Botox for Migraines

Chronic migraines are a severe, recurring type of headache that is often debilitating. Migraines have four phases, which are prodrome, aura, migraine headache, and postdrome. 

Although the exact cause of migraines is unknown, researchers believe genetics is a factor.  

There are a few conditions and lifestyle factors that can trigger a migraine, including: 

  • Anxiety 
  • Bipolar disorder 
  • Depression  
  • Epilepsy 
  • Sleep disorders 
  • Caffeine or withdrawal from caffeine 
  • Taking certain medications or taking them too often 

Migraines are more likely to occur in the morning, making it common to wake up with a migraine. Some people have a predictable pattern of migraines, such as just before a menstrual period. Other people may have trouble recognizing what triggers their migraines. 

There is no cure for migraines, but they can be managed and prevented with over-the-counter triptans and pain relievers. 

Another treatment that can be used for chronic migraines is Botox. Botox for migraines is a type of botulinum toxin that may prevent chronic migraines and is only recommended by a healthcare provider if a person has 15 or more headaches per month. 

Although Botox is mostly known for its cosmetic use, it has medical benefits, such as blocking pain signals before they reach the brain, as certain nerves are highly active during a migraine.  

To prevent this from happening, a healthcare provider injects Botox into specific muscles in the head, neck, and shoulders using a tiny needle. These areas connect to the nerves that send pain signals during a migraine. Botox travels along these connected nerves towards the brainstem and blocks the release of chemicals that trigger pain. This may reduce how often a person gets a migraine or make their symptoms less severe when they experience one.  

Before receiving Botox for migraine treatment, you will meet with your healthcare provider, who will explain the risks and benefits of it and make sure that it is a safe option for you. If you agree to move forward, you will sign a consent form. 

It is important to let your healthcare provider know about any medications and supplements that you are currently taking, as Botox may interact with different types, such as muscle relaxants.  

Botox has many side effects, including: 

  • Mild pain and bruising at the injection site 
  • Neck pain and stiffness  
  • Headache  
  • Flu-like symptoms 
  • Temporary changes in appearance 

These side effects are usually minimal and will clear up. Let your healthcare provider know if you are experiencing any severe pain or discomfort. 

The main benefits of Botox for migraines are that it reduces: 

  • The severity of migraines
  • The frequency of migraines
  • The duration of migraines 

Botox for migraines has other benefits, including: 

  • It’s effective with long-term use and has minimal complications 
  • It can be combined with other migraine medications 
  • The side effects may be better tolerated than other medications available 

Chronic migraines can be painful and debilitating, and trying to find the right treatment to provide relief can be difficult and frustrating. If you are suffering from chronic migraines and haven’t found the right treatment options to relieve your symptoms, discuss Botox treatment for migraines with your healthcare provider.  

If you are experiencing any symptoms of chronic migraines and are interested in Botox for migraines, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

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.

Biomarkers for Colorectal Cancer

Colorectal cancer is a cancer that starts in the colon or the rectum. It is the second most common type of cancer among men and women, and the second most common cause of cancer-related deaths. 

Colorectal cancer most commonly occurs in men and women 55-85 years of age, which is 80% of colorectal cancer cases. Common risk factors of the disease include: 

  • Obesity 
  • Having type 2 diabetes 
  • Family history 
  • Racial and ethnic background 
  • Diet 
  • Level of physical activity 
  • Long term tobacco smoking 
  • Moderate to heavy alcohol use 

If a person is suspected of having colorectal cancer or has already been diagnosed with it, they will be tested for colorectal cancer biomarkers. 

Biomarkers or biological biomarkers are traits that healthcare providers measure in a person’s blood, body fluids, and tissues. They can be signs of conditions, diseases, normal body functions, or when something goes wrong. Biomarkers can also be used by healthcare providers to see how well a person’s body reacts to treatments for the disease they have.  

Biomarkers for colorectal cancer are used for diagnosis, progression, prognosis, and treatment planning. Diagnostic biomarkers can detect the presence of diseases. Prognostic biomarkers are associated with a clinical outcome regardless of the treatment that has been received, and predictive biomarkers can predict the benefit or lack of benefit of a certain treatment.  

