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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Cervical Fracture is also commonly called "Broken Neck". It is made up of 7 connected bones called vertebrae. The vertebrae are connected to each other above and below through strong discs and joints on either side called facet joints. Your discs protect your spine by acting like shock absorbers to distribute weight evenly through your neck. The facet joints on the other hand not only control but allow the movement of your neck. 


Due to the durable nature of your cervical spine a substantial force is needed to cause a cervical fracture. In most instances cervical fractures are the result of car accidents or severe falls where there is a direct blow or impact to the head and neck. These types of fractures are commonly seen in the elderly as often their bones are weakened by osteoporosis. There is normally an immediate onset of extreme pain after the injury occurs and will be accompanied by swelling and bruising at the back of the neck. 


The doctor will most likely prescribe an...

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...

Lightheadedness or commonly called Dizziness is a common symptom that’s not usually a sign of anything serious, but should be investigated by a doctor. The term "dizziness" means different things to different people – some use it to describe feeling lightheaded or off balance, while others use it to describe a feeling that their surroundings are spinning.  Because the symptom is quite vague and can be caused by a wide range of things, it may not always be easy to identify the underlying cause of dizziness.

Most people visiting their doctor because of dizziness will first be asked about their symptoms and medications and then be given a physical examination. During this exam, your doctor will check how you walk and maintain your balance and how the major nerves of your central nervous system are working.

You may also need a hearing test and balance tests, including:

  • Eye movement testing. Your doctor may watch the path of your eyes when you track...

Migraine is more than just a headache and migraine pain normally comes with nausea (queasiness and feeling sick) or vomiting (being sick), over sensitivity to light, noise, movement, or smell. It can mean the attack, or can mean the underlying disease that causes the attacks. Migraine pain can be on one side of the head or on both sides, can swap sides, or can be asymmetrical. During a migraine, you may experience any of the following:

  • Pain on one side or both sides of your head

  • Pain that feels throbbing 

  • Sensitivity to light

  • Nausea

  • Vomiting

  • Blurred vision

  • Light headedness

The Four (4) stages of migraine attack are as follows:

  1. Prodrome is mood change hours or days before the headache. 

  2. Aura usually happens just before the headache. 

  3. Head pain or pressure is typically thumping or pulsing. 

  4. Recovery can take a day or two, when there are no particular symptoms other than feeling ill

Migraine is the third most commo...

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...

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...

Depression is certainly no laughing matter. We recently heard of the news regarding the celebrity chef & CNN Star, Anthony Bourdains' death (apparent suicide) last week. According to news reports the culprit was depression. 

Depression is a disorder by low mood and a wide range of other possible symptoms, which will vary from person to person. This illness can develop quickly or gradually, and be brought on by life events and/or changes in body chemistry, and it is often accompanied by feelings of anxiety. It can strike anyone, and is manageable in very many cases.   

This is different from feeling sad or feeling down. Unhappiness is something which everyone feels at one time or another due to particular cause. Well, depression is an intense emotions of anxiety, hopelessness and helplessness and the feeling stays within a person instead of going away. 

There are certainly many signs of depression  because this soul-destroying illness affects each person differently, and in its d...

We first have to remember that motion sickness is not a serious illness and may be prevented. It is commonly defined as the feeling of cold sweat,  nausea, dizziness accompanied with vomiting when a persons' sense of balance is disrupted by constant motion. Riding in a car, aboard a ship or boat may cause stimulation of the vestibular system and visual stimulation that often leads to motion sickness. It usually quiets down as soon as the motion stops. The more you travel, the more easily you'll adjust to being in motion.

While all five of the body's sensory organs contribute to motion sickness, excessstimulation to the vestibular system within the inner ear has been shown to be one of the primary reasons for this condition.Balance problems, or vertigo, are caused by a conflict between what...

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....

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