Carpal Tunnel Syndrome Exam - Clinical Skills - Dr Gill

[@maxazzopardi7446]

I love the ASMR community has helped launch Dr. James Gill's channel which is a genuinely excellent medical channel that teaches us so many things. Even average men and women like myself can gather a lot of really useful information from these videos.

[@lucasborba8500]

I tend to watch these videos for the sensation they provide, but I can't deny that I've also learned a great deal! Dr. James Gill draws in a wide range of audiences

[@jameshinze7878]

I really like when a patient has a real health problem and you diagnose it. Then discuss what to do to help or prevent it from getting worse.

[@DrJamesGill]

It is a simulation here, but sometimes - like the carpal tunnel exam demo - you need a little more than the request to do the exam

[@theendofmyropemydude]

I also like when I receive free health care on KZbin because there's none available IRL lmao

[@khalilkhamis8556]

​@@DrJamesGill😊😊

[@hopel4822]

When he said 2000 as a birth year, my gut reaction is still to go, "What, how? Absolutely not, you'd still be a child"`

[@sunnyside60]

And he's married as well, 2000 is further away than my brain can compute

[@WhisperAudiosASMR]

I hate how accurate and depressing this comment is 😂😂😭😭

[@adrianrowden8266]

​@@WhisperAudiosASMRIf he was born a couple of days earlier he would have had the chance to live in 3 centuries.

[@CarinaKi]

It’s mind blowing really.

[@Katiedora122]

Seriously. I was like, how is that infant talking??

[@antoinehunter3776]

I remember when abbie was in that chair

[@WannieStouters]

Not the same without Abbie Tutt haha

[@thelearicist]

I remember when that chair was in … I got nothing

[@Daytonian17]

Aiden Cross

[@igormac88]

She was a medicine miracle 😅

[@syedwaleedahmedshah8089]

How dare you sit where she used to 😭

[@panayiotissavvas]

I really liked the fact that this was also a simulation of a possible problem in the hands. Thank you Dr. !

[@DrJamesGill]

We’ll be doing a few more of these where we are needing to look at specific examinations

[@danielhorton9929]

Your professionalism is something I try to mimic in my job. Great work 👍

[@DrJamesGill]

Thank you. I try to treat the patient as I would like to be treated

[@noellegunning3301]

Yes, Dr. Gill is top class.

[@tayzonday]

I once did an electrical carpel tunnel test where they taped wires on my arm to see which fingers the wires triggered.

[@DrJamesGill]

That’s the gold standard treatment - nerve conduction testing, but unfortunately it’s difficult to access.

[@tayzonday]

@@DrJamesGill Yeah I was in humanities grad school at the University of Minnesota - which has a big teaching hospital with every speciality in a major city. It’s hard to scale advanced care the further one gets from big cities.

[@kevedo93]

i love how i cross tayzonday every once in a while on youtube comment section

[@holnrew]

I had that done on my ulnar nerve, strange experience

[@firekind1980]

@@kevedo93 Hope he's well.

[@brandonforbes9456]

This guy is excellent!! I keep coming back to this particular video whenever I am struggling to relax at night. His voice is very calming

[@chadsmith1200]

I really wish more people would watch your videos. They are missing out.

[@L8-APEX]

Having a soothing voice is a prerequisite when conducting any kind of clinical exam. It's a rule.

[@fancyslayer99]

As someone who has severe carpel tunnel, when he did the Phalans test, I winced in pain. Surprised he didn’t feel that.

[@sortbum]

We need to have Dr Gill & Dr Hollie Berry join forces for an ASMR super-duo. That would be lovely.

[@greenidgoddess5]

Lovely and floppy 😂

[@Dakbryant]

Along with Andrew

[@lamecasuelas2]

Ooof!

[@mynamehereforsure]

Lovely and floppy putabitofpaper

[@thiagobelline]

@@Dakbryant They still say Andrew is still one of the final medical students 😂

[@YouTudey]

Great to have you back Dr. Gill! Happy to see you are doing well!

[@DrJamesGill]

Thank you kindly!

[@Denjalaz]

​@@DrJamesGillдень 😢 шаг уд🎉

[@oceanceaser44]

Damn, I wish I could get a doctor like this in my country. I exploded my hand in a bike accident a year ago and haven't gotten even 1/10th of this kind of evaluation...

[@DrJamesGill]

Sorry to hear about the accident - How’s the hand now?

