Straight spine?
I would like to ask the doctor, three years ago I had an X-ray at the hospital, and the doctor said that my spine appeared very straight with almost no curvature.
I also find it difficult to stand for long periods; if I stand too long, my spine starts to ache, and then the pain radiates down to my thighs and calves.
The symptoms have not changed, and I still cannot stand for long.
How should I ask the doctor for a certificate for military service physical examination? Is there a standard angle that can be used for assessment?
louis, 20~29 year old female. Ask Date: 2017/08/09
Dr. Li Yongheng reply Orthopedics
Based on your symptoms, you may need to visit an orthopedic department at a public hospital that conducts military service physical examinations to diagnose conditions such as a herniated disc or ankylosing spondylitis.
Once a diagnosis is established, you can request your physician to issue a general medical certificate.
You can then present this certificate to the examining physician during your military service physical examination for reference.
Reply Date: 2017/08/09
More Info
When it comes to spinal alignment and its implications for military service, it's essential to understand the medical context and the specific requirements for documentation. Based on your description, it seems that you have been experiencing persistent discomfort and limitations due to your spinal alignment, which has not improved over the past three years.
First, let's clarify what spinal alignment means. The spine is composed of vertebrae that should ideally maintain a natural curvature. When a person has a "straight" spine, it may indicate a loss of the normal lordotic curve, which can lead to various symptoms, including pain and discomfort during prolonged standing or activity. Your experience of pain radiating down to your thighs and calves after standing for extended periods suggests that your spinal alignment may be contributing to nerve irritation or muscle fatigue.
For military service, the standards for physical fitness and medical documentation can vary. In many cases, military medical evaluations will consider the range of motion, strength, and any pain associated with spinal conditions. If you are seeking to obtain documentation from your physician to support your case for military service exemption or alternative service, here are some steps you can take:
1. Consult a Specialist: It would be beneficial to see an orthopedic specialist or a physiatrist (a doctor specializing in physical medicine and rehabilitation). They can conduct a thorough examination, including a physical assessment and possibly additional imaging studies (like X-rays or MRIs) to evaluate your spinal alignment and any associated conditions.
2. Document Your Symptoms: When you meet with the specialist, be sure to clearly communicate your symptoms, including the duration, intensity, and specific activities that exacerbate your pain. This information is crucial for the physician to understand the impact of your condition on your daily life and military duties.
3. Request a Medical Report: After the evaluation, ask the physician to provide a detailed medical report. This report should include:
- A description of your spinal condition and alignment.
- Any findings from physical examinations or imaging studies.
- An assessment of how your condition affects your ability to perform military duties, particularly regarding standing and physical activity.
- Recommendations for treatment or accommodations, if applicable.
4. Understand the Standards: Inquire about the specific standards used to assess spinal conditions for military service. There may be established criteria regarding spinal curvature, range of motion, and pain levels that can help determine your eligibility for alternative service or exemption.
5. Follow Up: If your symptoms persist or worsen, continue to seek medical advice and treatment. Keeping a record of your medical visits, treatments, and any changes in your condition can be beneficial if you need to appeal a decision regarding your military service.
In summary, obtaining a medical documentation that accurately reflects your spinal condition and its impact on your functionality is crucial for your military service evaluation. By working closely with a healthcare provider and ensuring that all relevant information is included in your medical report, you can better advocate for your needs and rights regarding military service.
Similar Q&A
Understanding Scoliosis Measurement for Military Service Exemptions in Taiwan
I would like to ask how the angle of scoliosis is calculated for military service. It is stated that an angle of 25 degrees constitutes an exemption from service, and the Cobb method is used for measurement. I went to see a doctor, and he mentioned a right dorsal hump from T6 to ...
Dr. Wang Shouji reply Orthopedics
Hello: The Cobb angle is the angle of curvature in the anteroposterior direction of the spine. There may be some degree of error, so if there are any doubts, it is recommended to retest. Thank you.[Read More] Understanding Scoliosis Measurement for Military Service Exemptions in Taiwan
Managing Chronic Health Issues Before Military Service: A Guide
Hello, doctor. I have been seeing various doctors since middle school. My symptoms include pain around the joints at night, sometimes accompanied by redness and swelling, headaches, dizziness, and low-grade fevers (around 37 to 37.9 degrees Celsius, which often led to me being st...
Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your inquiry. I recommend discussing your situation with your attending physician to assess whether you meet the criteria for a change in position. If you do, please ask them to issue a medical certificate, which you can then use to apply for a military re-ex...[Read More] Managing Chronic Health Issues Before Military Service: A Guide
Understanding Eligibility for Military Service with Situs Inversus
Hello, doctor. My son is currently a senior in college and has a congenital condition known as situs inversus totalis (dextrocardia). I would like to know if he is suitable for military service. Three years ago, when he applied to a military academy after high school, he was eval...
Dr. Wu Xueming reply Cardiology
For position determination, please consult the military service examination unit.[Read More] Understanding Eligibility for Military Service with Situs Inversus
Navigating Medical Documentation for Tourette's and Bipolar Disorders
The symptoms of Tourette syndrome began in elementary school, and later a hospital examination confirmed the diagnosis of Tourette syndrome. I have been receiving medication treatment continuously. In high school, I was diagnosed with bipolar disorder and hypersomnia. I have been...
Dr. Huang Jiabin reply Psychiatry
Hello: I understand that you may be concerned about being turned away by the doctor after not having a follow-up appointment for a while. However, you have the right to request the physician to issue the necessary documentation, and they cannot refuse you. Matters related to mili...[Read More] Navigating Medical Documentation for Tourette's and Bipolar Disorders
Related FAQ
(Orthopedics)
Spondylolisthesis(Orthopedics)
Back(Orthopedics)
Medical Consultation(Orthopedics)
Kyphosis(Orthopedics)
Lumbar Fracture(Orthopedics)
Head(Orthopedics)
Post-Spinal Surgery(Orthopedics)
Coccyx(Orthopedics)
Herniated Disc(Orthopedics)