An ankle sprain from yesterday and a shoulder injury that has persisted for a year may both be ACC injuries, but they should not automatically be treated in the same way. Teresa Shen explains why timely management matters in acute injuries, while chronic injuries often require careful reassessment to identify what is now preventing recovery.
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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 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
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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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Many people assume persistent shoulder pain simply needs another treatment. In this clinical reflection, Teresa Shen shares why long-lasting shoulder pain often has a deeper story, and why understanding what is preventing recovery is the first step towards choosing the most appropriate treatment.
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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.
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Not every painful knee is caused by arthritis. In this clinical reflection, Teresa Shen shares how one patient with medial knee pain reminded her that careful observation, thoughtful assessment, and treating the individual—not just the symptoms—are the foundation of effective acupuncture care.
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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
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Recently, I treated several patients with shingles. While every case was different, these experiences reminded me once again that Traditional Chinese Medicine is about much more than treating the rash itself. In this Clinical Reflection, I share how I combine meridian thinking, individualised acupuncture, moxibustion, local treatment, and whole-body support to help patients recover.
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Hip pain is not always treated the same way. In this Clinical Reflection, Teresa Shen explains how she combines acupuncture with movement, moxibustion, cupping, and individualised Traditional Chinese Medicine assessment to support patients with hip pain.
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