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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Headache disorders is one of the the most common disorders of the nervous system. Primary headache disorders, such as migraine, tension-type headache, cluster headache, and the so-called chronic daily headache syndrome, can cause substantial levels of disability. Headache can also occur as a symptom of a considerable number of other conditions

A patient with depression often presents a wide variety of complaints that can be categorized as physical & emotional. The physical complaints include chronic pain and headaches; sleep disturbances; severe insomnia and early awakening; appetite changes; anorexia and rapid weight loss; and a decrease in sexual activity, ranging at times to impotence in males and frigidity in females. Emotional complaints include feeling “blue,” anxiety, and rumination over the past, present, and future.  A headache secondary to depression is usually considered a tension-type headache.

The physical complaints dominate the situation so that the underlying de...

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...

Migraine is such a complicated condition that varies widely between individuals. What may work for one person may not for another. Typically it is a one-sided throbbing or pulsating headache that is at least moderately intense and can be aggravated by physical activity. It is very often associated with nausea and vomiting, as well as increased sensitivity to light, sound and even some types of smell. Doctors are unable to predict how an individual will respond to a particular treatment so this means you may need to try several different treatments until one is found that is the best at controlling your condition. 

Here are come of the most common reasons why migraine is triggered:

  • Stress

  • Lack of sleep

  • Viral infection

  • Missed or skipped meals

  • Dietary triggers (chocolate, cheese, etc)

  • Menstruation and Ovulation

  • Emotional imbalance

  • Weather change

It is always a challenge living with migraines. Majority of the people who suffers from it exper...

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...

A stroke normally happens when blood cannot supply oxygen and important nutrients to your brain cells. When brain cells do not get enough oxygen or nutrients, they die. A stroke can happen in two main ways: 

  • Ischemic Stroke

  • Hemorrhagic Stroke

An Ischemic Stroke occurs when a blood vessel that supplies the brain becomes blocked or "clogged" and impairs blood flow to part of the brain. The brain cells and tissues begin to die within minutes from lack of oxygen and nutrients. The area of tissue death is called an infarct. About 87% of strokes fall into this category. Ischemic strokes are further divided into 2 groups, including the following:

  • Thrombotic strokes. These are caused by a blood clot that develops in the blood vessels inside the brain.

  • Embolic strokes. These are caused by a blood clot or plaque debris that develops elsewhere in the body and then travels to 1 of the blood vessels in the brain via the bloodstream.

On the other hand, Hemorrhagic...

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

    ...

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...

Concussion also known as Minor Head Injury - is commonly caused by falls, road crashes, assaults and sports accidents. It's temporary disturbance in the brain’s functioning as a result of a blow to the head. Some concussions cause you to lose consciousness, but most do not. It's possible to have a concussion and not realize it. 


In many cases, concussions are not easy to pin point specially in the midst of a sports event. It can be an evolving condition with symptoms taking time to display. As a matter of fact, it requires honestly from the patient (what he/she is actually experiencing). Some of the common symptoms may include:

  • Headache

  • Dizziness

  • Confusion

  • Temporary loss of consciousness 

  • Amnesia surrounding the traumatic event

  • Ringing in the ears

  • Nausea & Vomiting

  • Delayed response to questions

  • Fatigue

In many cases these symptoms resolve themselves within a few days or weeks. However, in some cases problems can persist for months,...

Are you one of those people who suffer from severe headache on a daily basis? When a  person experiences headache pain at least 15 days or more in a month then you may be classified under the Chronic Daily Headache (CDH) category. Some people may even experience these headaches for a period of six months or longer. 

In some cases, Chronic Daily Headache may be associated with the following:

  • History of Migraine

  • Previous Head Injury

  • Previous Trauma

  • Medication overdose

  • Obesity

  • Stressful Life Events

Common signs of Chronic Daily Headache:

  • Pain on both side of the head

  • Tightening or Pressing pain

  • Throbbing pain 

Chronic Daily Headaches can interfere with your job, your relationships and your quality of life. Here are suggestions to help you cope with the challenges.

  • Take control- Commit yourself to living a full, satisfying life. Work with your doctor to develop a treatment plan that works for you. Take good care of yourself. Do thing...

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