Ankle and Foot Clinical Examination - Clinical Skills - Dr Gill
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...
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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
How Purell haven’t given you a sponsor yet is beyond me 🤣🤣
@DrJamesGill
11 ай бұрын
🤷 mainly use the bottle out of habit
@DwightLivesMatter
11 ай бұрын
Because the procedure is to actually wash their hands and not just use sanitizer.
@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.
@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.
1:00 When you need to go outside but can't be bothered to put your shoes on
That was a good one Doc. As a long term (22yrs) sufferer of an ankle injury I did wince a little 😂
6:27 After watching the blooper short from this examination, I can tell why he’s smiling 😂😂
@kaitlynrowena5463
11 ай бұрын
Where can that be watched?
@user-jz6zv6bx4p
9 ай бұрын
@@kaitlynrowena5463there is a one minute video on the channel
I'm glad you've stayed faithful to the original cinderella story
what a video Dr!!
2000?! Jesus wept we're old. Great interesting content as per, Doc.
@igormac88
11 ай бұрын
How come he's not 12!? 😅
Great as always. Your the best dr Gill!!! ❤
🙏🏼🙏🏼🙌🙌🙌 Dr gill you are the goat 🐐 of this all💪💪💪💯💯💯
Feet are weird to me. While I’m not afraid of them, I can see why some people have a foot phobia.
Me going to get snacks at 3 am hoping no one will wake up 1:01
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
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!
Good sport!
Hi dr gill great asmr
And I sprained my ankle last week what a coincidence?
@andthingsofthisnature
11 ай бұрын
approximately 175.000 people sprain their ankle every week.
@brandonmoucatel9630
11 ай бұрын
@@andthingsofthisnaturethat's crazy thanks
I hope he gets his foot issue fixed.
the way this guy is laying down cracks me up.
what about the sniff test?
🔥🔥
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
11 ай бұрын
Ultrasound could show inflammation, evidence of impingement, lot’s of things
@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.
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
11 ай 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
11 ай бұрын
The painful part will be in the deep dive. The demo is literally that 😊
@DrJamesGill
11 ай 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 kzread.info/dash/bejne/gYKsq7Npm6_UYtY.html
I just watched the blooper where he jumped in pain and Dr Gill looked confused so now I'm back here lol
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
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.
Is there any way you can do a video about pregnant women with servers hg?
I'd like to see in depth look at planter fascitis.
@DrJamesGill
11 ай бұрын
Here you go. We did it a few weeks ago 😊 What Causes Plantar Fasciitis - Foot Anatomy - Dr Gill kzread.info/dash/bejne/k4ysmLCfcrqqg9Y.html
@insaneclownpadre
11 ай бұрын
Ask and you shall receive. Thank you!!
Your fame has spread even to CNN these days Dr Gill, another fab video!
@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
11 ай бұрын
@@jerodastcan you share with me the link to it, please?
That's great but is the ankle pregnant?
please can you teach the haematological examination?
@DrJamesGill
11 ай бұрын
We can have a look yes
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
Would painkillers be really necessary in this situation though? And why? I'm not saying they're not, I'm actually curious
@DrJamesGill
9 ай бұрын
If someone is in pain, pain killers seem quite reasonable
Are bend toes like his from wearing shoes that are too small?
@NewEnglandPatriotsfan
7 ай бұрын
It’s possible, you always want to wear footwear that isn’t too small
👍🏻
My doctor: it hurts here? Me: yeughhhhh…yes My doctor: right here? Me: YEAAAAAAAAAH BOOOOOIIIII.
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 :))
January 4th 2000? That's my wife's exact birthday. 😂
@ARO323
Жыл бұрын
I think you need to ask some questions 🤣
@emzzzz905
Жыл бұрын
😂😂
Why no questions about what could have caused the problem with his ankle?.
@DrJamesGill
8 ай бұрын
That would take place in the history portion of the examination, here, we are specifically doing the examinations
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 🙄
I know i would be laughing my head off if someone was touching the bottom of my foot 😂
Where was the big drama moment!?
@DrJamesGill
11 ай бұрын
That will be in the deep dive video
✨🦶✨
@brandonmoucatel9630
Жыл бұрын
Bed time
bad toe dexterity
Is this the least ticklish person ever to exist?
CTRL C CTRL P
I'd fold him like a piece of paper that tiny whimsy thing 😅😅😅😅😅
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
His toe joints and bones look like fingers on a hand.
@SakakiSyndrome
11 ай бұрын
free extra joints lucky man
He could have scrubbed his toenails
@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 :)