The increase in elderly population throughout Europe has led to a proportional increase in the incidence of diseases of the musculosceletal system. Clinical examination is one of the most important steps in establishing the corect diagnosis in physical medicine and rheumatology, as is in the entire medicine. It is the task of every clinician to perform it accurately and precisely. The use of imaging methods and diagnostic tests should never replace a clinical examination. First contact between the patient and their clinician is extremely important to establishing a good relationship which is necessary for treatment, especially in case of a chronic disease. Before starting the examination consent needs to be obtained from the patient. Hygiene during each examination should be at a high level. Pain is the most common reason why patients choose to see the doctor. Certain parts of the examination often cause pain in patients, and it is the clinician's task is to inform the patient and prepare them beforehand. Examination begins by observing the patient immediately upon their arrival. Aids for movement, type of gait and even footwear can narrow down the differential diagnosis. During anamnesis it is extremely important to ask targeted questions. The "look-feel-move" rule is an integral part of the clinical examination. During the inspection, it is important to ensure the visibility of the parts of the body that are being examined. Palpation can cause discomfort to the patient and should be applied with understanding. Patient's inability to perform certain movements further helps clinicians reach the correct diagnosis. Making the correct diagnosis and curing the patient as quickly as possible is the goal of every doctor.