Clinical Skills: Cervical Spine Assessment - Dr Gill's Neck Examination

Neck Examination - Cervical Spine Assessment - Clinical Skills - Dr Gill
Compose a new pain within athletes is cervical spine discomfort, thankfully in the vast majority of cases when the neck is examined the cause of the neck pain is found to be muscular.
However, pain can also refer from the neck to the arm, in which case it is important to be able to assess for cervical radiculopathy prior to gaining more information which may indicate an MRI is needed
We assess for radiculopathy by doing Spurling's test, an often overlooked part of the neck examination, but it should be included for completeness and reassurance of the patient - not forgetting the athlete or not, neck pain can be a considerable source of distress, so it's vital to be able to get information from the neck examination which allows you to safely reassure a patient when appropriate, or comment that neck exam found evidence that needs further investigation
#DRGill #neck #asmr

[@nnhk0056]

We were so close to getting a "lovely and floppy" out of Dr. Gill. Maybe next time.

[@user-wf2wi5wc2k]

He is getting older. These things happen.

[@johnnyboyy5175]

Haha lovely and floppy . That’s what this one blonde lady I like watching says

[@vijaysaradhy12]

If your neck is floppy, may be it's not good? 😂

[@user-wf2wi5wc2k]

@@johnnyboyy5175 That's "Dr Berry" to you! 🤣

[@foxyartz8778]

Yes but we've got a '' little little pressure ''

[@AramilsMusic]

I just love how descriptive, respectful and friendly you communicate with every patient in your videos. A real gentleman and professional. Would love to be examined by you one day, Dr. Gill!

[@DrJamesGill]

It’s important we treat our patients are we’d like to be treated 😊

[@KH-nt7ej]

​@@DrJamesGill As a nurse. I couldn't agree more. We are all going to age. God willing. I would like to think I would get the same medical care I strive to give to my patients.

[@Carolina-gz8ug]

I find it off-putting honestly, I would not go to this doctor

[@gimo80]

‘Alittlepitofpressure’ is nearly the sequel we need

[@MihailMahov]

Considering the large number of the ASMR community that watches Dr. Gill's videos, I would say that the ASMR phenomenon deserves far more serious research than it currently receives. Formally, Dr. James Gill performs routine medical procedures. But the manner in which these procedures are performed, the mesmerizing voice of the doctor, and the kind/attentive attitude towards the patient is what causes a surge of pleasure waves in many people who watch the videos, incl. me too. So it seems that Dr. Gill heals more with his voice and his attentiveness to the patient than by performing routine procedures. In this case, the performance of routine medical procedures is just the framework through which Dr. Gill displays his enormous ASMR talent. I will say something that has been well known for a long time, but is often forgotten - people get sick first mentally, and only then physically. First the soul suffers, first the mind suffers, and only then the body begins to suffer - this is what medical science calls ''psychosomatics''. And when a person goes to his doctor for treatment, he (the patient) often needs a conversation with a friend more than a medication. A person needs to be listened to with empathy, to be treated as a close person, not as a product that has health insurance. In fact, Dr. Gill (knowingly or not) is giving us a glimpse of a future medicine that will not rely so much on strict medical treatment of the patient and on drug therapies, as it will have a beneficial effect on the human soul and psyche. And the doctor will treat his patient like a close friend.

[@DrJamesGill]

It’s one of the reasons I feel the 10 minute consultation in the NHS is bad for both the patient and me

[@Carolina-gz8ug]

The voice is frankly a little bit annoying

[@db7610]

​@@Carolina-gz8ug get lost

[@Kay-yu2zd]

1:03 It's so interesting to observe Dr.Gill making extra sure that he telegraphs touching the patient from behind. So respectful and thoughtful, I love to see that!

[@DrJamesGill]

It’s highly important, as the patient can’t see you when you step behind them 😊

[@powderandpaint14]

So important, particularly for women I would say as a man touching them unexpectedly from behind can be quite alarming, even when it's a doctor!

