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...

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...

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

  • ...

Do you know that migraine pain is a complex neurological condition; which can affect the whole body and can result in many symptoms, sometimes without a headache at all. It may be easily overlooked or mistaken for other conditions and can affect people in many different ways. 

Some of the symptom of migraine may include: flashing lights, blind spots in the vision, nausea, vomiting, debilitating head pain, pins and needles & even numbness in the limbs.Migraine is triggered by an enormous variety of factors - not just cheese, chocolate and red wine! For most people there is not just one trigger but a combination of factors which individually can be tolerated. When these triggers occur altogether, a threshold is passed and a migraine is triggered. The best way to find your triggers is to keep a migraine diary.

Thanks to modern technology; A drug-free & non-invasive migraine treatment option is now available. Many people suffer from frequent migraine attacks and a significant...

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...

Cardio exercise is any exercise that raises your heart rate. Face it our bodies were made to move. And we all know that to keep our muscles in shape we need move them. This movement makes them stronger and stronger muscles make for a more efficient and healthy body. Your heart is a muscle. Therefore working it makes it stronger. A stronger cardio-vascular system means more capillaries delivering more oxygen to cells in your muscles. This enables your cells to burn more fat during both exercise and inactivity. Cardio exercise uses large muscle movement over a sustained period of time keeping your heart rate to at least 50% of its maximum level. 

Some of the Best Cardio Workouts Are:

Walking – This is the easiest and safest way to start getting in your cardio.

Elliptical – Minimal impact on the knees and hips but calorie burning is still high.  When you increase the incline you will activate more muscles.

Running –  This one is easy to understand.  Just remember if you train like a...

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....

High blood pressure is defined as a systolic blood pressure above 140 mmHg and/or a diastolic blood pressure above 90 mmHg. Systolic blood pressure is the maximum pressure in the arteries when the heart contracts. Diastolic blood pressure is the minimum pressure in the arteries between the heart’s contractions. You will be classed as having high blood pressure if yours is consistently above 140/90 mmHg.

The stress that high blood pressure causes on all your blood vessels makes them weaken and predisposes them to damage. The heart also has to work double time to keep your blood circulating.  Once the blood vessel weakens they are more likely to block. Our brain depends on a nourishing blood supply to work properly and survive. But high blood pressure may cause several problems to the brain, including:

  • Transient ischemic attack (TIA). Commonly called a ministroke, It is a brief, temporary disruption of blood supply to your brain. It's often caused by atherosclerosis or a blood clot — b...

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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