The Exam for Ankle & Foot Pain - Stanford Medicine 25

This video is brought to you by the Stanford Medicine 25 to teach you the common causes of foot and ankle pain and how to diagnose them by the physical exam.
The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.
Visit us:
Website: stanfordmedicine25.stanford.edu/
Blog: stanfordmedicine25.stanford.ed...
Facebook: / stanfordmedicine25
Twitter: / stanfordmed25
Diagnoses covered in this video:
Lateral Ankle Sprain
Talar Dome Osteochondral Defect
5th Metatarsal Fracture
Achilles Tendinopathy
Interdigital (Morton's) Neuroma
Stress Fracture of 2nd Metatarsal
Plantar Fasciitis
Hallux Valgus (Bunion)

[@rosesareredmydear]

I've learned a lot about what ails me, she has such a lovely voice.

[@Happy-Seal]

Yes! Such a calm and relaxing voice. Ideal for falling asleep in my case as well 😁

[@kalindudissanayake389]

I could listen to this doctor whole day. She's gorgeous with the voice of an angel

[@minanakhjavani319]

Wonderful, very much practical and demonstrated professionally

[@inaamulhassanjaffer8238]

Most comprehensive ankle exam I’ve seen🙌🏻

[@shahidulhchowdhury6411]

Very clear concise but comprehensive ankle examination.

[@mrdennis1038]

In this era of cost containment it is so important to take an appropriate history and perform a comprehensive physical examination. She did an amazing job of systematically assessing the foot and ankle, much better than most orthopedic surgeons. By the way, this is fantastic video to review often and, especially, when preparing for board examinations.

[@ChuukeseStink]

She's doing a full detailed exam. You don't have to do one. Test specificially to your cheif of complaint.

[@curcumin417]

@@ChuukeseStink CC: Ankle pain

[@ChuukeseStink]

@@curcumin417 Find MOI. Inspect, palpate, compare both ankles. Also check 1 up and 1 down. What region of the malleous is the pain located at? Lateral/Medial? Pain during Dorsi/Plantar flexion? If Im treating Marines/Sailors possible diagnoses: unspecificed tendonitis/ankle sprain/blunt trauma. Treat with Anti-Inflammatory drugs, Tylenol, Naproxen. If blunt trauma order X-rays. If suspected Tendonities inspect soles of shoes. If I'm seeing old Pt with no MOI, check Labs specific uric acid levels. If uric acid levels are elevated past normal treat with colchicine, 30 DS. Then follow up in 30 days with new blood work to asses uric acid levels. Then go from there.

[@curcumin417]

@@ChuukeseStink Very nice, thank you.

[@joaogabrielramosribas9923]

Excellent tutorial. Important semiological examination, even for the general practitioner. Thank you

[@01ernst]

best ankle foot pain exam tutorial on youtube. I studied a little foot bone anatomy before view it.

[@graciouslygrace4782]

Thank you so much. You guys are always an inspiration.

[@StanfordMedicine25]

Thank you :-)

[@drSJV]

Thank you! Such a clear and informative video

[@habebahossam4671]

Thank you so much doctor , i watch it twice till now 🙏🏻

[@giggino342]

Great video. Thank you 🌹

[@adamfuller6905]

She's excellent!

[@sunving]

Thank you doctor,I watched this second time .

[@DrPeterVenkman383]

Chad.... you had one line ffs!!!

[@Ausnapify]

James Anderson LOOOOL

[@khialaaloocompany590]

Good to....meet you

[@laurencesiddall277]

He’s no chad thundercock that’s for sure

[@inosuke6544]

Not certain about the points made but ,if anyone else trying to find out plantar fasciitis stretching exercises try Bablim Plantar Remedy Booster (just google it ) ? Ive heard some pretty good things about it and my friend got great results with it.

[@DaniotheManio5]

He was thunderstruck by her beauty. This whole video series is oozing with sexual tension from Chad....or maybe ive just been studying too long....

[@avadhutdere5614]

Good information and explanation!! It's always helpful!!

