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
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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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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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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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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 […]
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Follow Dr Win Huang to Learn Clinical Diagnosis (Case 13) She Thought It Was a Heart Problem — But It Was a Chest Pressure Evolving from Vomiting This case is very valuable to me. Not because it is extremely complicated, but because it shows how one problem can develop and change over time, step by […]
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Follow Dr Huang to Learn Clinical Diagnosis (Case 12) Recurrent Low Back Pain for Years — Not a Disc Problem, but the Way He Uses His Body Today I saw a very common case in clinic, but also a very meaningful one to share. This patient has had left-sided low back pain for about five […]
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This patient has experienced period pain possibly related to endometriosis for around ten years. She underwent surgery in May 2024, with improvement lasting for about six months, but the pain gradually returned. During her period, her pain level reaches 8–9/10 and she needs painkillers for one to two days each month. She also has had […]
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Please make an appointment, by clicking the below link online booking She is a 32-year-old European woman who has experienced severe pain in her left lower back and leg for two years. She strained her left hamstring while training for yoga and heard a popping noise in the hamstring. She has been taking painkillers and […]
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