Knee Examination - Orthopaedic Knee OSCE - Medicine Explained - Clinical Skills - Dr Gill
Knee Examination - Orthopaedic Knee OSCE - Medicine Explained - Clinical Skills - Dr Gill
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* error clarification
Varus or valgus deformity depends on the joint you are looking at
Valgus deformity is where the bone DISTAL to a joint is angled outward, ie way from the body's midline
Thus a VARUS deformity of the knee is colloquially “bow-legged”
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This Knee Exam Deep Dive looks at the details of the examination of a patient with knee issues, highlighting what is being checked for during special tests and examination findings
In this video, we demonstrate how to perform a clinical examination of the knee for your medical school Clinical Skills OSCE. As orthopaedic exams are core skills when it comes to examining patients, students should assume that a knee assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, in a knee exam follow the approach of:
- Look
- Feel
- Move
HOWEVER, a knee examination OSCE station does not just involve pressing around the joint, as this video also demonstrates some of the specialised examination techniques required in examining patients such as the anterior draw test, checking for sag sign, along with discussion about McMurray's test
Reduction in movement, pain and general concerns about knee issues is a common reason for patients to see a doctor, and in general, practice is probably one of the hardest joints to accurately diagnose a problem in
This video has two other knee demonstration videos associated with it:
• Knee Examination - Ho... - Knee assessment Demo
• GALS Screen - Gait, Ar... - Gait, Arms, Legs, Spine - GALS screen
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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 Macleods Clinical Examination - a recognised standard textbook for clinical skills.
Some people viewing this medical examination video may experience an ASMR effect
#clinicalskills #Knee #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
Пікірлер: 458
Inward in valgus and varus ?!
@DrJamesGill
Жыл бұрын
Unfortunately a typo of Varus and valgus The best way I’ve had is described is Varus causes “knock knees - ie can’t stop a pig in a passage way!”
@alibone7591
Жыл бұрын
@@DrJamesGill ❤️
@DevRSVR
Жыл бұрын
@@DrJamesGill is tbere any cure for knock knees? It can be quitedramatic looking. Is it pai ful or in anyway debilitating?
@AnikYunuta
8 ай бұрын
@@DrJamesGill tryjghnnbbbvvcccccxx. CV bbbbnnncmm.cmm..mm Fgghhbhjdjfyyghyudhdufuierijrkeiekrgiwdijqjqdjf GG yyhyueideu2ggfyuuuiiidhgGcdgVsbsjmx. Vbz 🌶️🍌
I am a fan due to the asmr aspect of Dr. Gil’s media. I do keep noticing that these videos make me ponder about how I communicate to my healthcare professionals. Seeing these practical health care applications also cause me to reflect on my health. I.e. tracking my own ailments and pain management. Thank you for the work you do, it shows in your presentation and I love the videos.
@DrJamesGill
2 жыл бұрын
I’m glad you found it useful. Hopefully it helps you improve your own health
@chrissyhall8372
2 жыл бұрын
@@DrJamesGill 00
@ramaesa2543
Жыл бұрын
.
@vitobracko5384
Жыл бұрын
@@chrissyhall8372 ?
@thuyngothi839
Жыл бұрын
5a5
My father yesterday was so Ill I had to call the ambulance, and they did some of the exercises Dr. Gill would do his patients (shining light into the eyes, letting his hands float in the air etc.) and I knew exactly why they did it. I used to watch these just for the unintentional asmr but whoa, It’s amazing to know what the parameds are doing
@DrJamesGill
2 жыл бұрын
I’m sorry your father was unwell, it’s good to hear though you had a rough idea what was going on. Hopefully that reduced some of the worry
@panzerscoutempire27
2 жыл бұрын
@@DrJamesGill I did, hes out now again, it was his tinnitus that caused this
@Omni315
2 жыл бұрын
I had a similar one. Last year my son hit his head. It was nice knowing the tests the doctors were doing. (He's fine)
@yudaganteng9990
2 жыл бұрын
@@DrJamesGill ada
@yudaganteng9990
2 жыл бұрын
@@panzerscoutempire27 k
Hello! I’m a 5th medical student in Mexico and just got to say, excellent video! I’m current taking my orthopedics and traumatology class, and this help me more to understand physical exploration in a patient! Thank you!
