A patient with five years of lateral knee pain had several structural abnormalities on imaging. His symptoms and movement nevertheless changed during treatment. This case explores why recognising irreversible changes should not stop us looking for factors that may still improve.
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MRI, X-ray and ultrasound showed extensive abnormalities in this patient’s painful knee, including meniscal damage, cartilage loss and osteoarthritis. Yet his symptoms and clinical examination told a more complicated story. Dr Win Huang reflects on an important question: when treating chronic knee pain, what are we actually trying to change?
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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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Lateral Knee Pain for More Than One Year — But Was It Really Bursitis? Yesterday I saw a patient who had been suffering from lateral knee pain for over a year. An ultrasound report suggested bursitis. But during the examination, I felt that something did not completely fit the picture of a simple local knee […]
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