Wellness Wednesday Tip: Staying Physicall Active

Posted on August 12, 2026 by Patrick Hercules

Life can move fast, and we may not have enough time to exercise as much as we would like to. Most people spend half of their day sedentary. The more you sit, the more your large muscles aren’t using glucose, the body’s main source of energy. Sitting for long periods of time can cause blood sugar levels to rise, triggering the body to release insulin.

Over time, sedentary habits cause the body to become less sensitive to insulin, resulting in insulin resistance.

Regular physical activity is one of the most important things you can do for your health. What’s more, any kind of exercise can reduce fatigue and improve sleep, decrease anxiety and depression, improve weight management, and promote brain health. It can also help prevent and reduce the risk of long-term health problems, such as heart disease, type 2 diabetes, high blood pressure, and obesity.

Additionally, regularly moving your body lowers your risk for some types of cancers, fatty liver disease, chronic pain, arthritis, and even dementia.

According to the Centers for Disease Control and Prevention (CDC), adults need at least 150 minutes of moderate-intensity physical activity each week. Moderate-intensity physical activity can be any activity that gets you to breathe harder and your heart beating faster, such as:

Brisk walking

Dancing

Swimming

Roller skating

Jogging

Riding a bike

Playing a sport

Moving your body doesn’t always have to involve working out in a gym. You can also climb the stairs, garden, or play with your children or pets.

Whether you are just starting or haven’t been physically active for a while, there are ways to get started. Here are some tips to help you add more physical activity to your daily life:

Look for ways to make physical activity a part of your daily routine, such as walking the dog or walking in place during commercial breaks while watching TV

Start with activities, locations, and times you enjoy

Find a place near your home or work to be physically active

Try activities with friends or family that you enjoy together

If you lack the time, space, energy, skill, or if something else is preventing you from being more physically active, such as a fear of injuring yourself, here are ways to overcome these obstacles:

Add physical activity to your daily routine, such as parking farther away from your destination or taking the stairs instead of the elevator

Schedule physical activity for times in the day or week when you will feel more energetic

Invite a friend or family member to exercise with you regularly

Choose activities you can do safely, and increase the amount you do gradually as your confidence and abilities grow

Be sure to warm up and cool down before walking to avoid injury

Regular physical activity is one of the most important things you can do for your health. Everyone can experience the health benefits of physical activity, as it gets your body moving and your heart beating faster.

It is recommended that you consult your doctor before starting or adding new exercises to your routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.

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.

Emotional Fatigue

Posted on August 4, 2026 by Patrick Hercules

When stress from negative or challenging life events occurs repeatedly without adequate recovery, you may find yourself feeling emotionally worn out and drained. This is known as emotional fatigue or exhaustion. Although emotional fatigue is most associated with workplace burnout, it can happen outside occupational contexts in:

Anyone whose emotional labor consistently exceeds their capacity to restore

Caregivers supporting ill or dependent family members

Individuals processing prolonged grief, trauma, or stress

People in chronic, conflict-heavy relationships

Parents of young children or children with complex needs

Emotional fatigue falls between ordinary stress, which most people can bounce back from quickly, and clinical disorders such as major depression or anxiety disorders. If it is left unaddressed, it frequently progresses toward both.

Emotional fatigue can present itself as emotional, physical, and performance signs and symptoms.

Emotional symptoms include:

Depression

Anxiety

Apathy

Irritability

Difficulty making decisions

Feeling hopeless

Feeling powerless or trapped

Lack of focus or forgetfulness

Lack of motivation

Negative thinking

Tearfulness

Nervousness

Physical symptoms include:

Persistent headaches or migraines

Heart palpitations or chest tightness

Fatigue

Poor sleep

An elevated susceptibility to illness

Nausea or upset stomach

Lack of appetite

Sore muscles or muscle tension

Performance symptoms include:

Performing work duties more slowly

Difficulty completing daily tasks for responsibilities

Failing to meet deadlines

Isolation or avoidance

Increased absences

Lower workplace commitment

You can address emotional fatigue by identifying the stressors you can reduce or prevent. When you are unable to change a stressor because it is out of your control, it is important to focus on the here and now. Try to focus on the various neutral and positive events that are happening. Focusing on these types of events can give you a better perspective about what is happening around you, allowing you to shift your focus away from the stressors.