@DrJamesGill
2 жыл бұрын
That’s a really positive thing to hear 😊 Are there any other topics - particularly from a clinical skills point - we could help with?
@hilariosalas5210
2 жыл бұрын
Wow que bien excelente, ojalá cuando hayas terminado, indiques en donde tendrás tu consultorio para ir, saludos
@kailaxa9391
Жыл бұрын
God and Jesus Christ always love and are moving in your life. Don’t forget to have faith. Times get hard but the Lord prevails. The Lord is faithful ❤️(just spreading the word of God)not the comment
@bruhmoment1761
2 ай бұрын
Hi Dr! How’s doctorhood treating you haha
Dr James is a national treasure
@1nickdaora
2 жыл бұрын
International*
Most polite and relaxing doctor I’ve ever seen. I love this guy.
Another wonderful video Dr. Gill, loving it as always! Poor girl looked so nervous :( let her know she did great!
@XplosivCookie
2 жыл бұрын
Lots of people are like that in front of cameras, even if it's not because of nerves. You just feel like it'd be weird to stare straight into it when you're not talking, so you end up looking a little fidgety, just scanning the room not looking at anything in particular. She did do great ^^
I wish I had a physician like Dr. Gill. He rocks!
I love the doctor's voice!!! So soothing.
I love his explanations. As a knee injury victim, I learned so much from this!
You have no idea how much I learn from your videos. I think I could spend all day looking at them 💯💯💯
Doctor James Gill is brilliant 👏🏿
Really loved this video because my dad is an orthopedic surgeon and I tore my ACL about a year ago so I am very familiar with some of these procedures. Tore it in a basketball game and luckily he was there watching and immediately rushed to the personal trainers office to examine me to see what was wrong.
Three years ago my knees started to hurt and I went through this exam with my doctor :) Turns out my muscles weren't strong enough to support my weight and since then I've been going through a great fitness journey to keep them in check
@I666U
2 жыл бұрын
keep it up, cheers!
@DrJamesGill
2 жыл бұрын
Muscles can be a huge source of knee pain Plus if you are are healthy weight all the better
Dr. Gill is the zenith of class and respect. Always top notch videos sir. Cheers from 🇨🇦 ✌
@DrJamesGill
2 жыл бұрын
If we don’t show respect to our patients I) they will be less likely to come to use for help ii) we can’t expect them to show respect in return
This is the first video of Dr Gill that I see...and I had to subscribe immediately. He describes everything in such clear detail, which makes it easier to follow for people like me, who are not clinically trained, but fascinated by how our bodies function. Absolutely fantastic presentation, good doctor. Warm greetings from South Africa 🇿🇦
@panama1942
Жыл бұрын
Dr Gill is the greatest doctor ever
@kailaxa9391
Жыл бұрын
@@panama1942 God and Jesus Christ always love and are moving in your life. Don’t forget to have faith. Times get hard but the Lord prevails. The Lord is faithful ❤️(just spreading the word of God)not the comment
@kailaxa9391
Жыл бұрын
God and Jesus Christ always love and are moving in your life. Don’t forget to have faith. Times get hard but the Lord prevails. The Lord is faithful ❤️(just spreading the word of God)not the comment
I always find Dr. Gill’s videos to be quite informative so that I have a more meaningful conversation with my physician.
@DrJamesGill
2 жыл бұрын
The benefit we have with these is as much time as we need. Unfortunately clinic time is often limited affecting how much can be included
As someone with Ehlers-Danlos Syndrome, some of those tests were making me wince. My kneecaps curve to the outside as I flex my knees, and I injured both as a kid, was diagnosed with bursitis both times. Nowadays I'm not sure it was. Informative video as always!
