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...

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...

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

    ...

According to the World Health Organization (WHO); Neurological disorder are diseases of the central and peripheral nervous system. In other words, the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscles. These disorders include epilepsy, Alzheimer disease and other dementias, cerebrovascular diseases including stroke, migraine and other headache disorders, multiple sclerosis, Parkinson’s disease, neuroinfections, brain tumours, traumatic disorders of the nervous system due to head trauma, and neurological disorders as a result of malnutrition.

Hundreds of millions of people worldwide are affected by neurological disorders. More than 6 million people die because of stroke each year; over 80% of these deaths take place in low- and middle-income countries. More than 50 million people have epilepsy worldwide. It is estimated that there are globally 47.5 million people with dementia with 7.7 million new cases every...

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...

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...

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