[@Crumpy87]

My favourite pairing 👌🏻

[@angelinamincher7406]

Nah him and Abbie where the best

[@keithlivingstone2525]

My poor wife couldn’t do any of those movements as she broke her neck in a car accident 30yrs ago and it’s fused, wired and plated. Still, we’ve cycled over 50k this week none of which was on tarmac so it isn’t all bad. 😁

[@DrJamesGill]

I’m sorry to hear about the accident, but clearly you are both keeping fit. 50km is a great distance

[@keithlivingstone2525]

@@DrJamesGill Thank you Dr Gill. Yes, not bad I guess. I had a 12hr cancer op this time last year to remove a huge facial melanoma so my recovery is still ongoing.....oh, and we were 34yrs married yesterday (12th) 😁

[@DrJamesGill]

Congratulations for yesterday

[@kohinarec6580]

Medicine evolves and has evolved. To think, say 70 years ago, I doubt there was much that could've been done to bad neck injuries. Congrats on your wedding day :)

[@starfishgurl1984]

Seeing this video suddenly reminded me of when I was in sixth grade and experienced neck pain that kept me out of school because I couldn’t turn my head sideways at all and had to rest it in a recliner with ibuprofen. It turned out that the pain was caused by bad posture in my sleep from being a stomach sleeper and sleeping with two pillows and as soon as I stopped sleeping with a second pillow it restored my posture and cleared up the pain and my neck returned to a normal range of motion. Even though it’s been nearly 27 years since I experienced that I still remember how awful it felt and have done everything I can to try and prevent it from ever happening again.

[@Caltash]

4:31 I thought the industry standard phrasing was "lovely and floppy" :(

[@theoneandonlyYouTuber]

Just as I thought you would have run out of clinical skills ideas, you deliver again with a authentic and interesting clinical skills video. Thanks doc, may God bless you and your family. Take care now, bye bye then.

[@DrJamesGill]

Honestly we’re getting close, but that’s why we’re looking at responsive tests now, rather than generic examinations 😊

[@summatim]

Summary was generated by Summatim, let us know if there are any inaccuracies! 🤖 0:13: Introduction 0:24: Symptoms 0:41: Physical Examination 3:34: Nerve Test 5:17: Strength Test 6:02: Conclusion

[@PeruLover]

This is a good one. More Dr Gill, there’s never enough.

[@DrJamesGill]

Examinations take as long as they take

[@PeruLover]

@@DrJamesGill Of course, but.. you would probably 10x your GP salary if you just focused on KZbin ASMR full time.

[@StevoPvP]

@@PeruLover I really don’t think you understand how much doctors make…

[@WishMount]

@@StevoPvP not as much as they should be for the amount of time spent at uni

[@user-oi1wq4xm7g]

My safe place whenever I feel anxiety or panicking

[@alyssastern6073]

SAME

[@MrZomg17]

I am Impressed and astounded as to the amount of information Dr. Gill has memorized and his memory

[@Alex_dlc]

Great video just wish it was longer

[@malteschaper3782]

5:15 Dr. Gill: "Now we need to have a look at your strength." Patient : "Have you witnessed my fitness?"

[@farokmia5333]

কমজোর

[@NetherlandsFirst]

Megan always seems so composed yet flexible. Always a great erm... subject? Patient? Great work as always from both of you.

[@marshallnewman6405]

Ok but she said there was pain in her neck. Whats with the cliff hanger I need a diagnosis on my favorite hospital drama

[@user-zd3tv8ce3c]

You're voice is really relaxing to listen to

[@thisbirdhasflown2554]

Another great video, Dr Gill! Informative and relaxing

[@dannysanchez2740]

Hey DR GIL I send my hellos from Mexico I’m a big fan !!!!

[@simondb99]

Ya boi missed the chance to say "lovely and floppy" twice!😂

[@dannygaskin5806]

Cannot wait to fall asleep to this latest bad boy.

[@synaesthesian]

She just needs to PUTTAPITTAPAPER on her neck and that'll resolve the issue.

[@scullykelly5885]

Thanks for the vid dr! Have a good weekend

[@DrJamesGill]

👍

[@josemerino7894]

Salute to dr gill,,respect from NYC WASHINGTON HEIGHTS🔥💪

[@DrJamesGill]

👍

[@freakywrithe7790]

Too quality videos, still the best unintentional asmr. Best regards Doc

[@DrFrogglePhD]

These videos are always wonderful. Also your assistant has those Billie Piper genetics.