@DrJamesGill
2 жыл бұрын
Bursitis is quite common, normally as there is an irritation somewhere, so more likely with EHD. But it is a difficult condition to manage
Vader: “where’s Abby?! Is she safe? Is she alright? Sidious: “it seems in your persistent asmr viewage you scared her off” Vader: “NOOOOOOOOOOO!”
@DrJamesGill
2 жыл бұрын
Revision
@darthvader3133
2 жыл бұрын
NOOOOOOOOO
thank you for another assesment dr gill
It's always interesting watching these medical videos, despite not having any need for them. This one especially was enjoyable for the fact that I myself have knee problems. I'd be very interested in seeing the difference in how I may test compared to this. Great video as always!
@DrJamesGill
2 жыл бұрын
These are always on healthy patients, there are a lot of difficulties doing them with patients
2:59 Ah the old classic chat up line!
@boodashaka2841
2 жыл бұрын
It doesn't work on Tinder sadly
I second Joshua's comment there. Thanks for your videos, Doc. Hugs from Brazil!
Another great exam, Dr. Gill! Thank you always!
@DrJamesGill
2 жыл бұрын
👍
Dr Gill is the goat bro 🔥
This examination is very familiar as I have had problems with my left knee for two years now. They didn't find anything during these exams, which sucked because my knee still hurts to this day. My other knee has problems now too, caused by an accident I was in a few months ago. We love being in the Prime of our life! 😂
@DrJamesGill
2 жыл бұрын
The examination is the initial guide. I often can’t pin down the actual problem, so then we need to order more tests
@Bubbington1000
2 жыл бұрын
I’m 30 and have had both knees replaced and a shoulder due to rheumatoid arthritis bc I wasn’t diagnosed til age 24 they kept saying they didn’t know what was wrong and it just kept getting worse.
I'm not a doctor. I'm not a student. For personal reasons, I'm reluctant to trust much of the American health care system. That in mind, I appreciate you, Dr. Gill. You're of sound mind and soul. Cheers.
Honestly you were on my algorithm I decided to click, not only did I get to see a relaxed exam, I also got to learn something new! You got a new subscriber😊 Sir can’t wait for future vids and going to check out some old ones while I wait. Keep up the good education and work 👍🏾💪🏾
@DrJamesGill
2 жыл бұрын
Thank you for joining us 😊
I ruptured my ACL around 20yrs ago playing football so some of these tests are familiar! I didn't have knee reconstruction surgery after it, a lot of physio and strength work. Another very interesting video
@DrJamesGill
2 жыл бұрын
I’m sorry to hear of your injury I’m a HUGE supporter for physio as a treatment
@steamcleana_6918
2 жыл бұрын
I did the same two years ago and never fully committed to the exercises the physio prescribed me so I’ve traded football and running for cycling
Love the video as always I love the A to Z list you are going through I feel no one does as detailed as you! Altho this isn't medical guidance it's still good to learn :)
@DrJamesGill
2 жыл бұрын
We will Restart that shortly, but there’s only so much time
Nice video Dr Gill
I have a torn lateral meniscus and it is only through watching this video that I've learned what the physio who examined me was doing to confirm this. Very useful.
@DrJamesGill
2 жыл бұрын
Ouch. That’s not good to hear. Hopefully physio has helped??
Always enjoy this content. Would be cool to have a patients version of Where Are They Now. Lucy Brown fan here 👍🏽
Dr: please relax Her: I am relaxed Dr: I'm talking to myself
@boodashaka2841
2 жыл бұрын
I love when my surgeon says that
Nothing better than going to bed and seeing that there is a new deep dive educational video.
@DrJamesGill
2 жыл бұрын
I’m sure one of the my students was faking asleep this week!’
Always excited to see you new videos!
Poor Megan looks extremely reluctant. Like she was held Hostage until forced to do a medical education video. Thank you for your service, Megan !
@grf15
Жыл бұрын
I assume that it just feels weird to be on camera, and especially to be examined when there is nothing wrong with you.