Your body can often interpret stress as a threat to your survival. When this occurs, your brain releases stress hormones throughout your body, which can contribute to your emotional fatigue. As you focus on neutral or positive events in your life, your brain learns that the threat is not as bleak as it may seem. The amount of stress hormones released decreases, causing you to feel more emotionally balanced.

Some other strategies that can help reduce emotional fatigue include:

Practicing mindfulness to engage in the present moment

Eliminating or minimizing the stressor when possible

Identifying and challenging unhelpful thoughts and replacing them with balanced thoughts

Eating a healthy, balanced diet

Exercising

Getting adequate sleep

When emotional fatigue is addressed early, it often clears considerably with the proper rest and load reduction.

If you are experiencing emotional fatigue, you can discuss your signs and symptoms with a mental health professional. They can help you sort through the causes and symptoms you’re experiencing to determine a plan that will help you regain a sense of well-being.

To learn more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

Wellness Tip: Prioritizing Sleep

Posted on July 31, 2026 by Patrick Hercules

Prioritizing sleep is essential to help you function properly throughout the day.

Getting adequate and restful sleep has several benefits, as it supports the immune system, helps control weight, aids physical and mental well-being, and cognitive functions, such as memory and judgment. It may even extend longevity.

The amount of sleep needed every night varies with age and other factors. The Centers for Disease Control and Prevention (CDC) recommends at least seven hours of sleep per night for most adults. However, it is important to note that getting more than the recommended hours of sleep on a consistent basis can be detrimental to your health. In a study done by the National Library of Medicine, getting nine hours or more of sleep is linked to a higher risk of early death.

Practicing good sleep hygiene can help you get the recommended seven to nine hours of sleep. Here are a few tips for better sleep hygiene:

Getting regular exercise

Setting regular bedtime and wake-up times

Avoiding caffeine in the afternoon and evening

Avoiding large meals before bedtime

Avoiding drinking alcohol before bedtime

Turning off screens at least 30 minutes before going to bed

If you are having difficulty falling asleep, frequently wake up throughout the night, or often feel tired during the day, talk to your healthcare provider about ways to improve your sleep. In some cases, sleep apnea or another sleep disorder may be preventing you from getting a restful night’s sleep.

If you or a loved one is having trouble sleeping, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Stiff Person Syndrome

Posted on July 24, 2026 by Patrick Hercules

Stiff person syndrome (SPS) is a rare autoimmune neurological disorder that most commonly causes symptoms of muscle stiffness in your trunk and abdomen, with stiffness and painful spasms in the legs and other muscles developing over time.

Symptoms of stiff person syndrome can develop at any age, but it most often begins in your 30s and 40s. Scientists believe stiff person syndrome can range from just one area of a person’s body to a widespread syndrome that affects multiple parts of the body, and involves the brain, brain stem, and spinal cord. Stiff person syndrome is a progressive disorder, which means symptoms can get worse over time, and can take several months to a few years to develop.

In most cases of stiff person syndrome, muscle stiffness in the abdomen, chest, or back muscles is the first symptom experienced. This rigidity causes pain and an aching discomfort that can fluctuate in severity without a clear trigger or reason. These symptoms can also affect the arms and legs. As stiffness increases, some people may develop an abnormal posture that can make it difficult to walk or move. Individuals may also experience painful muscle spasms that can involve the entire body, or only a specific area. These spasms can last a few seconds, minutes, or occasionally, a few hours.

