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...

Based on studies conducted by The Brain & Spine Foundation of London. Here are several facts gathered: “Dizziness” is a general term to explain the feeling we have when there is something wrong with our sense of balance. Many people who experience dizziness find it difficult to explain exactly how it makes them feel. For example, some people who feel dizzy, light-headed, giddy or off-balance describe the feeling as if they, or their surroundings, are spinning around. Doctors use the term vertigo to describe this spinning, revolving form of dizziness.

Dizziness & Vertigo are not diseases in themselves. They are symptoms of a distinct condition or cause. There are many different conditions that can cause dizziness. Most cases of dizziness and vertigo are caused by problems with the balance systems located in the inner ear. The widely-held belief that our sense of balance comes from the inner ear is largely true.  

Dizziness can often be short-lived, and can ease on its own accord. For shor...

Cognition is defined as the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses. If your cognition is affected after a stroke, then you could find it difficult to concentrate or remember certain things. 

We store all kinds of information in our memory. We also remember things for different lengths of time, which is why we have a short-term and a long-term memory. Your short-term memory is like a temporary storehouse for information. It allows you to remember things just long enough for you to use them. When you read a telephone number, for example, you use your short term memory to remember it for the few seconds it takes you to dial. Some people also call this your working memory. If you need to remember something for longer than this, it moves to your long-term memory. 

Many people have problems with their memory after a stroke, especially in the first weeks and months. However, they may not always be down to a problem...

What is a stroke?

Stroke is a medical condition in which a blood stops flowing to any part of the brain which leads to cell damage. When blood supply to the brain is interrupted it may lead to brain damage or possibly death.

What is causing a stroke?

There are several factors that may lead to a stroke. Here are a few of the items: smoking, excessive alcohol intake, poor diet, lack of exercise, Other medical conditions may also affect namely : high blood pressure, high cholesterol, atrial fibrillation, irregular heartbeat & diabetes.

How to prevent a stroke?

The most practical way of preventing a stroke from happening is being aware of the various risk factors of a stroke and maintaining a healthy lifestyle.

Can exercise really help prevent a stroke?

Exercise contributes greatly in losing and maintaining an ideal weight and lowering blood pressure. It is on it's own a stroke reducer.

What is the most common stroke type?

About 80 percent of strokes are ischemic strokes. Ischemic strokes occur whe...

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...

Sleep is equally important to our body just like drinking, eating and breathing. It is a an important element in keeping a good mental and physical health.  Sleep help a person recover from a mental and well as physical exhaustion. Sleep is thought to help keep your immune system strong and your heart and blood vessels healthy. It allows for growth and healing.


As the pace of life increases and we pack more into each day, our sleep patterns have suffered. In fact, poor sleep quality is now considered to be pandemic throughout the world. That makes teaching children about the importance of a good night's sleep particularly important, because sleep patterns acquired in childhood often feed through into adulthood.


It's not just how long you sleep that matters. The quality of your sleep is just as important. Every night you need to go through several stages of sleep - falling peacefully into a deep sleep and periodically returning to so-called REM (Rapid Eye Movement) sleep before ent...

Migraine is referred to as an intense headache that may be accompanied by other symptoms such as vomiting, nausea, lightheadedness, visual problems and an increased sensitivity to light or sound. Migraines may not be a big threat to life but it can significantly damage the quality of people’s lives.

Common migraine triggers are as follows:

  1. Stress

  2. Anxiety

  3. Caffeine

  4. Alcohol

  5. Dehydration

  6. Chocolate

  7. Cheese

  8. Tention on neck or shoulder

  9. Dental issues

  10. Eye strain

  11. Bright Light

  12. Loud Noise

  13. Smoking

  14. Head Injury

Ultimately the key to prevent migraine is to try to avoid the things that might trigger your attacks. Most people benefit from trying to get stable sleep, eating regular meals, drinking plenty of fluids to keep hydrated, and trying to manage stress. Taking regular exercise may also help prevent migraines since it helps with breathing, improving blood sugar balance and maintaining general wellbeing. If you or your love ones...

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

    ...
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