[@petecastelioni9026]

wonderful, thank you so much, I've been having so much trouble with my ankles

[@juggernaut0629]

This absolutely stunning beautiful woman talks me to sleep most every night. Thank you Doctor ❤

[@maxmumbai1234]

Great presentation and explanation, thank you

[@bluesquirrel2472]

Great video:) Thank you

[@abumahmoud9845]

Thanks once again for your useful lesson

[@mohammedaliibrahim8607]

Thank you my doctor

[@wide_awake]

Wow she’s amazing

[@npratiksha6653]

Thankyou... So much it was very helpful

[@QuizasVuelva]

If you could add a transcript of your explanation in the description of the video or down in the comments, it would be the icing of the cake for a great study material. Thanks a lot for sharing.

[@redwolf9455]

Hey idk if you still need it but the transcript is in the description now. KZbin implemented a sort of tts thing.

[@nathanaelpineda8049]

U did an excellent job u ace it

[@HotGammiris]

Thank you !

[@syedsajjad7935]

Superb. amazing and thank you. :)

[@drhmufti]

Longtime, keep posting.

[@nabelsolomon2443]

Cool videos thank you for sharing!

[@yemedess9325]

THANKS ALOT!!

[@alkhatib88]

Many thanks.

[@iZargon7]

She is gorgeous. Also my foot is swollen a lot and it's get bad to the point. I can't stand on it for a few days or a week.

[@Max-lg9nw]

Great video

[@gajgewarvittal1728]

Super lecturer

[@furiousdoe7779]

Thanks a lot Dr Brinda Christopher .... due COVID-19 unable to go for home doctor.

[@HafizahHoshni]

This video is amazing! Thanks for uploading them. 21/12/2018 😃😃

[@juanlopezexposito]

This is not professional at all but I got to be honest. I love her elegance. She is my new goddess in classy asmr tag.

[@nagaratnamsuthakaran3639]

Thanks a lot Mam

[@aliaaabdulhakeem7081]

You r amazing

[@fktteva8881]

Bravissima

[@jordancz1]

Nice video 👌

[@StanfordMedicine25]

Thanks!

[@chico5286]

The one labelled as PTFL is actually Superior Peroneal Retinaculum and the actual PTFL should be a bit further at the back - attached to the Talus and fibula (not calcaneum and fibula).

[@sunving]

oh but this from Stanford ? Thank you Dr

[@samuelmwakasendo7643]

I noticed that PTFL was incorrect labelled in the diagram and was about to put a comment.... However overall this is a good video covering a systemic exam of the ankle. Well done Chad.

[@flipperc6042]

@@sunving he is correct in his statement

[@azizrasooli7610]

In an acute injury setting, it is very difficult to clinically asses for OCD lesions. If there is high index of suspicion, as you suggested with three of the lateral ankle ligaments compromised, then its appropriate to obtain an MRI. Any ankle ankle sprain, especially that which is third degree, presenting with ecchymosis would benefit from assessment of the peroneal tendons. The incidence of concomitant peroneal pathology with grade 3 ankle sprain, especially those with chronic presentations, is highly reported in the literature. A check for instability is imperative, anterior drawer is great, but you really have to get stress films with contralateral limb comparison.

[@sidrens5292]

Wow she is amazing! So articulate and knowledgeable 👏🏼

[@MarshallSmith27]

I dont think articulate is the right word

[@peachiepoopsie9598]

Thanks, great vid! But where are your earrings from? I need them!

[@DeathWish81505]

Great for asmr

[@chico5286]

PTFL - sorry but it seems the ligament is between the calcaneum and fibula (the arrow and the labelled one as PTFL) which is an error I think. Please correct me if wrong. Thanks

[@ImJustSlurpee]

ptfl in the diagram at the start is on the calcaneus?

[@Arkenva]

Would it be ok to try and get an appointment at a podiatrist or sports med doctor to assess a sprained vs broken ankle? I went to my GP for a shoulder issue a few weeks ago, they did a quick check and immediately referred me out. Would love to skip an extra appointment if possible. Thanks for any advice

[@siddheshg8430]

What treatment should be done for joint capsule injury?

