions, to manage chronic health conditions, as well as therapies and practices, such as acupuncture.

Acupuncture is a technique in which practitioners insert fine needles into the skin to treat health problems. The needles can be manually manipulated or stimulated with small electrical currents, which is called electroacupuncture.

Originating from traditional Chinese medicine, acupuncture has been in use in some form for at least 2,500 years, gaining worldwide popularity since the 1970s.

According to the World Health Organization (WHO), acupuncture is used as a therapeutic technique in 103 out of 129 countries that reported data.

Data from the National Health Interview Survey showed that the use of acupuncture by adults in the U.S. more than doubled between 2002 and 2022. In 2002, 1% of adults in the U.S. used acupuncture. In 2022, that percentage rose to 2.2%.

National survey data suggest that acupuncture is most used for back, joint, and neck pain in the U.S.

It isn’t fully understood how acupuncture works. However, there is evidence that shows that acupuncture may have effects on the central nervous system, effects on other body tissues, and placebo effects.

Studies done in animals and humans, including studies using imaging procedures to see what is happening in the brain, have shown that acupuncture may affect nervous system function.

Acupuncture may have direct effects on the tissues where the needles have been inserted, which has been seen in connective tissue.

Research has shown that acupuncture may be beneficial for several pain conditions, including knee pain resulting from osteoarthritis and postoperative pain. Acupuncture may also help relieve joint pain associated with the use of aromatase inhibitors, which are drugs used in people diagnosed with breast cancer.

An analysis of data from 20 studies (6,376 participants) of people with painful conditions (back pain, osteoarthritis, neck pain, or headaches) showed that the beneficial effects of acupuncture continued for a year after the end of treatment for all conditions except neck pain.

Acupuncture doesn’t only treat painful conditions. It has also been studied for at least 50 other health problems. There is evidence that indicates acupuncture may help relieve seasonal allergy symptoms, stress incontinence in women, and nausea and vomiting associated with cancer treatment, and may also help relieve symptoms and improve the quality of life in people with asthma, but it has not been shown to improve lung function.

Auricular acupuncture is a type of acupuncture that involves stimulating specific areas of the ear. Research on auricular acupuncture for chronic back pain and cancer pain has had promising results.

Relatively few complications from using acupuncture have been reported. However, complications have resulted from the use of nonsterile needles and improper delivery of treatments. When not delivered properly, acupuncture can cause serious adverse effects, including infections, punctured organs, and injury to the central nervous system.

The U.S. Food and Drug Administration (FDA) regulates acupuncture needles as medical devices and requires that they be sterile and labeled for single use only.

If you are interested in learning more about any of our integrative health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Reactive Arthritis

Posted on March 4, 2026 by Patrick Hercules

Reactive arthritis is a condition that occurs when the immune system reacts to an infection somewhere in the body and causes joint pain and inflammation. This infection usually starts in the digestive system, genitals, or urinary tract. Reactive arthritis usually affects the knees, ankles, and feet, but it can also cause inflammation in the eyes, skin, and urethra. Reactive arthritis is considered a form of a group of inflammatory diseases that mainly affect the spine, joints, and places where tendons and ligaments attach to bones called spondyloarthritis (SpA).

Although reactive arthritis isn’t contagious, the bacteria that cause it can spread through sex or food. Several types of bacteria can trigger reactive arthritis, including:

Chlamydia trachomatis

Clostridium difficile (C. Difficile)

Escherichia coli (E. Coli)

Campylobacter

Salmonella

Shigella

Yersinia

While only a small number of people who are exposed to these bacteria develop reactive arthritis, certain factors increase the risk of developing the condition, including:

Infection

Sex assigned at birth

Genetics

The symptoms of reactive arthritis usually start one to four weeks after a triggering infection. Common symptoms include:

Pain and stiffness

Urinary issues

Swollen toes or fingers

Eye inflammation

Inflammation of tendons and ligaments where they attach to bone

Skin issues

Lower back pain

Reactive arthritis isn’t common and usually happens for a short period of time. For most people who experience this condition, symptoms can come and go, usually disappearing within a year.

