I'm often somewhat critical of the commonly-encountered mediocre YT medical videos but this one is actually good. Diagrams and other illustrations to show how loading stresses the various structures might be helpful.
Really lovely voice, nicely presented. It might be more helpful to the viewers to state what the condition is first with a few bullet points on the key presenting symptoms or signs, then run the appropriate ortho test with signs for positive tests. Also helpful for future videos is mentioning the treatment is recommended for referrals. Very professional and enjoyable to watch, thank you.
An extremely good video, im studying sport and exercise therapy and just wanted to ask with apple's test, aren't you meant to compress the meniscal space by int rot and ext rot the tibia and then bringing the knee into traction and performing int and ext rot?
Excellent video, many thanks. I would like to add that common causes of knee pain in clinical practice- not just osteoarthritis but also RA, trauma commonly cause knee pains too. Septic arthritis is one not to miss, and viral infections can cause knee pains eg hepatitis B or HIV.
It's a good cover of the knee, and thank you. But you are missing Jenny McConnell's patella tracking test. This is the main cause of patello-femoral pain - that the patella is tracking laterally. The test is clinically diagnostic. For the test, you have first to reproduce the patient's pain. The easiest way of doing this is usually for the patient in standing to move into a squat, and stop when it hurts; then stand up again. Then the doc or therapist glides the patient's patella medially using the heel of one hand against the lateral side of the patella and pushing it strongly medially; the doc's other hand is bracing on the medial side of the patient's knee. With the patella pushed and held medially like that, the patient squats again. If the pain they got on the squat is completely or markedly reduced, then the test is positive. In practice, a patient who couldn't squat more than, say, 20-30˚ before pain stops them, will often get down into a full squat with no pain, so long as the patella is held medially in its correct groove. (This can take a bit of muscle on the part of the doc to do.) The logic is clear. If the same action that hurt, does not hurt when the patella is held medially, then the problem producing the pain is that the patella is tracking laterally. This happens for a variety of simple musculoskeletal reasons, most of which should readily respond to physiotherapy. Common ones are a tight iliotibial band; weak VMOs (medial quads); tight piriformis, glutes, hamstrings or calves, or a longer leg on the symptomatic side - all of which tend to cause an externally rotated hip, hence a tendency for the lateral quads to work more and shorten, and the patella to start gliding laterally. The simple first aid help for a patient with this problem is to strap the patella somewhat medially with good old Leucoplast - just push and hold it across medially and run Leucoplast from the lateral lip of the patella around to the inside of the knee, say about to the medial collateral ligament. Once you've got one strip of tape on, then reinforce it with two further strips above and below, each one covering the original by 50%. (Hold the patella medially while you're putting each strip on.) This is usually dramatically effective at removing or reducing pain, at least as long as the tape's on. They limp in; they walk out. This is an Aussie (gasp!) advance in the understanding of patellofemoral pain - explains in most cases WHY it's patellofemoral pain and gives a clear direction of treatment. I don't think it's spread as well to the UK and US. I'm a Kiwi. Cheers, Steve August.
Very good vid. Every doctor should watch this. But why has my orthopedic surgeon never done any of these tests?!? 🤔 Because he's inept!! Just wants to be done with it as quickly as possible!
Perfect video. No annoying chatty preface. Straight to the point. Detailed, comprehensive. No annoying music or mic noises.
Wast
.
You don’t know it yet but you’re here for 4:10
This is an all-time great comment
Arr Ee omg im dying 😂😂😂😂😂😂😂😂
hahahahaha omg.
🤣🤣🤣🤣🤣🤣🤣🤣🤣
Your right I am 😂
I learned most on TH-cam & other websites than I did in university & in high school ! Thanks doctor .good job am still a fresh student.
I'm often somewhat critical of the commonly-encountered mediocre YT medical videos but this one is actually good. Diagrams and other illustrations to show how loading stresses the various structures might be helpful.
Thank you for a thorough examination, explanation and giving names on the standing meniscus tests.
This is the best revision vid I've found for knee exam so far
Well it is Standford
@@BD091959 also sitford and duckwalkford
concise and accurate focussed knee exam
Thank you for the comment
really appreciate the thorough explanation of the diagnosis after examination and testing
Really lovely voice, nicely presented. It might be more helpful to the viewers to state what the condition is first with a few bullet points on the key presenting symptoms or signs, then run the appropriate ortho test with signs for positive tests. Also helpful for future videos is mentioning the treatment is recommended for referrals. Very professional and enjoyable to watch, thank you.
