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

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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...

Lower Back pain is a very common problem among adults affecting up to 80% of people at least once in their lifetime. The pain can lead to significant loss of function resulting in individuals being unable to complete their normal daily activities including work.  In most cases the pain isn't caused by anything serious and will usually get better over time. 

Lower back pain can cause a range of symptoms. The pain may be dull or sharp. It may be in one small area or over a broad area. You may have muscle spasms. It may also cause leg symptoms, such as pain, numbness, or tingling, often extending below the knee. A rare but serious problem called Cauda Equina Syndrome can occur if the nerves at the end of the spinal cord are squeezed. Seek emergency treatment if you have weakness or numbness in both legs or you lose bladder or bowel control.

Here a few practical tips on how to prevent and reduce pain in the Lower Back Pain:

  • Maintain good posture when you sit, stand, and walk

  • Be...

Firstly we have to know that our neck is a flexible connection between your head and the rest of your body  Many vital structures pass through this area of the body.. Because of its location and range-of-motion, it is often left unprotected and subject to injury.

Neck pain can result from many different causes — from injury, to age-related disorders, or inflammatory disease. Causes of neck pain and problems may include the following:

  • Injury

  • Herniated cervical disk

  • Arthritis 

  • Cervical disk degeneration

  • Congenital abnormalities of the vertebrae and bones

  • Tumors

Doctors diagnose neck pain by conducting  any or all of the following: Bloodtest, X-ray, Electromyogram (EMG), Computed tomography scan (also called a CT or CAT scan) or Magnetic resonance imaging (MRI). Some of the most common treatment given to patients are:

Treatment may include:

  • Medication (for inflammation)

  • Medication (for pain)

  • Rest

  • Physical therapy

    ...

Lower back pain is very common in the Philippines. According to surveys, almost 4 out of 5 of us may suffer from back pain at some point in our lives and every year, 1 out of 5 people visit a doctor pertaining to lower back pain.  Typically, back pain is concentrated in the lumbar (lower back) region which takes most of the strain of our lifestyle. The pain can be associated with stiffness and muscle spasm.

The spine or spinal column is one of the strongest part of the body giving us a great deal of flexibility and strength.  It is made up of 24 bones, one sitting on top of each other and disc in between and lots of strong ligaments and muscles around them for support.  As we grow older, the structures of the spine, age as well. The structures remain strong but it is usual for your back to get stiffer as you get older. 

Here are a few tips and tricks in order for us to reduce the risk of back pain:

  • Regular back exercises and stretches

  • Maintain a daily active lifestyle

  • ...

One should first be aware that the spinal cord is a long, fragile tube-like structure that begins at the end of the brain stem and continues down almost to the bottom of the spine. It contains nerve cells, called neurons, and bundles of nerve fibers, or axons, that carry signals to and from the brain.  The spinal cord is responsible for sending messages from the brain to all parts of the body. A person is able to experience pain and move our limbs because of messages sent through the spinal cord.


A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life. If the spinal cord sustains an injury, some or all of these impulses may not be able to “get through.” The result is a complete or total loss of sensation and mobility below the injury. 


According to studies; More than 2.5 million people worldwide lived with paralysis caused by spinal cord injur...

PAIN & STIFFNESS

One may feel pain on the side or middle of the neck and may extend to the shoulder and shoulder blades or to the upper chest. It is commonly a challenge to move because of the pain and you may feel tightness in your muscles specially if you have been sitting in one position for a long time.  You may notice that your neck doesn't turn as far as it normally does. 

CLICKING NOISE

In several occasions, one may hear or feel a clicking sound when you move your hear.  It is caused by bony surfaces moving agaisnt each other. Other joints often do this too but noises from your neck usually seem louder because they are happening near your ear.

TINGLING SENSATION

When a persons nerve root is being pinched, you may experience numbness, tingling or pins and needles down your arm and to your fingers.

MUSCLE SPASM

In some cases, when one person experience neck pain, he / she may also have muscle spasm that turn your head to one side.  This is not very common but is unpleasant. This usu...

Do not panic! Back Pain is very common and normally improves in a few days. Pain in the lower back can be felt anywhere along the spine – from the neck down to the hips. In most cases the pain isn't caused by anything serious and will usually get better over time.

One can manage lower back yourself by keeping mobile and perhaps taking over-the-counter painkillers. Most back pain usually gets better on its own. 

The symptoms of back pain can vary from person to person. Back pain may come on suddenly, perhaps after you’ve lifted something heavy, or it may come on gradually over time. The pain may feel really bad, or may be milder. Some people with back pain also have pain down one leg, or into the buttock or groin. This is sometimes called sciatica.

There are a number of things you can do to help relieve back pain:

  • Stay Active

  • Do exercises and stretches 

  • You may apply topical heat or cold treatments to your back.

If you look after your back, you can greatly reduce your risk o...

Trigeminal Neuralgia (TN) or the commonly called “Facial Pain” is a disorder of the fifth cranial nerve that causes episodes of intense, sharp shooting, stabbing pain in the areas of the face where the branches of the nerve are distributed – lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. It usually occurs in short, unpredictable attacks that can last from a few seconds to about two minutes. People with the condition may experience attacks of pain regularly for days, weeks or months at a time. In severe cases attacks may occur hundreds of times a day.

Here are a few symptoms of Trigeminal Neuralgia: Sharp pain / Pain that comes and goes / Pain must be in the distribution of the trigeminal nerve . Attacks of facial pain may be triggered by certain actions or movements, such as:

  • talking

  • smiling

  • chewing

  • brushing your teeth

  • washing your face

  • a light touch

  • shaving or putting on make-up

  • swallowing

  • kissing

  • a cool breeze or air condit...

Trigeminal Neuralgia (TN) or the commonly called “Facial Pain” is a disorder of the fifth cranial nerve that causes episodes of intense, sharp shooting, stabbing pain in the areas of the face where the branches of the nerve are distributed – lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. It usually occurs in short, unpredictable attacks that can last from a few seconds to about two minutes. People with the condition may experience attacks of pain regularly for days, weeks or months at a time. In severe cases attacks may occur hundreds of times a day.

Here are a few symptoms of Trigeminal Neuralgia: Sharp pain / Pain that comes and goes / Pain must be in the distribution of the trigeminal nerve . Attacks of facial pain may be triggered by certain actions or movements, such as:

  • talking

  • smiling

  • chewing

  • brushing your teeth

  • washing your face

  • a light touch

  • shaving or putting on make-up

  • swallowing

  • kissing

  • a cool breeze or air condit...

In my several years of practice of medicine specifically in the field of neuroscience. A lot of patient had repeatedly asked the question, "How do you prevent a stroke?". Well, the answer is actually very simple. Care to make a guess? Its "LIFESTYLE CHANGE". Its the ultimate key to lower your risk of a stroke.

One of the main culprit here is high blood pressure. High blood pressure is a major risk factor for stroke. There are a number of lifestyle changes you can make to help lower your blood pressure and risk of stroke. Here are a few tips to start you off:

Maintain an ideal weight

Being overweight or obese increases your risk for stroke. To determine whether your weight is in a healthy range, doctors often calculate your Body Mass Index (BMI).

Stay active

Physical activity can help you stay at a healthy weight and lower your cholesterol and blood pressure levels. For adults, the Surgeon General recommends 2 hours and 30 minutes of moderate-intensity aerobic physical activity, such as a br...

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