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?

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Many patients tell me that their shoulder is manageable during the day but becomes much more painful at night. Night pain is not a diagnosis—it is an important clinical clue. In this reflection, I share how I approach persistent night shoulder pain from both modern medicine and Traditional Chinese Medicine, and why understanding the cause always comes before treatment.

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Is every painful shoulder simply a torn rotator cuff? This case demonstrates why ultrasound findings alone cannot explain every patient’s symptoms. Learn how multi-layer diagnosis and multi-layer treatment can lead to more accurate clinical decision-making.

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Special tests for rotator cuff injuries can be highly valuable in early-stage shoulder problems. However, as shoulder pain becomes chronic, protective patterns, compensation, and secondary injuries may reduce their diagnostic specificity. Dr Huang reflects on why diagnosis often evolves alongside treatment and recovery.

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Please make an appointment, by clicking the below link online booking He has been experiencing more pain on the ulnar side of his left wrist when pushing his hand back for two months. I checked his left wrist and found no tenderness or limited movement; reflexes are normal; sensitivity on the ulnar side of the […]

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Please schedule an appointment by clicking the link below: online book     He is a patient who I met today, it is a very interesting medical case. He comes to see me for his frozen shoulder, his shoulder pain started from end of January, he could not move his left shoulder due to a […]

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