Pinched Nerve

Posted on October 15, 2024 by Xavia Malcolm

A pinched nerve is a non-medical term used to describe a compressed nerve. A pinched nerve sensation occurs when surrounding tissues place too much pressure on a nerve. As a result, a person may experience short-term or long-term tingling, numbness, pain, or muscle weakness in the affected area.

There are several types of pinched nerves characterized by the location of the compressed nerve and the part of the body it serves. This includes the pinching of a root nerve in the spine which causes tingling and pain in other parts of the body. This is known as radiculopathy.

A common type of radiculopathy is sciatica which causes pain along the sciatic nerve in the lower back and down the legs. Other conditions that can develop as a result of a pinched nerve are:
• Radial tunnel syndrome which occurs when the radial nerve in the elbow is affected
• Carpal tunnel syndrome which occurs when the median nerve in the wrist is affected
• Tarsal tunnel syndrome which occurs when the tibial nerve in the heel is affected

Some people are more at risk of experiencing a pinched nerve than others. They include those who:
• Were assigned female at birth
• Have rheumatoid arthritis
• Have diabetes
• Have thyroid disease
• Have bone spurs
• Are pregnant
• Are obese
• Are age 50 and older
• Perform activities that require repetitive movement of the wrist, shoulders, or hands

Most cases of a pinched nerve are mild and symptoms may go away in a few days or weeks. Your doctor may recommend treatment that involves over-the-counter medications, physical therapy, resting the affected area, pausing certain activities, or applying heat and ice.

Do not ignore the symptoms of a pinched nerve if they last longer than normal. Chronic pain, numbness, tingling, or other associated symptoms can indicate a serious problem.

Early detection can help you avoid complications. Your doctor can diagnose a pinched nerve by ordering imaging tests such as MRI, blood tests, spinal tap, or a nerve conduction study. Surgery is often used as a last resort to treat long-lasting symptoms.

An untreated neurological condition can significantly interfere with your ability to function daily, but with the help of our expert team of neurologists, you can get the treatment you need to prevent disability and maintain a high-quality, active life. To schedule an appointment, please email [email protected].

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.

Essential Tremors

Posted on July 18, 2024 by Patrick Hercules

Essential tremors are a neurological condition that causes involuntary and rhythmic shaking. It affects any part of the body but mostly occurs in the hands.

Essential tremors are normally not dangerous but can worsen and become severe in some people. It is sometimes confused with Parkinson’s disease.

The symptoms of essential tremors include:

They start gradually and are more noticeable on one side of the body.
They worsen with movement.
They occur in the hands first, affecting one or both hands.
They cause a “yes-yes” or “no-no” motion of the head.
They may be aggravated by emotional stress, fatigue, caffeine, or extreme temperature changes.

About half the people with essential tremors appear to have an altered gene that causes them. This is called familial tremor. It is unclear what causes essential tremors in people without familial tremors.

There are a couple of known risk factors for essential tremors including:

Altered gene
Age- Essential tremors, which are more common in people 40 and older.

Complications caused by essential tremors include difficulty:

Holding a cup or glass without spilling.
Eating without shaking.
Putting on makeup or shaving.
Talking, if the voice box or tongue is affected.
Writing clearly.

There are no medical tests to diagnose essential tremors. It is often a matter of ruling out other conditions that could be causing symptoms. A healthcare provider may do this by reviewing your medical history, family history, and symptoms, and completing a physical examination. Some tests used to do this include:

Neurological examination that tests the functionality of your nervous system
- Tendon reflexes.
- Muscle strength and tone.
- Ability to feel certain sensations.
- Posture and coordination.
- Way of walking.
Laboratory tests- blood and urine may be tested for several factors including:
- Thyroid disease.
- Metabolic problems.
- Medicine side effects.
- Levels of chemicals that may cause tremors.
Performance tests- a healthcare provider may ask you to:
- Drink from a glass.
- Hold your arms outstretched.
- Write words or a sentence.
- Draw a spiral.

People with mild symptoms of essential tremors don’t require treatment. But if it is causing difficulty in performing daily activities treatment options may include:

Medicines
- Beta-blockers
- Anti-seizure medications
- Tranquilizers
- Botox injections
Physical or occupational therapy
Nerve stimulation devices
Surgery
- Deep brain stimulation
- Focused ultrasound thalamotomy

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.

Meet Our Doctors: Dr. Morteza Modaber

Posted on January 29, 2024 by Jacob Lobosco

We are pleased to introduce Dr. Morteza Modaber, the new Director of Neurology for both Jamaica Hospital and Flushing Hospital Medical Center.

Dr. Modaber obtained his medical degree at Shahid Behesti University of Medical Sciences in Tehran, Iran, before coming to practice medicine in the United States. After four years of neuromodulation research at the University of California, Los Angeles, he completed an internship program in internal medicine at SUNY Upstate Medical University from 2016 to 2017. He then completed a residency program in neurology at the Zucker School of Medicine at Hofstra/Northwell from 2017 to 2020, where he also completed a fellowship program in vascular neurology.

Part of what Dr. Modaber finds so engaging about his new role is the opportunity it offers to serve unmet needs for patients living in Queens. “There’s a massive need in the Queens community for neurological care,” said Dr. Modaber. “There isn’t enough access to medical professionals with a neurological background. I’m very excited to be able to help provide that care.”

Both the community he serves and the people that he works with bring joy and purpose to Dr. Modaber’s career. “Our hospitals and the communities they serve are melting pots of different cultures and different groups of people from a variety of backgrounds. I’m very happy to be working in an environment where diversity is celebrated,” said Dr. Modaber.

As Director of Neurology, Dr. Modaber plans to expand the Neurology Department in ways that will allow it to provide comprehensive neurological care to the Queens community. “I want to be able to offer people in Queens the best neurological care they can get in New York without having to take a long trip to Manhattan, Long Island, or somewhere else to get it,” said Dr. Modaber. “We’ve been recruiting a lot of highly-skilled people and are well on our way to achieving that goal.”

We are proud to welcome Dr. Modaber to our team and look forward to the work that he and the rest of the Neurology Department will do to provide high-quality neurological care to our community.