Arthritis Awareness Month

May is observed as Arthritis Awareness Month. The month 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, accounting for 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, bones rub together, causing pain, swelling, and loss of motion. Over time, these changes can affect the bones, tendons, and other joint tissues. 

Other types of arthritis include: 

  • Rheumatoid arthritis 
  • Psoriatic arthritis 
  • Gout 
  • Juvenile arthritis 
  • Ankylosing spondylitis 

To diagnose arthritis, a healthcare provider will perform a physical exam, where they will examine the affected joints and ask about symptoms. During the healthcare provider’s examination of the joints, they will check their range of motion and compare them to other, similar joints.  

A healthcare provider may also use imaging tests to take pictures of the joints. Imaging tests include: 

  • X-ray 
  • MRI 
  • CT scan 
  • Ultrasound 

These tests help the healthcare provider see potential damage inside the joints. These tests also help them rule out any injuries or conditions that may cause similar symptoms, such as broken bones. 

A healthcare provider may also use blood tests to check uric acid levels if they suspect gout. Blood tests can also show any signs of autoimmune diseases or infections.  

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

  • Physical therapy or occupational therapy 
  • Over-the-counter (OTC) anti-inflammatory medicine, such as non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen 
  • Corticosteroids 
  • Disease-modifying antirheumatic drugs (DMARDs) 
  • Surgical procedures such as joint fusion or joint replacement 

Arthritis Awareness Month is a time to emphasize research, service, and education about arthritis and raise funds to support the cause. The best way to get involved is by helping raise awareness for this public health priority. 

Jamaica Hospital Medical Center is proud to serve the local community, and our patients value our person-centered, compassionate approach. Our friendly staff is standing by to answer any questions you might have. For further information on consultation, diagnosis, and treatments, contact us at 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.

Health Benefits of Tai Chi

Integrative health is a progressive approach to healthcare in which leading treatment services offered by modern medicine are combined with a deep understanding of the nature of illness, healing, and wellness.  

This approach combines modern and holistic medicines to help prevent the onset of disease, address existing chronic conditions, and promote healing in patients at the center of a treatment plan that considers their physical, emotional, and social needs. 

A treatment plan that accomplishes this is tai chi. Tai chi has been a tenet of traditional Chinese medicine (TCM) for centuries. Sometimes called meditation in motion, tai chi is a series of exercises that help bring harmony between the body’s energy and mind, by using slow, highly coordinated movements and physical postures with meditation and controlled breathing, aimed to energize and balance the body’s energy, known as qi, pronounced “chi”. According to traditional Chinese principles, when the qi is balanced, the body functions at its best.  

Although tai chi is a low-impact exercise with movements that look leisurely, these movements are bodyweight exercises with physical demand.  

There are hundreds of studies on tai chi, with researchers finding that tai chi has several benefits that may help with numerous health concerns. Here are some health benefits of tai chi: 

  • According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of death for older adults, with about one in four adults 65 years and older experiencing a fall every year. A review of ten studies on tai chi and balance found that people who practiced it had up to 50% fewer falls than those who didn’t. Both the CDC and the American Geriatric Society recognize tai chi as an effective way to lower fall risk as it helps build stability and strength, increasing balance, which helps prevent falls. 
  • Research indicates that practicing tai chi can slow the progression of dementia by boosting cognition and brain health, as it can help with learning, memory, and other mental functions. Researchers found that older adults who practiced tai chi daily for 12 weeks had more activity in their prefrontal cortex, the area of the brain responsible for higher-level thinking skills. A study conducted by tai chi researcher and Chief of Geriatrics in the Division of General Internal Medicine and Geriatrics at Oregon Health & Science University, Elizabeth Eckstrom, showed that people who practiced a simple form of tai chi called Tai Ji Quan twice a week for six months improved their score on a cognitive test by one and a half points. Additionally, the study showed that if they added a cognitive challenge while practicing tai chi, such as counting backwards from 20 or spelling words backward, their scores jumped by another three points. 
  • Tai chi can bring a sense of calmness and quiet as it focuses on breathing and movement, which takes the mind away from any stressors, helping the stress melt away. One study conducted on participants who are deemed healthy but stressed showed that practicing tai chi for 12 weeks lowered their anxiety levels substantially.  
  • There are studies that have shown that tai chi can reduce blood pressure as well as or better than antihypertensive drugs or other types of exercise. In 2024, one randomized controlled trial published in the Journal of the American Medical Association (JAMA) Open Network assigned 342 people with prehypertension to two groups: one group performed four sessions of tai chi each week, and the other group performed four sessions of aerobic exercise. After a year, both groups displayed lower systolic blood pressure readings. However, the group that practiced tai chi experienced a larger decline of 7.01 mg Hg on average, compared to the aerobic group, which was 4.61 mm Hg. 
  • According to the CDC, one in five people in the U.S. lives with chronic pain that affects their daily life and activities. One review of people with chronic knee osteoarthritis found that they had significantly less pain and better physical function after practicing tai chi. The American College of Rheumatology and the Arthritis Foundation strongly recommend practicing tai chi to manage both chronic knee and hip osteoarthritis, as it helps improve muscle and core strength and coordination, leading to better joint stability. Studies have also indicated that tai chi can help people with fibromyalgia, with research showing it may relieve symptoms even better than aerobic exercise. 
  • In 2021, a review of 23 studies by the National Center for Complementary and Integrative Health found that tai chi improved the exercise capacity, lung function, and quality of life for patients with chronic obstructive pulmonary disease (COPD) due to tai chi’s focus on deep abdominal breathing and movement, which can help increase breathing efficiency and oxygen intake. 
  • Practicing tai chi can help the 10%-30% of older adults who suffer from insomnia. One systematic review of nine randomized trials published in the Journal of Sleep Disorders and Therapy reported that older adults who practiced tai chi one and a half to three hours a week significantly improved their sleep quality and had an enhanced functional ability. What’s more, Elizabeth Eckstrom’s research showed that people fell asleep 17 minutes sooner and slept 42 minutes longer after doing tai chi.  

