Pain below the kneecap may immediately suggest the patellar tendon. In this patient, however, the pain was worst in the morning, eased with movement and disturbed his sleep. The history and examination gradually shifted my attention towards the
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Many people assume persistent shoulder pain simply needs another treatment. In this clinical reflection, Teresa Shen shares why long-lasting shoulder pain often has a deeper story, and why understanding what is preventing recovery is the first step towards choosing the most appropriate treatment.
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A diagnosis is rarely found by chance. Experienced clinicians follow clues, develop diagnostic hypotheses, test them through history taking and examination, and gradually narrow down the possibilities. Dr Huang shares the clinical thinking developed over more than forty years in practice.
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Not every painful knee is caused by arthritis. In this clinical reflection, Teresa Shen shares how one patient with medial knee pain reminded her that careful observation, thoughtful assessment, and treating the individual—not just the symptoms—are the foundation of effective acupuncture care.
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Pain throughout the shoulder does not necessarily mean that every painful area is a primary injury. By comparing the injury mechanism, neurological findings, rotator cuff tests, weakness and local tenderness, I gradually focused on the long head of the biceps tendon.
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Many people expect an ankle sprain to heal naturally within a few weeks. However, in my clinic, I often see patients whose pain, swelling or repeated ankle sprains continue long after the original injury.
Over the years, treating these patients has taught me that successful recovery begins with careful assessment. It is not only about relieving pain—it is about understanding why
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Recently, I treated several patients with shingles. While every case was different, these experiences reminded me once again that Traditional Chinese Medicine is about much more than treating the rash itself. In this Clinical Reflection, I share how I combine meridian thinking, individualised acupuncture, moxibustion, local treatment, and whole-body support to help patients recover.
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Hand pain and numbness can arise from many different causes. In this Clinical Reflection, Teresa Shen explains why she often examines the entire pathway from the shoulder to the hand, combining Traditional Chinese Medicine principles with careful clinical assessment to guide treatment.
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Hip pain is not always treated the same way. In this Clinical Reflection, Teresa Shen explains how she combines acupuncture with movement, moxibustion, cupping, and individualised Traditional Chinese Medicine assessment to support patients with hip pain.
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Moxibustion is a traditional warming therapy often used together with acupuncture in Traditional Chinese Medicine. In this reflection, Teresa Shen shares why she frequently combines acupuncture, cupping, and moxibustion in clinical practice, and how many patients describe feeling warmer, calmer, more relaxed, and more comfortable during treatment.
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