The Exam for Ankle & Foot Pain - Stanford Medicine 25

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  • Опубликовано: 24 дек 2024

Комментарии • 163

  • @kalindudissanayake389
    @kalindudissanayake389 2 года назад +16

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

  • @rosesareredmydear
    @rosesareredmydear 3 года назад +66

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

    • @Happy-Seal
      @Happy-Seal 2 года назад +1

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

  • @mrdennis1038
    @mrdennis1038 6 лет назад +63

    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.

    • @Yammie_Moto671
      @Yammie_Moto671 4 года назад

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

    • @curcumin417
      @curcumin417 4 года назад

      @@Yammie_Moto671 CC: Ankle pain

    • @Yammie_Moto671
      @Yammie_Moto671 4 года назад +3

      @@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
      @curcumin417 4 года назад

      @@Yammie_Moto671 Very nice, thank you.

  • @01ernst
    @01ernst Год назад +1

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

  • @QuizasVuelva
    @QuizasVuelva 4 года назад +22

    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
      @redwolf9455 2 года назад +1

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

  • @inaamulhassanjaffer8238
    @inaamulhassanjaffer8238 6 лет назад +51

    Most comprehensive ankle exam I’ve seen🙌🏻

  • @chico5286
    @chico5286 5 лет назад +24

    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
      @sunving 4 года назад +1

      oh but this from Stanford ? Thank you Dr

    • @samuelmwakasendo7643
      @samuelmwakasendo7643 4 года назад +2

      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
      @flipperc6042 2 года назад

      @@sunving he is correct in his statement

  • @minanakhjavani319
    @minanakhjavani319 6 лет назад +27

    Wonderful, very much practical and demonstrated professionally

  • @DrPeterVenkman383
    @DrPeterVenkman383 5 лет назад +177

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

    • @Ausnapify
      @Ausnapify 5 лет назад +2

      James Anderson LOOOOL

    • @khialaaloocompany590
      @khialaaloocompany590 5 лет назад +17

      Good to....meet you

    • @laurencesiddall277
      @laurencesiddall277 5 лет назад +10

      He’s no chad thundercock that’s for sure

    • @inosuke6544
      @inosuke6544 4 года назад

      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
      @DaniotheManio5 2 года назад +7

      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....

  • @shahidulhchowdhury6411
    @shahidulhchowdhury6411 5 лет назад +12

    Very clear concise but comprehensive ankle examination.

  • @abumahmoud9845
    @abumahmoud9845 Год назад

    Thanks once again for your useful lesson

  • @juggernaut0629
    @juggernaut0629 Год назад +3

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

  • @graciouslygrace4782
    @graciouslygrace4782 6 лет назад +14

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

  • @joaogabrielramosribas9923
    @joaogabrielramosribas9923 6 лет назад +38

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

  • @HotGammiris
    @HotGammiris 3 года назад

    Thank you !

  • @petecastelioni9026
    @petecastelioni9026 2 года назад +1

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

  • @iZargon7
    @iZargon7 2 года назад +2

    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.

  • @wide_awake
    @wide_awake 3 года назад +1

    Wow she’s amazing

  • @adamfuller6905
    @adamfuller6905 4 года назад +2

    She's excellent!

  • @drSJV
    @drSJV 3 года назад +1

    Thank you! Such a clear and informative video

  • @abdinasirali3460
    @abdinasirali3460 3 года назад +1

    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
      @azz869 3 года назад

      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

  • @mohammedaliibrahim8607
    @mohammedaliibrahim8607 3 года назад +1

    Thank you my doctor

  • @Max-lg9nw
    @Max-lg9nw Год назад

    Great video

  • @habebahossam4671
    @habebahossam4671 3 года назад +2

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

  • @azizrasooli7610
    @azizrasooli7610 5 лет назад +2

    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.

  • @himdadshwani3557
    @himdadshwani3557 Год назад +2

    🎯 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

  • @furiousdoe7779
    @furiousdoe7779 4 года назад +2

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

  • @mirvids5036
    @mirvids5036 3 года назад

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

  • @alkhatib88
    @alkhatib88 2 года назад

    Many thanks.