Colorectal cancer biomarker testing is done by taking a sample of a person’s tumor for a biopsy, or a sample of their blood and sending it to a pathology lab to determine if there are any abnormalities in the DNA, RNA, hormones, or proteins made by their cancer. Many tests are used in biomarker testing, including: 

  • DNA or RNA sequencing 
  • Next-generation sequencing 
  • Molecular testing 
  • CtDNA 
  • Immunohistochemistry 
  • FISH 

Biomarker testing can reveal very detailed information about a person’s tumor. A healthcare provider will review the test results to determine which of the specific biomarkers are present, and they may also see how much is present. The type of biomarker tests a person receives depends on what their healthcare provider determines is right for the type and stage of cancer they have.  

Biomarkers can also determine if the person’s colorectal cancer has a hereditary genetic mutation or an acquired one. Only 5% of colorectal cancer cases are caused by germline mutations, also known as hereditary mutations, which are genetic abnormalities that are passed down from parent to child. This means that 95% of colorectal cancers happen randomly due to changes in the body cells that weren’t inherited. 

Once colorectal cancer biomarker testing is complete, a healthcare provider will be able to create a personalized treatment plan based on the person’s unique biomarker traits. 

Biomarker testing is useful in both early and advanced colorectal cancer. For those with advanced cancer, biomarker testing is used to learn whether their cancer has any targetable characteristics. If it does, target therapy or immunotherapy may be treatment options as they target specific characteristics of a tumor.  

If you would like to learn more about colorectal cancer biomarker testing, or to learn more about our cancer care program, you can schedule an appointment with an oncologist at our MediSys Health Network Cancer Center by calling (718) 206-6742. 

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.

Muscle Spasms

Muscle spasms or muscle cramps are painful contractions and tightening of the muscles. Muscle spasms occur when the muscles involuntarily and forcibly contract and cannot relax.  

Muscle spasms are normal and very common, and can involve part of, or all of, a muscle or several muscles in a group. These spasms can occur anywhere in the body. The most common types of muscle spasms include: 

  • Back spasms 
  • Leg cramps and charley horses 
  • Neck spasms 
  • Arm spasms 
  • Abdomen spasms 
  • Ribcage spasms 
  • Chest spasms 

Muscle spasms can occur in anyone at any time, including while walking, sitting, exercising, or sleeping. Some individuals are more susceptible to muscle spasms than others and experience them regularly with any type of exertion. People most likely to get muscle spasms include: 

  • Athletes 
  • Pregnant women 
  • Infants 
  • People who are obese 
  • People over the age of 65 

Most of the time, muscle spasms aren’t something to worry about. However, muscle cramps can indicate an underlying neurological condition that affects the brain. Involuntary muscle movements resulting from a neurological condition are called dystonia.  

Muscle spasms range from mild to severe. Mild muscle spasms feel like the muscle is jumping around on its own and can be seen twitching. Severe muscle spasms feel like the entire muscle stiffens into a tight ball. If the cramping is painful, it may cause lingering discomfort in that area for a couple of days.  

If muscle spasms result from a neurological condition, they may cause symptoms such as: 

  • Paralysis 
  • Muscle pain 
  • Muscle weakness 
  • Coordination issues 
  • Numbness 
  • Difficulty sleeping 
  • Vision issues  

Experts aren’t sure why some people get muscle spasms more than others. However, possible causes can include: 

  • Dehydration 
  • Muscle fatigue 
  • Exercising in extreme heat, which causes heat cramps 
  • Not enough stretching 
  • Electrolyte imbalance 
  • Stress 
  • Too much high-intensity exercise 

A healthcare provider can diagnose muscle spasm by reviewing a person’s health history and medications, as well as asking questions that include: 

  • How bad is the pain? 
  • How long do the cramps last? 
  • When do muscle spasms usually happen? 
  • What do the muscle spasms feel like? 
  • When did the muscle spasms start? 

