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.

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.

13 Poses to Do Every Day for Increased Flexibility

Posted on December 19, 2025 by Patrick Hercules

When we exercise, we can sometimes focus more on gaining strength, endurance, lung capacity, and body composition. However, we can sometimes overlook gaining more flexibility.

Flexibility training improves the range of motion at the joints, which can facilitate freer movement, help reduce pain and risk of injury, and generally make us more capable in our everyday lives. Yoga is an exercise that can help boost flexibility.

Yoga is a holistic mind-body activity that involves moving through a series of body poses and breathing exercises that can improve strength, flexibility, balance, and relaxation.

Here are 13 yoga poses you can do every day for increased flexibility:

Cat-cow pose

Low cobra pose

Reclined spinal twist

Standing crescent moon

Half lord of the fishes

Bound angle pose

Reclined pigeon pose

Wide-legged forward fold with chest expansion

Reclined hamstring stretch

Assisted low lunge

Downward-facing dog

Thread the needle

Reverse tabletop

Maintaining our flexibility as we age is essential to our health. People who remain flexible have fewer difficulties with daily activities and experience an increased quality of life. An increased range of motion is associated with fewer injuries, decreased pain, and stronger muscles, which can lead to better performance.

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.

Meet Our Doctors- Dr. Andrew Bi

Posted on November 17, 2025 by Patrick Hercules

Jamaica Hospital Medical Center is proud to introduce Dr. Andrew Bi, the newest member of our orthopedic surgical team.

Dr. Bi was born in Chicago, Illinois, and raised in East Lyme, Connecticut, and currently resides in Queens. He graduated from the University of Connecticut magna cum laude with honors. He then graduated from Northwestern University Feinberg School of Medicine summa cum laude with Alpha Omega Alpha honors. Then he completed his orthopedic surgery residency training at NYU Langone Orthopedics, where he served as Executive Chief Resident. Dr. Bi later underwent subspeciality training at Midwest Orthopaedics at Rush in a sports medicine fellowship, where he served as assistant team physician for the Chicago Bulls, Chicago White Sox, Chicago Steel, and DePaul University.

Dr. Bi has received numerous awards for teaching, clinical care, and research, including the Ralph Lusskin Senior Resident Teaching Award, the Marian Frauenthal Sloane Clinical Research Award, and the Rush Annual Thesis Day Award.

Dr. Bi treats all aspects of orthopedic injuries with a special interest in the management of all shoulder, elbow, hip, and knee conditions, including, but not limited to robotic-assisted joint replacements for arthritis, minimally invasive arthroscopic surgeries for sports injuries, such as anterior cruciate ligament (ACL), meniscus, cartilage, rotator cuff, and labrum injuries, and the fixation of fractures. His current research efforts involve anterior cruciate ligament injuries, meniscal allograft transplantations, rotator cuff tears, hip arthroscopy, and orthobiologics.

Dr. Bi is excited to begin at the Medisys family at Jamaica Hospital, bringing with him expertise in sports medicine subspecialization, as well as his Chinese heritage, to care for the diverse population surrounding the hospital.

If you are experiencing any conditions or injuries affecting your bones, muscles, ligaments, and tendons, you can schedule an appointment at Orthopedic Specialists of New York by calling 718-206-6923

Carpal Tunnel Syndrome

Posted on May 8, 2025 by Patrick Hercules

Carpal tunnel syndrome is one of the most common hand conditions. It is caused by extra pressure on the median nerve in the wrist’s carpal tunnel.

Symptoms of carpal tunnel syndrome usually start gradually and can include:

Tingling and numbness in the wrist, hand, or fingers
Weakness
Pain in the wrist, hand, or fingers
Trouble using hands to hold or control objects

Several factors have been linked to the risk of carpal tunnel syndrome. Although they may not directly cause carpal tunnel, they may increase the risk of irritation or damage to the median nerve. These include:

Anatomical factors
Sex assigned at birth
Nerve-damaging conditions
Inflammatory conditions
Medicines
Obesity
Body fluid changes
Other medical conditions
Workplace factors

To diagnose carpal tunnel syndrome, a healthcare provider will ask questions about your symptoms and perform a physical exam and other tests that include:

Tinel’s sign
Phalen’s test
X-ray
MRI
Ultrasound
Electromyography
A nerve conduction study

Healthcare providers treat carpal tunnel syndrome with nonsurgical treatments first. The most common carpal tunnel treatments include:

Modifying your daily routine
Supporting and strengthening your wrist
Taking over-the-counter medication
Wearing a splint (especially at night)
Physical therapy
Changing your posture or working environment
Corticosteroids

You may need carpal tunnel surgery if nonsurgical treatments don’t relieve symptoms. The goal of carpal tunnel surgery is to relieve pressure by cutting the ligament pressing on the median nerve. The three different techniques used in carpal tunnel surgery include:

Endoscopic surgery
Open surgery
Ultrasound-guided surgery

It is best to treat carpal tunnel syndrome as early as possible after symptoms start. There are simple things that you can do for yourself that may help symptoms go away, such as:

Taking more frequent breaks to rest the hands
Not doing activities that make symptoms worse
Using cold packs to reduce swelling

If you have any questions or concerns about carpal tunnel syndrome or carpal tunnel surgery, you can receive more detailed information from a doctor at Orthopedic Specialists of New York, located on Jamaica Hospital Medical Center’s campus. To schedule an appointment, please call (718) 206-6923.

3 Common Achilles Tendon Conditions (And How to Avoid Them)

Posted on January 25, 2023 by Jacob Lobosco

The Achilles tendon, which stabilizes your foot and ankle by connecting your calf muscle and heel, can become injured in a variety of ways. These injuries can cause pain, discomfort, and weakness in your ankle, interfering significantly with your daily activities. However, by taking certain precautions to preserve the well-being of your Achilles tendon, you may be able to prevent or reduce your risk of injury.

Tendinitis causes swelling and inflammation in your tendons, resulting in pain and instability while walking. Tendinitis often occurs as a result of overuse of your tendons; in many cases, sports are the primary culprits.

Maintaining your flexibility through stretching or other light warm-ups prior to vigorous physical activity can help prevent tendinitis, but it’s also important to avoid repetitive motions that can lead to overuse injuries as much as possible.

Tendinosis is sometimes confused for tendinitis, as both of these conditions can occur as a result of overuse injuries. Unlike tendinitis, however, tendinosis is not an inflammatory condition; it involves degeneration of the collagen in your tendons that worsens over time, wearing down the tendon and causing its fibers to become thick and hard.

Similarly to tendinitis, tendinosis is best avoided by incorporating warm-up stretches into your physical activities and avoiding overuse of your leg muscles.

An Achilles tendon rupture occurs much more suddenly than tendinitis or tendinosis as the stress placed on your tendon is abruptly increased. This can happen if you trip, fall, or increase the intensity of your physical activities to quickly, potentially resulting in severe pain and swelling near the heel as well as weakness while walking.

Warm-up stretches can be helpful for avoiding these injuries, but calf-strengthening exercises, varied workouts, slow increases in activity intensity, and appropriate footwear are all essential for protecting your Achilles tendon, as well.

If you experience pain, discomfort, or weakness in your heel or ankle, expert podiatric treatment is available at Jamaica Hospital Medical Center’s Podiatry Department. To schedule an appointment, please call (718) 206-6712.