Very precise and thorough. Wish doctors in the USA would apply even 10% of this level of effort and care.
I can feel my knee hurting just watching this.
Best lecture on Knee examination. Thank you!
She is really good and knows what she is doing. Very well explained.
Awesome demonstration & explanation. Super helpful - thanks!
Clear and precise. Unlike the rest of the internet.
Thank you for the excellent examination and explanation.
This is very helpful to my upcoming exam. Thank you very much.
Thanks for your teaching methods full of pedagogy
I wish Dr. Christopher did more health assessment videos.
0:57 Lachman's Test (knee flexed at 20-30 degrees)
3:05 McMurray?
411foryou knee is fully flexed and compression force is applied with medial and lateral rotation of tibia.
yes McMurray
Thank you so much, Mam and the volunteer
An extremely good video, im studying sport and exercise therapy and just wanted to ask with apple's test, aren't you meant to compress the meniscal space by int rot and ext rot the tibia and then bringing the knee into traction and performing int and ext rot?
The doc is a doll!
Would love to get this done for my right knee!!
Thank you. Very very good. I like this isolation and diagnosis of various areas.
Very comprehensive review. Can you also please add videos on hip/ pelvis/ neck/ lower back?
Dang ! First thing I would check is blood flow to the legs .
🤣
He was actually born without legs so borrowed a set from a dude in the morgue.
i love this video. In the setting that pt has a lot of pain and the exam is limited due to pain - do you just stop the exam ?
By the way did I mention my patient Chad here.. hasn’t seen the day light for over a decade now...I keep him caged down in the basement 😭
I was surprised to see him stand up at the end. I thought it was a corpse!
Chad thank you so much for the cooperation, appreciate it
😁
But make sure he does 20 minutes of Duck Waddling a day
Kylo Ren's is a Sith lord he knows no sunlight.
Great assessment video. Thanks for sharing. Very educational.
total ASMR!
thank you Brinda....
Well done Dr brinda
Can I be assessed like this on the NHS, been suffering with knee pain for a couple of years now, my clinic just gives me exercises to do.
Judging from the comments, it would appear that I'm the only weirdo watching for asmr purposes. Cool.
Looks like I might be the first to mention SANDWICH BREATH
😂😂😂
Here for asmr but also cos she's lovely and its blowing my mind that his legs are the same colour as her shirt
Nope, same here, also im in love with doctor Brinda
I also watch it for the COOL METAL
Excellent video !!!!!
Do you do house calls?
Which doctor tests these to diagnose I only was asked for an x-ray they didn't check properly so what's the specialist for this
The doctor has soothing voice
Thankyou!
j'aime cette vidéo , j'ai le même problème de genoux , ménisque , jambe guauche merci
The reflection from that guy's legs was impressive
Knowledge and calming asmr
How do people determine how hard to press, push, and pull for the various steps?
Really good recap, thank you.
Excellent video, many thanks. I would like to add that common causes of knee pain in clinical practice- not just osteoarthritis but also RA, trauma commonly cause knee pains too. Septic arthritis is one not to miss, and viral infections can cause knee pains eg hepatitis B or HIV.
i would really want to examtion on the knee to heel to ankle and the foot
helpful explanation and demo, many thanks 💖💖💖💖💖💖💖
what a great educational video!
It's a good cover of the knee, and thank you. But you are missing Jenny McConnell's patella tracking test. This is the main cause of patello-femoral pain - that the patella is tracking laterally. The test is clinically diagnostic.
For the test, you have first to reproduce the patient's pain. The easiest way of doing this is usually for the patient in standing to move into a squat, and stop when it hurts; then stand up again. Then the doc or therapist glides the patient's patella medially using the heel of one hand against the lateral side of the patella and pushing it strongly medially; the doc's other hand is bracing on the medial side of the patient's knee. With the patella pushed and held medially like that, the patient squats again. If the pain they got on the squat is completely or markedly reduced, then the test is positive. In practice, a patient who couldn't squat more than, say, 20-30˚ before pain stops them, will often get down into a full squat with no pain, so long as the patella is held medially in its correct groove. (This can take a bit of muscle on the part of the doc to do.)