  • @nathanaelpineda8049
    @nathanaelpineda8049 4 года назад +1

    U did an excellent job u ace it

  • @maxmumbai1234
    @maxmumbai1234 3 года назад +1

    Great presentation and explanation, thank you

  • @bluesquirrel2472
    @bluesquirrel2472 3 года назад +1

    Great video:) Thank you

  • @npratiksha6653
    @npratiksha6653 3 года назад

    Thankyou... So much it was very helpful

  • @leonardonovelli2781
    @leonardonovelli2781 3 года назад +19

    She is gorgeous

  • @giggino342
    @giggino342 4 года назад +2

    Great video. Thank you 🌹

  • @sunving
    @sunving 4 года назад +2

    Thank you doctor,I watched this second time .

  • @yemedess9325
    @yemedess9325 2 года назад

    THANKS ALOT!!

  • @ImJustSlurpee
    @ImJustSlurpee 3 года назад

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

  • @dirk2655
    @dirk2655 4 года назад

    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.

  • @peachiepoopsie9598
    @peachiepoopsie9598 3 года назад +1

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

  • @juanlopezexposito
    @juanlopezexposito 8 месяцев назад

    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
    @nagaratnamsuthakaran3639 2 года назад

    Thanks a lot Mam

  • @siddheshg8430
    @siddheshg8430 Год назад

    What treatment should be done for joint capsule injury?

  • @drhmufti
    @drhmufti 6 лет назад +8

    Longtime, keep posting.

  • @mo_dpt3992
    @mo_dpt3992 3 года назад

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

  • @asifm5153
    @asifm5153 2 года назад

    What exactly is a buoyant endpoint?

  • @Arkenva
    @Arkenva 2 года назад

    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

  • @chico5286
    @chico5286 5 лет назад +1

    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

  • @avadhutdere5614
    @avadhutdere5614 6 лет назад +5

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

  • @erin4002
    @erin4002 3 года назад +1

    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
      @SpaghettiArmss 3 года назад

      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
      @aliaaabdulhakeem7081 2 года назад +1

      Everyone has plantar fascia lol!

  • @yoya4766
    @yoya4766 Год назад +1

    She has an English accent. At Stanford? Unusual.

  • @mailsarwar1
    @mailsarwar1 2 года назад

    How can i reach doctor

  • @jimboniusmaximus6018
    @jimboniusmaximus6018 3 года назад +6

    That man is smitten. As am I.

  • @syedsajjad7935
    @syedsajjad7935 3 года назад

    Superb. amazing and thank you. :)

  • @aliaaabdulhakeem7081
    @aliaaabdulhakeem7081 2 года назад

    You r amazing

  • @redwolf155
    @redwolf155 2 года назад +1

    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.

  • @ic2ycotruyen
    @ic2ycotruyen 6 лет назад +3

    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
      @RoccoTano91 5 лет назад +1

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

    • @orthosam
      @orthosam 5 лет назад

      That's calcaneofibular ligament

  • @gajgewarvittal1728
    @gajgewarvittal1728 4 года назад

    Super lecturer

  • @geddoe316
    @geddoe316 4 года назад +7

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

  • @AquilaTheHun
    @AquilaTheHun 3 года назад +1

    0:24 That look :D

  • @jordancz1
    @jordancz1 6 лет назад +2

    Nice video 👌

  • @vonderingvakeelvlogsrito
    @vonderingvakeelvlogsrito 3 года назад +2

    Proud of an indian doctor. 🙏

    • @wfleurin
      @wfleurin 3 года назад +2

      She's hot af

  • @sidrens5292
    @sidrens5292 3 года назад +1

    Wow she is amazing! So articulate and knowledgeable 👏🏼

    • @MarshallSmith27
      @MarshallSmith27 3 года назад

      I dont think articulate is the right word

  • @jasminenazari8878
    @jasminenazari8878 4 года назад

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

    • @tomisthesound
      @tomisthesound 4 года назад +3

      It can occur in any of the web spaces.

  • @FearOfGeorge
    @FearOfGeorge Год назад

    Καυλιάρα, έχουμε ινστα?