Symptoms of stiff person syndrome, such as muscle spasms, can be triggered after:

Physical touch or stimulation

Unexpected or loud noises

Changes in temperature, including cold environments

Stressful events

The triggers of stiff person syndrome-related muscle spasms can be unpredictable. This can cause some people with stiff person syndrome to develop anxiety and agoraphobia because it is more difficult to avoid the triggers of muscle spasms in public.

Researchers don’t know the exact cause of stiff person syndrome, but they believe it is an autoimmune condition. Some studies suggest antibodies may play a role in stiff person syndrome, as many people with the condition make antibodies against glutamic acid decarboxylase (GAD). GAD makes a neurotransmitter called gamma-aminobutyric acid (GABA), which helps control muscle movement.

Unfortunately, researchers don’t yet understand the exact role that GAD plays in the development and worsening of stiff person syndrome. However, it is important to note that having GAD antibodies doesn’t mean that you have stiff person syndrome. A small portion of the general population has GAD antibodies without any adverse effects. There are other antibodies associated with stiff person syndrome, including:

Glycine receptor

Amphiphysin

Dipeptidyl peptidase-like protein 6 (DPPX)

Additionally, some people with this condition don’t have any detectable antibodies, but ongoing research is investigating whether other potential antibodies may also cause symptoms.

Stiff person syndrome is very rare, as about one out of every one million people has this condition. What’s more, it is twice as common in females, and may also occur with other autoimmune conditions, such as:

Type 1 diabetes

Autoimmune thyroid disease

Celiac disease

Vitiligo

Pernicious anemia

A healthcare provider can diagnose stiff person syndrome by looking for specific signs of the condition through exams and tests. They will ask questions about symptoms during physical and neurological exams. If the healthcare provider suspects stiff person syndrome, they may recommend other tests, including:

Antibody blood test

Lumbar puncture

Electromyography (EMG)

Stiff person syndrome can be difficult to diagnose, as it is rare and has similar symptoms to other conditions, such as ankylosing spondylitis, multiple sclerosis (MS), or other autoimmune conditions.

Unfortunately, there isn’t a treatment that cures stiff person syndrome. However, working with a specialist and maintaining symptom control can make it easier to live with the condition. Specialists include:

Neurologists, specifically neuroimmunologists

Physical medicine and rehabilitation specialists

Occupational and physical therapists

Mental health specialists, such as psychologists

Speech therapists

To treat stiff person syndrome, two main treatment strategies can be used, such as:

Medications and therapies for symptom management

Immunotherapy or disease-modifying treatment

Treatment for stiff person syndrome varies based on your symptoms. The goal of treatment is to manage how symptoms affect you and improve your mobility and comfort.

If you or a loved one is experiencing symptoms of stiff person syndrome, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Bedwetting

Posted on July 10, 2026 by Patrick Hercules

Bed-wetting, also known as nighttime incontinence or nocturnal enuresis, means passing urine without intending to while asleep. This occurs after the age at which staying dry at night can reasonably be expected.

Children usually learn to control their bladders between the ages of two and four. Most children are generally fully toilet-trained by five years old. However, there isn’t really a target date for having complete bladder control. It is common for children to wet the bed between the ages of four and six as they grow and adjust to their bodies at their own pace. Most children gain control of their bladders by the age of seven, but accidents can still happen after and through their teenage years.

Bed-wetting isn’t a sign of problems with toilet training. It’s often just a typical part of a child’s development. However, there are some signs that there may be an underlying medical issue causing bedwetting. They include:

Pain while peeing
Changes to the frequency of when and how much peeing occurs during the day
Having a small stream of pee
Lack of bowel movements during the day
Changes to the color of urine
Mood changes

The most common cause of childhood bed-wetting is a lack of bladder control. However, bedwetting can be a symptom of an underlying medical condition, such as:

A urinary tract infection
No awareness of having a full bladder
A small bladder
A hormone imbalance
A problem in the urinary tract or nervous system
Sleep apnea
Diabetes
Ongoing constipation
Obstructive sleep apnea
ADHD

A healthcare provider can diagnose bedwetting after a physical exam and taking a complete medical history. They may offer to conduct tests, such as a urine test, a blood test, or an imaging test, to determine if there is an underlying medical condition that is causing your child to wet the bed. If your healthcare provider suspects that emotional or psychological factors have been causing bedwetting, they may recommend consulting with a mental health professional.