There is no pill or injection used to treat and relieve muscle spasms. However, some things can be done to try and stop muscle cramps, including: 

  • Massage the affected areas with your hands or a massage roller 
  • Stretch the affected area 
  • Stand up and walk around 
  • Apply heat or ice 
  • Take over-the-counter (OTC) pain relievers such as ibuprofen or acetaminophen 

Muscle spasms can happen at any time, and because they are so predictable, they can be difficult to prevent. Unfortunately, there are risk factors that can’t be avoided, such as your age. However, there are things you can do to reduce your risk, including: 

  • Stretching your muscles regularly  
  • Performing flexibility exercises 
  • Drinking a lot of water 
  • Wearing shoes that fit properly 
  • Avoiding exercising in extreme heat 
  • Working toward better overall fitness 
  • Staying at a weight that is healthy for you 
  • Avoiding medications that may cause muscle spasms as a side effect 
  • Stretching your muscles before going to sleep 
  • Using pillows to keep your toes pointed upward if you sleep on your back or letting your feet hang over the end of the bed if you sleep on your chest, to prevent leg cramps 

If you are experiencing muscle spasms, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

 

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.

Kidney Stones

Kidney stones are solid masses or clusters of crystals that form from substances such as minerals, acids, and salts in the kidneys. These stones can be as small as a grain of sand, or in rare cases, larger than a golf ball. 

Kidney stones occur when there is little liquid and too many of the minerals, acids, and other substances, such as calcium, sodium, oxalate, and uric acid, in the urine, causing them to stick together and form crystals or stones. Kidney stones can form over months or years.  

There are four types of kidney stones, and they are named after the kind of crystal that they are made from. They include: 

  • Calcium-oxalate and calcium phosphate stones are the most common types of kidney stones 
  • Uric acid stones 
  • Struvite stones  
  • Cystine stones  

Depending on the size of kidney stones, a person may not even realize that they have them. Smaller-sized stones can pass through the urinary tract in the urine without symptoms. However, larger-sized kidney stones can get trapped in the ureter, the tube that drains urine from the kidney down to the bladder, causing pee to back up and limit the kidney’s ability to filter waste from the body, which can also cause bleeding.  

Kidney stones can take as long as three weeks to pass on their own. Sometimes, small stones can cause extreme pain as they go through the urinary tract and out of the body. If a kidney stone can’t pass on its own, a healthcare provider will need to break it up and remove it.  

Kidney stones are common. About one in 10 people will get a kidney stone during their lifetime. They are most common in men who are in their 30s and 40s and among non-Hispanic white people.  

The most common symptom of kidney stones is pain in the lower back, belly, or side, which might feel like it extends from the groin to the side. This pain can be dull, or it can be sharp and severe, and comes in waves. Other symptoms of kidney stones include: 

  • Bloody urine 
  • Pain when urinating 
  • The inability to urinate 
  • Feeling the urge to urinate a lot 
  • Cloudy or foul-smelling urine 
  • Nausea and vomiting 
  • Fever or chills 

Several risk factors can cause someone to develop kidney stones, including: 

  • Not drinking enough fluids 
  • Eating foods high in sodium or sugars 
  • Eating meat and other protein-rich foods 
  • Having a family history of kidney stones 
  • Having a blockage in the urinary tract  
  • Taking vitamin C supplements 
  • Having had stomach or intestine surgery, including gastric bypass surgery 
  • Taking certain medications, such as diuretics, calcium-based antacids, and some antiseizure medications 
  • Having certain medical conditions, such as: 
  • Cystic fibrosis 
  • Diabetes 
  • Gout 
  • High blood pressure 
  • High levels of calcium in the urine 
  • Inflammatory bowel disease (IBD) 
  • Kidney cysts 
  • Obesity 
  • Osteoporosis 
  • Parathyroid disease 
  • Primary hyperoxaluria 
  • Hemiplegia or paraplegia, which are types of paralysis 

Kidney stones can cause many complications, including: 

  • Chronic kidney disease (CKD)  
  • A blockage that backs up urine into the kidney, causing it to swell 
  • Acute kidney injury 
  • Kidney infection 
  • Frequent urinary tract infections (UTIs) 

A healthcare provider can diagnose kidney stones by performing urine, imaging, and blood tests.  

