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

[@ARO323]

How Purell haven’t given you a sponsor yet is beyond me 🤣🤣

[@DrJamesGill]

🤷 mainly use the bottle out of habit

[@DwightLivesMatter]

Because the procedure is to actually wash their hands and not just use sanitizer.

[@ARO323]

@@DwightLivesMatter I’m sure he already washed his hands. These videos are for the assessment themselves. Not the build up to it.

[@theoneandonlyYouTuber]

@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.

[@keithlivingstone2525]

That was a good one Doc. As a long term (22yrs) sufferer of an ankle injury I did wince a little 😂

[@user-qb7ex5it5q]

Great as always. Your the best dr Gill!!! ❤

[@epicblopblopblopit9191]

6:27 After watching the blooper short from this examination, I can tell why he’s smiling 😂😂

[@kaitlynrowena5463]

Where can that be watched?

[@user-jz6zv6bx4p]

​@@kaitlynrowena5463there is a one minute video on the channel

[@markmccallum475]

I'm glad you've stayed faithful to the original cinderella story

[@rohanprihar2384]

what a video Dr!!

[@adamwhittingham86]

1:00 When you need to go outside but can't be bothered to put your shoes on

[@josemerino7894]

🙏🏼🙏🏼🙌🙌🙌 Dr gill you are the goat 🐐 of this all💪💪💪💯💯💯

[@racerdeth]

2000?! Jesus wept we're old. Great interesting content as per, Doc.

[@igormac88]

How come he's not 12!? 😅

[@anthonyreynolds9300]

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!

[@jacktailorpatirzon6306]

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

[@squawksquadstudios]

Feet are weird to me. While I’m not afraid of them, I can see why some people have a foot phobia.

[@maxr-h9299]

Me going to get snacks at 3 am hoping no one will wake up 1:01

[@arabellathornton9386]

Hi dr gill great asmr

[@finnenmans5843]

🔥🔥

[@johnathanleonardo912]

Good sport!

[@MK212074]

the way this guy is laying down cracks me up.

[@brandonmoucatel9630]

And I sprained my ankle last week what a coincidence?

[@andthingsofthisnature]

approximately 175.000 people sprain their ankle every week.

[@brandonmoucatel9630]

​@@andthingsofthisnaturethat's crazy thanks

[@chadsmith1200]

I hope he gets his foot issue fixed.

[@Draedaja]

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]

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]

The painful part will be in the deep dive. The demo is literally that 😊

[@DrJamesGill]

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 kzbin.info/www/bejne/hX_beoRmoLGhaNU

[@xoxoamazingful]

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]

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.

[@MidwesternDiva]

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]

Ultrasound could show inflammation, evidence of impingement, lot’s of things

[@haleighnicole5685]

@@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.

[@derekchechak5371]

That's great but is the ankle pregnant?

[@TheDarkSamus]

what about the sniff test?

[@jadav1987]

Your fame has spread even to CNN these days Dr Gill, another fab video!

[@jerodast]

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]

@@jerodastcan you share with me the link to it, please?

[@yazariamajor9797]

Is there any way you can do a video about pregnant women with servers hg?

[@johnathanleonardo912]

I just watched the blooper where he jumped in pain and Dr Gill looked confused so now I'm back here lol

[@insaneclownpadre]

I'd like to see in depth look at planter fascitis.

[@DrJamesGill]

Here you go. We did it a few weeks ago 😊 What Causes Plantar Fasciitis - Foot Anatomy - Dr Gill kzbin.info/www/bejne/l4nbZ4Gcd7x3idU

[@insaneclownpadre]

Ask and you shall receive. Thank you!!

[@spikeaxb1337]

Would painkillers be really necessary in this situation though? And why? I'm not saying they're not, I'm actually curious

[@DrJamesGill]

If someone is in pain, pain killers seem quite reasonable

[@vickychen3533]

please can you teach the haematological examination?

[@DrJamesGill]

We can have a look yes

[@giovannirodriguez894]

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

[@user-ql5wj6hu6w]

Are bend toes like his from wearing shoes that are too small?

[@NewEnglandPatriotsfan]

It’s possible, you always want to wear footwear that isn’t too small

[@adulaide]

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 :))

[@N2JokerTV]

January 4th 2000? That's my wife's exact birthday. 😂

[@ARO323]

I think you need to ask some questions 🤣

[@emzzzz905]

😂😂

[@AJediSurvivor]

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_SuperHiro_I]

My doctor: it hurts here? Me: yeughhhhh…yes My doctor: right here? Me: YEAAAAAAAAAH BOOOOOIIIII.

[@gmc9451]

Why no questions about what could have caused the problem with his ankle?.

[@DrJamesGill]

That would take place in the history portion of the examination, here, we are specifically doing the examinations

[@88nikita]

✨🦶✨

[@brandonmoucatel9630]

Bed time

[@shamymelendez828]

I know i would be laughing my head off if someone was touching the bottom of my foot 😂

[@seang2012]

Where was the big drama moment!?

[@DrJamesGill]

That will be in the deep dive video

[@MarcelPolman]

bad toe dexterity

[@Joshgilly94]

Is this the least ticklish person ever to exist?

[@charlessmith9421]

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

[@STARDOG64]

CTRL C CTRL P

[@STARDOG64]

I'd fold him like a piece of paper that tiny whimsy thing 😅😅😅😅😅

[@HeyJoeHaze]

His toe joints and bones look like fingers on a hand.

[@SakakiSyndrome]

free extra joints lucky man

[@hostiliscivitas]

He could have scrubbed his toenails

[@jerodast]

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 :)