Really High Quality Stuff Doc. Keep it up we love it
@DrJamesGill
2 жыл бұрын
👍👍
Doc u should do more of these and more frequently!!! 💙
Really enjoy the videos from an ASMR point. Plus watching from Australia but from the UK makes Dr. Gills accent like being back home. Keep going with the vids and thank you.
@DrJamesGill
2 жыл бұрын
Cool, thanks
perfect timing and great upload Dr. G; just got into a bad and crazy bike crash and I am going through PT for my knees and back. much thanks, cheers !
@DrJamesGill
2 жыл бұрын
Oh dear, motorbike or cycling I mean both can be bad, but often motorbike crash is more severe Hope you are ok?
@I666U
2 жыл бұрын
@@DrJamesGill cycling, Thank you for asking. MRI showed that my R knee and leg are ok as my back, the PT seems to help . My L knee shows some fluid and loose cartilage, nothing major to worry; but the hit triggered the osteoarthritis which I did not know I had or have. The doc shot my knee with cortisone because the pain was unreal ( I stopped taken Voltaren and Norco ). I can cycle, use the elliptical, swim but I can only walk instead of jogging for now. Waiting to see the orthopedic doc; hope you do not mind I shared the medical details. cheers.
I'm italian but I love your voice and accent. ❤️
Detailed information thankyou ❤
I watched this video and just had to subscribe! I’m looking at my 2nd surgery on my right knee (4th surgery on both knees total) due to cartilage being torn up in my knee and causing a hole to form in my kneecap, so I’m very familiar with this exam. It was great to see exactly what my ortho was doing and hearing what he was looking for. Thank you for the insight! I look forward to watching more of your videos!
@DrJamesGill
2 жыл бұрын
I’m sorry to hear that! Are they going to do a graft / patch?
@stelkins625
2 жыл бұрын
@@DrJamesGill They did the MACI procedure on my left knee and believe that this the plan for my right. During the initial scope, they took cartilage biopsies.
She looks thrilled to be there.
Not in healthcare but as someone with knee problems who felt pain just watching this I found it very informative, lol. I’m on my feet all night at work unloading trucks and restocking the sales floor of a retail store so proper shoes and posture help me a lot but with hereditary joint problems they only do so much so now I know what to look out for to seek help if need be!
@DrJamesGill
2 жыл бұрын
For general aches like that, discussion with a physio can be useful. Often there is a chain of things going on that might be invisible to the patient
They are the only 2 people who can see eye to eye with each other
i'm almost a doctor with these videos without school and that's amazing
@Guras_bumhole
11 ай бұрын
Can you take a look at my asshole doctor
I can listen to you sir all day...
@DrJamesGill
2 жыл бұрын
👍 as long as it is useful 😊
Dr. Gill always manages to put me to sleep😴
Dr.Gill thanks for making these great videos,, i wish we had doctors of your caliber over here across the big pond,, the U.S. doctors only care about money,, in & out and fleece em for all they can get,, they don't take any time at all with their patients,, and they have really crappy bedside manor,, it's even worse for people like me on a fixed income and the disabled persons that have to go to health clinics & health departments,, they have a new inexperienced P.A. every week because they can't keep a fulltime Doctor for more than a month or so at the time,, thanks again, your videos are really great...
@DrJamesGill
2 жыл бұрын
My biggest fear at the moment is the UK developing a USA style health system The NHS is far from perfect, and needs major reform, but my worry is that people will try to use it for profit
Early gang!! Definitely will be watching this later 😊
Once again, a great video. Very informative. Can I just ask if you plan on doing a video like this on the ankle/foot? I'm asking as I'd be interested in it because I've had a lot of issues in that area (broken bones in my foot, twice, and also had micro tears in the tendons connected to my toes)
@DrJamesGill
2 жыл бұрын
We will cover that.
@jiminy82
2 жыл бұрын
@@DrJamesGill thank you. I'll look forward to that as I had a complete rupture in my peroneus brevis, and a few months ago had surgery that included a brevis to longus transfer. Recovery has been long but I'm running again! Something that I thought I lost the ability to do before finally being persuaded to go to the Podiatrist and taking care of it. Thanks for the informative vids.
