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Almost everyone probably experienced the weird feeling of having our hand, leg or foot “fall asleep” which often includes a feeling of numbness or a sensation of “Pins and needles” or the popularly called "tusok-tusok" in the Philippines. Do not panic! This is a very common condition that can happen to just about anyone and is very temporary. It is usually caused when we have sat or slept in an awkward position for too long. Numbness can occur along a single nerve, on one side of the body, or it may occur symmetrically, on both sides of the body. It happens when the blood supply to the nerves is cut off. This is usually when you sit or sleep on part of your body. It lasts only a few minutes. You often get pins and needles in your:

  • arms

  • hands

  • legs

  • feet

Some possible causes of pins & needles are as follows:

Pressure

Wearing tight shoes or sitting on your foot can give you a numb foot or leg or cause pins and needles. 

Diabetes

It can damage small blood vessels that supply...

Daily Persistent Headache (DPH) or the commonly called "Araw araw na sakit ng ulo" is a type of continous headache that starts suddenly and happens on a daily basis with migraine-like or tension-like features. The headache is often described as a pressure-like or tightening sensation. The pain is often on both sides of the head, but can also be on one side or localized to one specific area.


People with DPH will frequently have sleep disturbance, pain at other sites, dizziness, worsening anxiety and mood, and school absence. Other frequent symptoms include non-specific abdominal pain, back pain, neck pain, and diffuse muscle and joint pain. It can resemble chronic migraine in its features, with days when there is light or sound sensitivity, nausea, throbbing, or pain on just one side of the head. Sometimes, it may resemble a tension-type milder headache without any of those features.


Daily Persistent Headache is...

According to the National Headache Foundation, eating foods that contain tyramine can set off a chain reaction that causes vasoconstriction — or narrowing — of some of the blood vessels in the brain. This vasoconstriction is then followed by dilation — or widening — of the blood vessels. This back and forth narrowing and widening causes the characteristic throbbing of a migraine headache.

One of the items on the migraine foods to avoid list that contain tyramine is aged cheese. which is the process of allowing the cheese to sit for a certain period of time after it's made so it can develop a deeper flavor and a different texture. Different cheeses are aged to different degrees, but as a general rule, aged cheeses are typically harder than fresh cheeses. Some examples of aged cheeses that migraine sufferers may want to avoid are:

  • Parmesan

  • Asiago

  • Pecorino Romano

  • Gruyere

  • Havarti

  • Sharp cheddar

  • Swiss made in Switzerland (Emmental)

  • Fontina

  • Monchego V...

In times of Community Quaratine (Lockdown); It is certainly difficult to have your regular medical check up or getting an updated Prescription for you to buy your medicine. VIDEO ONLINE CONSULTATION with your specialist now available in the Philippines.

Get a quick, convenient and secure way to digitally connect with your neurologist (specialist) without having to queue on long lines in the clinic or going through the heavy traffic of the metropolis. You can access the online consultation via audio call or video call (viber). Prior appointment is required.

This is an easy way to form to ask about an existing condition or medication / ask about a symptom or referral for a test / discuss a test result / ask for a prescription for your medications.

The online consultation program also offer clients a easy way to pay for the professional fees via Paypal or Gcash. In cases wherein your neurologist feels you need to be seen or assessed personally, they will arrange a face-to-face appointm...

Get a quick, convenient and secure way to digitally connect with your neurologist (specialist) without having to queue on long lines in the clinic or going through the heavy traffic of the metropolis. You can access the online consultation via audio call or video call (viber). Prior appointment is required.

This is an easy way to form to ask about an existing condition or medication / ask about a symptom or referral for a test / discuss a test result / ask for a prescription for your medications.

The online consultation program also offer clients a easy way to pay for the professional fees via Paypal or Gcash. In cases wherein your neurologist feels you need to be seen or assessed personally, they will arrange a face-to-face appointment with you. This might be because they need to examine you or conduct a medical procedure.