[@gldf1nch]

Wish doctors in the U.S. were this through

[@longjohndelaney6183]

So relaxing I fell asleep watching this.

[@octopus2846]

I don't know much about medicine, but after watching many of your videos I have a question - is it normal that there is so little movement when checking reflexes? TIA

[@DrJamesGill]

Can be. Reflexes are a challenging one. Is the reflex truly reduces, or is it just that clinical setting

[@mattb9057]

Need to book with this am in pain for over a year

[@pdog109]

Dr. Gill "PROTECK YA NECK"

[@packopocky]

these are relaxing

[@sethhellinga740]

does it not hurt your thumb when checking for reflexes? that object seems quite blunt

[@diyeana]

So that's how I get a massage out of my doctor. Only problem is, they aren't free that way, here in the US.

[@DrJamesGill]

I’m not sure I’d describe that as a massage!

[@diyeana]

@@DrJamesGill a light shoulder dusting, perhaps?

[@d.r.preparedness6427]

So would that suggest that it was muscilar? BTW, I am not a medical persona oitside of BLS. Kist like learning.

[@DrJamesGill]

That was the intention yes

[@btsboys2564]

I want that Dr. Gill to make my examination too. He so soft . Many doctors are in hurry when they doing this tests and is painful

[@ppablooo9471]

Brlliant video!!

[@DrJamesGill]

Thanks!

[@MrZomg17]

I was wholey waiting for a 3 Stooges Moment where Dr Gill tests a reflex and Meghan's reflex hits or kicks Dr. Gill

[@juliaesposito7359]

Love it

[@Nightwolf3536]

My neck muscles spasm force it to lean down sideways and it does that constantly. If anyone has had that or known anyone with that let me know.

[@MrZomg17]

What i gather from Doctor Gill's finger movements it is almost like a Typewriter or Piano type finger pressing movement along the shoulders .

[@matthewwilliams3789]

I always wince when you hit your finger testing reflexes. Does it not hurt?

[@DrJamesGill]

When we do a day teaching how to do reflexes it certainly can!

[@edjohnpowell]

'Tell me if there's any problems here.' 'Nope.' 'FINE DONT, THEN. SHEESH'

[@MrAuriga67]

Dr. Gill - I am not a medical person, but I have a question. When you are doing the reflex test, why do you strike your thumb, when testing at the elbow joint ?

[@DrJamesGill]

To ensure we don’t hurt the patient

[@namethatisnottakenyo]

I don't have a medical background either, but dr. Martin Samuels taught in a similar asmr exam video that hitting the muscle directly gives a different reflex (aka direct muscle excitability) than the tendon reflex that you're trying to test. So in the arms where the muscle and tendons you're testing are close to each other you have to put your thumb there to make sure you're actually testing the tendon reflex. In the legs it doesn't matter since the tendons being tested are further away from the relevant muscles and there's no risk of hitting them directly. He also said that direct muscle response is important, but for a different reason than tendon reflexes.

[@MrAllen-fv9cj]

A doctor I know can actually diagnose and treat a patient by sensing energy fields, checking leg length, and waving his hands by making the sign of the cross.

[@gabrielesimionato1210]

Replace "can actually" with "claims", and your description will be accurate.

[@chx.ji_]

I have been having some pain in my left ilium crest when I walk and it has been occurring for roughly a week now. Do you suggest seeking medical attention?

[@DrJamesGill]

If you are concerned then stop risk to your doctor

[@anim8rjb]

It would be more interesting if in one of these, there was an issue. It’s always ‘any pain?’ ‘no’. I’d want to see how you address pain or numbness.

[@DrJamesGill]

Unfortunately these are teaching demos. But I’ll look at adding management to future deep dives

[@sentiment3]

@@DrJamesGill i thought there are 2 video's where david has issues with his shoulders and back

[@DrJamesGill]

That was the shoulder exam deep dive… and it wasn’t part of the script 😅

[@user-ks5iq1lf7f]

I'm pretty sure a orthopaedic surgeon did damage to my neck. In the way he examined me. He put a hell of a lot of crazy pressure on my head. I didn't have neck pain. But since he did it. My neck is hurting like crazy. The pain is so unbearable I'm afraid to move my neck and it makes noises 😢😢😢😢😢😢

[@fabiot241]

Thanks Doc, I really want to ask you what do you think about chiropractors?