@DrJamesGill
2 жыл бұрын
Injuries that change a lot of our sports and recreational activities are REALLY hard to deal with Glad fro hear you are running again
@ProperSauce
2 жыл бұрын
@@DrJamesGill I too am interested in an ankle video. I rolled my ankle so hard one time that It has never really been the same since. When I twist it It cracks like you would crack a knuckle (painless). My other ankle doesn't do that.
@seyara1
2 жыл бұрын
@@ProperSauce Mine clicks as well, especially on the stairs! Is there a chance you fractured it when you rolled it? The first time I fractured mine I though I had only rolled it as well....it's only when I broke it the second time they saw that it had been fractured previously 🙄
Great video. Really enjoying the content.
@DrJamesGill
2 жыл бұрын
Thanks 😊 glad it’s useful
First time on your channel, your voice is so relaxing 😌
@DrJamesGill
2 жыл бұрын
I hope the context is useful
I am a Clinical Exercise Physiologist with a practice focusing more on metabolic aspects rather than kinesiology & biomechanics. Thought of having some course refreshment here but his voice is so soothing I ended up enjoying this like it's an ASMR vid or podcast for me to relax & go to sleep. Damn 🤣
@DrJamesGill
2 жыл бұрын
I work with a chap called Dr Garry Palmer - sports physiologist, did a lot of research In South Africa, but has written books on the metabolism side of things Do you know his work?
Hi and thanks for a really great video series. Im within the volentary fire dept where i live. We train with The regular first responders. We are quite a rural area so we are usually on sight in a few minutes while The ambulance might be 30 min away or more. Anyway what i find facinating is the amount of info you can get from a patients condition with just your hands and a few simple instruments.
@DrJamesGill
Жыл бұрын
Absolutely. The hands really are the window to a huge amount of medicine
Very useful and informative ! 👍😉
@DrJamesGill
2 жыл бұрын
👍
As someone who suffers from Osgood Schlatters it’s really really awesome seeing how these things work and how it affects the knee. Great video as always!
@DrJamesGill
2 жыл бұрын
Thanks, I’m in the process of planning a knee anatomy video
I know a lot of us like the asmr aspect of Dr. Gil, but I learn stuff too. 20% strength loss in a few weeks due to knee pain is quite a bit. Makes me wonder how much I've lost in the past few years due to knee pain from drug damage from the antibiotic Cipro.
@DrJamesGill
2 жыл бұрын
Ciprofloxacin is a good medication, but does have a really significant side effect of tendon injury, hence we have to be careful Did you have a full rupture?
@holeymcsockpuppet
2 жыл бұрын
@@DrJamesGill no. Just pain and brain fog for years now. Through my own research I've managed to eliminate the brain fog using Huperzine-A. Cipro somehow affects acytlcholine breakdown or production. The Huperzine-A (an acetylcholinesterase inhibitor) allows the levels to come up. As for the pain, I'm currently researching glutamate as the pain appears to be neurological after initial tendon damage heals. You might be interested in digging into the medication. It's not a "good" medication. It is a last resort medication best suited for biological attacks and extreme cases of unresponsive infection. Doctors give it out for bacterial infections that can easily be addressed with macrolides or cephalosporins. Millions of people are suffering years after exposure to the fluoroquinilone antibiotic category. And no one wants to help us because it means standing up to the medical system, governments, and pharmaceutical companies. We are on our own to heal ourselves...thank god I paid attention in advanced biology back in high school!
What could it mean if you have clicking / mini popping sounds when you straighten your knees while in a sitting position? On both my knees I can feel micro clicking when I place my hand on the kneecap. It also hurts to apply pressure to the patella on both..