To treat a small kidney stone, a healthcare provider will have the person monitor their symptoms until the stone passes in their urine. They may also prescribe medications to keep them comfortable and help the stone pass on its own. Larger kidney stones need treatment depending on their size, location, whether they are causing infections or symptoms, and other factors.  

Medications to treat kidney stones help relax the ureter to help pass the stone more easily, help manage any nausea and vomiting, and help manage pain.  

Procedures to remove large kidney stones include: 

  • Shockwave lithotripsy 
  • Ureteroscopy 
  • Percutaneous nephrolithotomy 
  • Laparoscopic surgery 

It is important to note that the things we eat and drink impact our risk for kidney stones. Talk to your healthcare provider or a dietitian about ways to reduce your risk of developing kidney stones. They may recommend: 

  • Drinking plenty of water 
  • Limiting consumption of foods high in sugar and sodium 
  • Limiting consumption of animal proteins 
  • Maintaining a weight that is healthy for you 
  • Eating foods that are good sources of calcium 
  • Limiting consumption of foods high in oxalates 
  • Prescription medications 

If you are experiencing symptoms of kidney stones, and would like more information about receiving treatment from a urologist at Jamaica Hospital Medical Center. To make an appointment, please call 718-206-7001.   

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

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  
  • Age 
  • 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. 

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.

National Eating Disorder Awareness Week

National Eating Disorder Awareness Week (NEDAW) takes place February 23rd – March 1st. NEDAW raises awareness about eating disorders, challenges stigma, and provides hope and support to all who have been impacted by these conditions.  

Eating disorders are serious mental health conditions that can cause unhealthy relationships with how a person thinks about food, eating, weight, and how they see themselves. If eating disorders aren’t treated effectively, they can become long-term problems and can be fatal in some cases.   

Eating disorders are common. According to the National Eating Disorder Association (NEDA), studies show that 28.8 million people in the U.S. will have an eating disorder in their lifetime. 

There are several types of eating disorders. They include: 

  • Anorexia nervosa restricts food and/or caloric intake, and creates a fear of gaining weight and a distorted self-image 
  • Bulimia nervosa causes a person to binge or eat large amounts of food in a short amount of time, or believe that the food intake was large, which is followed by purging the food by vomiting or with the use of laxatives, or excessive exercise 
  • Avoidant/restrictive food intake disorder (ARFID) limits the amount or type of food eaten for reasons unrelated to a distorted self-image or an attempt to lose weight 
  • Binge eating disorder causes a person to eat or think there is a large amount of food in a short time, followed by feelings of shame, regret, guilt, or depression 
  • Pica causes a person to compulsively swallow non-food items, such as chalk, dirt, or paint 
  • Rumination disorder causes undigested food to return to a person’s mouth after swallowing it. Food is then rechewed, re-swallowed, or spit out 

It may be difficult to spot an eating disorder in a loved one, as they can often mimic some dietary or lifestyle changes. What’s more, you may not be able to tell if someone is suffering from an eating disorder by looking at them. Eating disorders have several signs and symptoms, including: 

  • Mood swings 
  • Fatigue 
  • Fainting or dizziness 
  • Thinning hair or hair loss 
  • Unexplained weight changes or drastic weight loss 
  • Unusual sweating or hot flashes 

Behavioral symptoms of eating disorders include: 

  • Restrictive eating 
  • Eating a lot of food in a short amount of time 
  • Avoiding certain foods 
  • Forced vomiting after meals or misuse of laxatives 
  • Compulsive exercising after meals 
  • Frequent bathroom breaks after eating 
  • Withdrawing from friends or social activities 
  • Hiding food or throwing it away 
  • Food rituals, such as chewing food longer than necessary or eating in secret 

These symptoms look and feel different for each person and vary depending on the type of eating disorder they have, and can affect their health, emotions, and ability to function in important areas of life 

If a person has an eating disorder, they may experience several feelings, including: 