The Online Consultation Program do not accept emergency or urgent cases. You may directly visit the emergency room / department of any hospital near you for urgent me...

Get a quick, convenient and secure way to digitally connect with your neurologist (specialist) without having to queue on long lines in the clinic or going through the heavy traffic of the metropolis. You can access the online consultation via audio call or video call (viber). Prior appointment is required.

This is an easy way to form to ask about an existing condition or medication / ask about a symptom or referral for a test / discuss a test result / ask for a prescription for your medications. The online consultation program also offer clients a easy way to pay for the professional fees via Paypal or Gcash. I

n cases wherein your neurologist feels you need to be seen or assessed personally, they will arrange a face-to-face appointment with you. This might be because they need to examine you or conduct a medical procedure.

The Online Consultation Program do not accept emergency or urgent cases. You may directly visit the emergency room / department of any hospital near you for urgent me...

Online Medical Consultation offers an easy, excellent solution and alternative to a traditional clinic consultation setup. It achieves a real-time consultation and obtain advice on treatment options.  According to a global survey conducted by a reputed news site, due to the revolution in technology, 80% of medical health issues can be solved online. It convenient and easy to use especially for those who live in remote areas and have busy schedules. By using a video conferencing platform smartphone apps, and online management systems, doctors can now connect with patients and diagnose then provide e-prescriptions.  

A stroke is a sudden interruption in the blood supply of the brain. Most strokes are caused by an abrupt blockage of arteries leading to the brain. Because stroke occurs rapidly and requires immediate treatment, stroke is also called a brain attack. The effects of a stroke depend on which part of the brain is injured, and how severely it is injured. Strokes may cause sudden weakness, loss of sensation, or difficulty with speaking, seeing, or walking. Since different parts of the brain control different areas and functions, it is usually the area immediately surrounding the stroke that is affected.

Stroke prevention starts with knowing your risk. A person may modify their lifestyle in order to change or treat some risk factors that one may have, but there will always be factors that we can not change. 

Lifestyle risk factory that you may change:

1. High blood pressure- This is the single most important risk factor for stroke because it’s the leading cause of stroke. Kno...

A brain aneurysm is a bulging area in an artery in the brain. Its walls may be weak and thin and is prone to rupturing. In other words when blood passes through the weakened blood vessel, the blood pressure causes a small area to bulge outwards like a balloon.

Ruptured brain aneurysm usually cause bleeding into the space around the brain. Here are some of the common signs and symptoms: 

  • Severe headache

  • Nausea

  • Stiff neck

  • Blurred vision

  • Sensitivity to light

  • Seizure

  • Vomiting

  • Drooping eyelid

  • Pain above and behind the eye

  • Loss of consciousness

  • Confusion

  • Weakness and/or numbness

If a brain aneurysm is detected before it ruptures, treatment may be recommended to prevent it rupturing in future. Factors that affect whether treatment is recommended include your age, the size and position of the aneurysm, your family medical history, and any other health conditions you have.  If treatment is recommended, this usually involv...

Neuropathic pain (Nerve Pain) is caused by damage or injury to the nerves that transfer information between the brain and spinal cord from the skin, muscles and other parts of the body.

The pain is usually described as a burning sensation and affected areas are often sensitive to the touch. Symptoms of neuropathic pain may also include excruciating pain, pins and needles, difficulty correctly sensing temperatures and numbness. Some people may find it hard to wear thick clothes as even slight pressure can aggravate the pain.

Common causes of neuropathic pain include nerve pressure or nerve damage after surgery or trauma, viral infections, cancer, vascular malformations, alcoholism, neurological conditions such as multiple sclerosis and metabolic conditions such as diabetes. It may also be a side effect of certain medications. Occasionally no identifiable cause is found which can be distressing for the individual experiencing the pain.

Chronic neuropathic pain is common and may be related t...

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Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

winnielimkhoo@gmail.com

+63 (998) 5500497

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© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made