Thank you for my birthday gift
Not gonna lie but I've been waiting knee assessment from you for years
@DrJamesGill
2 жыл бұрын
We had the demonstration previously, but this is the deep dive, looking at how we are doing the exam and what we are looking for
This was really helpful. I live in the country side of the north east (USA) and my friend got kicked by a horse yesterday and i pretty much imitated Dr. Gill's examinations before he was taken to a clinic. Probably not related to this video but it did help me explain to the doctors what hurt on his leg.
@DrJamesGill
2 жыл бұрын
How are they doing now?
@maximumeffort4745
2 жыл бұрын
Good it wasn't as bad as it sounded. Luckily he didn't have any broken bones/tendons
G IS BACK
Hello i am David Attenburough's Grandson and i will be your examiner today
This reminds me I need to talk to my doctor about my knee valgus and the pain happening in my left knee 😬 an informative video as always!
@DrJamesGill
2 жыл бұрын
Please it worked as a reminder 😊
I'm definitely going to watch this later when I'm going to sleep and also I have bad knees so I'm paying attention
@DrJamesGill
2 жыл бұрын
Always worth speaking to your GP if having difficulty with a joint
@eznf98
2 жыл бұрын
@@DrJamesGill try pain in both ankles, knees wrist and back and only being 23 lol
@DrJamesGill
2 жыл бұрын
That needs looking at
@eznf98
2 жыл бұрын
@@DrJamesGill yep
Excellent!
@DrJamesGill
2 жыл бұрын
👍
Dr. Gill, I was wondering if there is a link between the five steps taking in this examination and what my father used to ask me when buying shoes. He always ask me to take five steps towards the door of the shoe shop and back to the mirror. Now I was five years old when he started to take me shopping for shoes until I was 15 years old but, I never had a problem with shoes. But, one time and I just realized this... I was in a hurry so I put one shoe on walk maybe two steps and bought them just to return them because they were uncomfortable. So. Is there a link?
@DrJamesGill
2 жыл бұрын
Maybe. Maybe.
I'd love it if you did a similar video on the ankle
@DrJamesGill
2 жыл бұрын
I’ve put it on the list
I’m enjoying you videos! 👍
@DrJamesGill
2 жыл бұрын
👍
Very interesting to see, and familiar. I had a tibial plateau fracture last year so i had quite a lot of these tests (and others). I would probably feel pain in certain parts of the exam 😅
@DrJamesGill
5 ай бұрын
Ouch!! That’s not a minor injury!! How did that happen?
@creaturanoctis
5 ай бұрын
@@DrJamesGill It definitely wasn't! I was hit by a car while crossing a road, riding a scooter (kinda moped). I had a green light so it was a big mind f"ck. He hit me pretty hard (flew through the air, landed on the wind screen with my head (mind you, helmets weren't compulsory yet) and flew right over the car and landed on the other side. I was lucky though. It could have ended a lot worse. But yeah, recovery was (and still is) no walk in the park.
I injured my MCL in 2015. My exam was nowhere near this thorough. The only advice I received was to rest the knee. It's been 7 years, without improvement. If Dr. Gill was within 100 kms of where I lived I'd be tempted to visit. Since he isn't, I'll just have to ensure I bend my knee as little as possible. No bike riding, no running, and no use of any equipment where I have to bend my knee. A nuisance, but such is life.
@DrJamesGill
Жыл бұрын
Has it been scanned? If it has been there that long, it certainly needs looking in to, although getting an improvement might be a challenge
@grf15
Жыл бұрын
@@DrJamesGill I appreciate the response. No, the doctor had me lay on the table and run my heel toward my bottom, saw the grimace on my face and made the diagnosis. I had to wait more than 1:30 for him to see me, and saw no reason to return or try another doctor. I'm not fond of people in your profession. I have a problem with my ulnar nerve and told the Dr. that it hurt when I had my hand above my shoulder (riding the bus). He had me put my hand in my lap and tested my grip. No problems with my hand lower than my shoulder, and have no idea why he then informed me that there was no problem. My ring and pinkie fingers still go numb sometimes, but I cannot imagine spending even one more minute talking to a medical professional. You might be the exception to that rule, as your videos indicate you know what you're doing.