  • Food is their enemy, or it can harm them 
  • They did something wrong or shameful after they ate food 
  • They aren’t the correct weight or body size 
  • They are perceived negatively by other people 
  • They are “failing” if they don’t meet certain food or weight requirements 
  • What and how they eat is the only thing they can control in their life 
  • They don’t want to spend time with others due to the fear of being judged 

There isn’t an exact known cause for eating disorders. However, research has suggested that several factors can lead to a person developing an eating disorder, including: 

  • Genetics 
  • Brain biology 
  • Underlying mental health conditions 
  • Cultural and social ideals 

Eating disorders can be developed by anyone at any age but are most common among adolescents and teenagers. A person may be at increased risk of developing an eating disorder if they: 

  • Have a history of eating disorders or other mental health conditions in their biological family 
  • Have an underlying mental health condition such as anxiety, depression, or obsessive-compulsive disorder (OCD) 
  • Experienced a physical, emotional, or sexual trauma 
  • Participate in activities where their weight or body size is a factor, such as swimming, gymnastics, or wrestling 
  • Have gone through a major change, such as starting a new school or job, a divorce, or a move 
  • Have type 1 diabetes. Studies have found that up to 25% of women with type 1 diabetes develop an eating disorder 
  • Has a driven personality and is a perfectionist 

Untreated eating disorders can cause a person to have several serious health complications, as severely restricting calories, vomiting, or extreme exercise can take a toll on their physical health. Complications include: 

  • Arrhythmia, heart failure, and other heart problems 
  • Stroke  
  • Gastrointestinal problems 
  • Acid reflux 
  • Low blood pressure 
  • Osteoporosis 
  • Organ failure and brain damage 
  • Severe dehydration and constipation 
  • Stopped menstrual cycles 
  • Tooth damage 

A healthcare provider may diagnose a person’s eating disorder by reviewing their symptoms, performing a physical exam, and ordering imaging, blood, or urine tests.  

A mental health professional, such as a psychologist or psychiatrist, can also diagnose an eating disorder by conducting a psychological evaluation to learn more about a person’s eating behaviors and beliefs. They will use the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR) to make a diagnosis. The DSM-5-TR outlines symptoms for each type of eating disorder. 

Treatments for eating disorders can vary by type, but they can include: 

  • Psychotherapy, such as cognitive behavioral therapy (CBT) 
  • Medications such as antidepressants, antipsychotics, or other medications 
  • Nutrition counseling from a registered dietitian 

As a mental health condition, your feelings about food or your body image may put you at risk of suicide or suicidal thoughts. If at any time you feel overwhelmed or need someone to talk to, call or text 988 to reach the Suicide and Crisis Lifeline (U.S.). Someone is available to help you 24/7. 

If you or a loved one is experiencing symptoms of an eating disorder and needs the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. Call 911 if there is an emergency. 

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.

Snow STEMI

A powerful winter storm called a Nor’easter has brought blizzard-like conditions and a large amount of snowfall to our area.

When we get such large amounts of snow, the easy part is watching the beauty of the snow falling. Unfortunately, the most difficult part is having to shovel several inches of snow from the sidewalk and driveway.

A major worry when shoveling large amounts of snow is how it can affect our health.

According to the National Library of Medicine, heavy snowfall, cold temperatures, and low atmospheric pressure during the winter months have been associated with increased adverse cardiovascular events, such as “snow-shoveler’s ST-elevated myocardial infarction (STEMI).”

Snow-shoveler’s STEMI is a type of heart attack that occurs when there is a partial or complete blockage in one of the coronary arteries, which stops blood flow to part of the heart muscle. This can especially occur due to the over-exertion caused by shoveling snow.

Per the American Heart Association, shoveling snow can put some people at risk of a heart attack, but most people won’t have a problem. Sudden exertion, such as shoveling hundreds of pounds of snow or pushing a heavy snow blower after being sedentary for several months, can put a huge strain on the heart.

There is also a factor of cold weather, as it can increase heart rate and blood pressure, and make blood clots form more easily and constrict arteries, which can decrease blood supply. This can even affect healthy people. People who are over the age of 40 years old, or are relatively inactive, are especially at risk. Other people who are at risk of STEMI include:

Those with preexisting heart conditions:

  • Those with high blood pressure (hypertension)
  • Those who smoke tobacco products

According to Medical News Today, research indicates that heavy snowfall is linked to a 6% higher likelihood of hospital admission for men with a heart attack and a 34% increase in dying.