There is also other research that has linked tai chi to lower cholesterol and inflammation levels, and evidence that it may help reduce complications of Parkinson’s disease as well. 

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.

Integrative Health: Acupuncture

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

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.

Podiatry: What Your Feet Can Tell You about Your Health

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:

  1. Dry, flaking, itchy, or peeling skin may be signs of a thyroid condition or a fungal infection.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Pain in the foot when walking or exercising that goes away when resting may be a sign of a stress fracture or osteoporosis.
  7. Sore toe joints in both feet may be a sign of rheumatoid arthritis.
  8. Frequent foot cramping may be a sign of dehydration and nutritional deficiencies.
  9. Heel pain may be a sign of plantar fasciitis, the strain of the ligament that supports the arch in your foot.
  10. Yellow toenails may be a sign of a fungal infection, such as athlete’s foot.
  11. Balding or hairless feet and toes may be a sign of circulation problems, such as peripheral artery disease.
  12. Foot or heel pain upon standing or rising in the morning may be a sign of arthritis or plantar fasciitis.
  13. 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.

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.

What is Arthritis?

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.

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.

Alternative Ways to Treat Chronic Pain

We all experience physical pain at some point in our lives. In many instances pain will subside after a few hours or days. However, when pain lasts for weeks or longer, it is considered chronic and may require some form of pain management therapy.

Chronic pain could be caused by many things, such as a medical condition like arthritis or fibromyalgia.  It could also be the result of ongoing medical treatments, such as cancer therapy or it could be caused by nerve damage sustained by an injury. Whatever the cause of your pain, it is important to know that there are many options available to treat it.

For many years opioids were prescribed to treat pain, but they can be very addictive and therefore not always the best option. It is important to understand the potential benefits and risks before you begin taking these types of medications and explore alternative forms of pain management.

Other, non-addictive types of medication available to treat symptoms of pain include:

  • Non-steroidal anti-inflammatory drugs (NSAIDS) – such as ibuprofen, naproxen, and aspirin
  • Acetaminophen – Tylenol

  • Antidepressants – can improve sleep and alleviate pain
  • Anti-seizure medications – effective in treating pain related to nerve damage or injury

  • Steroids – used to alleviate inflammation and pain

Medications however are not the only form of therapy to manage pain. Physical therapy and exercise, if done correctly and under the supervision of a professional can build tolerance and reduce pain. Transcutaneous electrical nerve stimulation therapy (TENS) is another type of therapy that uses electrical stimulation to diminish pain.  Other types of pain therapy can include acupuncture, massage, heat and cold therapy, meditation, as well as dietary modifications and nutritional supplements.

A doctor who specializes in pain management can help. They can identify the source of your pain and determine the best approach to manage it, both physically and emotionally.

If you are experiencing chronic pain and would like to see a pain management specialist, please call Jamaica Anesthesia Associates at 718-06-7246 or 718-206-PAIN.

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.

