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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Migraines are very common. According to studies, almost 20% of the population have at least one migraine attack every month. Half these attacks interfere with your daily life. It is one of the most common neurological disorders in the country today. 

One proven way to treat / prevent migraine attacks is medication. Unfortunately medication is just part of the treatment; it is very important to know and understand migraine attacks a person. 

Here are a few practical ways on how to prevent migraine from attacking:

1.  Maintain a regular sleeping pattern

2.  Turn off or dim the lights during your sleep

3.  Avoid skipping meals

4.  Avoid food that triggers your migraine

5.  Lessen the brightness level of your mobile phones

6.  Drink a moderate amount of caffeinated beverage 

7.  Regular exercise

8.  Take a well balanced diet

9.  Manage stress in your life

10. Maintain a migraine diary

If your migraine is connected to seizures, weight loss, fever, eye or ear problem, sudden blackouts or worsen...

The spinal cord enables communication between the brain and the rest of the body. It contains nerve cells, called neurons, and bundles of nerve fibres, or axons, that carry signals to and from the brain. All the information needed to initiate and control movement travels down the spinal cord from the brain to the muscles of the body. The majority of spinal cord injuries are due to preventable causes such as falls, road traffic accidents or sports injury.

A spinal cord injury (SCI) damages the communication pathway between the brain and certain parts of the body. Depending on the extent of the damage and its location in the cord, serious and permanent physical consequences will result in varying degrees of severity. Limbs or organs will not function as they did before. When the spinal column is damaged, for example by fracture or dislocation, the bony vertebrae can compress or bruise the fragile spinal cord. Although the initial injury leads to severed axons and the death or damage of ma...

The Human Spine or Spinal cord has an average length of 43 to 45 cm long and composed of billions of nerve cells. It is actually an extension of the brain and contains nerve cells, called neurons, and bundles of nerve fiber that carry signals to and from the brain. These messages help us to move our body, feel pressure and control vital functions like breathing, blood pressure, bladder and bowels.  The majority of spinal cord injuries are due to preventable causes such as falls, road traffic accidents or sports injury. Common causes of spinal cord injury:

41.7% - Fall

36.8% - Road accidents

11.6% - Sports related

4.2%  - Lifting / Improper posture

3.3%  -  Trauma

2.7%  -  Assault

Doctors classify injuries as either complete or incomplete. In a complete injury, the spinal cord is sufficiently damaged across the whole of its width that there is complete loss of sensation and muscle control below the level of injury.

In an incomplete injury, the injury spreads across...

Headache is one of the most common disorder of the nervous system. It happen when the nerve endings in different parts of your head and neck become irritated. Common complaint are  pain or discomfort in the head, scalp, or neck. 

A typical headache may lasts for about 3-4 hours. But for some people, severe headaches drag on much longer, sometimes for several days or months. Here are some of the possible causes of your "never ending headache" namely:

  • Hemicrania Continua - It is a continuous & fluctuating pain without shifting sides of the head. The pain is usually mild to moderate in intensity.

  • Rebound Headache - It is caused by a prolong & regular use of certain medications to treat headaches, such as migraine. Over the counter pain relievers may provide temporary relief.

  • Depression - According to studies; a generalized aches and pains is one of the main symptoms of depressive individuals.  

It is advisable to visit a headache specialist when you...

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

  • ...

A brain tumor is a collection of cells that have grown in a non ordered way. Tumors that start in the brain are called primary brain tumors. This is different to cancers that have spread to the brain from somewhere else in the body. These are called secondary brain tumors or brain metastases.

The truth of the matter is that brain tumors can be cancerous (malignant) or non cancerous (benign).  Around half of all brain tumors, or tumors in another part of the central nervous system, are malignant. The other half are benign tumors, or tumors where the diagnosis is not known.

Brain tumors that are cancerous (malignant) are more common in males than females. Non cancerous brain tumors, and tumors where the diagnosis is unknown, are more common in females.

According to studies; Almost half (46%) of brain tumors each year are diagnosed in people aged 65 and over. This includes tumors in other parts of the central nervous system and tumors anywhere else inside the bones of the head...

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...

What is a stroke?

A stroke occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells in the immediate area begin to die because they no longer receive the oxygen and nutrients they need to function.

What happens during a stroke?

When a stroke occurs the blood supply to part of the brain is suddenly interrupted. Brain cells die when they no longer receive oxygen and nutrients from the blood or if there is sudden bleeding into or around the brain.

What are the types of strokes?

A stroke can occur in two ways. In an ischemic stroke, a blood clot blocks or plugs a blood vessel or artery in the brain. About 80 percent of all strokes are ischemic. In an hemorrhagic stroke, a blood vessel in the brain breaks and bleeds into the brain. About 20 percent of strokes are hemorrhagic.

What are the symptoms of stroke?

What makes stroke symptoms distinct is their sudden onset:

  • Numbness or weakness of face, arm or leg 

  • Trouble speaking 

  • Trouble seeing in one or both e...

A stroke occurs when blood stops supplying any part of your brain which damages the brain cells. The most common type of stroke, accounting for almost 80% of all strokes, is ischemic stroke. Not only do many stroke survivors have to live with physical or cognitive disabilities, they also live in fear of a second attack. According to studies, 1 in 4 stroke survivors suffer a second stroke within 5 years. As many as 30% of all strokes are secondary strokes. They tend to be more disabling and costly, and are more likely to be fatal.

Prevention is the key! it starts with knowing your risk. 9 in 10 people have at least one risk factor for stroke or heart disease. Almost 80% of premature stroke and heart disease can be prevented through healthy lifestyle change. That means that habits like eating healthy, being active, avoid smoking and limiting alcohol have a big impact on your health.

One key factor in preventing a second stroke from happening is a hand in hand partnership with your doctor....

It is pretty common to see the occurrence of stroke in patients that are 60 years of age and above; but do you know that based on studies in the U.S.; more than 10% of stroke patients are below the age of 45. As a mater of facts, other studies shows:

  • From birth to age 19, there are nearly 5 strokes for every 100,000 children.

  • Stroke in all people under 45 ranges from 7 to 15 per 100,000.

  • There has been a 32% spike in stroke cases among 18 to 34 year old women and a 15% increase for men in the same range. 

The most common symptoms of stroke, including loss of speech, facial droop, and weakness on one side of the body are the same in this younger age group as those in the older age group. Other symptoms can include vision loss, double vision, slurred speech, dizziness, or difficulty walking. 

About 80-85% of all strokes at any age are caused by a clot blocking blood flow in the brain. This is called an ischemic stroke. The first line of treatme...

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