The National Safety Council recommends the following safety tips to shovel safely:

  • Know the signs of a heart attack, stop immediately, and call 911 if you’re experiencing any of them; every minute counts

The warning signs of a heart attack include:

    • Chest discomfort that lasts more than a few minutes or doesn’t go away and returns
    • Pain or discomfort in the arms, back, neck, jaw, and stomach
    • Shortness of breath

Other signs of a heart attack can include:

    • Breaking out in a cold sweat
    • Nausea
    • A rapid or irregular heartbeat
    • Unusual tiredness
    • Heartburn or indigestion
    • Lightheadedness
  • Take it slow and stretch before you start shoveling
  • Shovel only fresh, powdery snow because it is lighter
  • Push the snow instead of lifting it. If you do lift the snow, use a small shovel or only partially fill the shovel
  • Lift with your legs and not your back
  • Dress in warm layers
  • Do not shovel after eating or while smoking
  • Do not work to the point of exhaustion

If you have a history of heart disease, do not pick up a shovel without the permission of your healthcare provider.

If you or a loved one is experiencing any symptoms of STEMI, while, during, or after shoveling snow, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 immediately.

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.

Athlete’s Foot

Athlete’s foot, also known as tinea pedis, is a skin infection caused by dermatophytes, which are the same fungi that cause jock itch and ringworm. However, unlike jock itch and ringworm, athlete’s foot can often come back. 

The fungi that cause athlete’s foot thrive in warm, damp places, which can occur when feet get hot and sweaty inside closed shoes, creating sweaty socks. They can also live on wet towels.  

The fungi that cause athlete’s foot can spread easily to other people because they can travel on hands, towels, and other surfaces. A person can get athlete’s foot through contact with someone who has it and by touching surfaces where fungi are present. It can also spread from the feet to other parts of the body and may happen when a person uses a towel to dry their feet and then uses the same towel to dry the rest of their body, such as the groin area, which causes jock itch. 

Athlete’s foot can affect one or both feet, usually starting between the toes. It causes common symptoms that include: 

  • Dry, scaly skin on the bottom and sides of the feet  
  • Itchy skin, occurring especially right after taking off shoes and socks 
  • Swollen skin that may look red, purple, or gray, depending on skin color 
  • A burning or stinging sensation 
  • Blisters 
  • Scaly, peeling, or cracked skin between the toes 

A person has a higher risk of developing athlete’s foot if they: 

  • Sweat a lot  
  • Often wear closed shoes 
  • Walk barefoot in public showers, pools, or locker rooms 
  • Share towels, shoes, rugs, or bed linens with someone who has athlete’s foot 

Athlete’s foot can cause complications for people with weakened immune systems, such as those with diabetes, leading to a bacterial skin infection called cellulitis.  

A healthcare provider may be able to diagnose athlete’s foot after an examination. Some types of athlete’s foot can look similar to dry skin or dermatitis. To help rule out other conditions, your provider may take a small skin sample of the affected area for lab testing.  

Treatment for athlete’s foot may involve self-care and over-the-counter products such as antifungal cream, spray, or powder. If these over-the-counter products do not work, a healthcare provider may prescribe a stronger antifungal medicine to apply to the affected area. 

Several tips can help ease the symptoms of athlete’s foot and lower the risk of it coming back. They include: 

  • Keeping your feet clean and dry 
  • Wearing different shoes every day 
  • Changing socks regularly 
  • Wearing breathable and lightweight footwear 
  • Using an antifungal product 
  • Wearing waterproof shoes or sandals around public pools, showers, and locker rooms 
  • Not scratching the rash in the affected area 
  • Not sharing shoes 

If you are experiencing symptoms of athlete’s foot or another fungal infection, you can call (718) 206- 6742 or (718) 206-7001 to make an appointment. 

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.

Do Using Smart Rings Actually Help You Be Healthier?

