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.

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.

Guillain-Barre Syndrome

Posted on April 23, 2025 by Patrick Hercules

Guillain-Barre syndrome is a rare autoimmune condition in which the body’s immune system attacks the peripheral nerves, causing sudden numbness and muscle weakness.

Guillain-Barre syndrome often begins with tingling and weakness starting in the legs and feet and spreads to the upper body and arms. Some people may notice the first symptoms in the arms or face. As the condition progresses, muscle weakness can turn into paralysis. Symptoms of Guillain-Barre syndrome include:

A pins and needles feeling in the fingers, toes, ankles, or wrists
Weakness in the legs that spreads to the upper body
An unsteady walk, or not being able to walk or climb stairs
Trouble with facial movements, including speaking, chewing, or swallowing
Double vision or inability to move the eyes
Severe pain that may feel achy, shooting, or cramp-like, and may be worse at night
Trouble with bladder control or bowel function
Rapid heart rate
Low or high blood pressure
Trouble breathing

People with Guillain-Barre syndrome usually experience their most significant weakness within two weeks after symptoms begin.

The symptoms of Guillain-Barre syndrome differ depending on the type, as there are several forms of the condition. The main types are:

Acute Inflammatory Demyelinating Polyradiculoneuropathy (AIDP)
Miller Fisher syndrome (MFS)
Acute motor axonal neuropathy (AMAN) and acute motor-sensory axonal neuropathy (AMSAN)

There is no exact known cause of Guillain-Barre syndrome. It usually appears days or weeks after a respiratory or digestive tract infection. Rarely, a recent surgery or vaccination can trigger it.

In Guillain-Barre syndrome, the immune system attacks the nerves. In AIDP, the myelin sheath protecting the nerves is damaged. The damage prevents nerves from transmitting signals to your brain, causing weakness, numbness, or paralysis. It can be triggered by:

Most commonly, an infection with Campylobacter, a type of bacteria often found in undercooked poultry
Influenza virus
Cytomegalovirus
Epstein-Barr virus
Zika virus
Hepatitis A, B, C, and E
HIV
Mycoplasma pneumonia
Surgery
Trauma
Hodgkin lymphoma
Rarely, influenza vaccinations or childhood vaccinations
COVID-19 virus

Healthcare providers can typically diagnose Guillain-Barre syndrome based on symptoms and medical history. They may ask how and when your symptoms started and if you have been sick recently. They will also perform physical and neurological exams to look for signs of muscle weakness and weak or absent deep tendon reflexes.

Unfortunately, many other neurological conditions share similar symptoms to Guillain-Barre syndrome, so a healthcare provider will need to perform other tests to rule out other conditions. These tests can include:

Electromyography (EMG) and nerve conduction tests
A spinal tap
An imaging test

There is no cure for Guillain-Barre syndrome. However, two types of treatment can speed recovery and reduce symptoms. They include:

Plasma exchange
Immunoglobulin therapy

These treatments are equally effective. Mixing them or using one after the other is no more effective than using either method alone. You are also likely to be given medicine to:

Relieve severe pain
Prevent blood clots

People with Guillain-Barre syndrome need physical help and therapy before and during recovery. Care may include:

Movement of your arms and legs by caregivers before recovery helps keep muscles flexible and strong
Physical therapy during recovery helps you cope with fatigue and regain strength and proper movement
Training with adaptive devices, such as a wheelchair or braces, to give you mobility and self-care skills

You can receive pain management treatments, such as nerve blocks, at Jamaica Hospital Medical Center. To schedule an appointment with a pain specialist, please call (718) 206-7246.

Tips for Choosing a Therapist

Posted on April 17, 2025 by Patrick Hercules

When considering therapy, it is essential to know what you are seeking therapy for. Whether it is to restore a relationship, recover from trauma, adjust to a new life phase, improve your mental health, or just talk to someone, finding the right therapist is the first step.