[@AquilaTheHun]

0:24 That look :D

[@jimboniusmaximus6018]

That man is smitten. As am I.

[@mirvids5036]

Very interesting video. Fascia : Fashia or Fayshia ? Admittedly in other context, the word is Fayshia.

[@dirk2655]

Would this be easier to visualize with ultrasound...or an MRI/CT...I think they even do CTs for the abdomen...so it should be easier to view with this tech.

[@leonardonovelli2781]

She is gorgeous

[@geddoe316]

I was waiting for her to say " IIIIII got your big toe! "

[@abdinasirali3460]

Iamfootballer and runner and I have been suffering ankle sprain for like 3months and I have done xray and MRA but no much damage have been seen . Currently I can no longer enjoy what I use to do regularly having gave up playing football neither runing knowing that if I do I will get more damage I normally work out and do more daily stretch Nd go forward walk and I do ask honestly what I should I have to do . Ur reply is surely more appreciated the sooner I get reply for it thanks lads .

[@azz869]

Happend to me to, just take your time to heal and slowly get back to the sports. Try stretching your muscles in the foot and train your ankle upp the days you dont have any training

[@mo_dpt3992]

In that first picture it’s not the posterior talofibular ligament. Since it’s attached to the fibula and calcaneous.

[@phillipdistel5131]

Love the accent.

[@abhimanyusharma9360]

what a chad

[@asifm5153]

What exactly is a buoyant endpoint?

[@himdadshwani3557]

🎯 Key Takeaways for quick navigation: 00:21 🩲 Start the clinical examination of a patient with shoulder pain by assessing the range of movement and inspecting for muscle bulk and bony abnormalities. 01:18 💪 Evaluate shoulder range of motion, including forward flexion, abduction, crossbody adduction, external rotation, extension, and internal rotation, comparing right to left. 02:41 🔄 Test the supraspinatus tendon by checking power in abduction and assessing for pain during "empty can" movement. 03:22 💪 Assess the integrity of infraspinatus and teres minor by resisting external rotation and checking for pain or power loss. 03:45 🤜 Examine the subscapularis by observing the patient's ability to maintain a specific hand position. 03:59 💪 Evaluate serratus anterior strength by asking the patient to do a standing pushup and checking for scapular winging. 04:28 📏 Learn about impingement tests, including Neer's test, "empty can" test, and Hawkins-Kennedy test, to assess for signs of shoulder impingement. 05:48 🦾 Check for biceps tendon pathology using the Speed's test and the Yergason's test. 06:18 🔄 Observe the reduced range of movement in patients with adhesive capsulitis, noting external rotation limitation and scapular motion changes. 07:09 🤕 Diagnose acromioclavicular pathology by locating pain over the AC joint and assessing for step-off deformity and crepitus. 07:44 🤲 Perform the scarf test to compress the AC joint and identify pain or crepitus. 07:59 🤔 Examine for signs of chronic shoulder instability using the sulcus sign and apprehension and relocation test. 09:08 🪙 Investigate labral tears or SLAP lesions with tests like Speed's test, O'Brien's test, and Crank's test. 09:35 💥 Recognize acute lesions by observing anterior joint line fullness and loss of power on resisted movements. Made with HARPA AI

[@koyelmukherjeeofficial]

my son always gets that

[@davidturners]

Goodud meet you

[@vonderingvakeelvlogsrito]

Proud of an indian doctor. 🙏

[@wfleurin]

She's hot af

[@erin4002]

I injured my ankle around 4 years ago seemingly scans showed no breaks but my ligaments and tendons were severely torn.. Today I'm having more problems than anything the pain in horrible and have also plantar fascia, I've been to physio so much times and nothing has worked.. Any tips? Thank you and sorry for the long story lol

[@SpaghettiArmss]

Hey, I do not have any tips. However, I’m curious to know if you’re still experiencing pain and if you’re still injured?