Recently, technology has brought us fitness trackers and smart watches that can help us track our workouts, daily steps, and even monitor our sleep, stress, heart rate, and blood oxygen levels.  

However, smart rings have become another way to track our health, and can be used to monitor movement, body temperature, sleep, heart rate, stress, as well as menstrual cycles. 

Unlike smartwatches, smart rings don’t have screens to view these health metrics. Instead, they use a Bluetooth connection to send health data to your smartphone.  

When a smart ring detects a person’s cardiovascular health, it uses infrared photoplethysmography technology (PPG), which uses a light source and a photodetector on the surface of the skin to measure the variations in blood circulation. These variations can estimate heart rate variability, blood oxygen saturation, blood pressure, and artery stiffness.  

Out of the different sensors a smart ring has, the PPG is the most studied one due to its proposed accuracy in tracking heart rate and monitoring overall cardiovascular health. However, most studies note that they are significantly less accurate than medical-grade technology.  

According to the National Library of Medicine, in a study with 35 healthy individuals, researchers compared the heart rate and heart variability measured by a smart ring with an ECG during the night. Results showed that some health parameters matched the medical-grade measurement, but most were inaccurate. 

To monitor body temperature, smart rings use a sensor called a thermistor, which estimates body temperature based on a person’s skin temperature. Smart rings also use this feature to assess stress levels and identify other bodily issues. However, a systematic review of the sensors and functionalities of wearable health technology, like a smart ring, indicates that these devices may not accurately indicate a person’s core body temperature, as researchers point out that a person’s skin temperature is a few degrees Fahrenheit lower than their body’s temperature.  

What’s more, researchers emphasize that a person’s skin temperature fluctuates based on environmental conditions. When considering these two factors, it may be assumed that the thermistor sensor won’t be accurate. 

Companies that produce smart rings have detailed the use of a variety of sensors to support women’s health. This feature relies mostly on the smart ring’s temperature feature, which they claim to use to track menstrual cycles and fertility windows. 

Numerous studies have examined the accuracy of smart rings, which have produced promising results. According to the National Library of Medicine, in a pilot study with 22 participants, researchers used a smart ring to analyze temperature changes during the menstrual cycle. They discovered that the temperature readings were consistent with oral temperatures that were taken with ambulatory equipment.  

In a separate study with 26 participants, it was found that this study was consistent with the previous study’s findings, demonstrating that smart rings could be a beneficial tool for monitoring menstruation. This study also detected that there was a significant temperature drop around ovulation, highlighting that smart rings could be an additional tool to track fertility. 

Although these results are promising based on limited studies on smart rings, further research is needed as they are not 100% accurate.  

Most of the smart rings on the market combine various metrics such as heart rate, heart rate variability, body temperature, and movement, to estimate a person’s daily stress levels and provide tips to reduce them. 

According to the National Library of Medicine, research suggests that there is a connection between stress and decreased parasympathetic regulation, the regulation that affects heart rate, heart rate variability, and respiratory rate. These are changes that a smart ring could potentially detect.  

Additionally, a study with 525 college students explored this subject further. The study indicated that sleep data from smart rings could help predict stress. Notably, some experts do not consider smart rings as promising as research, as they highlight the negative effect smart rings may have on mental health. The reason is that while smart rings are promoted as a tool to shift lifestyle habits, they may cause the opposite effect, noting that constant monitoring of health metrics can create obsessive behaviors and paranoia about a person’s well-being. It could also be harmful to a person’s self-confidence, as a person may feel like they are not meeting the expectations and goals that a smart ring sets for them. 

Smart rings can perform a sleep analysis by tracking a person’s heart rate, blood oxygen, and sleep cycles. They may also include features, such as a snoring score and a recovery metric that indicates energy levels before a person starts their day.  

Polysomnography (PSG) is used to track sleep, which uses a variety of signals such as brain activity, eye movements, muscle activity, blood pressure, heart rate, and more. Although smart rings are not as accurate as PSG, researchers have been drawn to them due to the smart ring’s potential to monitor a person’s sleep at home comfortably.  