A healthcare provider can diagnose reactive arthritis with a physical exam, as they check the eyes and joints for inflammation, warmth, and tenderness, as well as the skin for rashes. They may also order blood tests, joint fluid tests, and imaging tests to help diagnose the condition.

The main goals of treatment for reactive arthritis are to relieve symptoms and treat any infection that may still be present. Since reactive arthritis can affect different parts of the body, there may need to be multiple doctors or healthcare providers involved in treating this condition. Treatments for reactive arthritis can include:

Medicines such as nonsteroidal anti-inflammatory drugs (NSAIDs), steroids, and rheumatoid arthritis medicines

Physical therapy exercises that strengthen the muscles around the affected joints, improve flexibility, and prevent stiffness

Although genetics is a risk factor for developing reactive arthritis, that risk can be lowered by reducing exposure to bacteria that cause infections by:

Practicing food safety

Preventing sexually transmitted infections

If you are experiencing any symptoms of reactive arthritis, you can schedule an appointment with a rheumatologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

Lupus Awareness Month

Posted on May 21, 2025 by Patrick Hercules

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus.

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs.

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include:

Cutaneous lupus erythematosus is lupus that only affects your skin
Drug-induced lupus occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it
Neonatal lupus occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk

No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time.

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include:

Fatigue
Fever
Joint pain, stiffness, and swelling
A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body
Skin lesions that appear or worsen with sun exposure
Fingers and toes that turn white or blue when exposed to cold or during stressful periods
Shortness of breath
Chest pain
Dry eyes
Headaches, confusion, and memory loss

Lupus likely results from a combination of genetics and environment.

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include:

Sunlight
Infections

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders.

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include:

A complete blood count
Erythrocyte sedimentation rate
Kidney and liver assessment
Urinalysis
Antinuclear antibody (ANA) test

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include:

A chest X-ray
An echocardiogram

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin.

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during one. Medications you might need include:

Nonsteroidal anti-inflammatory drugs (NSAIDs)
Corticosteroids
Antimalarial drugs
Immunosuppressants
Biologics

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including:

Seeing your doctor regularly
Being sun smart
Getting regular exercise
Quitting smoking
Eating a healthy diet
Asking your healthcare provider if you need vitamin D and calcium supplements

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888 or the Lupus Hotline at 1-877-33-LUPUS.

Arthritis Awareness Month

Posted on May 7, 2025 by Patrick Hercules

May is Arthritis Awareness Month. The observance serves as an opportunity to educate the public about the complex family of debilitating diseases.

An estimated 58.5 million adults in the U.S. are affected by some form of arthritis, which is equal to about 23.7% of the population. As the number of older Americans continues to grow, and the rate of obesity and overweight increases, the number of people with arthritis-attributable activity limitations will only increase.

Osteoarthritis (OA) is the most common type of arthritis, especially amongst older people. OA mostly affects cartilage by breaking down its surface. As cartilage wears away, it allows bones to rub together, causing pain, swelling, and loss of motion. Over time, these changes can affect the bones, tendons, and other joint tissues.

Unfortunately, there is no cure for arthritis. However, joint pain and other OA symptoms can be managed through treatment, lifestyle changes, and education.

In 1972, at the urging of the Arthritis Foundation, Congress and President Richard M. Nixon designated May as National Arthritis Month, a special time to emphasize research, service, and education about arthritis and raise funds to support the cause. Every May since then, National Arthritis Month has been marked by efforts to elevate the public’s awareness of arthritis.

During this Arthritis Awareness Month, get involved by helping raise awareness for this public health priority.