[@Dubstep4Jason]

Fun fact, i tested myself along the video and noticed some tingles in the hand. Went to a doctor turns out i have carpal. Imagine getting diagnosed via yt video 😂 thx doctor gill

[@Malkumecks]

As someone that just had surgery on both hands, I can assure you that this video was almost double the amount of time that I spent in the office with my hand surgeon.

[@DrJamesGill]

Unfortunately, sometimes it’s more obvious what is going on, so it can see like a shortened consultation. I was actually worried it was a “me” issue, but then did an athlete clinic, and the amount of abnormalities is “healthy” people when you REALLY put them under the microscope, I don’t think I’m going to worry I hope your op went well though?

[@Chad-bc9vi]

​@@DrJamesGill the fact that he hasn't replied to your comment yet make me quite worried lol 😂

[@Wafaloo]

@@Chad-bc9vihe’s still recovering from typing the first comment

[@akilghosh]

​@@Chad-bc9viactually he drank plenty of water and had a wonderful response

[@cyrus2295]

@@akilghosh within 24 hours after the operation, of course

[@karlmitchell4879]

Glad to see you back Doctor Gill and what a video to return to!

[@theoneandonlyYouTuber]

@Dr James Gill, appreciate what you do for the community.😊

[@czarekp3552]

if i ever get cancer, i want dr Gill to give me the news.... - i'm afraid it's a cancer and it's terminal.... - great news, thank you doctor and how are you?

[@Svevladovich]

💀

[@lamecasuelas2]

This Is great, this Is quickly becoming one of my favorite channels! Good work Dr.!

[@DrJamesGill]

Glad you enjoy it!

[@3DGvisuals]

I've been waiting for this one as I struggle with CTS. When I did the test shown at 5:45 my little fingers started to twitch involuntarily

[@DrJamesGill]

We’ve filmed the deep dive as well, so hopefully that will give you more insight too

[@macdadstromboli2762]

Awesome! I have severe carpal tunnel in my left wrist. Yeah, it hurts and sucks!

[@DrJamesGill]

Hopefully you’ll be able to get treatment 😊

[@LoraLinn]

Thank you very much ❤ it was a fantastic video, as always 👍!

[@DrJamesGill]

I hope it was useful. We’ll follow up with the deep dive looking at the why of carpal tunnel

[@qloudz]

Where is Hollie Berry at?????

[@josephmalala1093]

My first video from him and I'm hooked 🙇🏾‍♂️🙇🏾‍♂️🙇🏾‍♂️quality asmr

[@chadster69]

perfect, ive had a sneaking suspicion that i might have carpal tunnel syndrome for quite some time now

[@DrJamesGill]

Definitely worth while getting checked as it can cause long term issues

[@sarux3]

I think it’s so funny that my school has its own version of dr. Gil. Just some random teacher who’s super nice got popular on KZbin

[@DrJamesGill]

That’s cool. What do the teach?

[@starfishgurl1984]

Love this! I’m afraid at some point in the future I’ll end up with carpal tunnel in my left hand from over usage with bad posture because I can already feel the strain from time to time so it’s nice to know what to watch out for as warning signs should that happen, thanks!

[@maddietaylor5751]

Are you a real doctor because I have carpoal tunnel syndrome and it makes me have seizures often so is there anyway I can see you in person I’m happy to fly out and meet you as you look like you actually care compared to my doctors

[@kohinarec6580]

He is But you are not insured in the UK I presume. What do you mean by "seizures"? Like cramps and twitching of the hand?

[@tynka9647]

Funny to see that tbh! Im from Poland and my examination was a bit different. But now i am 2months post operation and my right wrist is doing better now! 😊😊😊 looking forward to see more of your videos with actually sick/disabled people! I am a rheumatic myself so it will be cool to see some deformed hands 😂😂😂

[@personalinjuryshow]

Awesome work doctor, thanks for sharing your knowledge.

[@rikkilumsden2655]

Yet another great video but I was wondering if at some point you could maybe cover sciatica and/or sleep apnea?

[@DrJamesGill]

Great suggestion! I’ll add it to the list

[@rikkilumsden2655]

@@DrJamesGill thank you so much 😀

[@KirkDouglasRavagedNatalieWood]

If you're newly diagnosed with Carpal Tunnel and haven't yet had any testing done, such as a Nerve Conductivity Test, trust me you're going to love it.