Any current evidence on smart rings for tracking sleep is still very limited and conflicting. While some small studies highlight their potential. However, studies with bigger sample sizes indicate that smart rings can over- or underestimate some sleep parameters. A study in the National Library of Medicine compared the accuracy of several health technology devices on 35 individuals overnight. The study found that a smart ring surpassed the accuracy of smartwatches in various sleep parameters such as wake, light sleep, deep sleep, and REM sleep. 

Smart rings can measure a person’s physical activity with two sensors: an accelerometer that tracks movement and speed, and a gyroscope that helps determine orientation. Smart rings gather data from these motion sensors, as well as the PPG and body temperature trackers, to understand how physical activity affects the body.  

Research is limited in this area; however, a study in the National Library of Medicine focused on the accuracy of smart rings in measuring caloric expenditure and steps. The results indicated that smart rings were far from accurate, causing researchers to note the need to improve these devices, specifically their estimation of energy expenditure. 

Another study on step count was consistent with a study that indicated a smart ring overestimated step count, compared to a medical-grade device to detect motion called ActiGraph. 

A systematic review on wearable tech devices supported the findings of the studies, noting that they may be useful for estimating step count but shouldn’t be trusted to measure calorie expenditure. 

Smart rings and other wearable devices that can track a person’s health can be useful. However, it is important not to use them to self-diagnose conditions. It is important to see a healthcare provider when experiencing any symptoms to professionally diagnose conditions.  

If you are experiencing any medical problems, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

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.

How Much Protein Do You Really Need?

Protein is essential to maintaining overall good health. However, consuming extra protein often comes from eating meats high in saturated fats, which can add to elevated LDL cholesterol levels or “bad cholesterol”. 

The recommended daily allowance (RDA) is 0.8 g/kg per day for adults 18 years or older. Based on weight, growing children and pregnant or lactating women require more protein than a typical adult man or woman. In terms of calories, the recommendation is that 10% to 35% of your daily calories come from protein. 

You can consume your recommended daily allowance of protein from several food sources. If someone’s body weight is 70kg (154 lbs.), the RDA of protein is 56 g/day. If you drink an 8-ounce glass of milk, you’ll take in about 8 grams of protein. Add a cup of yogurt for about another 11 grams. Follow that up with a 3-ounce piece of lean/extra lean meat, which is about 21 grams of protein, and a cup of dry beans, which is about 16 grams, and you have already reached the 56-gram daily requirement for an adult man. For an adult woman, a 46-gram daily requirement of protein can be reached by eating one serving of low-fat Greek yogurt, a 4-ounce serving of lean chicken breast, and a bowl of cereal with skim milk. 

The American Heart Association has a guided outline of the suggested servings for each food group: 

  • Choose plant-based proteins such as legumes, nuts, lentils, or chickpeas. These are not only high in protein but also in fiber. Legumes, for example, can pack about 16 grams of protein per cup and are low in fat and an inexpensive alternative to meat. 
  • Opt for low-fat or fat-free dairy options instead of full-fat dairy products. 
  • Include regular intake of fish and seafood 2 to 3 times a week, especially oily fish such as salmon, anchovies, herring, mackerel, tuna, and sardines, which are high in polyunsaturated fats. Make sure to avoid seafood that is fried. These forms do not have health benefits. 
  • When choosing meat or poultry, opt for lean cuts, skinless poultry, and avoid processed forms. 
  • Eggs are another good source of protein and provide other sources of nutrients that benefit your health. Healthy individuals can include up to a whole egg or equivalent daily. However, people with dyslipidemia should be cautious about consuming eggs. 
  • Choose main dishes that combine meat and vegetables, such as low-fat soups or stir-fry. 
  • Be aware of portion sizes. Aim for 3-ounce servings (4 ounces raw) of cooked poultry or meat per meal. 

Before you add or make any drastic changes to your diet, it is important to consult with your healthcare provider before doing so. 

The registered dietitians at Jamaica Hospital Medical Center are ready to help you plan a diet that can reduce your risk of disease, maintain a healthy weight, and improve your overall health. To learn more or to schedule an appointment, please call (718) 657-7093. 

 

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.