Podiatry: What Your Feet Can Tell You about Your Health

Posted on February 5, 2025 by Patrick Hercules

Our bodies present many signs and symptoms to show us that we are sick, such as a runny nose, fever, and body aches. However, your feet can tell us a lot about our health, including:

Dry, flaking, itchy, or peeling skin may be signs of a thyroid condition or a fungal infection.
Foot numbness may be a sign of circulation problems such as peripheral artery disease (PAD), peripheral neuropathy associated with type 2 diabetes, other neurological problems, arthritis, or long-standing alcoholism.
A foot sore that won’t heal may be a sign of diabetes or peripheral vascular disease. In addition to causing nerve damage, high blood sugar might also damage the blood vessels that supply nerves, causing circulation problems that prevent healing.
Swollen ankles and feet may be signs of heart failure, kidney disease, liver disease, or a blood clot. Painless swelling in the feet is gravity in action. If your heart, liver, or kidneys aren’t working properly, you will have excess fluid in the body that leaks into your tissues and drains down to the feet.
A suddenly, intensely painful, and swollen big toe may be a sign of gout, inflammation caused by a buildup of uric acid that forms crystals in the joints.
Pain in the foot when walking or exercising that goes away when resting may be a sign of a stress fracture or osteoporosis.
Sore toe joints in both feet may be a sign of rheumatoid arthritis.
Frequent foot cramping may be a sign of dehydration and nutritional deficiencies.
Heel pain may be a sign of plantar fasciitis, the strain of the ligament that supports the arch in your foot.
Yellow toenails may be a sign of a fungal infection, such as athlete’s foot.
Balding or hairless feet and toes may be a sign of circulation problems, such as peripheral artery disease.
Foot or heel pain upon standing or rising in the morning may be a sign of arthritis or plantar fasciitis.
Frequently cold feet may be a sign of hypothyroidism, peripheral artery disease, or Raynaud’s disease, a condition where blood vessels spasm and constrict when experiencing cold temperatures.

Some ways you can care for your feet include:

Wash and examine your feet daily
Keep the skin on your feet moisturized
Treat any callouses and corns
Trim toenails weekly or as needed
Wear protective clothing on your feet
Maintain blood flow to the feet

If you are experiencing any of these foot ailments, contact Jamaica Hospital Medical Center’s Queens Podiatry Center at (718) 206-6713-6712 to make an appointment.

Arthritis Awareness Month

Posted on May 1, 2024 by Jacob Lobosco

Arthritis is a chronic disease that typically causes pain, inflammation, and stiffness in your joints. It affects one in every seven people and, which it most often affect older adults, it can occur at any age. Arthritis can develop gradually or quickly depending on a variety of factors, but once it starts, it usually lasts your entire life.

There are many different types of arthritis, but two of the most common types are osteoarthritis and rheumatoid arthritis. Osteoarthritis usually affects weight-bearing joints such as the hips, knees, and back, but it can affect almost any joint. It causes pain and stiffness due to degeneration of the bone and cartilage. Men and women are usually affected at the same rate. Rheumatoid arthritis is caused by the body’s own immune system; it affects the lining of your joints first, then spreads to cartilage and bone. It affects women more often than men.

If arthritis symptoms last for 10 days or longer, you should discuss them with your doctor. These symptoms may be constant or intermittent; they may also occur during physical activity or at rest. When diagnosing arthritis, your doctor will perform a physical exam and take your complete medical history into account. Other diagnostic tests may include:

Blood testing
Urine analysis
Joint fluid specimen
X-ray testing

There are many ways that arthritis symptoms can be reduced so that people who have it can remain active. Several medications that reduce pain and swelling are available over-the-counter or may be prescribed by your doctor. Additionally, many people experience improvements in symptoms and increased joint mobility from exercise programs and physical therapy. Applying ice or heat to affected joints can also help.

If you are experience arthritis symptoms, you can schedule an appointment with a specialist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

What Treatments Are Available For Rheumatoid Arthritis?