@DrJamesGill
Жыл бұрын
I’m sorry you’ve had this experience All medics are different, and rightly or wrongly will have areas where they excel, and areas where there is room for growth Now very clearly, I’m not examining you, but the issue with little and ring finger certainly suggests an ulna nerve pathology, but it could be anywhere from neck to hand, and similarly could be positional I’d strongly suggest arranging to see a different doctor about both issues. Not casting aspersions on doctor no.1, but sometimes a fresh pair of eyes can be really useful. I’ll often ask a colleague “I can’t make head nor tail of this, would you mind having a look and seeing what you think”
Two ACL reconstructions later (one patella tendon graft) and (one hamstring graft) these tests are very familiar. 👍🏻
@DrJamesGill
2 жыл бұрын
Ouch. Why happened?
@rubberduck2885
2 жыл бұрын
@@DrJamesGill Two separate sports injuries. Football on artificial grass.
I feel I get more info and advice from your videos than I would from other health care professionals. I feel the local GP either doesn't have the time or lacks people skills and knowledge. I've been a fan of your videos and channel from the outset, from the older videos with Aiden Cross 😄 Thanks for being a cool doc!
@DrJamesGill
2 жыл бұрын
It’s not a lack of skill on the most part, but a lack of time. Trying to see patients in 10mins means that you can’t cover everything perfectly. Uou either increase the pace, or omit things such as explaining everything It’s why I’m in the process of trying to set up my own clinic, so I can give patients the TIME they need I’ll be less stressed abs hopefully people will understand their health better
I wish I was able to get an appointment with a doctor like you that would do a thoroughly look over my knees they hurt and wobble so bad and hurt almost constantly I take a medication that helps but I can barley walk and can't run or bend down . I have seen a few doctors but still haven't figured out what's wrong.
Thank you, again amazing and interesting. I wonder how "big" your storyboard-sessions are as preparation :D Regards from the Netherlands
@DrJamesGill
2 жыл бұрын
I don’t fully understand. We simply do an overview of the examination on the day We’ve always got a text book to hand to check a few things, otherwise it’s hit record and go
Watching from Brazil
@DrJamesGill
2 жыл бұрын
Welcome 😊
Rite on doc , thanks for effortlessly teaching us something. However I apologize I keep falling asleep during your lectures 😂
Health is everything in life in my view.
@DrJamesGill
2 жыл бұрын
I wish that more people would value health
Ive had both knee's dislocate more times than I can count and I always hear the same thing when getting them checked out, no major damage just do physical therapy. Im 42 and im actually afraid to run at full speed . It all good until its not (like rolling over in bed my patella might start slipping) and its like an evil little jack in the box. Any advice for me? I have no aspirations to be 22 again but it would be nice to play basketball once in a while without being terrified.
You give me Patrick Jane's (from Mentalist) vibes🙌🏻✨
I’m hoping you can help, my knees are in constant pain! I dislocated my left knee last year but due to covid I was unable to have any physio. I work in a supermarket which means I am very active, I also see a personal trainer twice a week. I am also overweight which I know doesn’t help and have lost 2 stone so far. The main issue is that my left knee gives way a lot and I am constantly in pain. And now my right knee is almost as severe as the left. I’m terrified about seeing a dr as I’m worried that they’ll just see my weight and not look further. But it’s getting to the point where I sometimes can’t move at the end of the day (sometimes I can’t even stand up due to the pain) is this just a weight issue or something more?
This helped me a lot. I am currently studying physiotherapy at University of Sydney.
@DrJamesGill
2 жыл бұрын
👍👍 that you! Any other areas we might be able to help you with?
