Shoulder pain is a symptom, not a diagnosis. Although the problem may come from the shoulder itself, pain can also originate from the neck, nerves, muscles around the shoulder blade or, less commonly, other medical conditions. Teresa Shen shares how she approaches the question: where is the pain actually coming from?
> View article
Many patients ask me whether their painful, stiff shoulder is caused by frozen shoulder or a rotator cuff injury. Although both conditions can make lifting the arm difficult, they develop differently and require different treatment approaches. In this Clinical Reflection, I explain how I distinguish between these conditions using clinical history, physical examination, imaging when appropriate, and Traditional Chinese Medicine
> View article
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.
> View article
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
> View article
Not every patient with low back pain should receive acupuncture immediately. This patient initially appeared to have a psoas muscle injury, but conflicting examination findings suggested another possibility. Rather than confirming his first impression, Dr Huang reconsidered the diagnosis and referred the patient for emergency evaluation. Clinical reasoning is not about proving yourself right—it is about recognizing when new evidence
> View article
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.
> View article
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.
> View article
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.
> View article
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.
> View article
Follow Dr Win Huang to Learn Clinical Diagnosis (Case 14) Only After the Medial Ankle Pain Was Gone Did I Truly Start Treating the Patient This patient is a young male and also a returning patient of mine. This time, he came in with pain on the medial side of his right ankle. The pain […]
> View article
中文微信：nzacupunctureclinic