[@DrJamesGill]

I think physios are fantastic, and when it comes to rehabilitation and addressing MSK issues I don’t think you can get finer evidenced bases practice That’s the key, if there is no evidence, then I would avoid

[@richierich8334]

What is your take on Chiropractors? Even though I disagree with them being called "Doctor," do you think their occupation is quackery??

[@DrJamesGill]

I trust physiotherapist, and their science based approach to treating MSK related issues.

[@UCONN_HUSKIES]

Doctor is your new volunteer taking over Abbys stop?

[@DrJamesGill]

No, I still hope Abbie might be able to help out in future, but we’re all so busy atm

[@Reda2k23]

My neck started aching because of me using the computer for longer sessions. I need a massage soon.

[@DrJamesGill]

A lot of the time I really think messages help

[@moos3]

​@@DrJamesGill The relief scales with character count.

[@furdterguson6987]

"I'm just going to touch your chest if I can" How dare you steal my line..

[@Arttekot]

No giggles from Megan this time?!

[@DrJamesGill]

One day I’ll do a blooper reel!

[@crittertracker]

@ Dr James Gill That would be a lot of fun to watch!

[@vjr4763]

Happy 26th Birthday to "Megan Struthers, the 22nd of February, 1998".

[@BlueCarpet23]

The jealousy I feel that she answers no to feeling any pain in the beginning of the exam.

[@Julief4417]

I love how he always asks for consent before touching.

[@lorandbalint8557]

Its the most decent and professional thing to do, and it also calms the patient. I am a nurse, i dont do anything with my patients without asking them if i can touch them, and then telling them what i am about to do

[@theninjascientist689]

"Yeah sorry I think I blinked, we'll have to do the shoulder section again..."

[@mintberrycrunch980]

This guy is 100% just making AMSR videos now lmao

[@brandonstapleton1350]

Obviously I don't wish for anything on anyone but genuinely curious have you ever examined someone for a video and noticed a genuine issue?

[@DrJamesGill]

Last week that actually happened!

[@unleashthecarnage5813]

Can someone explain to me why it's called the cervical spine and then cancer of the cervix is also called cervical cancer is there a reason why they share the same name?

[@DrJamesGill]

Cervix is Latin for neck, and we have many “neck like” structures in the body, the two most people talk about at the neck at the top of the spine, and also the neck of the womb. Both of which are termed cervix

[@unleashthecarnage5813]

@@DrJamesGill omg thank you that makes so much sense now

[@gb9023]

Let the neck b free

[@svenskanorsk]

I have pain in all those spots…

[@T1ttyLedz]

I know DrG is all about the correct way to do things, but i find the idea of doctors asking if touchung mr is ok as weird depending on the issue sire they have to ask. But fpr the kost part never been asked.. amd saying no would be going ahainst me wanting help with something

[@PlantisHere1]

What is the patient’s instagram 👀👀👀

[@runescaperyans]

Holy fuck it's Abby Anderson

[@beltanetrex]

Man, i wish i had the amount of neck pain she's having whenever i have neck pain.

[@zeefly226]

Says she's been experiencing neck pain for two weeks. Doesn't experience any pain during examination.

[@See-if_I_care]

Lol...my thinking as well 😅

[@LordRedfern]

To test the neck you should really putabitofpaper on it

[@kohinarec6580]

I once had problems with the left side of my neck. I had torticollis.

[@mattbackupchannel8085]

😍Megan..

[@aprillake3912]

Lovely and floppy sir

[@MacS34]

Dr Gill was on bear grills the island show

[@alanbarretocuejarbarretoro8741]

Amo asmr

[@halyard9966]

What’s your birthday? 22nd February. What year? Every year!