[@charlesmawson8393]

This is fantastic

[@facundogomez4513]

Greetins from Uruguay, the doc voice should be a british monument

[@isabelledavis2981]

I will have a physical exam this year on May 4th 2023 which is Star Wars day May the force be with you

[@lindar5413]

I had to have Carpal tunnel release surgery. Pain, was awful before.

[@DrJamesGill]

I hope it’s all resolved now?

[@Ricodon2121]

Very professional, love it

[@solarus2120]

My journey so far in the wonderful world of carpal tunnel syndrome: Ring GP, describe symptoms. Referred for Nerve Conduction test Have Nerve Conduction test, reduced signal at wrist and elbow. Sent back to GP for steroid injection into wrist. Ring GP a week later as the swelling has now gone down and my symptoms are back/worse. Referred to musculoskeletal service. Pending appointment with musculoskeletal service. Paperwork was done incorrectly and once that was fixed, the phoneline had closed.

[@iWillRun_]

The contrast in their sitting posture is making me nervous

[@BobGymlan]

The biggest difference after quitting smoking was how warm and strong my fingers and toes felt. They were always so cold and clammy when I smoked.

[@DrJamesGill]

That’s interesting. Makes sense though with the better oxygenation

[@BobGymlan]

@@DrJamesGill I was basically asleep when I commented. Looking back, my comment has little to do with the vid… I just wanted to let you know that you’re one of the most holism, calming, and informative people on the internet. Thank you!

[@DrJamesGill]

Doesn’t matter if you were half asleep. It’s still a thing stopping smoking, congrats !! 😊

[@rafaechizen]

This is so relaxing 😴

[@ryanpaulson3334]

I would be interested to see what the process of testing tremors

[@nettiplett]

I saw the doctor for suspected carpal tunnel syndrome just the other day and it was absolutely nothing at all like this. 🤷‍♀️ Nowhere near as thorough either. I was recommended to wear splints on both hands during the day and not at night. It's really hard to look after a baby with splints on my hands though, so can't say I've been wearing it much.

[@Cookivirus]

Medical practices and procedures differ between countries and places of study

[@cynthialovold9031]

Go see a good massage therapist and set up treatments. Carpal tunnel is correctable with massage therapy.

[@DrJamesGill]

Something I’m always very cautious with in medicine is. absolute statements - which I’d consider this to be - management of carpal tunnel issues depends on the cause, so RSI as an example *might* benefit from seeing a physio, but I’m not sure that at massage would have an effect (being clear that is very much a “I’m not sure” rather than disagreeing) The crux is you need to treat the cause of the carpal tunnel syndrome, so rheumatoid arthritis for example would NOT be affected by massage and could potentially be worsened.

[@cynthialovold9031]

@@DrJamesGill Thank you. Yes, I should not speak in absolutes. I believe if the root cause is lots of repetitive type motion that causes the fatigue and tightening, is where MT is helpful.

[@dshadow01]

2:24 got scared for a second there.

[@fatherchristmas8408]

How safe are operations to fix the carpal tunnels? I'm in my early 20s and are suffering from serious problems like numbness and lose of grip strength. But I've also heard of people where the operarions made it even worse. I would appreciate an answer. Thank you!

[@crazyfriend50]

Try exercises not surgery

[@jacktailorpatirzon6306]

exelente asmr,eres muy jenial para hacerlo

[@tkingdoll]

Does that pillow have a washable cover?

[@DrJamesGill]

Ordinarily yes. However this was not filmed in a clinical environment and sometimes I have to make do with the props i can access To put it another way, in the NHS pillows are like gold dust - seriously - so I would not remove one from a clinical area where it may end up being needed

[@barristanselmy2758]

Superb

[@tbip2001]

This might be a silly question, but how often do you change the monofilament?

[@DrJamesGill]

Guideline say 6 months for a frequently used tip - eg in a diabetic clinic 12 month if less used - so my GP bag for example

[@tbip2001]

@@DrJamesGill thank you Dr, much appreciated

[@danip2476]

I wish you could do more of these even tho I know you’re not an asmr channel

[@andrewcullen2119]

Any good recommendations for dealing with tmj maloclussions at home? Like exercises? Etc?

[@DrJamesGill]

That would be something to discuss with your dentist

[@jeffd830-i8q]

unstoppable gillster at large

[@pauljones401]

Great to see a super loco!