The logic is clear. If the same action that hurt, does not hurt when the patella is held medially, then the problem producing the pain is that the patella is tracking laterally. This happens for a variety of simple musculoskeletal reasons, most of which should readily respond to physiotherapy. Common ones are a tight iliotibial band; weak VMOs (medial quads); tight piriformis, glutes, hamstrings or calves, or a longer leg on the symptomatic side - all of which tend to cause an externally rotated hip, hence a tendency for the lateral quads to work more and shorten, and the patella to start gliding laterally.
The simple first aid help for a patient with this problem is to strap the patella somewhat medially with good old Leucoplast - just push and hold it across medially and run Leucoplast from the lateral lip of the patella around to the inside of the knee, say about to the medial collateral ligament. Once you've got one strip of tape on, then reinforce it with two further strips above and below, each one covering the original by 50%. (Hold the patella medially while you're putting each strip on.) This is usually dramatically effective at removing or reducing pain, at least as long as the tape's on. They limp in; they walk out.
This is an Aussie (gasp!) advance in the understanding of patellofemoral pain - explains in most cases WHY it's patellofemoral pain and gives a clear direction of treatment. I don't think it's spread as well to the UK and US. I'm a Kiwi. Cheers, Steve August.
Nice copy and paste from wiki.
@@eyeameye9565 Actually it's genuine expertise and original writing. Take your superiority and shove it.
This dude is whiter than her shirt
lol
It's OK to be whiter than her shirt.
@@ernestmoney7252 lmao
That's a navy suit. For war.
I think he lives underground
Very helpful thanks!
Thank you
amazing skin tone
Excellent demonstration
Where can I go to get this done kaiser permanente does nothing but offer PT but ultimately does nothing
I tore my ACL watching this
Educational and relaxing too
Perfect, thank you so much
I wish we had her instead of a second-year ortho resident that just came off a 30-hour call rushing through a 30-minute lecture!!
Very helpful.
After my physical examination I have come to the conclusion that patient is a Chad
She’s absolutely gorgeous
Brain+face+that accent= hot
@DG im in love!!
The legs are brighter than most of the people's future !
Awesome demonstration
thank you!
There's no more vedios for you any more????
Shouldnt you test the normal knee first for anterior drawer.
What is meant by calling an effusion "bland"? Please explain.
Omg she’s gorgeous
Bhghiokvcfuiuffhjkbcsriolm
-_&+&';)
She is indian american...
Where are you Dr.Brenda
Thanks for this video. I have knee pain. Any possible to contact with you please Thanks
ER and valgus force is for medial meniscus, IR and valgum for lateral meniscus ..but u did opposite...???explain ...??
He is a bottle of white out with legs
Hoffa's Fat Pad sounds like an awesome nightclub
This is out of order, right? The video on the exsanguination process should have been first but you haven't posted it yet.
Chad was awesome too :)
I love her hands 😅
Good exam!
Pls start with checking his pulse!
great video - thank you
Thank you!
Very good vid. Every doctor should watch this. But why has my orthopedic surgeon never done any of these tests?!? 🤔 Because he's inept!! Just wants to be done with it as quickly as possible!
excellent
amazing
Very very good
4:34 wtf Clarke's test hurts . Or maybe I'm pushing down on the patella and restricting it's movement too much and trying to flex
grerGGreat vidideo thank you
concise, professional and helpful. The doc is hot as well. loved it.
Excellent :)
Good job mam
Damn that guy’s legs are so white I need a pair of sunglasses just to watch this video.lol
“Say it”
*VAMPIRE*
Good video just sometimes cannot see how she moves the hands or fingers, especially when she is in front of the camera and Pt is behind her
10 bucks says that if that guy steps out into sunlight he'll explode.
Example student must have been living in library for years. Pale level 9000 ;)
lol I was looking for this comment. Dude must be a vampire 🤣🤣
great
Is she from India!!
No, she is from Pakistan
“Thank you chad” wasnt expecting that lol
she has a beautiful skin color
I have been suffering this knee pain more than a decade. How can i overcome it? Thanks.
th-cam.com/video/-VBX8Iu8KJI/w-d-xo.html
Duck Waddling
Swap your knees around...then rub them with rhino fat...Thank Tarzan!
More duck waddling
I diagnose him to be a vampire !