Ankle and Foot Clinical Examination - Clinical Skills - Dr Gill

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Dr James Gill

Dr James Gill

Күн бұрын

Ankle and Foot Clinical Examination - Clinical Skills - Dr Gill
When it comes to joints of the body, the ankle is one of the joints most commonly injured. This is vitally important to be able to effectively examine a patient who is complaining of pain in the ankle and foot.
In this video we will perform a demonstration of the ankle and foot examination.
Examination of the foot, and the ankle joint, follows the standard orthopaedic approach of look, feel, move.
There is a connected video to the foot and ankle examination, on the causes of carpal tunnel syndrome - here
• What Causes Plantar Fa...
________
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleod's Clinical Examination - a recognized standard textbook for clinical skills.
#footpain #clinicalexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction and Patient Verification
00:24 - Symptoms Discussion
00:40 - Walking Test
00:55 - Tiptoes and Heels Walking Test
01:23 - Observing Foot Alignment and Posture
01:53 - Temperature and Pulses Check
02:19 - Ankle Palpation for Discomfort
03:45 - Ankle and Toe Mobility Tests
05:04 - Achilles Tendon Inspection
06:21 - Conclusion and Next Steps

Пікірлер: 77
@ARO323
@ARO323 Жыл бұрын
How Purell haven’t given you a sponsor yet is beyond me 🤣🤣
@DrJamesGill
@DrJamesGill Жыл бұрын
🤷 mainly use the bottle out of habit
@DwightLivesMatter
@DwightLivesMatter 11 ай бұрын
Because the procedure is to actually wash their hands and not just use sanitizer.
@ARO323
@ARO323 11 ай бұрын
@@DwightLivesMatter I’m sure he already washed his hands. These videos are for the assessment themselves. Not the build up to it.
@theoneandonlyYouTuber
@theoneandonlyYouTuber 11 ай бұрын
@DrJamesGill Another Classic! You have no idea the amount of patients you have treated by making such videos by treating their anxiety and bringing them calm. Thanks doc. Gratitude is all I can give.
@adamwhittingham86
@adamwhittingham86 Жыл бұрын
1:00 When you need to go outside but can't be bothered to put your shoes on
@keithlivingstone2525
@keithlivingstone2525 Жыл бұрын
That was a good one Doc. As a long term (22yrs) sufferer of an ankle injury I did wince a little 😂
@epicblopblopblopit9191
@epicblopblopblopit9191 Жыл бұрын
6:27 After watching the blooper short from this examination, I can tell why he’s smiling 😂😂
@kaitlynrowena5463
@kaitlynrowena5463 11 ай бұрын
Where can that be watched?
@user-jz6zv6bx4p
@user-jz6zv6bx4p 9 ай бұрын
​@@kaitlynrowena5463there is a one minute video on the channel
@markmccallum475
@markmccallum475 Жыл бұрын
I'm glad you've stayed faithful to the original cinderella story
@maxr-h9299
@maxr-h9299 Жыл бұрын
Me going to get snacks at 3 am hoping no one will wake up 1:01
@racerdeth
@racerdeth Жыл бұрын
2000?! Jesus wept we're old. Great interesting content as per, Doc.
@igormac88
@igormac88 Жыл бұрын
How come he's not 12!? 😅
@user-qb7ex5it5q
@user-qb7ex5it5q 10 ай бұрын
Great as always. Your the best dr Gill!!! ❤
@anthonyreynolds9300
@anthonyreynolds9300 Жыл бұрын
Great to watch this and looking forward to the deep dive! I have poor dorsiflexion in my left foot after dislocating it and breaking my fibula a few years ago. Have been noticing lower-right back and hip pain more often recently which I can only assume is connected somehow as there are definitely muscular differences between my legs since the break. Seeing this is another prompt for me to go and seek an exam to see if anything can be done to help improve it, thanks!
@josemerino7894
@josemerino7894 Жыл бұрын
🙏🏼🙏🏼🙌🙌🙌 Dr gill you are the goat 🐐 of this all💪💪💪💯💯💯
@rohanprihar2384
@rohanprihar2384 Жыл бұрын
what a video Dr!!
@squawksquadstudios
@squawksquadstudios Жыл бұрын
Feet are weird to me. While I’m not afraid of them, I can see why some people have a foot phobia.
@jacktailorpatirzon6306
