Flat Feet: Tips for Your Follow-Up Examination - Rehabilitation

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Re-evaluation of Flatfoot (Pes Planus)


Hello, Doctor: I am a recent graduate and I hope to attend the National Defense Medical Center.
On the advice of my teachers, I decided to undergo a physical examination before the entrance exam.
However, during the orthopedic examination, after following the instructions to squat and stand up quickly, I was suspected of having flat feet.
I need to undergo a re-examination next Friday (12/22).
After examining my feet at home for a long time, I noticed that the arch of my foot is somewhat prominent when suspended, but it does seem to have a larger angle than average, and my soles do not touch the ground completely when squatting.

I am at Tainan Hospital, and I saw online that some people mentioned taking X-rays in a "golden chicken" position (one foot at a time).
Since the deadline is approaching, I would like to ask if there are any techniques during the X-ray that could help reduce the angle? Can I try to hold my foot in a certain way? Would that be effective? Based on your experience, what is the likelihood that this re-examination will result in a determination of exemption from military service? I really appreciate your help, as I consider this military academy my top choice, and I am feeling very anxious.
I apologize for asking such trivial questions, and I hope you can understand!

Duo Er, 10~19 year old female. Ask Date: 2017/12/14

Dr. Li Weiqiang reply Rehabilitation


Hi: Q1: Can flat feet be re-evaluated? A1: Flat feet can still qualify for military service; you can inquire with the conscription office.
Q2: Some say that X-rays should be taken in a gold chicken independent style (one foot at a time).
Are there any techniques during the X-ray to reduce the angle? A2: It's only for reference; a detailed examination will be conducted during the re-evaluation.
Wishing you peace and health, Dr.
Li Wei-Chiang, Attending Physician, Department of Rehabilitation, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/12/14

More Info


Understanding flat feet, or pes planus, is essential, especially for individuals like yourself who are preparing for a military medical examination. Flat feet occur when the arches of the feet are lower than normal, which can lead to various complications, including discomfort and difficulty in physical activities. Here are some insights and tips for your follow-up examination.


Understanding Flat Feet
Flat feet can be classified into two categories: flexible and rigid. Flexible flat feet are the most common type, where the arch appears when the foot is off the ground but flattens when standing. Rigid flat feet, on the other hand, maintain a flat appearance regardless of the position of the foot. The condition can be congenital or acquired due to factors such as injury, obesity, or aging.


Importance of the Follow-Up Examination
During your follow-up examination, the healthcare provider will likely assess the structure and function of your feet. They may perform a physical examination, ask about any symptoms you experience (such as pain or discomfort), and possibly order imaging tests like X-rays to evaluate the alignment of your bones and the degree of your flat feet.


Tips for Your X-ray Examination
1. Preparation: Before the X-ray, ensure that you are well-rested and calm. Anxiety can affect your posture and the results of the examination.

2. Positioning: When instructed to stand for the X-ray, focus on distributing your weight evenly across both feet. This can help in obtaining a more accurate representation of your foot structure.

3. Arch Support: If you have any arch supports or orthotics, consider bringing them along. The doctor may want to see how your feet function with these supports.

4. Breathing Techniques: Practice deep breathing to help relax your body. This can reduce tension in your feet and legs, which may inadvertently affect the angle of your foot during the X-ray.

5. Avoiding Tension: While it may be tempting to "suck in" or tense your feet to appear more arched, this can lead to inaccurate results. Instead, try to maintain a natural stance.


Likelihood of Military Exemption
Regarding the likelihood of being exempt from military service due to flat feet, it largely depends on the severity of the condition and how it affects your overall physical capabilities. Military standards vary by country and branch, but generally, if flat feet do not cause significant pain or functional limitations, you may still be eligible for service.
In your case, if the X-ray shows a mild degree of flatness without associated pain or functional impairment, it is possible that you may not be exempted. However, if the examination reveals significant structural issues that could hinder your physical performance, the likelihood of exemption increases.


Conclusion
While it is natural to feel anxious about your follow-up examination, remember that flat feet are a common condition, and many individuals lead active lives without significant issues. Focus on presenting your feet in their natural state during the examination, and trust that the healthcare professionals will provide a fair assessment based on the evidence.
If you have any concerns or experience discomfort, do not hesitate to communicate this with your healthcare provider. They can offer guidance and support tailored to your specific situation. Good luck with your examination and your aspirations to attend the National Defense Medical Center!

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