[@Blakesneezes]

I would love a whole video dedicated to the reflexes and hammer uses 4:34

[@DrJamesGill]

Here is a starter for you 😊 What is a reflex arc? - Understanding the Clinical Skills - Neurology - Dr Gill kzbin.info/www/bejne/qp2ado2vmauEb9U

[@Blakesneezes]

You are the best sir!

[@brianbrinkman7964]

I would have to eat maybe 1000 calories a day for quite a while to fit into Dr. Gill's clothes.

[@user-pd3je7dj7b]

3:11 え！？　I don't think she is ok.

[@user-hb7pp9vd3i]

She remind me about gareth bale 😭

[@gijsv8419]

She is as healthy as a fish

[@philfmiller]

Dr. Gill: Does your neck even hurt or are you just here for clout??

[@georgepierson4920]

Was she loose and floppy?

[@philfmiller]

@@georgepierson4920 she was stiff, like a bit of pay-pah

[@markh7304]

She still looks a bit scared.

[@dormiovibes]

gunna putalittlebitapressure

[@user-ne9mz9zn4u]

Proneur

[@asmrskit5231]

Littlepitohpressure

[@NormanScyth]

"Now, they say when this is done right both the doctor and the patient should be red in the face...but I suspect I'm the only one who got red in the face this time..."

[@nicktsanga616]

Sandwich Breath

[@GirlSmotheredToDeath]

4:40 - 5:13 C5 & C6 are 1+ while C7 is 2+

[@garrygadget]

she requires immediate covering in bits o paper

[@markmccallum475]

So there wasn't anything wrong with you. When you came to me to complain , I guess you just needed a shoulder to cry on. *looks at camera which doesn't fade away* *Patient in the background passes looks at Dr. Gill and the camera*

[@Rambo9700]

So she complains of a neck problem, he does everything to see the neck problem and she just goes no no no no and has zero questions at the end. She’s a fraud.

[@aikalabe7719]

Bro she comes in complaining of neck pain, he does a few tests, determines it is not related to the nerve, then tells her to leave. Now all thats left is to mail her a 300 dollar bill and youve got a bona fide american medical experience.

[@Shockzort]

The girl was so sad and somber all the way through the examination, I've thought for a moment, there is some real issue in her life, but in the end there is a brief moment when she smiles, like a sun suddenly hits a spot amongst a grim day, and I think, okay, all is okay, phew... 😅

[@Krsnda]

That's British people for you 😂

[@middler5]

She's being a pro

[@Miyanovich]

That’s because Dr. Gill took the weight. 😁

[@akilghosh]

Not as much as the girl in Dr Hollie's video. She never smiled once. 😐

[@Shockzort]

@@akilghosh yeah she is a grim one. Think she does this to pass an exam or smth :) and she acts kinda slow there, on hand exam, hmm

[@czarekp3552]

massage or chiropractor should fix you in no time

[@DrJamesGill]

Chiropractors can make problems much worse. I would active dissuade any patient from seeing one. Physios however are brilliant, and very knowledgable health care providers working from a scientific basis

[@grf15]

@@DrJamesGill You might want to expand on your comment about chiropractors. Physiotherapy is great, but a touch expensive if one doesn't have insurance.

[@0verWay]

​​@@grf15 Chiropractry is neither scientific, nor medical. It's a pseudo-science placebo literally invented by a guy who had absolutely 0 knowledge or expertise about ANYTHING medical related. The entire fundament of chiropractry is based on make-belief and spiritual nonesense that unfortunately managed to survive long enough for people to actually mistake it for a serious scientific/medical field.

[@t0raneko]

@@DrJamesGill Glad to have a doctor's opinion on chiropractors. Lots of people swear by them but I've always been skeptical. It looks like nothing more than joint popping to me.

[@thatabu]

@@grf15Insurance not needed with public health care as in the UK and EU countries.

[@jonathantanksley1397]

Buddy. It's a lifted second rib on the left and a dropped left clavicle due to a tight posterior scalene on the left. I can see that without having to do any tests. You may want to get some better training. The whole manner of decorum is respectable at best, but you need to actually be able help people. If this is actually your clinical practice and is reflective of others... no wonder so many people wind' up under the knife

[@Kay-yu2zd]

this is the most schizo thing I have ever read in my life