After you figure out the reason or reasons why you are seeking therapy, it is important to consider the kind of therapist that best fits your mental health needs. Here are some tips for searching for a therapist:

Think about your goals ahead of time
Consult your insurance and finances
Ask someone you trust
Explore local resources
Use a reliable online database
Reach out to organizations that address your area of concern
Ask questions about the things that matter to you
Pay close attention to your own responses

Once you have found some prospective therapists, there are many questions to consider before and/or during your therapy sessions. These questions include:

Do I feel comfortable opening up to this person, and is there a strong connection? Studies show that this is crucial for achieving success in any therapy.
Is the therapist empathic and a good listener?
Does the therapist seem to have an agenda? Are they trying to have you commit too soon to a schedule before accurately assessing your motivation and the range of available options?
What are their credentials and level of expertise, and have they treated many others with your particular condition?
What types of therapy do they offer? They should be able to explain why one type is better than another for your particular condition.
How do they manage the fee/billing, and do they offer a sliding scale?
How do they collaborate with your psychiatrist or PCP, as this will greatly improve the quality of care?
Do they offer evening and weekend hours, and what is the recommended frequency of sessions?
Finally, what are the agreed-upon goals and endpoints for therapy?

Choosing a therapist is not an easy task. It is important to take your time before you make a decision, as it is not to be taken lightly. It is also important to note that you are not obligated to stay if a therapist isn’t the right fit. You can get free consultations through your insurance.

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

How Stress Affects Diabetes #StressAwarenessMonth

Posted on April 10, 2025 by Patrick Hercules

When we are under stress, the body releases hormones that increase blood glucose levels. This can cause adverse symptoms in people with diabetes.

If you experience stress or feel threatened, your body reacts with the fight-or-flight response. During this response, the body releases adrenaline and cortisol into the bloodstream increasing respiratory rates. This can also increase blood glucose levels if the body can’t adequately process it.

Stress affects people differently. The type of stress that people experience can impact their body’s physical response.

When people with type 2 diabetes are under mental stress, they can experience an increase in their blood glucose levels. People who have type 1 diabetes may have a more varied response as they experience either an increase or decrease in their blood glucose levels.

Mental symptoms of stress include:

Feeling unmotivated
Feeling irritable
Feeling depressed
Feeling restless
Feeling anxious

When you are under physical stress, your blood sugar can also increase. This can happen due to sickness or injury. This affects people with type 1 and type 2 diabetes.

Physical symptoms of stress include:

Headaches
Muscle pain or tension
Sleeping too much or too little
General feelings of illness
Fatigue

There are several ways to manage the effects of different forms of stress which could help lessen or limit the stressors in your life, including:

Exercising regularly
Practicing relaxing activities such as yoga or tai chi
Practicing mindfulness techniques such as meditation
Avoiding known stressors, such as high-stress social situations
Reducing caffeine intake
Spending time with loved ones

If you are feeling stressed, you can also connect with people online or in your community for solidarity and support by:

Joining an online support group
Joining an in-person support group
Seeking therapy

If mental or physical stress symptoms are affecting your diabetes, you can schedule an appointment with an endocrinologist, please call Jamaica Hospital Medical Center’s Ambulatory Care Center at (718) 206-7001.

Gut Health

Posted on April 8, 2025 by Patrick Hercules

Digestive problems such as heartburn, gas, bloating, and constipation reflect what is happening throughout your body. They can also be indicative of problems that may be affecting your gut health.

The main drivers of gut health change are shifts in stomach acid, gut immunity, and gastrointestinal flora, or the “gut microbiome.” The gut microbiome refers to the microorganisms living in your intestines.

Each person has about 200 different species of bacteria, viruses, and fungi in their digestive tract. Some microorganisms can be harmful to our health; however, many are incredibly beneficial and even necessary for a healthy body.

Research indicates that having a large variety of bacteria in the gut may help reduce the risk of conditions that include:

Diabetes
Inflammatory bowel disease (IBD)
Psoriatic arthritis

Over the past few decades, research has found a connection between gut health and mental health disorders, autoimmune diseases, endocrine conditions, gastrointestinal disorders, cardiovascular disease, and cancer.

A higher level of diversity in gut bacteria may be associated with improved gut health, as well as your general mental and physical health.

You may be able to improve and possibly reset your gut health through lifestyle and diet changes. Some ways you can improve your gut health naturally include:

Managing and lowering your stress levels
Eating the right foods
Getting enough sleep
Eating slowly
Staying hydrated
Taking a prebiotic or probiotic
Checking for food intolerances
Changing your diet
Being more physically active
Getting help for issues such as anxiety and depression

Diet and gut health are very closely linked. Avoiding processed foods, high-fat foods, and foods high in refined sugars is important for maintaining a healthy microbiome, as these foods may promote the growth of damaging bacteria.