Posted on August 30, 2023 by Jacob Lobosco

Rheumatoid arthritis (RA) can cause a variety of debilitating symptoms, such as joint pain, stiffness, and fatigue, that can significantly interfere in your daily life. It can also cause lasting damage to multiple parts of your body, such as your nerves, skin, and heart. However, several approaches to treatment can help relieve your symptoms and reduce the severity of these long-term effects.

Medication is a common element of treatment for people who are diagnosed with rheumatoid arthritis, though which ones are prescribed by your doctor will depend on the nature and severity of your symptoms.

Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation
Disease-modifying antirheumatic drugs (DMARDs) are typically among the first medications prescribed to slow the progression of rheumatoid arthritis
Biologics are used to reduce inflammation by targeting certain parts of the immune system that contribute to it
Janus kinase (JAK) inhibitors block enzymes that signal inflammatory and immune responses in cells
Analgesics reduce pain in people who cannot take NSAIDs, but do not reduce inflammation
Corticosteroids are strong anti-inflammatory drugs that may be given while slow-acting medications begin to take effect

Exercise is also often beneficial for people living with rheumatoid arthritis. Many people diagnosed with this condition work with a physical therapist, who can create an effective exercise program that improves your strength and mobility. A physical therapist can also teach you techniques for relieving pain, ways of moving that prevent further physical damage, and exercises that you can perform on your own outside of scheduled sessions.

If other treatments are not providing adequate relief or offering significant improvement, your doctor may recommend joint replacement surgery. This most often involves hip and knee replacements, which can be effective for people with rheumatoid arthritis, but other affected joints may also be replaced for improved mobility and pain relief. Joint replacement surgery may also be followed up by physical therapy, which can help you learn how to stay mobile without causing damage to your joint replacements or surrounding parts of your body.

You can receive treatment for rheumatoid arthritis at Jamaica Hospital Medical Center’s Division of Rheumatology. To schedule an appointment, please call (718) 206-6742.

Osteoarthritis

Posted on December 21, 2021 by Chanpreet Singh MD

Osteoarthritis (OA) is a very common disease that affects our joints. It is a leading cause of disability in America.

In OA, cartilage between our joints becomes damaged and over time thins out significantly. When this happens the bones in the joint touch each other, causing pain and inflammation.

Some people are more likely to develop osteoarthritis than others. Those at risk include individuals who:

Have previous trauma to a joint
Have a family history of OA
Are female
Overuse joints
Are advancing in age
Are obese

OA can affect any joint in the body; however, it mostly affects the knee and hands. Pain associated with OA is slow in onset and gets worse with time. The pain is often described as a deep ache that worsens with moving and improves with rest. Individuals may also experience swelling and/or stiffness of the joints.

Damage to the joints is irreversible. Therefore, the goal of treating OA is to control the pain, keep the disease from getting worse and preserving function. Your doctor may suggest the following treatments:

Pain control with acetaminophen or ibuprofen
RICE therapy which stands for (rest, ice, compression, and elevation). Resting has shown to help improve pain. Especially if the osteoarthritis is from overuse from a job or recreational activity.
Maintaining function through targeted exercises
Maintaining a healthy weight which will help lessen stress on the joints and improve pain and function
Physical therapy
Acupuncture
Supplements such as glucosamine and chondroitin
Patient education (The goal is to empower patients to self-manage this condition)

When the disease progresses and becomes severe, steroid injections in the affected joint can help with inflammation. Surgical options are also available to patients in very severe cases.

If you are experiencing symptoms of OA, please speak with your doctor so that he or she can come up with a plan to help you better manage this condition.

To speak with a Family Medicine doctor at Jamaica Hospital Medical Center, please call 718-657-7093.

Chanpreet Singh, M.D.

What is Arthritis?

Posted on October 21, 2020 by Michael Hinck

Arthritis is a chronic disease that most often affects areas of the body that are in or around joints. A joint is the area where bones meet: an example of this would be the knee. Bones are covered at their ends by a substance known as cartilage, and it is this cartilage that keeps the bones from rubbing directly against one another. The entire joint is enclosed by the synovium, a tissue that produces the synovial fluid that keeps the joint lubricated. Muscles and tendons act to support the joint and also to make it move. When a part of the joint is not working correctly it can cause the joint to change shape or alignment, which can be very painful.

