How To Check for Carpal Tunnel Syndrome - Dr Gill

[@7orgetmenot]

i love that you stripped your patient of his skin, revealing his flesh and skeletal system at 2:10, truly showing the depth of visual aids for us viewers

[@Snowball_Earth]

Holy molyyyyyyyy the patient had a question!!!! 😱

[@DrJamesGill]

😂 going off script *sigh*

[@12Daanie]

Nog koenkies over? Ik kan een pratende papegaai nadoen voor je

[@stevenreichertart]

Took me three tries to make it through this video. I fell asleep each time. And let me tell you, that is a very good thing for me. Thank you so much from the bottom of my heart.

[@Ihfarmer23]

Ik right 😊 I wonder if Dr James knows he's on his way to be an unintentional asmr creator

[@ML-jk4dg]

Came for the ASMR, stayed for the information 🤓👌🏼

[@DrJamesGill]

I hope it was useful

[@sweettea4192]

This is exactly why I watch these videos. They help me learn a little about a lot.

[@sjs_1999]

I’m not sure if it would fall under the interest of your viewers but something going through spinal tracts would be absolutely amazing. Loving all the videos per usual!

[@DrJamesGill]

Spinal tracts are not a common area for me at work. We did try to look at the simple reflex, but I suppose we could look at dorsal column issues kzbin.info/www/bejne/qp2ado2vmauEb9U

[@JRawThaDon]

The visual difference in sitting posture is staggering… I strive to have and keep great posture such as yourself sir.😊

[@polly_pasta]

I was just wondering about what hands were and why they were drilling tunnels in them (seems like this has just started happening recently??) so this video has been extremely informative

[@0verWay]

Another great video by KZbin's best doctor

[@briearmington2201]

I work in Neurology. I perform a lot of nerve conduction studies on patients to verify carpal tunnel.

[@DrJamesGill]

Thank you for your work there then! How often do you find patients with symptoms have unremarkable tests?

[@kenshiro7960]

I am really happy doc that you can help this patient Thank you

[@PartOfTheGame]

I would love to see a breakdown of an Ulnar nerve test with information on that, as that is something that, after learning a bit about the Ulnar nerve from this video, I might have an issue with and would love some extra info on that area of the wrist, and possibly leading up to the elbow as well

[@lewisallum4791]

I actually think I'm am learning something from this I may not have the skills to know and help someone but fell like I'm actually learning something interesting so thank you

[@DrJamesGill]

Learning is always good, on many levels 😊 Glad you found this useful

[@rafaelasaragiotto1303]

Awesome video, Dr.! I think a good deep dive video for med students would be communication of bad news. Cheers from São Paulo, Brazil.

[@karlmitchell4879]

Dr Gill out here curing the Thursday night blues with a wee cheeky Thursday night video. After work delight, keep up the good work Doc!

[@DrJamesGill]

👍

[@JoeMo953]

YOU VS. BOB ROSS FOR BEST CALM RELAXING VOICES BUBBA✌️😀

[@ATREIDESDUNCAN88]

I am offically addicted to your videos. I went to college for health informatics. Coding and all medical systems records. But Itt tech failed us all. I miss the classes. 😮

[@grf15]

I had sympathetic pain in my right pinkie finger during part of this exam. Weird! No problem with carpel tunnel, that I know of. Can have problems if I have my hand above shoulder height (on a bus for e.g.) for any length of time. Then I get a numbness that can last for the right half of my middle, all the ring, and pinkie fingers of my right hand. Not surprisingly, I try to avoid having my hand/arm in that position.

[@DrJamesGill]

Might be worth while talking to your doctor

[@grf15]

@@DrJamesGill I did, years ago. Found no issues. I'm just careful and always try to get a seat on the bus. It's no fun getting old (69 in August). Lots of chronic conditions, with no relief for any of them. Such is life.

[@3DGvisuals]

Informative as always, although now I'm confused as to why Phalen's test resulted in both of my little fingers moving involuntarily outwards when it's outside of the carpal tunnel 🤔

[@DrJamesGill]

I’ll be honest I’m not entirely sure!

[@3DGvisuals]

@@DrJamesGill Could it be related to the Cubital Tunnel in some way, or am I just special? 😁

[@brad5310]

Learning so much and you help me sleep thank you so much ❤

[@DrJamesGill]

Glad you are finding it useful

[@professor_n]

I’m sure you’ve had tons of comments like this one. However, I originally came here only for the ASMR, but I’ve actually learned quite a bit. My girlfriend is anemic, and she was feeling super dizzy and tired one day, so I checked her capillary refill and recommended that she take an iron supplement with a full glass of water and eat a banana just in case. She felt much better after that.

[@DrJamesGill]

If she thinks she is anaemic, it would be worth while getting her to see her doctor, as the question would be “why anaemic”

[@adamualiyu1495]

You should have add physiotherapy to the option... Because they do play a major role in managing CTS.

[@DrJamesGill]

Very true, physio is a great tool, but tends to be more utility after surgery, as to the best of my knowledge physio can’t adjust the inflammation in many cases

[@natoyle]

If we receive self referrals for suspected carpel tunnel without concerns of underlying additional features we would always splint at night for 6 weeks, some hand and wrist exercises / neural glides and if no improvement generally would be referral to hand teams if patient willing anyway. Most people just need to modify tasks to avoid aggravating symptoms for sensitivity to reduce rather than NCS / ortho opinion. Thanks for the vid doc 😊

[@bababooey5402]

I think you just earned a sub just from voice alone, my guy 👍

[@naturallyawesome6723]

Any chance of being able to make a video on the Babinski test doc?

