Ask a Rheumatologist: Dr Eugene Lim from Mount Elizabeth Novena Hospital Singapore

Ask a Doctor ForumCategory: RheumatologyAsk a Rheumatologist: Dr Eugene Lim from Mount Elizabeth Novena Hospital Singapore
dr. Eugene Lim asked 2 years ago
I am Dr Eugene Lim, Rheumatologist at Elim Rheumatic Centre based in Mount Elizabeth Novena Hospital Singapore and Farrer Park Hospital Singapore. At my centre, we seek to optimize the quality of life of patients with rheumatic problems by:
  • Alleviating distress and disability expeditiously
  • Arresting damage progression effectively
  • Achieving disease remission/cure eventually
We aim to be the Centre of Autoimmunity & Rheumatology Excellence in Singapore and beyond, and we believe that the best way to achieve this aim is through:
  • Early accurate diagnosis; and,
  • Aggressive integrative treatment
We employ:
  • Cutting-edge yet cost-effective technologies (eg bedside ultrasound) to aid diagnosis and guide interventional procedures; and,
  • Innovative treatment strategies that balance efficacy with safety.
  • Ultrasound-guided Diagnosis & Intervention
  • Focused & Radial Extracorporeal Shock-Wave Therapy (ESWT)
  • Pulsed Electromagnetic Field Therapy (PEMF)
  • Trigger Point Deactivation
  • Prolotherapy
  • Viscosupplementation
  • Platelet-Rich Plasma & Autologous Conditioned Plasma
  • Tenotomy & Barbotage
  • Joint Aspiration, Injection, Lavage & Biopsy
  • Nerve Block & Hydrodissection
  • Biologics & Intravenous Immunoglobulins (IVIG)
  • Infusion Services
Learn more about Mount Elizabeth Novena Hospital here: https://patients.smarterhealth.sg/hospital/mount-elizabeth-novena-hospital-singapore/ and Farrer Park Hospital here: https://patients.smarterhealth.sg/hospital/farrer-park-hospital-singapore/ Learn more about me here: https://patients.smarterhealth.sg/specialist-doctor/eugene-lim/ I am excited to be here to share/discuss Rheumatic issues with everyone. Whether you've got questions about conditions such as osteoarthritis, gout, rheumatoid arthritis, ankylosing spondylitis or autoimmune conditions such as psoriatic arthritis and lupus, ask me anything! === Want to ask a question? Submit your question at the bottom of this page. Don’t forget to include your name and email address to get notified when the doctor answers your question.
9 Answers
Heri Alek answered 2 years ago
My child has an autoimmune condition, his heart valves are damaged and his feet are swollen because the protein is leaking from the kidney. What should I do, Doc?
dr. Eugene Lim replied 2 years ago

Possible diagnoses include:
1) Infective Endocarditis
2) Rheumatic Heart Disease
3) Systemic Lupus Erythematosus
4) Systemic Vasculitis

You should take instruction from the cardiologist, nephrologist and rheumatologist taking care of your child.

Check out http://arthritis-rheumatism.com/the-rheuma-muse for the latest Rheumatology news.
For more detailed information, visit http://arthritis-rheumatism.com
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Follow on Twitter @ElimRheumCtr

Rasinah answered 2 years ago
Doctor, I have rheumatism. When it hits, my feet are weak. Can it be totally cured? What is the treatment? And is it true that a person with rheumatism should avoid cold baths?
dr. Eugene Lim replied 2 years ago

"Rheumatism" is a loose layman term, often referring to vague aches and pains of indeterminate causes, and fluctuates with the weather.

In western medicine, the more precise term is "Soft Tissue Rheumatism", referring to pain arising from soft tissue outside of the joint (which would be called "arthritis"), such as tendons, ligaments, muscles and nerves. The causes include trauma, sprains, repetitive strain and nerve entrapment. Once the cause is identified, treatment can be curative.

Often, rest and physiotherapy deliver relief. Do what is comfortable for you, be it keeping warm, or icing the injured part. Consult your doctor if not better.

