A patient who improves from 10/10 pain to 2/10 can say either “I’m 80% better” or “I still have pain.” Both are true. The difference is where attention is placed.
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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.
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Why can urinary frequency improve with manual therapy, acupuncture, Chinese medicine or pelvic floor rehabilitation? The answer may lie in different treatments acting on different parts of the same clinical chain.
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Patients 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.
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We often say that good health means following the body’s natural rhythms. But what does that actually mean? Dr Win Huang reflects on homeostasis, recovery, compensation and physiological reserve—and why the consequences of insufficient recovery may only become apparent years later.
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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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When 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.
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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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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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How to choose an Acupuncturist The very best recommendation of who to go to for treatment will likely come from another health practitioner, a friend or a family member. Other things to consider when choosing your practitioner are; Is the practitioner a member of a professional body such as NZASA? (this informs you that the […]
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