[@Xanderviceory]

I know I'm not supposed to do this but I've been following along with deep dive videos and doing as many tests on myself as I have ability to do (reflex is practically impossible solo) to figure out what is wrong with me since specalists are hard to come by in my area and far too expensive, now I've been able to rule out Carpal Tunnel Syndrome for the most part.

[@Rambit]

How often would many of these tests be performed by GPs in a clinical setting? At what stage would one expect to be referred for an EMG/nerve conduction study?

[@DrJamesGill]

Several times a week I go this. I always refer to confirm

[@DrJamesGill]

If I’m very confident, and there is clear nerve damage I’ll refer to Ortho at the same time to speed things up

[@scullykelly5885]

Thanks Dr! Always a delight when your notification comes through!

[@spiddles]

Unintentional ASMR and educational!

[@stratmancruthers]

Would like to see a video on trigger finger/thumb.

[@wasimfigliomio]

I was about to comment on the previous video regarding the patient’s posture. It’s painful to watch, that back arch 🙃

[@MrZomg17]

@Dr Gill From all the information from your videos we will end up becoming arm chair physicians

[@Phantasmziggy]

Had to have both ligaments removed, literally scraped them off the nerves, I remember the sensation, it was like scraping sandpaper with a scalpel.

[@DrJamesGill]

😵‍💫 - I hope everything improved however after?

[@adulaide]

I mostly come to your videos for the ASMR, and i watch them at night, muted, so that the only stimuli my brain gets is the image and the movement... so, i likely miss a lot of the spoken information :// but sometimes, as i get sleepy, questions come up to my head... for example, Dr. Gill, - Is there a specific reason why you didn't check both hands, like you usually do on the other videos? Was it because the issue was already known to be in that one hand? - As a doctor yourself, how often do you go to the doctor? :))

[@chadsmith1200]

Patient has a weird bendy pinky. What is that called?

[@markmccallum475]

If only I had 4 hands. So that I could give this video 4 thumbs up.

[@jackielortz4781]

I have a brace and am getting the nerve test done again soon. My symptoms have come back and are getting worse and not going away. This was like so therapeutic to watch for some reason. I could do this for so long. My symptoms have always been spot on for carpal tunnel. But the first time I got the nerve test done I wasn’t formally diagnosed bc numbers weren’t completely matching up 🤷🏻‍♀️ and I’m apparently to young for surgery but I’ve been managing and it’s not really getting better so we’ll see. When doing the phalens test I can barely have my right wrist at a full 90 degree it hurts. The patient’s posture also hurt my back watching lol but love the videos

[@lucasrijnders8987]

Awesome video!

[@legofoyo18]

my mans i love these vids thanks 🦅🦅

[@brixxie27]

Why not put a pitta paper? 😞

[@americansmark]

Patient was born in 2000... I feel old now. 😑

[@bmorris5863]

Nah don't think he was. They just say a random date

[@gourabsarker9552]

Sir do you earn 120000 pound sterlings a year as a doctor in UK? Plz reply. Thanks a lot.

[@atulrai6575]

Nice james hills are you good man

[@erosaphrodite]

I know nothing about Doctor stuff but it's really cool to hear u talk about what's going on and what u can see

[@TenkoBerry]

This good 👍

[@lysave1238]

The intro song is the same one that my GP plays when im on hold for 2 hours trying to get an appointment and I swear to god i nearly threw my phone

[@stephaniedarias]

Can you do a video on vertigo?

[@DrJamesGill]

We’ve a video on the HINTS test for acute vertigo kzbin.info/www/bejne/p2ake4Gdj713rtU

[@DrJamesGill]

But yes, maybe some more detail on vertigo could be good

[@oldtimehockey7324]

BPPV video would be welcomed.

[@whiskeygolfer]

just what the doctor order

[@thelearicist]

The GOAT

[@Milutya]

10:37TINEL S TEST

[@jagoolie9680]

Andy Dick jumpscare questionnaire in one of my bingo boxes, lol. Hi 2023

[@3bi218]

Ima li nas balkanci

[@БожидарБожиков]

Navsqkude ni ima 🕴️

[@BigBossIsBack]

Do cubital tunnel syndrome next lol

[@rammhamster]

Dudes been jaggin it too much

[@polyglotuk]

"You join myself..." Argh NO! Still suffering from reflexive hypercorrection I see.

[@KirkDouglasRavagedNatalieWood]

You had me at penetrate, Doc. 6:29

[@buckbuckleyson2259]

4:25 holy based

[@kyliemarie3087]

I literally suffer with this in both hands

[@t.c._the_o.g.]

💚💜💚💜💚💜💚

[@DrJamesGill]

👍

[@dachickenman]

Carpal diem!

[@DrJamesGill]

😂😂

[@fishsick]

Ironically they can't seize anything :D

[@rubberduck2885]

NHS on its arse? Can’t get an appointment for love nor money? Dr Gill; “Hold my Pint!”👨🏻‍⚕️

[@hostiliscivitas]

1st

[@AniaPila]

Hi, could you do Intersection syndrome video, please?