[@MaryFerlynGacutan]

may i ask if what special tests you used to asses?

[@DrJamesGill]

We did a follow up video specifying outlining what we are doing, and the subsequent special tests. I hope this is helpful How To Check for Carpal Tunnel Syndrome - Dr Gill kzbin.info/www/bejne/foXSeZt7hMelhpo

[@Bizzozeron]

Remember to do your hand stretches kids! Much love from a melee player lol

[@kiayawilliams5714]

I wish dr gill could do my exam, I’m sure I’m showing signs of carpal tunnel.

[@DrJamesGill]

I’d politely suggest going to see your GP

[@nopenope5042]

Great asmr

[@andreemanoel2366]

I was looking at my hands and I noticed a 'bump' in the back part of my left wrist, something that is not present in the right wrist. I'm considering going to a doctor to see what's going on.

[@DrJamesGill]

If you are thinking it, you probably should 😊

[@sarahhunter5261]

Wow you're in the UK

[@amyhundley9817]

What about recommending massage therapy??

[@DrJamesGill]

I don’t have that information, but I suspect it would not be effective. Similar to trying to stretch the ITB, the flexor retinaculum is going to be too thick and fibrous. Hence why the operation is to cut it

[@roryengland1996]

Dr Gill, are you the same Dr James who took part in ‘Bear Grylls: The Island”?

[@DrJamesGill]

Yes we did a lecture at the uni about it after kzbin.info/www/bejne/bHLMeZV8Zcuhb68

[@PaganiiLover]

You may not know the answer to my “problem” but I am unable to rotate my wrists to where my palms face up. If my palms are face down, the best I can do with my left hand is rotate it about 100° and my right hand can’t go beyond 90° making my right palm face left. I’ve had no surgeries on my shoulders/arms/wrists/hands that would affect it. I’ve asked two general doctors out of curiosity and they said they’ve never seen such a thing. Granted it’s not their expertise but it’s interesting

[@ellencruickshank8293]

I had similar it was TFCC ligament tear. Get an MRI for accurate diagnosis

[@heinrichvonwerdenfels7640]

Hello, here in Germany you have to wear rubber gloves in the exam or in the state exam, how about you? Since I see that Dr. Gil isn't wearing gloves. Best regards. With honor Dr. Von Werdenfels

[@DrJamesGill]

I do with most patients actually - a habit from my A&E rotation. Again, I think it might be habit at the medschool environment not too. By the same extension I tend to wear scrubs at work now post covid

[@Berengier817]

Does gripping things help reduce it? IE those exercise equipment that is supposed to help strengthen writs and forearms that you have to squeeze your hands closed in

[@DrJamesGill]

I don’t believe so

[@Scripps-on2nx]

I really thought Dr. Gill was patrick jane for a second

[@traceynickless681]

Hi would it be possible for you to look at adrenal insufficiency Addison's Disease which I've had for many many years I think it would be interesting for your students as it is still fairly rare Thankyou Dr Gill

[@DrJamesGill]

We should be able to get around to that when we do more endocrine stuff

[@umdoistrestestando5437]

I love hand examination kkkk i always relax with that :)

[@bennaustin6632]

Over here plastics seem to do more carpal tunnel releases than orthos.

[@EuanBCFC]

Dr Gill, why are all the comments turned off on the Warwick channel :(?

[@Hickspy_]

Is there any reason why this would be triggered specifically in the mornings? Sometimes when I'm eating breakfast my hand goes pins and needles from the use of utensils, but it 1. Goes away if I drop my hand down, and 2. Doesn't really affect me the rest of the day.

[@DrJamesGill]

Maybe related to bring static over night, or sleeping position. Would be width while going to see your doctor to confirm

[@Fairychild432]

A sleeping position usually causes mine to tingle. I also have to straighten my arm out.

[@mattkevlarlarock5469]

As a person who spends a lot of time on the computer I was wondering... how's the 40K going?

[@DrJamesGill]

I don’t really have time for something that size, so tend to do Necromunda

[@Chariots84]

See you made it safely back from bear grylls Island 😂

[@DrJamesGill]

That was a long time ago now! 🙀

[@wolfblood178]

when i try to do the elbow and wrist thing, i cant put my hand sfiemly together, and my elbows stick way out and a awkward position.

[@blue_jay31]

I would fall asleep if he was my Doctor!

