A young patient came expecting cervical manipulation after an X-ray suggested a neck problem. Re-examination pointed instead toward ulnar nerve irritation at the elbow—a reminder that treatment should follow assessment, not labels.
> View articlePatients bring symptoms, not diagnoses. Good clinical reasoning means turning those symptoms into clues, forming hypotheses, testing them through history and examination, ruling out alternatives and continually reassessing the evidence.
> View articleWhen pain disappears after one treatment, the result may be genuine—but what does it actually prove? Dr Win Huang reflects on immediate treatment responses, clinical reasoning and why doctors must distinguish real outcomes from explanations that go beyond the evidence.
> View articleA 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 articleThe 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.
> View articleI used three-edged needle pricking with mild bloodletting, followed by localized cupping, aiming to release fascial tension in this region.
The result was immediate.
> View article
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