Some people feel dizzy, light-headed or unsteady when leaving their computer and entering busy outdoor environments, yet gradually improve after walking. Dr Win Huang reflects on sensory adaptation, modern sedentary lifestyles and when persistent dizziness requires further assessment.
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After five or six years of bedwetting, a 12-year-old girl travelled from Australia to Auckland for treatment. Beyond her symptoms, Dr Win Huang considered how repeated treatments, nightly waking and nappies may have shaped her confidence and self-image.
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Persistent elbow pain is not always caused by a local tendon problem. Cervical radiculopathy, thoracic outlet syndrome and radial nerve entrapment can sometimes produce symptoms similar to tennis elbow. Teresa Shen explains why nerve-related pain may cause local tenderness and when a wider clinical examination is needed.
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After years of recurring lower back pain, local treatment had provided only temporary relief. A comparison of the pelvis and heel positions revealed an apparent leg-length difference, leading to a different treatment approach and lasting improvement in daily function.
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Elbow pain and hand numbness can make patients worry about a cervical disc problem, spinal cord compression or stroke. Teresa Shen explains common peripheral nerve entrapments, how they differ from serious neurological conditions, and why proper examination should come before fear or treatment.
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The patient’s neck and arm pain and finger numbness had almost completely resolved. However, the earlier C6 sensory pattern, cough-provoked symptoms and reduced right brachioradialis reflex still required an explanation. Why did successful treatment not complete the diagnosis?
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Elbow pain is not always tennis elbow. It may come from muscles and tendons, nerve irritation, the neck, inflammatory conditions or referred pain. Teresa Shen explains five possible sources of elbow pain, their clinical features and when to seek further medical assessment.
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When a patient improves, it is natural to believe that the diagnosis and treatment were correct. But treatment response may reflect several factors. Dr Win Huang considers why successful outcomes should sometimes lead to more questions, not fewer.
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Heel pain is not always plantar fasciitis. First-step morning pain, the location of tenderness, numbness or burning, and the response to weight-bearing can all provide important clues. Teresa Shen shares how she assesses plantar fasciitis and what she has learned from treating persistent heel pain.
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A woman continued to experience severe back and leg symptoms months after a two-week hospital stay. Reassessment identified significant muscular findings, and her function improved over several treatments. This case explores why the original cause of pain and the factors maintaining it may not be the same.
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