Por favor traducción al español muy interesante el tema
Hi Dr Gill! I don't know if you will see this but I just had a question about the clicking knees. I have quite flexible joints, many of them having hyper-mobility, and when out of curiosity I straightened and bent one knee as you did to the patient here, there was a loud click. I repeated it as it could have been anomalous but it repeated happening with an audible click that I could feel in my knee. I am under 20 so is this something I should be concerned about, indicating anything or may it just be a result of my hyper-mobility? Thank you and keep up the amazing videos - don't feel you have to rush/ respond 🥰
@DrJamesGill
Жыл бұрын
Crepitus - audible clicks to joints - can be due to many things, most are nothing to worry about But I’d you have any pains, definitely get it checked If in doubt, have a chat with your GP to make sure everything is moving as it should
@sunnyside60
Жыл бұрын
@@DrJamesGill Thank you so much for replying. Will definitely have it checked - hopefully can cram it into the now 10 minute appointments here in England!
Any chance of a throwback thyroid exam for the asmr ogs
Giọng hát của ah Đức phúc hát đúng tâm trạng hay quá
I've had a problem since I was young where my kneecap goes out of socket to the outside of my leg, similar to your last test. When my leg is straight it's very easy to move my kneecap to the outside out of alignment, especially on my left knee. I had to stop playing basketball in fear of it dislocating out of socket and causing crazy pain. It usually goes back by itself once the knee is bent. Any info on what this is and how I can help it doc?
@DrJamesGill
2 жыл бұрын
That needs to be seen by orthopaedics. But they can help 😊
Great video…. but also single-handedly bringing the waistcoat back.
@DrJamesGill
2 жыл бұрын
It never went away 😊
hora de dormir!! valeu pelo video :)
Apologies if this has been asked already, is the removal of the wrist watch, noted by tan lines, for sanitary purposes?
@DrJamesGill
2 жыл бұрын
Yes. Ideally bare below the elbow
@occultlore
2 жыл бұрын
And today I learned something new, Thank you for the response Dr. Gill
Came to the channel for the ASMR but stayed for the medical info.
In Went through this a couple of years ago, shall we just say potholes, running across a road and stilletos don't get on. Gave myself a nice partially torn muscle
I follow you since 900 subs
@DrJamesGill
2 жыл бұрын
👍👍
I've had a weak feeling right knee for 4 years. I haven't been able to exercise in that time because I get a sharp 'boney' sensation after a while of running. Like bone on bone. I also get a day of electric shock/nerve type pain on and off after any knee exertion, including doing simple exercises at home. I've had an xray and mri (which I had to pay for) and saw a rheumatologist but all say nothing wrong with knee. There's definitely something wrong. How would I even get a knee exam this thorough? (UK) it's never been offered to me at any point of my many doctor appointments etc. It would be amazing if I finally got my answer via posting a KZread comment. Thanks for any insight
@DrJamesGill
2 жыл бұрын
Joint pain can be from the joint, or related to the joint above or below. If the knee has been cleared on MRI, then I’d suggest looking else where for the source. I’d expect your GP to be able to help with that
@kkownzor
2 жыл бұрын
Had a somewhat similar experience myself over 3-4 years. Its as if part my right knee keeps clicking out of place and feels "weak". Every time i have contacted my gp i just get referred to a physio who conducts a telephone call and tells me to perform a series of stretches for several weeks. No examination or scans ever offered. I always give up pursuing it in the end out of frustration and disappointment.
@DrJamesGill
2 жыл бұрын
That’s a shame. Physiotherapists are BRILLIANT, but you can’t really diagnose a knee pain over the phone You CAN get some good differentials, that might mean you can order tests over the phone, but certainly needs a physical examination
Ring finger on my left hand tends to lock up when i bend it and i can't even ball my fist up because it would hurt a lot! And if i bend my left ring finger i would need to hold it and straighten it out. Is it joint or muscle injury?
@DrJamesGill
2 жыл бұрын
Various possibilities, but speak to your GP as that may be relatively straight forward to address
I have early symptoms of RA , in my knees. Further i strange my right knee years ago.
@DrJamesGill
2 жыл бұрын
Hopefully your rheumatologist is closely monitoring then
@kathrynhall1136
2 жыл бұрын
@@DrJamesGill thank you , your encouragement.
She reminds me of Angelique Kerber :)
@arslaanpasha3334
2 жыл бұрын
Yeah