Knee Examination - Orthopaedic Knee OSCE - Medicine Explained - Clinical Skills - Dr Gill

[@alibone7591]

Inward in valgus and varus ?!

[@DrJamesGill]

Unfortunately a typo of Varus and valgus The best way I’ve had is described is varus causes “bow-legged - ie can’t stop a pig in a passage way!”

[@alibone7591]

@@DrJamesGill ❤️

[@DevRSVR]

@@DrJamesGill is tbere any cure for knock knees? It can be quitedramatic looking. Is it pai ful or in anyway debilitating?

[@AnikYunuta]

@@DrJamesGill tryjghnnbbbvvcccccxx. CV bbbbnnncmm.cmm..mm Fgghhbhjdjfyyghyudhdufuierijrkeiekrgiwdijqjqdjf GG yyhyueideu2ggfyuuuiiidhgGcdgVsbsjmx. Vbz 🌶️🍌

[@elduderino7721]

@@DrJamesGill arent knock knees valgus

[@joshgrabslemons]

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]

I’m glad you found it useful. Hopefully it helps you improve your own health

[@chrissyhall8372]

@@DrJamesGill 00

[@ramaesa2543]

.

[@vitobracko5384]

@@chrissyhall8372 ?

[@thuyngothi839]

5a5

[@melissafernandaperezsilva8155]

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]

That’s a really positive thing to hear 😊 Are there any other topics - particularly from a clinical skills point - we could help with?

[@hilariosalas5210]

Wow que bien excelente, ojalá cuando hayas terminado, indiques en donde tendrás tu consultorio para ir, saludos

[@kailaxa9391]

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]

Hi Dr! How’s doctorhood treating you haha

[@panzerscoutempire27]

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]

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]

@@DrJamesGill I did, hes out now again, it was his tinnitus that caused this

[@Omni315]

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]

@@DrJamesGill ada

[@yudaganteng9990]

@@panzerscoutempire27 k

[@sbrown6434]

Most polite and relaxing doctor I’ve ever seen. I love this guy.

[@SgtAndrewM]

Dr James is a national treasure

[@1nickdaora]

International*

[@benjaylehman]

Another wonderful video Dr. Gill, loving it as always! Poor girl looked so nervous :( let her know she did great!

[@XplosivCookie]

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 ^^

[@jorgecardoso5863]

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]

keep it up, cheers!

[@DrJamesGill]

Muscles can be a huge source of knee pain Plus if you are are healthy weight all the better

[@benisaten]

Dr. Gill is the zenith of class and respect. Always top notch videos sir. Cheers from 🇨🇦 ✌

[@DrJamesGill]

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

[@forgenorman3025]

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]

Bursitis is quite common, normally as there is an irritation somewhere, so more likely with EHD. But it is a difficult condition to manage

[@LightSideOfBS]

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]

Dr Gill is the greatest doctor ever

[@kailaxa9391]

@@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]

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

[@ds7900]

I wish I had a physician like Dr. Gill. He rocks!

[@therebelwolf]

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]

These are always on healthy patients, there are a lot of difficulties doing them with patients

[@barrydavidson9202]

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]

I’m sorry to hear of your injury I’m a HUGE supporter for physio as a treatment

[@steamcleana_6918]

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

[@atzn_kuul]

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.

[@Billy-dj8zw]

I love the doctor's voice!!! So soothing.

[@stevesnowdon4640]

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]

Ouch. That’s not good to hear. Hopefully physio has helped??

[@adrianchorolez5013]

Nothing better than going to bed and seeing that there is a new deep dive educational video.

[@DrJamesGill]

I’m sure one of the my students was faking asleep this week!’

[@I666U]

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]

Oh dear, motorbike or cycling I mean both can be bad, but often motorbike crash is more severe Hope you are ok?

[@I666U]

@@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.

[@chadsmith1200]

I love these in depth videos. I am still hoping for a full medical assessment video.

[@ChicagoMadisonWesternRR]

I always find Dr. Gill’s videos to be quite informative so that I have a more meaningful conversation with my physician.

[@DrJamesGill]

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

[@Puglover130]

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]

I assume that it just feels weird to be on camera, and especially to be examined when there is nothing wrong with you.

