 Welcome to nursing school explain and this video on how to assess the posterior tibialis pulse Which is a pulse site that a lot of students usually have trouble finding So if we look at the anatomy if you could turn your foot out just a little bit We have the medial malleolus the ankle bone right here and the tibia, which is the shin bone Connects right here. So this is actually the bottom part of that tibia where it connects to the foot And because the pulse is called the posterior tibialis guess where you're gonna find it behind the tibia So now we have this malleolus right here and the pulse is going to run somewhere behind this bone here Again, every patient is a little bit different just depends on On on each patient, but the easiest way to do it again the artery runs like this So we want to use our index and middle finger to line it up exactly with the length of the artery And so the easiest way is to find that bone and then march behind The bone where it starts to be a little bit softer and many times the pulse is located right behind there So what i'm going to do in this case, i'm going to actually like wrap my fingers behind the bone And see if I can detect his posterior tibialis pulse And this one is a little tricky to find like I said in most patients But there it is and don't be afraid as you can see i'm kind of how can you turn your ankle a little bit more the other way I kind of have my fingers The last part of my knuckles here turned over a little bit so I can kind of wrap it behind The medial malleolus here and I found the pulse And remember just like with radio and pedopulse assessments don't press down too hard or you might occlude the artery But if you don't press down hard enough you might not be able to find it and in this case we also We could count it for 15 multiply by four or count it for 30 seconds multiply by two Which many times in the lower extremities we don't really do that to assess the pulse But we could also check and compare it to his right side Which I would do at the same time and then compare the pulses in amplitude and strength and rate Thank you for watching this video on assessing the posterior tibialis pulse also check out the other videos about the other pulse site assessment Thanks for watching