[@olivertate4983]

Is the range of motion of his wrists around 5:20 unusual? I can't bend mine anywhere near that much 😂

[@DrJamesGill]

That is entirely normal

[@DDSMASH74]

Rum: aah-ahhh! [strokes his hand] You have a woman’s hand, milord! I’ll wager these dainty pinkies never weighed anchor in a storm.

[@jeffd830-i8q]

The gillster gettin handsy

[@kaos45]

It’s 4:52am in New Mexico, why and wtf am I watching this?

[@DrJamesGill]

Learning is 24/7? 🤷‍♂️

[@kapitanleutnant1]

My dad had one bad back in the late 1990s

[@KindPigeonProductions]

Any advice for someone who’s had the surgery on both hands but the carpal tunnel has come back?

[@DrJamesGill]

You need to go to see your doctor for that to be looked at

[@KindPigeonProductions]

I sure was hoping for a miracle answer, doc. 🙂 love and appreciate all your videos.

[@demonwizard2162]

This guy might just be an actual doctor

[@davidhocknull6520]

I have some issues with my wrists ligaments

[@kohinarec6580]

I've had a sense of "pulling" in the tendon of my ring finger for a few weeks now. I wonder whether it is because of deadlifting, computer use or both.

[@ruthie_rosario]

It’s more likely from the computer. Usually, that feeling happens to people who type on the computer a lot for several years, or people who work in places like Tyson chicken, people who do heavy tire work (such as changing tractor tires), dental hygienists, massage therapists, or just about anybody who has demanding repetitive hand movements where the muscles in the hands are being worked for hours a day. My husband has this very problem. To bad when it comes from work, you can’t just stop 😢

[@kohinarec6580]

Thanks for your answer. It has since subsided after I trained less often w/ lighter loads at the gym and took to stretching my fingers at work. 🎉

[@Mikerille]

I’m actually curious, for these videos do you find people with the actual problems? Or just grab someone and be like “pretend and it’ll be super helpful” 🤔

[@Flippirino]

2:23 "-and if you could take your thing.. ahem, thumb" I get mind blanks too Gill.. I do too Edit here is I forgot the r on "your"

[@kragos6580]

Is the tingling in the hands not normal?

[@DrJamesGill]

Not normal. No

[@nickirwin5082]

What's the significance of sensations going to the little finger?

[@DrJamesGill]

Carpal tunnel issues should NOT affect the little finger

[@MrMit50101]

My hands feel numb and like they want to stay in a closed position and they a little weak

[@DrJamesGill]

I would suggest you se your GP

[@salehoubahssis2376]

ممتاز

[@benfeld4058]

It would have been great if he made him undo a button, then another button, then another. And said, "There that's better" before continuing on with the examination.

[@jsowder19]

Edited in hitting the right hand when he was hitting the left hand lol.

[@MeAg4in]

i get Carpal Tunnel like twice a year or so not too much

[@Bytional]

Is the CTS genetic? sorry to ask but this seems run in every family members from my mom side.

[@DrJamesGill]

Shouldn’t be no. But that doesn’t mean that there isn’t a condition underlying which might have a family component. The question is always WHY has someone developed carpal tunnel syndrome

[@Bytional]

@@DrJamesGill Thank you doctor, this is something I never thought of, nor did my mom or grandmom's doctors.

[@krystle8090]

how can someone get carpal tunnel and how can we decrease the risk of it?

[@DrJamesGill]

One of the commonest causes is repetitive strain injuries. Generally trying to ensure your desk / computer work doesn’t put strain on the carpal tunnel. But there are medical conditions was well that increase the likelihood

[@krystle8090]

@@DrJamesGill thank you :)!

[@matthewfurlani8647]

He said 2000..... 😭 Im getting old

[@blackhawk8765]

Ole boy looks in great shape to me. Smooth baby hands there. Why not look over a persons hands who works manual labor all day long? 😂

[@hatnemtom]

Bro is so flustered to be at the company of the best doctor.

[@nelsoncraigjr]

Dr. Gill, I do have a question. To preface, I am not a medical professional nor in the medical field at all. My question is this. If you are performing an exam and the patient says no to you performing a certain action (i.e. pressing over the hands) what would you do then?

[@DrJamesGill]

Investigate why they said no. As they have come to clinic suggesting they do want help To be honest, it’s never happened

[@jedrewmtal123]

I dont learn anything jajaja but this video is very VERY relaxing