The treatment for bedwetting varies based on the cause. Treatment options could include:

Behavioral changes before or during bedtime, such as:
- Limiting fluids before bedtime
- Going to the bathroom before bedtime
- Setting an alarm
- Bladder therapy
Taking medications that can reduce nighttime urine production
Managing or treating any underlying medical conditions
Talking with a mental health professional, such as a psychologist or therapist, to manage your child’s stress, trauma, or emotional challenges

A child can be embarrassed by soggy sheets and pajamas. It is important not to get upset if your child wets the bed. If your child does continue to wet the bed, treat the problem with patience and understanding. Although bedwetting can’t always be prevented, you can reduce your child’s risk of bedwetting by:

Avoiding drinking a lot of fluids two hours before bedtime and avoiding caffeinated beverages
Going to the bathroom before bed
Making sure the bathroom or toilet is easily accessible
Wearing absorbent pants at night
Using positive reinforcement or affirmations to acknowledge when your child wakes up dry
Avoiding any shaming or making fun of someone in your family or friend group who has wet the bed

If your child is experiencing symptoms of bedwetting, you can visit the pediatrics unit at Flushing Hospital or call (718) 670-5000 to schedule an appointment.

How to Reset and Regulate Your Nervous System

Posted on June 11, 2026 by Patrick Hercules

Our nervous system is our biological survival system, our first line of defense that is designed to respond to any stimuli, such as an environmental or psychological threat that we may encounter. It works to protect and keep us safe, as it continually processes information and responds to both internal and external stimuli.

The autonomic nervous system controls all automatic or involuntary functions of the body. It is made up of two main parts, the sympathetic and parasympathetic nervous systems.

The sympathetic nervous system, or “fight-or-flight” system, is responsible for preparing the body to respond to anything that may be seen as a threat, triggering the release of the stress hormones adrenaline and cortisol. These hormones activate our automatic survival responses, which include fight, flight, freeze, or fawn, causing us to experience symptoms, such as rapid heart rate, shallow breathing, and upset stomach, among others.

The parasympathetic nervous system, or “rest and digest” system, plays an essential part in counteracting the fight-or-flight response and regulating the body’s stress response. It promotes relaxation and recovery, which helps the body calm down.

It is important to note that our nervous system doesn’t know the difference between a real threat and a non-life-threatening stressor.

Stress can be healthy, as it can motivate us into action and help us rise to any challenges. However, many people are being pushed beyond the desirable levels of stress and into a state of distress. Our sympathetic nervous system gets sent into high gear because we continue to be on high alert, constantly reacting to stressors after stressors, and not giving our parasympathetic nervous system time to do its job to calm the body. Due to this, many people are not recovering as they may need to.

Without sufficient ways to reset and recover, we go from manageable stress to unmanageable distress. This persistent trigger can gradually lead to anxiety, irritability, fatigue, exhaustion, and eventually burnout.

There will always be times when our fight-or-flight response gets triggered. That’s why it is important to have ways to engage the parasympathetic nervous system and regulate the body back into a state of calm and balance so that we can function properly.

Here are a few ways to reset and regulate our nervous systems:

Breathwork is a deep breathing practice that signals safety to the brain, helping to calm the body and mind. Examples of breathwork include:

Long exhale breathing

Physiological sighing

Birthday cake breathing

Physical movements, such as walking, gentle stretching, or yoga, can reduce cortisol levels and promote the release of endorphins, and get rid of the stress and tension that has accumulated in the body

Spending time in nature can start to re-regulate your nervous system, as it helps lower blood pressure, reduce stress hormones, and improve mood

Crying is a self-soothing behavior that helps to expel stress hormones from the body, providing relief.