@jacktailorpatirzon6306 10 ай бұрын
no le entiendo porque hablo español y ni se lo q haces amigo pero me gustan mucho tus videos,hay unos muy cosquillosos eres bueno para asmr,te sigo por eso
@chadsmith1200
@chadsmith1200 11 ай бұрын
I hope he gets his foot issue fixed.
@johnathanleonardo912
@johnathanleonardo912 Жыл бұрын
Good sport!
@MK212074
@MK212074 11 ай бұрын
the way this guy is laying down cracks me up.
@johnathanleonardo912
@johnathanleonardo912 11 ай бұрын
I just watched the blooper where he jumped in pain and Dr Gill looked confused so now I'm back here lol
@arabellathornton9386
@arabellathornton9386 11 ай бұрын
Hi dr gill great asmr
@brandonmoucatel9630
@brandonmoucatel9630 Жыл бұрын
And I sprained my ankle last week what a coincidence?
@andthingsofthisnature
@andthingsofthisnature Жыл бұрын
approximately 175.000 people sprain their ankle every week.
@brandonmoucatel9630
@brandonmoucatel9630 11 ай бұрын
​@@andthingsofthisnaturethat's crazy thanks
@Draedaja
@Draedaja Жыл бұрын
Oh no, you had to reshoot the painful part? Well, at least it was nice and slow this time. The "Short" version almost made ME feel his pain xD
@PeterCoghill
@PeterCoghill Жыл бұрын
I think that he should have kept it in. I feel like we never get to see any real patient reactions in the videos, it always tends to be "X is bothering me" (obviously just for the video) but we never see the tests producing a result that a Dr would be looking for.
@DrJamesGill
@DrJamesGill Жыл бұрын
The painful part will be in the deep dive. The demo is literally that 😊
@DrJamesGill
@DrJamesGill Жыл бұрын
We did actually find and deal with an unexpected issue on the shoulder deep dive Shoulder Exam - Orthopaedic Shoulder OSCE - Clinical Skills Revision - Dr Gill kzfaq.info/get/bejne/hbSofLRh0LLSYqc.html
@XanderBeckett1
@XanderBeckett1 Ай бұрын
what about the sniff test?
@finnenmans5843
@finnenmans5843 Жыл бұрын
🔥🔥
@xoxoamazingful
@xoxoamazingful Жыл бұрын
It's interesting to watch these videos and realize my GP skipped like 75% of these steps during my exam 😂 Just off to xrays and then a specialist
@jerodast
@jerodast 11 ай бұрын
To some degree I do wonder how much the exam does when it ends with "we'll need a scan" anyway. I'm a bit of a perfectionist at work so I imagine if I were a doctor, I would want the exam AND the scan too, but I could see why some might do only a basic exam for the sake of time if there's already hints of the issue just from the obvious symptoms and the scan being very likely in any case.
@derekchechak5371
@derekchechak5371 Жыл бұрын
That's great but is the ankle pregnant?
@jadav1987
@jadav1987 11 ай бұрын
Your fame has spread even to CNN these days Dr Gill, another fab video!
@jerodast
@jerodast 11 ай бұрын
Thank you for pointing this out! Just searched up that article on CNN, nice overview of ASMR really. Also, he's mainstream now, it's all over, I'm outta here :P /s
@ML-jk4dg
@ML-jk4dg 11 ай бұрын
@@jerodastcan you share with me the link to it, please?
@MidwesternDiva
@MidwesternDiva Жыл бұрын
What would a scan show in the situation? Based on the location and inconsistency of the pain, it seems unlikely that it’s a broken bone, right?
@DrJamesGill
@DrJamesGill Жыл бұрын
Ultrasound could show inflammation, evidence of impingement, lot’s of things
@haleighnicole5685
@haleighnicole5685 11 ай бұрын
@@DrJamesGillI’m seeing a foot doc for the first time soon for ankle joint swelling and limited mobility pointing my entire foot like I did in dance years ago. I don’t want an MRI unless I have to. Are ultrasounds usually standard for the first look? I hope so.
@yazariamajor9797
@yazariamajor9797 11 ай бұрын
Is there any way you can do a video about pregnant women with servers hg?
@I_SuperHiro_I
@I_SuperHiro_I 3 ай бұрын
My doctor: it hurts here? Me: yeughhhhh…yes My doctor: right here? Me: YEAAAAAAAAAH BOOOOOIIIII.
@insaneclownpadre
@insaneclownpadre 11 ай бұрын
I'd like to see in depth look at planter fascitis.
@DrJamesGill
@DrJamesGill 11 ай бұрын