Arthritis is a disease that affects one in every seven people and can occur at any age. . It is a disease that can severely limit the ability to move. It can have a slow onset, or come on quickly. Once it starts, it usually lasts your entire life. There are many ways that its symptoms can be reduced so that people who have it can remain active.

Arthritis is often characterized by pain, stiffness, swelling, and problems with movement in one or more joints. Any of these symptoms that persist for 10 days or more should be discussed with your doctor. It is important to remember that symptoms may be constant or they may come and go. Symptoms can occur during physical activity or they can occur while at rest.

Because there are so many different types of arthritis, it is important for your doctor to perform a complete history and physical in order to make a correct diagnosis. Often the exam will include a blood test, a urine analysis, a joint fluid specimen, and an x-ray of the involved joints. To help your doctor, you should be able to tell him or her when you first noticed the pain, how long you have had it, when it hurts, where the pain is located, whether you have noticed any swelling, if you had any trauma to the area, and whether there is a family history of this type of problem.

The two main types of arthritis are osteoarthritis and rheumatoid arthritis

Osteoarthritis This is the most common form of arthritis. It is also called degenerative arthritis. It usually affects weight-bearing joints such as the hips, knees, and back, but it can affect almost any joint. It causes pain and stiffness and is due to degeneration of the bone and cartilage. Men and women are usually affected at the same rate of occurrence.

Rheumatoid Arthritis This is an inflammatory form of arthritis that is caused by the body’s own immune system acting on the joints. The joint lining is affected first and then spreads to the cartilage and bone. It occurs in women more often than in men, and it affects the same joints on both sides of the body.

Depending on the type of arthritis and its severity, treatment plans will vary and must be customized to the individual’s specific needs. Medications that act on the pain and the swelling include those sold over the counter as well as prescriptions. Exercise programs and physical therapy have helped many people relieve symptoms and increase joint mobility. The use of ice or heat over the joint may help as well. Excess weight can also cause a person’s arthritis to worsen. In all instances it is important to discuss symptoms and all treatment plans with your doctor.

Gout

Posted on October 23, 2018 by Xavia Malcolm

Gout is a common form of arthritis that is characterized by attacks of pain, swelling, stiffness, redness or tenderness in the joints. These attacks or flares typically affect one joint at a time. They can occur suddenly and return over time.

Gout is caused by an accumulation of urate crystals in the joint. Urate crystals form when there are high levels of uric acid in your blood. Uric acid is produced when your body breaks down purines; substances that are found naturally in our bodies and in foods such as steak, seafood and organ meats. Alcoholic beverages and drinks sweetened with fructose (fruit sugar) are known to promote higher levels of uric acid in the body.

Some people are more likely to develop gout than others. Factors that increase your risk include:

Being obese; If you are overweight your body produces more uric acid and your kidneys may not be able to properly eliminate excessive amounts
Having a diet that is rich in purines, this includes seafood, red meat, organ meat, or beverages sweetened with fructose
Consuming excessive amounts of alcohol
Having certain health conditions such as hypertension, diabetes, heart and kidney disease
Using certain medications such as diuretics or low-dose aspirin

Men are more at risk of developing gout than women; this is because women tend to produce lower levels of uric acid. Men are also more likely to develop gout at an earlier age than women. In men, symptoms may occur as early as the age of 30, and in women after menopause.

There are a few things you can do to reduce your risk for gout or prevent future attacks, they include:

Drinking plenty of water
Limiting your intake of seafood and meat
Limiting or avoiding alcohol
Maintaining a healthy weight

If you are experiencing symptoms of gout, or believe that you may be at risk, make an appointment to see a physician. Your doctor may order a series of test or assess your current state of health to receive a diagnosis or to determine if you are at risk.