Sometimes the problem is not the back, the sleep, or the anxiety. Sometimes the entire system has been under strain for so long that it loses its ability to regulate itself. This clinical reflection explores a patient who described herself as unhappy for years—and how a surprising shift occurred after her first visit.
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When I was young, I believed a doctor’s job was simply to treat disease. After more than forty years in clinical practice, I have come to realise that treatment is only part of the responsibility. A good doctor helps patients understand disease, face illness, manage their health, and ultimately return to life.
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Teresa Clinical Reflection is a growing collection of clinical observations and reflections inspired by everyday practice. Through a Traditional Chinese Medicine lens, Teresa Shen explores common health conditions, recovery patterns, lifestyle influences, and the body’s natural ability to heal.
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Many people experience temporary relief from shoulder pain, only to find that the discomfort gradually returns. In this Teresa Clinical Reflection, Teresa Shen explores shoulder pain from a Traditional Chinese Medicine perspective, discussing meridian pathways, Qi stagnation, Blood stasis, frozen shoulder, lifestyle factors, and clinical treatment approaches.
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Many people experience temporary relief from neck pain, only to find that the stiffness and discomfort return again. In this first Teresa Clinical Reflection, Teresa Shen explores recurring neck pain from a Traditional Chinese Medicine perspective and discusses the importance of meridian balance, lifestyle factors, and long-term recovery.
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Many patients describe their low back as feeling “stuck.” But is something really blocking the movement? Through a chronic low back pain case, Dr Huang explores why restoring movement may sometimes be less about stretching muscles and more about reducing protective responses within the nervous system.
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The patient arrived with a diagnosis already in mind: BPPV. He had researched extensively, consulted doctors, watched videos, and even asked AI. Yet after careful assessment, Dr Huang concluded it was unlikely to be BPPV. This case explores why saying “No” is sometimes one of the most important responsibilities of a clinician.
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A woman in her late sixties was producing large amounts of phlegm every morning. After one treatment, the amount reduced dramatically. Rather than focusing on the treatment itself, this article explores a deeper question: where does all that phlegm actually come from, and could airway nerve sensitivity play a role?
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Special tests for rotator cuff injuries can be highly valuable in early-stage shoulder problems. However, as shoulder pain becomes chronic, protective patterns, compensation, and secondary injuries may reduce their diagnostic specificity. Dr Huang reflects on why diagnosis often evolves alongside treatment and recovery.
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Dr Huang identified clues pointing toward proximal median nerve irritation. This case highlights the importance of questioning small details that do not fit the expected diagnosis.
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