Here you go. We did it a few weeks ago 😊 What Causes Plantar Fasciitis - Foot Anatomy - Dr Gill kzfaq.info/get/bejne/l76oabGXp72og6c.html
@insaneclownpadre
@insaneclownpadre 11 ай бұрын
Ask and you shall receive. Thank you!!
@giovannirodriguez894
@giovannirodriguez894 11 ай бұрын
His extensors seen to be hypertonic. Extensor hallucis & Digitorums seem to be tugging tightly on his toes maybe causes that discomfort or rigidness. His toes look like they are really being pulled upward
@vickychen3533
@vickychen3533 11 ай бұрын
please can you teach the haematological examination?
@DrJamesGill
@DrJamesGill 11 ай бұрын
We can have a look yes
@shamymelendez828
@shamymelendez828 10 ай бұрын
I know i would be laughing my head off if someone was touching the bottom of my foot 😂
@charliejones4590
@charliejones4590 2 күн бұрын
👍🏻
@spikeaxb1337
@spikeaxb1337 9 ай бұрын
Would painkillers be really necessary in this situation though? And why? I'm not saying they're not, I'm actually curious
@DrJamesGill
@DrJamesGill 9 ай бұрын
If someone is in pain, pain killers seem quite reasonable
@N2JokerTV
@N2JokerTV Жыл бұрын
January 4th 2000? That's my wife's exact birthday. 😂
@ARO323
@ARO323 Жыл бұрын
I think you need to ask some questions 🤣
@emzzzz905
@emzzzz905 Жыл бұрын
😂😂
@adulaide
@adulaide Жыл бұрын
I don't know how to say this, but his feet look like they're shaped like hands. Disclaimer: I'm saying this in a neutral, purely observational, tone of voice, or even positive. Cause actually (and i hope that you, boy in the video, see this and smile or something) my first thought when the feet appeared was "wow! Nice feet!" :)) so, yeah, you have nice feet :)) and i hope you have a super awesome and fulfiling day :))
@user-ql5wj6hu6w
@user-ql5wj6hu6w 8 ай бұрын
Are bend toes like his from wearing shoes that are too small?
@NewEnglandPatriotsfan
@NewEnglandPatriotsfan 7 ай бұрын
It’s possible, you always want to wear footwear that isn’t too small
@AJediSurvivor
@AJediSurvivor 11 ай бұрын
I wish it was that quick to get to physio 😂 I’ve had a back problem for 18 months where I’m unable to work as my day to day life is extremely difficult because of it and it took about 2 or 3 month just for them to refer me to physio. This dude got tiniest bit of foot pain and gets referred straight away 😂 only just the other day did physio turn round and say we’re referring you to MSK (musculoskeletal triage unit). Yeah I should have been referred to them months ago 🙄
@88nikita
@88nikita Жыл бұрын
✨🦶✨
@brandonmoucatel9630
@brandonmoucatel9630 Жыл бұрын
Bed time
@seang2012
@seang2012 Жыл бұрын
Where was the big drama moment!?
@DrJamesGill
@DrJamesGill Жыл бұрын
That will be in the deep dive video
@gmc9451
@gmc9451 8 ай бұрын
Why no questions about what could have caused the problem with his ankle?.
@DrJamesGill
@DrJamesGill 8 ай бұрын
That would take place in the history portion of the examination, here, we are specifically doing the examinations
@MarcelPolman
@MarcelPolman 11 ай бұрын
bad toe dexterity
@Joshgilly94
@Joshgilly94 Жыл бұрын
Is this the least ticklish person ever to exist?
@STARDOG64
@STARDOG64 11 ай бұрын
CTRL C CTRL P
@STARDOG64
@STARDOG64 11 ай бұрын
I'd fold him like a piece of paper that tiny whimsy thing 😅😅😅😅😅
@charlessmith9421
@charlessmith9421 2 ай бұрын
Instead of showing someone with healthy feet you need to show someone with unhealthy feet and then tell him how to fix it I don’t do any good to show healthy feet
@HeyJoeHaze
@HeyJoeHaze Жыл бұрын
His toe joints and bones look like fingers on a hand.
@SakakiSyndrome
@SakakiSyndrome Жыл бұрын
free extra joints lucky man
@hostiliscivitas
@hostiliscivitas Жыл бұрын
He could have scrubbed his toenails
@jerodast
@jerodast 11 ай бұрын
I always wash up well if I'm going to see the doctor or dentist, but I'm not sure if it'd slip my mind to scrub EXTRA before the doc asks if I'll help make a medical exam demo video :)
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