Prioritizing sleep is an important way to give the brain and body time to repair and restore themselves

Social connections with people who make you feel safe, calm, and supported can help regulate the nervous system

Intentionally slowing down your pace to signal to the brain that there isn’t any immediate danger

Many of us may spend a lot of our days in an increased state of activation, as we continually react to the stressors around us, instead of responding to them. Stress is inevitable. However, having ways to reset and regulate our nervous system can help us better cope with our stress.

To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

Men’s Health Month- Depression in Men

Posted on June 10, 2026 by Patrick Hercules

June is Men’s Health Month. This time is used to raise awareness of health problems affecting men and boys.

One health problem affecting men and boys is depression. Depression is a common mental health condition that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it changes how you think, sleep, eat, and act.

Depression symptoms can differ in men and women. Men tend to use different, healthy, and unhealthy coping skills than women. It isn’t clear why depression affects men differently from women, but these differences could be due to factors such as brain chemistry, hormones, and life experiences.

These differences may also result from the traditional male role, which discourages men from expressing their emotions and instead encourages the pursuit of power, success, and competition.

Men with depression may exhibit similar signs and symptoms of depression that women do, such as:

Feelings of sadness, hopelessness, worthlessness, or emptiness

Feeling very tired

Having a hard time sleeping or sleeping too much

Not getting the same enjoyment or pleasure from their favorite hobbies and activities

Other behaviors in men that could be symptoms of depression include:

Irritability or anger that can get out of control

Problems getting along with their spouse, partner, family members, friends, and others

Controlling, violent, or abusive behavior

Problems with alcohol or drugs

Engaging in escapist behavior, such as spending excessive time at work or on sports

Physical symptoms, such as headaches, digestive problems, and pain

Reckless behaviors, such as reckless driving

In addition to depression affecting the mind, it can also affect the body. Typical physical symptoms are changes in appetite and sleep habits. Depression in men can also cause:

Low sex drive

Erectile dysfunction

Trouble having an orgasm

Not getting help for depression will only make it worse. It can cause damage to relationships, careers, and health.

Depression in men can have severe consequences. According to the Centers for Disease Control and Prevention (CDC), men in the U.S. are four times more likely to die by suicide than women, and 75 to 80 percent of all people who kill themselves in the U.S. are men. This may be due to men tending to use more harmful and violent ways to do so, such as using a gun instead of overdosing on pills.

Experiencing depression is not usually a normal part of aging, but it is common for older men. Several things can lead to depression in older men, including:

Health conditions, such as cancer, diabetes, stroke, dementia, Parkinson’s disease, and chronic pain

Stressful life events, such as the death of friends and loved ones, being diagnosed with an illness, or taking care of a partner who is sick or disabled

Social isolation, such as not spending time with work friends or neighbors moving away, can cause the loss of social connections. Feeling lonely and isolated is a top risk factor for depression

Sleep issues, such as falling asleep during the day, waking up at night, and getting less overall sleep, are more likely to result in experiencing depression

More than 80 percent of the people who suffer from depression, men and women, can successfully be treated with antidepressant medication, psychotherapy, or a combination of both. Other treatment options include brain stimulation techniques, such as electroconvulsive therapy (ECT) or transcranial magnetic stimulation (TMS).

It might be difficult to ask for help. However, if you have been struggling with drastic changes in your emotions or behavior for more than a few weeks, it is time to seek help from a mental health professional. Treatment with a mental health professional can help you to:

Learn ways to manage stress

Think about your emotions and coping strategies

Seek out emotional support

Try to stay on a regular schedule and make healthy life choices

Learn to adjust your way of thinking

Set realistic goals

Decide what is important in your life

Wait until you get better before making any important decisions

Participate in activities you previously enjoyed

If you are having thoughts of suicide, but aren’t thinking about immediately harming yourself, seek help by:

Calling a suicide crisis center hotline

Making an appointment with your healthcare provider or a mental health professional

Reaching out to a loved one or close friend, even though it may be difficult to talk about your feelings

Talking to a minister, spiritual leader, or someone in your faith community

Joining a men’s health group that deals with depression

If you think you may harm yourself or have thoughts of suicide, you can call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24 hours a day, seven days a week. Or use the Lifeline Chat. Services are free and confidential.