  • @fktteva8881
    @fktteva8881 5 лет назад +2

    Bravissima

  • @jak2me
    @jak2me 3 года назад +1

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

  • @deathmetalpotato
    @deathmetalpotato 5 лет назад +32

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

    • @succusmv
      @succusmv 4 года назад +2

      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
      @williamwinder5011 4 года назад +3

      @@succusmv woosh

  • @koyelmukherjeeofficial
    @koyelmukherjeeofficial 2 года назад

    my son always gets that

  • @VovaSpi
    @VovaSpi 4 года назад

    Talofiular post ist nicht korrekt gemalt oder?

  • @HafizahHoshni
    @HafizahHoshni 6 лет назад +2

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

  • @bills6240
    @bills6240 2 года назад +1

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

  • @shafinasirdarwaish
    @shafinasirdarwaish 5 лет назад +1

    i believe the drawer test is done a little bit differently

  • @phillipdistel5131
    @phillipdistel5131 4 года назад +3

    Love the accent.

  • @DeathWish81505
    @DeathWish81505 Год назад

    Great for asmr

  • @Juntabara
    @Juntabara 4 года назад +10

    I cannot believe how pretty she is!

  • @yussufwise
    @yussufwise 2 года назад

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

  • @abhimanyusharma9360
    @abhimanyusharma9360 5 лет назад +34

    what a chad

  • @avinashkona2349
    @avinashkona2349 2 года назад

    Where is medial ankle sprain??

  • @geofkane2365
    @geofkane2365 2 года назад

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

  • @zaidhijab4703
    @zaidhijab4703 5 лет назад +3

    Common conditions of ankle & foot:
    1-Ankle sprains.
    2-Achille's tendon rupture.
    3-Hallux valgus.
    4-Tenosynovities.
    5-Osteochondritis dessicans.
    6-Snapping peroneal tendon.
    7-Heel spur.
    8-Hammer toe.
    9-Claw toe.
    10-Ingrown toenail.
    11-Corns.
    12-Flat foot.
    13-Arched foot (pes cavus).
    14-Kohler's disease.
    15-Morton's toe.
    16-Planter fasciitis.
    17-Rocker bottom foot.
    18-Congenital clubfoot (equinovarus foot, talipes equinovarus).
    Orthopaedic examination made easy
    -Javad parvizi
    by:Zaid Hjab
    زيد حجاب

  • @999Patriots
    @999Patriots 3 года назад +1

    ATF + Always Tears First

  • @tcohen1215
    @tcohen1215 2 года назад +1

    Of course the future orthopedist is chad

  • @nard5100
    @nard5100 5 лет назад +11

    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
      @dereklawler8029 4 года назад +1

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

    • @lagernathy
      @lagernathy 3 года назад

      Ha ha ha ha

  • @CraftBeerPours
    @CraftBeerPours 4 года назад +14

    Whos here for the ASMR?👍

  • @ironholik3181
    @ironholik3181 3 месяца назад

    Chad is a good boy 😜

  • @loveobd628
    @loveobd628 4 года назад +1

    Hello my name is Dr. Berry

  • @adamwilliams5372
    @adamwilliams5372 5 лет назад

    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
      @donnaxx.8011 4 года назад +1

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

  • @lighttheoryllc4337
    @lighttheoryllc4337 4 года назад +3

    SubhannaALLAH sis is lovely and has a strong "grip"

  • @sugatasarkar2704
    @sugatasarkar2704 3 года назад

    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.

  • @juanloprada
    @juanloprada 5 лет назад +1

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

  • @roquefortfiles
    @roquefortfiles 4 года назад +6

    Brinda is yummy!!

  • @davidturners
    @davidturners 5 лет назад

    Goodud meet you

  • @avirich1
    @avirich1 4 года назад +1

    Name of doctor?

  • @FrozenSurf
    @FrozenSurf 5 лет назад

    She reminds me of Shaleen

  • @arbeitslos4247
    @arbeitslos4247 3 года назад +2

    lol, Comic Sans

  • @CyberPunkFM
    @CyberPunkFM 3 года назад +2

    I bet chad was the one that had the idea of making these videos 😂

  • @G1981-h5j
    @G1981-h5j 5 лет назад +7

    Chad = Constant Hate Against Daylight?, damn that dude is white lol

  • @komal.sakhare
    @komal.sakhare 4 года назад +4

    I'm also suffering...😂

  • @jesti988
    @jesti988 4 года назад

    mine foot get bulged while stretch my foot having pain when touch on middle of foot