[@erickpacheco1022]

You have no idea how much I learn from your videos. I think I could spend all day looking at them 💯💯💯

[@nathanfugate8210]

I love his explanations. As a knee injury victim, I learned so much from this!

[@Diogo22__]

i'm almost a doctor with these videos without school and that's amazing

[@Guras_bumhole]

Can you take a look at my asshole doctor

[@Kyng_K_T]

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]

Thank you for joining us 😊

[@Catisthebestt]

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]

The examination is the initial guide. I often can’t pin down the actual problem, so then we need to order more tests

[@Bubbington1000]

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.

[@grf15]

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]

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]

@@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]

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”

[@Ronin_Sensei22]

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]

Revision

[@darthvader3133]

NOOOOOOOOO

[@49ers_red_and_gold2]

Doctor James Gill is brilliant 👏🏿

[@Mr.Big-Gunz]

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]

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

[@No1SlapFIGHTFan]

Another great exam, Dr. Gill! Thank you always!

[@DrJamesGill]

👍

[@noxiousidentity893]

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]

Thanks, I’m in the process of planning a knee anatomy video

[@venturejay]

She looks thrilled to be there.

[@rhyankeating8320]

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]

Cool, thanks

[@Xerebaz]

Dr Gill is the goat bro 🔥

[@stelkins625]

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]

I’m sorry to hear that! Are they going to do a graft / patch?

[@stelkins625]

@@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.

[@Fraser142]

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]

We will Restart that shortly, but there’s only so much time

[@ghendrix2264]

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]

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?

[@brandialice2173]

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.

[@mekmekare]

I second Joshua's comment there. Thanks for your videos, Doc. Hugs from Brazil!

[@gasser5001]

Megan’s the real OG here.

[@maximumeffort4745]

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]

How are they doing now?

[@maximumeffort4745]

Good it wasn't as bad as it sounded. Luckily he didn't have any broken bones/tendons

[@S7ALDO]

First time on your channel, your voice is so relaxing 😌

[@DrJamesGill]

I hope the context is useful

[@eznf98]

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]

Always worth speaking to your GP if having difficulty with a joint

[@eznf98]

@@DrJamesGill try pain in both ankles, knees wrist and back and only being 23 lol

[@DrJamesGill]

That needs looking at

[@eznf98]

@@DrJamesGill yep

[@madamedoss]

I can listen to you sir all day...

[@DrJamesGill]

👍 as long as it is useful 😊

[@P4r4lyz3r]

Not gonna lie but I've been waiting knee assessment from you for years

[@DrJamesGill]

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

[@creaturanoctis]

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]

Ouch!! That’s not a minor injury!! How did that happen?

[@creaturanoctis]

@@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.

[@robmorris1231]

Rite on doc , thanks for effortlessly teaching us something. However I apologize I keep falling asleep during your lectures 😂

[@jakk1hundo553]

2:59 Ah the old classic chat up line!

[@boodashaka2841]

It doesn't work on Tinder sadly

[@jooseppib1082]

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]

Absolutely. The hands really are the window to a huge amount of medicine

[@RB-lo9rc]

I'm italian but I love your voice and accent. ❤️

[@RobinCould]

They are the only 2 people who can see eye to eye with each other

[@MrZomg17]

Hello i am David Attenburough's Grandson and i will be your examiner today

[@klefdnb]

Dr: please relax Her: I am relaxed Dr: I'm talking to myself

[@boodashaka2841]

I love when my surgeon says that

[@brandonmoucatel9630]

G IS BACK

[@holeymcsockpuppet]

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]

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]

@@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!

[@rodrigobarbosa6096]

Watching from Brazil

[@DrJamesGill]

Welcome 😊

[@aimalkhandurrani8638]

Detailed information thankyou ❤

[@autotopnig1400]

Really High Quality Stuff Doc. Keep it up we love it

[@DrJamesGill]

👍👍

[@drikali]

Dr. Gill always manages to put me to sleep😴

[@starfishgurl1984]

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]

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

[@splatmeme9732]

Crazy that I’m just watching this for ASMR to fall asleep easier

[@seyara1]

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]

We will cover that.