Psoriatic Arthritis

According to the American College of Rheumatology, psoriatic arthritis is a type of inflammatory arthritis that occurs in some patients with psoriasis (is a chronic skin condition caused by an overactive immune system) and can affect the joints in the body.

It is a chronic disease that may present as mild with occasional flair ups or, in more severe cases, can cause joint damage in fingers and toes, as well as larger joints in the lower extremities, such as knees, back and sacroiliac joints in the pelvis.

The Mayo Clinic describes the symptoms of psoriatic arthritis as:

  • Swollen fingers and toesPsoriatic arthritis can cause a painful, sausage-like swelling of your fingers and toes. You may also develop swelling and deformities in your hands and feet before having significant joint symptoms.
  • Foot pain -Psoriatic arthritis can also cause pain at the points where tendons and ligaments attach to your bones — especially at the back of your heel (Achilles tendinitis) or in the sole of your foot (plantar fasciitis).
  • Lower back pain -Some people develop a condition called spondylitis as a result of psoriatic arthritis. Spondylitis mainly causes inflammation of the joints between the vertebrae of your spine and in the joints between your spine and pelvis (sacroiliitis).

Psoriatic arthritis can go into remission.  When in remission, the symptoms may alternate causing them to subside for a time and then reappearing in the form of painful, swollen joints.

Many people with psoriatic arthritis may first think they have rheumatoid arthritis since both diseases have similar symptoms. The only difference is that psoriatic arthritis is prevalent in patients who have psoriasis of the skin as well.

When seeing your doctor to determine whether or not you may have psoriatic arthritis your doctor may examine your joints for swelling or tenderness, check your fingernails, hands, feet and toes for pitting, flaking or other abnormalities.

Psoriatic arthritis is diagnosed by X-rays, Magnetic Resonance Imaging (MRI), testing the rheumatoid factor (RF) antibody in your blood or a joint fluid test to see if you have uric acid crystals in your joint fluid.

Since there isn’t a cure for psoriatic arthritis, healthcare professionals are focused on controlling the symptoms and thwarting permanent damage to the joints.

Some medications prescribed to treat psoriatic arthritis include:

  • NSAIDs – Non-steroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation. Over-the-counter NSAIDs include ibuprofen (Advil, Motrin IB, and others) and naproxen sodium (Aleve).
  • Disease-modifying ant rheumatic drugs (DMARDs) -These drugs can slow the progression of psoriatic arthritis and save the joints and other tissues from permanent damage.
  • Immunosuppressants -These medications act to tame your immune system, which is out of control in psoriatic arthritis.
  • TNF-alpha inhibitors – Tumor necrosis factor-alpha (TNF-alpha) is an inflammatory substance produced by your body. TNF-alpha inhibitors can help reduce pain, morning stiffness, and tender or swollen joints.

Other procedures that have been effective are steroid injections or joint replacement surgery.  Steroid injections reduce inflammation rapidly and joint replacement surgery replaces the severely damaged joint with an artificial prosthesis made of metal and/or plastic.

If you are experiencing any of the symptoms of psoriatic arthritis and would like to speak with a doctor at Jamaica Hospital, call 718-206-7001 to schedule an appointment with a Rheumatology specialist.

 

 

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.

Gout

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.

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.

Does Winter Weather Make Arthritis Worse?

Bundle up, work out indoors, and keep plenty of vitamin D in your diet. These are some of the ways you can get arthritis pain relief despite the bone-chilling cold of winter weather. Many people who experience more severe arthritis pain in the winter than compared to other months believe that barometric pressure is to blame for their heightened discomfort. However, that old wives tale hasn’t been proven scientifically.

Whether the joint pain/weather connection is scientifically true or not, you can still use these arthritis pain-relief tips when your aching joints act up in winter.

  • Stay active. Keep your body stimulated by doing light exercises or consistent movements to keep your joints moving. Do it indoors to keep away from the cold.
  • Eat a Healthy diet. Eating a balanced diet that comprised of low saturated fat, lean proteins, more fiber, and refined carbs helps to improve body functions during the winter.
  • Add Vitamin D. It is necessary to take a supplement vitamin D or ensure to make your diet vitamin-D rich. Fish oil is a potent source of omega 3 fatty acids as well as getting natural sunlight.
  • Stay Hydrated. Hydration is most often associated with sweat and the summer months, but it’s just as important to drink plenty of water in winter, too.

If your arthritis doesn’t improve after trying the above tips it is very important that you consult with a doctor immediately. The Division of Rheumatology at Jamaica Hospital provides consultations for patients who develop rheumatological disorders, such as osteoarthritis and osteoporosis. For more information or to schedule 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.