[@aliaaabdulhakeem7081]

Everyone has plantar fascia lol!

[@mailsarwar1]

How can i reach doctor

[@ic2ycotruyen]

i've learned alot from this video. thanks so much just have a very small wonder: anatomy of PTFL in 0:48s not quite correct, am i right?

[@RoccoTano91]

Yes, by the image, the PTFL seems to be attache to the Calcaneus other then the Talus

[@orthosam]

That's calcaneofibular ligament

[@yoya4766]

She has an English accent. At Stanford? Unusual.

[@scrumptious9673]

She’s English

[@bills6240]

I’m just here for Chad he’s very cute.

[@redwolf155]

All her credentials mbbs, bsc, mrcp as well as her accent is British; i wonder whats her story; how did she end up at stanford. I would love to know more.

[@b.jr.7816]

Ha! Who are all these medical nerds in here not watching this for its clearly intended ASMR purposes?

[@succusmv]

I'm sorry what? I honestly thought she was posting these videos so that people know what a proper examination is, when they go get checked at the clinic/hospital . I saw a recommendation for shoulder pain video because I recently had rotary cuff issues. And then I thought maybe they'd have a video for hip pain, but no such luck.

[@williamwinder5011]

@@succusmv woosh

[@FearOfGeorge]

Καυλιάρα, έχουμε ινστα?

[@VovaSpi]

Talofiular post ist nicht korrekt gemalt oder?

[@jak2me]

4:19 uh don’t think any of us saw that coming

[@FrozenSurf]

She reminds me of Shaleen

[@shafinasirdarwaish]

i believe the drawer test is done a little bit differently

[@mwanichi]

LOL

[@jasminenazari8878]

@5:05 - Morton's neuroma is in the 3rd/4th web space, not the 2nd

[@tomisthesound]

It can occur in any of the web spaces.

[@arbeitslos4247]

lol, Comic Sans

[@loveobd628]

Hello my name is Dr. Berry

[@Cindee-Schnitman]

That was making me wince, thanx to my royally screwed up feet. Interesting nonetheless 👍🏻

[@tcohen1215]

Of course the future orthopedist is chad

[@yussufbashiir4287]

I have so many problems for foot and ankle pain years so that what can I do now Doctor?

[@geofkane2365]

How many out takes? Chad must have been squirming about or giggling during this! The doc knows her stuff, though.

[@999Patriots]

ATF + Always Tears First

[@avinashkona2349]

Where is medial ankle sprain??

[@roquefortfiles]

Brinda is yummy!!

[@mynamehereforsure]

What a chad

[@adamwilliams5372]

Why do they do this here but when i go to A and E for a horrendous ankle sprain (repetetive issue) they give me a leaflet on ankle exercises and send me home?

[@donnaxx.8011]

because it's not an ortho office...emergency room is stabilize and street'em

[@nard5100]

Now if We did this correctly, then both the doctor and the patient are supposed to get out of breath... I suspect only I got out of breath ... this time

[@dereklawler8029]

Red in the face not outta breath! Now apologize for your sandwich breath

[@lagernathy]

Ha ha ha ha

[@sugatasarkar2704]

Information regarding deltoid ligament is missing and the diagram of PTFL is incorrect in the video. Please rectify these things to make the video more informative.

[@ant2100]

How do we contact this wonderful woman? I wanna talk about my wobbly foot.

[@Juntabara]

I cannot believe how pretty she is!

[@kalindudissanayake389]

I know right. She's gorgeous. And the voice is so calming

[@lighttheoryllc4337]

SubhannaALLAH sis is lovely and has a strong "grip"

[@Dominik-wx5ed]

Ok no

[@juanloprada]

She is my ideal professional. Right to the point. I don’t like she is using letters...

[@CraftBeerPours]

Whos here for the ASMR?👍

[@sandwichbreath0]

You know it

[@johnmessina2927]

Asmr tho

[@komal.sakhare]

I'm also suffering...😂