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: and Farrer Park Hospital here: Learn more about me here: 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.
4 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.

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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.

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