[@jiminy82]

@@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]

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]

@@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]

@@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 🙄

[@branislav39]

Doc u should do more of these and more frequently!!! 💙

[@Letsgoy2k]

Just a simple question: do we actually check dorsal pulse on knee examination

[@DrJamesGill]

If you need to assess the vascular status yes. Eg if you’ve found a swelling in the popliteal fossa

[@mostfrozenburrito]

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]

Please it worked as a reminder 😊

[@Dukuduu_]

This helped me a lot. I am currently studying physiotherapy at University of Sydney.

[@DrJamesGill]

👍👍 that you! Any other areas we might be able to help you with?

[@Sundayswingerz]

Always excited to see you new videos!

[@rubberduck2885]

Two ACL reconstructions later (one patella tendon graft) and (one hamstring graft) these tests are very familiar. 👍🏻

[@DrJamesGill]

Ouch. Why happened?

[@rubberduck2885]

@@DrJamesGill Two separate sports injuries. Football on artificial grass.

[@paxytime]

i’ve always had horrible left knee pain that several doctors were never able to diagnose. now i watch these videos and cringe at how certain things hurt. thankfully, the pain isn’t as severe as it used to be, as it seems my wrist has decided to be the pain instead.

[@coalsparks]

Came to the channel for the ASMR but stayed for the medical info.

[@jonahgrimbly7565]

I'd love it if you did a similar video on the ankle

[@DrJamesGill]

I’ve put it on the list

[@sllawson89]

Thank you for my birthday gift

[@Stuff_that_Flies]

Always enjoy this content. Would be cool to have a patients version of Where Are They Now. Lucy Brown fan here 👍🏽

[@billgreen1861]

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]

Maybe. Maybe.

[@vsboy2577]

Health is everything in life in my view.

[@DrJamesGill]

I wish that more people would value health

[@Anbemosa]

with the alternative meniscal test in standing, i believe it is also called the Thessaly test. Wouldn't you let the patient slightly bend the knee instead as here shown rotate in full extension? If the knee is in locked position and the patient rotate isn't she rather testing hip rotation than the menisci, or doesn't it matter?

[@markheberlein1224]

I’m enjoying you videos! 👍

[@DrJamesGill]

👍

[@ghostofyou6468]

thank you for another assesment dr gill

[@michaelkaestner1373]

Early gang!! Definitely will be watching this later 😊

[@jimbolynn8749]

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]

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

[@DrDinooshDeLivera]

Excellent!

[@DrJamesGill]

👍

[@occultlore]

Apologies if this has been asked already, is the removal of the wrist watch, noted by tan lines, for sanitary purposes?

[@DrJamesGill]

Yes. Ideally bare below the elbow

[@occultlore]

And today I learned something new, Thank you for the response Dr. Gill

[@proffered4551]

Any chance of a throwback thyroid exam for the asmr ogs

[@kathrynhall1136]

I have early symptoms of RA , in my knees. Further i strange my right knee years ago.

[@DrJamesGill]

Hopefully your rheumatologist is closely monitoring then

[@kathrynhall1136]

@@DrJamesGill thank you , your encouragement.

[@rtetal956]

If you see this Dr. Gill, I'm curious. Why is the little bit of movement for the special testing of the collateral ligaments normal for a femalebut not for a male? Does it have anything to do with natural growth development or pelvic developments?

[@DrJamesGill]

Neither, women have a TENDENCY to be a little more flexible. Not hard and fast rule Similarly, an EXCESS of movement it always going to be an issue

[@rtetal956]

@@DrJamesGill Wow. Thank you for the fast response. That, ofcourse, makes plenty of sense.

[@tanksoldier]

Great video…. but also single-handedly bringing the waistcoat back.

[@DrJamesGill]

It never went away 😊

[@paulasimpson2729]

I guess we were due to get a new patient - but I’m not sure I’m ready for this.

[@DrJamesGill]

Yup, it’s surprising the speed that they grow up 😢

[@holeefuk413]

What's the best way to reduce swelling and flid in the knee? I had my acl done 4 years ago and from time to time my knee blows up without warning the back of my knee feels like something is stuck or locked

[@DrJamesGill]

Would need review with your doctor, especially if something is locking - that isn’t something to ignore

[@osamaiftikhar7707]

Dr Gill❤

[@ninji5226]

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.