Asking for help can be difficult for men. However, without treatment, depression won’t go away, and it may get worse. You don’t have to deal with male depression on your own.

To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

Alzheimer’s and Brain Awareness Month

Posted on June 5, 2026 by Patrick Hercules

June is Alzheimer’s and Brain Awareness Month, a time to recognize the importance of understanding what Alzheimer’s is and what steps you can take to care of your brain.

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history.

Dementia is not a specific disease, but an overall term that describes a group of symptoms like memory loss and the loss of other mental abilities severe enough to interfere with daily life, caused by physical changes in the brain.

Different types of dementia include:

Lewy Body Dementia and Parkinson’s Disease

Creutzfeldt-Jakob Disease

Down Syndrome and Alzheimer’s Disease

Frontotemporal Dementia

Huntington’s Disease

Korsakoff Syndrome

There are many signs and symptoms of Alzheimer’s and dementia. Here are 10 early signs and symptoms:

Memory loss that disrupts daily life
Challenges in planning or solving problems
Difficulty completing familiar tasks
Confusion with time and place
Trouble understanding visual images and spatial relationships
New problems with words in speaking or writing
Misplacing things and losing the ability to retrace steps
Decreased or poor judgment
Withdrawal from work or social activities
Changes in mood and personality

Even though there isn’t a cure for Alzheimer’s and many other types of dementia, there are many preventative measures you can take to care for your brain.

Here are five ways to care for your brain:

Breaking a sweat: regular cardiovascular exercise elevates your heart rate and increases blood flow to the brain and body. Several studies have found an association between physical activity and reduced risk of cognitive decline.

Fueling upright: Eat a healthy and balanced diet that is lower in fat and higher in vegetables and fruit to help reduce the risk of cognitive decline. Although research on diet and cognitive function is limited, certain diets, like Mediterranean and Mediterranean-DASH (Dietary Approaches to Stop Hypertension), may help reduce the risk.

Catching some ZZZs: Not getting enough sleep due to conditions like insomnia or sleep apnea may result in problems with memory and thinking.

Taking care of your mental health: Some studies have linked a history of depression with an increased risk of cognitive decline. Seek medical treatment if you have experienced symptoms of depression, anxiety, or any other mental health concerns. Also, try to manage stress.

Stumping yourself: Challenge and activate your mind. Try building a piece of furniture, completing a jigsaw puzzle, doing something artistic, or playing a strategy game. Challenging your mind may have short—and long-term benefits for your brain.

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Labile Hypertension

Posted on May 29, 2026 by Patrick Hercules

Labile hypertension means your blood pressure goes up and down in a way that can be difficult to predict and manage with medications. This is not an official diagnosis. Instead, it is more of an informal, descriptive term.

Blood pressure normally fluctuates throughout the day, even within minutes, based on what you are doing. However, sudden emotional distress, such as feeling very stressed or anxious, causes your sympathetic nervous system to react.

The exact triggers for labile hypertension vary from person to person. Some people have emotional triggers. Other people can have triggers, such as:

Physical activity

Salty foods

Alcohol

Lack of sleep

Your body position

To support normal blood flow, your body must adapt to these changes. However, with labile hypertension, your blood pressure spikes to levels that would not be healthy if you had them all the time.

There is no reason to worry if your blood pressure is in the normal range. Labile hypertension usually isn’t dangerous and doesn’t require treatment. However, it is a good idea to tell your healthcare provider about any high blood pressure readings, so they are aware of them. Your healthcare provider may want to keep a closer eye on your blood pressure in case you need treatment at some point.