Eating certain foods that actively promote the growth of beneficial bacteria contributes to your overall health. These foods include:

Foods high in fiber
Garlic
Fermented foods
Collagen-boosting foods

Jamaica Hospital’s Division of Gastroenterology consists of board-certified gastroenterologists who provide high-quality, expert care to patients suffering from such conditions in inpatient and outpatient settings. To schedule an appointment, please call 718-206-6742 or 718-206-7001.

Dementia

Posted on April 2, 2025 by Patrick Hercules

Dementia is a general term that represents a group of diseases and illnesses that cause the loss of cognitive functioning to the point that it interferes with a person’s daily life and activities.

Cognitive changes they may experience include:

Memory loss, usually noticed by someone else
Problems communicating or finding words
Trouble with visual and spatial abilities, such as getting lost while driving
Problems with reasoning or problem-solving
Trouble performing complex tasks
Trouble with planning and organizing
Poor coordination and control of movements
Confusion and disorientation

Some people with dementia can’t control their emotions, and they may also have psychological changes, such as:

Personality changes
Depression
Anxiety
Agitation
Inappropriate behavior
Hallucinations

Dementia is caused by damage to your brain, affecting its nerve cells and destroying the brain’s ability to communicate with its various areas. Dementia can also result from blocked blood flow to the brain, depriving it of oxygen and nutrients. Without oxygen and nutrients, brain tissue dies.

Progressive dementias get worse over time. Types of dementias that worsen and aren’t reversible include:

Alzheimer’s disease (the most common cause of dementia)
Vascular dementia
Lewy body dementia
Frontotemporal dementia
Mixed dementia

Other disorders linked to dementia include:

Huntington’s disease
Traumatic brain injury (TBI)
Creutzfeldt-Jakob disease
Parkinson’s disease

Some causes of dementia-like symptoms can be reversed with treatment, including:

Infections and immune disorders
Metabolic or endocrine problems
Low levels of certain nutrients
Medication side effects
Subdural bleeding
Brain tumors
Normal-pressure hydrocephalus

Many risk factors can contribute to dementia, including:

Age
Family history

A healthcare provider must recognize the pattern of loss of skills and function to be able to diagnose the cause of dementia. No single test can diagnose dementia, therefore, a series of tests may be conducted to determine a diagnosis. These tests include:

Cognitive and neuropsychological tests
Neurological evaluation
Brain scans
- CT or MRI
- PET scans
Laboratory tests
Psychiatric evaluation

Most types of dementia can’t be cured, but there are ways to manage your symptoms, including:

Medications
Therapies

If you are experiencing any of these symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. If you are experiencing an emergency, call 911.

Robot-assisted Hysterectomy

Posted on March 31, 2025 by Patrick Hercules

A hysterectomy is a surgical procedure that removes the uterus.

Depending on the reason for the surgery, a hysterectomy can involve removing surrounding organs and tissues, such as the fallopian tubes and ovaries.

Your healthcare provider will discuss the type of hysterectomy you need depending on your condition. This will determine if your fallopian tubes and/or ovaries will be removed.

The different types of hysterectomy surgeries include:

A total hysterectomy removes the uterus and cervix but leaves the ovaries. Since you still have ovaries, you won’t enter menopause immediately after surgery.
A supracervical hysterectomy removes just the upper part of the uterus while leaving the cervix. You can also have your fallopian tubes and ovaries removed at the same time. Since you still have a cervix, you will still need pap smears.
A total hysterectomy with bilateral salpingo-oophorectomy removes the uterus, cervix, fallopian tubes, and ovaries. Since your ovaries are removed, menopause will start immediately if you haven’t already completed it.
A radical hysterectomy with bilateral salpingo-oophorectomy removes the uterus, cervix, fallopian tubes, ovaries, the upper portion of the vagina, and some surrounding tissue, and lymph nodes. Healthcare providers use this procedure when cancer is involved. Since your ovaries are removed, you will enter menopause.

A healthcare provider may suggest alternative treatments before recommending a hysterectomy, depending on the reason for needing one. Sometimes, those treatments don’t help, or surgery is the only option to treat the condition.

Surgeons perform hysterectomies to treat the following:

Abnormal or heavy vaginal bleeding
Severe pelvic pain
Uterine fibroids and other noncancerous tumors
Severe endometriosis
Uterine prolapse that can lead to urinary incontinence or fecal incontinence
Cervical, ovarian, or uterine cancer
Conditions with the lining of your uterus, such as hyperplasia or adenomyosis
Serious complications of childbirth such as uterine rupture

Many people have a hysterectomy to prevent cancer. For people at high risk for certain types of cancer, removing the uterus and/or surrounding reproductive organs can reduce the chances of developing cancer.