[@Nunya_b1]

Me too! I’m 35 and been dealing with my right knee mostly dislocating since I was 10ish. Now I will get kneecap pains at times when going down stairs or bending it. Going to see an orthopedic doctor is on my list this year. Edit: around teenage years I stopped being as active because any small twist probably would have resulted with it dislocating again.

[@Yukiwodashite]

Man when I had PT after knee surgery (sports injury) if only I had this doc. The PT/recovery doc I found was hands off and didn't explain much of anything even when asked. My knee surgeon later told me that he even gave me wrong info about knee injuries 😒

[@DrJamesGill]

That’s unfortunate. Often these things can be difficult however without imaging

[@yves_nre3254]

I follow you since 900 subs

[@DrJamesGill]

👍👍

[@MrZomg17]

Are the terms mentioned, terms used in sports medicine ?

[@DrJamesGill]

Just straight forward medical/ anatomical terms

[@L555HEP]

Rowing has dramatically improved my knee mobility. I'm unfit as fuck but rowing 15k a day on my concept 2 has allowed me to squat down like fuck without pain

[@DrJamesGill]

Honestly- rowing is one of THE best activities when it comes to a whole body workout

[@L555HEP]

@@DrJamesGill I'm addicted to it James. My splits aren't the best but I just love the repetitive motion of the rowing stroke.

[@alexandreiaportray7575]

You mentioned "crunching" in the knee exam. I have that, what is it? I'm a 54 yr old female, never played any sports or any type of strenuous activity in my youth.

[@DrJamesGill]

Crepitus is - broadly - related to changes in cartilage within the joint. As long as it isn’t painful, the main thing to do it try to strengthen the muscles around the joint If painful, see you GP would be the next ste

[@alexandreiaportray7575]

@@DrJamesGill Thank you! Any suggestions for strengthing the knees? Kinds of exercises that will strengthen and stretch those muscles. Keeping in mind that I am 54 and not excercising regularly. Thank you, again for such helpful info!!

[@DrJamesGill]

I would suggest discussing with a physio, as they are best placed to provide individualised advice

[@ware8229]

This been in my recommended for 5 days idky

[@DrJamesGill]

Trust the algorithm

[@ware8229]

@@DrJamesGill but I already watched this viedo 20 times still in recommended 😭😭

[@DrJamesGill]

Oh. Yt being weird then

[@ware8229]

@@DrJamesGill not even tripping if your veidos are recommended I’ll watch it as many times it shows up there fascinating keep up the good work

[@ma1aron]

Great video! Few things caught my attention more : 1) at 1:45 limb deviating Laterally or angulation Outwards makes Valgus, 2) can you please further explain or point to a source for LCL being "true ligament" and MCL not? 3) during meniscus test, to be sure, are we testing the Knie on the standing leg? Is there a way to know which meniscus (or even which part of it) is put under pressure depending or rotation direction? thanks.

[@DrJamesGill]

1) 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” And vice versa for VALGUS

[@DrJamesGill]

LCL is single tissue. MCL as it is referred to is actually of several other ligaments - tibiofemoral ligament, mid-third capsular ligament, meniscofemoral and meniscotibial ligaments

[@DrJamesGill]

McMurray’s as mentioned is not a test I support using, but include it for reference. There you are testing the weight bearing leg.

[@ma1aron]

@@DrJamesGill That's all true, in the video, however, it's written "Valgus is an IN-ward angulation.."

[@DrJamesGill]

Ah, I’ll have to put that in the description Sorry about that!

[@Nate-nn7wu]

I'm sure this is a common question, but I've always wondered to what extent can a medical professional/doctor actually diagnose themself with a condition/disease/illness given they are equipped with the correct knowledge and qualifications to do so on a patient? For example if they was to examine/feel an area of their body and be able to acknowledge and pinpoint a finding and draw the valid conclusion? And then to further the question actually prescribe themselves medication?

[@DrJamesGill]

In the UK you can self prescribe unless exceptional circumstances We do often pick up things on ourselves, but certainly in my case, I’ve thought a symptom was one thing, when actually another - I suppose it is the burden of knowledge, and we lose the external frame of reference we have with patients