You can have labile hypertension without noticing. However, it is common to experience symptoms that come on rapidly, in response to stress, and dissipate once you feel better emotionally. You may feel symptoms such as:

A headache

Heart palpitations

Heavy sweating

Flushing or a warm sensation in the upper body

A healthcare provider may determine that you have labile hypertension if they observe a pattern of blood pressures that fluctuate unpredictably, which can make it difficult to manage.

A healthcare provider may perform tests such as “orthostatic” vital signs, which means checking your blood pressure while you’re in different positions.

A healthcare provider may also consider looking for neurological causes of labile blood pressure or evidence of stiffening in your aorta and blood vessels, as both can lead to sudden changes in blood pressure.

If your blood pressure spikes while at home, you can use a home blood pressure monitor that saves a history of your readings to share with your healthcare provider. They may ask you to do ambulatory blood pressure monitoring, which measures your blood pressure many times over 24 hours. Ambulatory blood pressure monitors show your average readings during the day and night, which can show if you have high blood pressure all the time or only at certain times.

There isn’t a threshold for what is considered to be labile hypertension. However, research shows that it is common to have a systolic blood pressure of 160 mm Hg or higher.

A healthcare provider will prescribe medicine to keep your blood pressure at a healthy level. It may take several tries to prescribe medications to level your blood pressure throughout the day. Prescription medications may include taking certain, longer-acting blood pressure medications. A healthcare provider may also suggest taking medications at certain times of the day, such as at specific times in the morning, at night, or with certain triggers.

It is difficult to treat labile hypertension. However, documenting your blood pressure readings accurately and working with your healthcare provider can help make a difference.

If you or a loved one is experiencing symptoms of labile hypertension, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Older Americans Month- Mobility Exercises as You Age

Posted on May 7, 2026 by Patrick Hercules

May is observed as Older Americans Month. It is a time when the contributions of older adults are recognized across the country.

As we get older, our joints may feel stiffer, and our balance and reactions might be slower. According to recent studies, over 30% of adults 65 years of age and older experience some form of mobility limitation.

Mobility for older adults usually means the ability to move freely and independently. It’s all about different aspects of activities and movement like walking, bending, reaching, and balancing.

For older adults, balance is extremely important, and those with limited mobility are at a higher risk of experiencing a fall. 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.

One way to reduce the risk of falling is by doing mobility exercises. Mobility exercises are low-impact movements that are designed to improve how joints move through their natural range of motion, while maintaining control and balance.

Mobility exercises promote active movement and coordination, and usually focus on:

Balance and coordination to prevent falls

The ankles and feet for walking stability

The hips and knees for standing, stepping, and going up and down stairs

The spine for posture and reaching

The shoulders for overhead and daily arm use

Doing mobility exercises regularly may help support:

Better balance and control of posture

Reduced stiffness from long periods of sitting

Easier walking and smoother transitions, such as going from sitting to standing and turning

Improved confidence when engaging in daily tasks

Long-term joint comfort and movement quality

Here are some mobility exercises to help improve joint movement, balance, and coordination:

Head rolls

Shoulder rolls

Arm circles

Ankle circles

Standing or seated hip circles

Standing or seated marches

Wrist flexibility exercises

Standing side leg swings

Heel-to-toe rocking

Sit-to-stands

Chair or floor cat-cows

Seated leg raises

Seated torse twists

Supported single-leg stands

Wall shoulder slides

It is important to note that you should stretch before engaging in any physical activity, so you don’t injure yourself. It is also important that you keep mobility training safe and effective by:

Moving slowly and with control

Using a chair, wall, or rail for support

Staying within a comfortable, pain-free range

Wearing supportive footwear

Stopping if dizziness, sharp pain, or discomfort occurs

Mobility exercises don’t just help maintain and improve strength, flexibility, and balance to prevent falls. They also help improve your mental well-being, heart health, and overall quality of life.

If you experience medical problems while exercising, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.