Healthcare providers can use several different surgical approaches to perform a hysterectomy. A surgical procedure that is performed is a robot-assisted laparoscopic hysterectomy.

A robot-assisted laparoscopic hysterectomy is similar to an abdominal laparoscopy, however, a surgeon performs the procedure with the help of a robotic machine.

A surgeon inserts a laparoscope through the abdomen incisions. They insert small, thin surgical tools through three to five other small incisions around your belly button. The surgeon controls robotic arms and instruments.

The recovery is similar to a laparoscopic hysterectomy.

There are many potential advantages of robotic-assisted laparoscopic hysterectomy including:

Robot-assisted surgery provides the surgeon with 3D images of inside your abdomen and pelvis that create a clearer picture for them to reference as they operate.
Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand
Minimal scarring
Less pain
Faster recovery times
Less risk of wound infection,
Shorter hospital stays
Less blood loss

For more information about robotic surgery at Jamaica Hospital Medical Center or to learn more about other surgical options, please call (718) 206-7001 to make an appointment.

MS Awareness Month

Posted on March 27, 2025 by Patrick Hercules

March is observed as Multiple Sclerosis (MS) Awareness Month, a month that raises awareness about the disease.

Multiple sclerosis is a disease that causes the breakdown of the protective covering of nerves called myelin. Multiple sclerosis can cause numbness, weakness, trouble walking, vision changes, and other symptoms. This interrupts communication between the brain and the rest of the body. MS eventually causes permanent damage to the nerve fibers.

Launched in 2003, National MS Education and Awareness Month is a nationwide effort by MS Focus: The Multiple Sclerosis Foundation and affiliated groups to raise awareness of multiple sclerosis. The vital goals of this campaign are to promote an understanding of the scope of the disease and to assist those with MS in making educated decisions about their healthcare.

MS Awareness Month benefits those with MS, their families, and communities. It is also an opportunity for family and friends of people with MS to learn more about the disease.

There are several ways to get involved in MS Awareness Month, including:

Sign up for an MS walk
Attend educational events
Share your story
Make a donation
Wear orange
Spread the word on social media

MS affects everyone differently. MS Awareness Month brings awareness to the condition’s many forms.

Getting involved during MS Awareness Month can help raise awareness for this condition and lead to a cure.

The Difference between Type 1 and Type 2 Diabetes

Posted on March 26, 2025 by Patrick Hercules

Diabetes is a chronic disease that occurs when the body doesn’t produce enough insulin or can’t use the insulin it produces effectively.

There are two main types of diabetes: type 1 and type 2.

Type 1 and type 2 diabetes have similar names, however, they are different diseases with distinctive causes.

A key difference between type 1 and type 2 diabetes is type 1 is caused by an autoimmune reaction and develops early in life. Type 2 diabetes develops over several years and is related to lifestyle factors such as being inactive and carrying excess weight, and is usually diagnosed in adults.

Type 1 diabetes is believed to be caused by an autoimmune reaction where the immune system attacks and destroys the insulin-producing beta cells in the pancreas, mistaking them for foreign invaders. After the beta cells are destroyed, the body can no longer produce insulin.

Researchers are unsure why the immune system attacks the body’s cells. They believe it may be due to genetic and environmental factors, such as being exposed to viruses.

People who have type 2 diabetes have an insulin resistance. The body can still produce insulin but is unable to use it effectively.

Researchers aren’t sure why some people become insulin-resistant and others don’t, but several lifestyle factors may contribute to it, such as being inactive and carrying excess weight.

Other genetic and environmental factors may also play a role. When a person develops type 2 diabetes, the pancreas will overcompensate by producing more insulin. Because the body can’t effectively use the insulin, glucose accumulates in the bloodstream.

Risk factors for type 1 diabetes are less clear than risk factors for type 2 diabetes.

The known risk factors for type 1 diabetes include:

Family history
Age

Risk factors for type 2 diabetes include:

Having prediabetes or slightly elevated blood sugar levels
Carrying excess weight or having obesity
Having a lot of belly fat
Being physically active less than three times a week
Being over the age of 45
Having had gestational diabetes
Giving birth to a baby weighing more than nine pounds
Being Black, Hispanic or Latino, American Indian, or Alaska Native due to structural inequities contributing to health disparities
Having an immediate family member with type 2 diabetes
Having polycystic ovary syndrome (PCOS)

If not managed properly, type 1 and type 2 diabetes can lead to symptoms that can include:

Urinating frequently
Feeling very thirsty and drinking a lot of fluids
Feeling very hungry
Feeling very fatigued
Having blurry vision
Having cuts or sores that don’t heal properly
Having very dry skin
Having more infections than usual

People with type 1 and type 2 diabetes can also experience irritability, mood changes, and unintentional weight loss.