Ruth Surjodinoto answered 2 years ago
Doctor, I want to ask, my child is 25 years old. Since 5 years back, if he is tired, he will get a fever. And recently, when he’s sleeping, his spine is very painful. It hurts when sleeping / resting. When in activity it does not hurt. Also some time ago there was inflammation of the eye (uveitis). Do you know what caused my child’s condition? Thank you for the answer
dr. Eugene Lim replied 2 years ago

Pain at rest, worse in the morning, and improves with activity suggests inflammatory pain. Given his age, and coupled with history of uveitis, Ankylosing Spondylitis is most likely. He needs early treatment to prevent visual loss and disability from joint damage. He most likely will need treatment with a biologic anti-TNF.

Listiana Chandra answered 2 years ago
My daughter has lupus. I heard that this disease can cause her to have difficulty getting pregnant. Is it true? Is there any treatment that can help my daughter in treating her lupus?
dr. Eugene Lim replied 2 years ago

When the Lupus disease is active, it is not advisable to get pregnant. This will increase the risk for miscarriage as well as disease worsening during pregnancy. Lupus may be associated with the Anti-Phospholipid Syndrome, which can cause recurrent miscarriages and blood clots. There is now very effective treatments to bring Lupus into remission, making it safe for patients to get pregnant, have a safe pregnancy, and lead a normal life.

Jean Pek answered 10 months ago
Dear Doctor, my dad was diagnosed with   rheumatoid arthritis after his recent admission to the hosp. After taking the medication which was given by the hosp for past 1 wk, the pain and swell still persist, may i know is that common? and for your kind advice what should i do? thank you
dr. Eugene Lim replied 10 months ago

The treatment is not working well enough, if at all. You should feedback to the same doctor, or seek a second opinion.

Dave Goh answered 9 months ago
doc i am 64 years male i have a sprain left ankle for many years but since 24 september i play golf n i my leg swell n pain , i cannot walk properly as it pain if foot touch floor. every 3-6 days this pain swell if i play golf . have blood test for gout . result no gout .? seen 3 ortheroedic . have x ray , mri .. show a loose body at the back of bone . ligament between bone very thin . have a torn ligament onthe outer side . have the bone show hollow .. ortherpedic wanted to do sugery for 1.take out the loose body. 2.. screwy the outer ligament back to bone. 3.infill the hollow bone .. can the 3 pin hole operation solve the pain ?
Shreekumar answered 8 months ago
hi Dr my recent bloodtest show high RA and highlevel of ESR.ESR.Does this mean that I have rheumatoid arthritis. or any other blood test required. Ido have joint pain inThe mornings
dr. Eugene Lim replied 8 months ago

You will need to schedule an appointment to see a rheumatologist for further evaluation and tests.

Thillai ganesh answered 8 months ago
Hello Doctor , I was given Avelox for UTI. Since I started taking the tablet, I have developed - pin and needle sensation across the body. I have severe pain in my tendons including foot, heels, elbows, wrists. I also have pricking sensation in my eyes. I am not able to stand or walk. I am trying to setup an appointment with you but the appointment isn't available till year end. Is there anything that I should be doing in the mean time
dr. Eugene Lim replied 8 months ago

It is inappropriate for me to offer any medical advice till I have assessed the patient. If you find your current state unbearable, you should seek medical consultation with another doctor soonest.

Thillai ganesh answered 8 months ago
Hi Doctor, I have suffered from toxicity of Avelox recently. I am suffering from symptoms like needles and pins across the body, not able to stand or use my computer due to weak tendons on foot,elbows and wrists. I have some pain at times behind my eyes. I have an appointment with Dr Lim on Dec 28 . But what are the steps that I can take to alleviate my pain and symptoms till then ? Any guidance pls.
dr. Eugene Lim replied 8 months ago

It is inappropriate for me to offer any medical advice till I have assessed the patient. If you find your current state unbearable, you should seek medical consultation with another doctor soonest.

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