Unfortunately, type 1 diabetes can’t be prevented. However, it is possible to lower the risk of developing type 2 diabetes through lifestyle changes that include:

Maintaining a moderate weight
Working with a healthcare provider to develop a healthy weight-loss plan, if you are overweight
Increasing activity levels
Eating a balanced diet and reducing the intake of sugary foods and overly processed foods

If you are experiencing diabetes symptoms, you can call to schedule an appointment with an endocrinologist at Jamaica Hospital Medical Center’s Ambulatory Care Center at (718) 206-7001.

Signs of High Stress

Posted on March 12, 2025 by Patrick Hercules

Stress is a natural human reaction that happens to everyone. Your body is built to react to stress in ways meant to protect you against threats from predators and other aggressors. These threats are rare today, however, that doesn’t mean that life is free of stress.

Stress responses help your body adjust to new situations. Stress can be positive by keeping you alert, motivated, and ready to avoid danger. However, stress becomes a problem when stressors continue without relief or periods of relaxation.

Stressors can be positive and negative; getting a new job or losing a job can cause stress. Other causes of stress include:

An illness or death of a loved one
Marriage, separation, or divorce
Financial issues
Moving into a new house
Going on vacation
Having a baby
Retiring

There are three main types of stress: acute, episodic acute, and chronic.

Acute stress- is a short-term stress that comes and goes quickly. It can be positive or negative. It is the feeling you get when you ride a rollercoaster or have a fight with a significant other. Everyone experiences acute stress from time to time.
Episodic acute stress- is when you experience acute stress regularly. With this type of stress, you don’t get the time you need to return to a calm, relaxed state. Episodic stress frequently affects people working in certain professions, such as healthcare providers.
Chronic stress- is long-term stress that can last for weeks or months. It can be caused by troubles in your marriage, issues at work, or financial problems. It is important to find ways to manage chronic stress because it can lead to health issues.

The body’s autonomic nervous system controls the heart rate, breathing, vision changes, and more. It also triggers the body’s “flight-or-fight” response as a way to react to stressful situations.

Having a continuous activation of this stress response can cause wear and tear on the body. It can cause you to develop stress symptoms that are physical, psychological, or behavioral.

Physical stress symptoms can include:

Aches and pains
Chest pain or the feeling of your heart racing
Exhaustion or insomnia
Headaches, dizziness, or shaking
High blood pressure
Muscle tension or jaw clenching
Stomach or digestive problems
Trouble having sex
A weakened immune system

Psychological stress symptoms can include:

Anxiety or irritability
Depression
Panic attacks
Sadness

Chronic stress can lead to several long-term issues that affect your immune, digestive, cardiovascular, and reproductive systems.

People with chronic stress try different things to cope. Some of these things can become habit-forming and can impact your health. Behavioral stress symptoms can include:

Alcohol use disorder
Gambling disorder
Overeating or developing an eating disorder
Participating compulsively in sex, shopping, or internet browsing
Smoking
Substance abuse disorder

It can be difficult to diagnose stress due to its subjectivity. It isn’t measurable with tests because only the person experiencing it can determine whether it is present and how severe it feels. A healthcare provider may use questionnaires to understand your stress and how it affects your life.

If you have chronic stress, your healthcare provider can evaluate symptoms that result from stress, such as diagnosing and treating high blood pressure.

Stress is something that can’t be avoided. However, you can prevent it from becoming overwhelming by practicing daily stress relief strategies, including the following:

Eating a healthy diet and getting regular exercise and sleep
Doing relaxation exercises such as yoga, deep breathing, massages, or meditation
Keeping a gratitude journal
Taking time for hobbies
Fostering healthy relationships and talking with your friends and family
Finding ways to include humor and laughter in your life
Volunteering in your community
Organizing and focusing on what you need to get done at home and work and removing unneeded tasks
Seeking professional counseling

Embracing mindfulness and learning to manage stress can reward you with peace of mind, fewer stressors and less anxiety, and a better quality of life. If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.