Flat Feet: Diagnosis, Treatment, and Military Service Implications

Flatfoot

Hello, doctor! I would like to ask you a question.
I suspect that I have flat feet, as I experience discomfort and even numbness in my feet after squatting for a short period.
Is this treatable? I have to undergo a physical examination for military service next month, and I read in the related documents that flat feet with an angle of 165 degrees or more may qualify for alternative service.
I have a question about how to measure the degree of flat feet.
Where can I go for a diagnosis? Which department should I visit in the hospital for this evaluation?

Xiao Hua, 20~29 year old female. Ask Date: 2007/02/22

Dr. Chen Xianchang reply Rehabilitation

1.
You can go to a military hospital (such as Taichung 803, Taoyuan 804, or Kaohsiung 802) or a public hospital for an orthopedic examination, which requires an X-ray (lateral view).
The X-ray should focus on the navicular bone, measuring the angle formed by a line drawn from the navicular bone to the calcaneus and another line drawn from the navicular bone to the first metatarsal bone.
If the angle between the two lines is greater than 165 degrees, it indicates flatfoot.

2.
After obtaining the diagnosis, you can request a re-examination during the military service physical examination.
3.
I received the inquiry on the afternoon of March 5, responded that evening, and submitted it back on the morning of March 6.
I hope this information is helpful to you.

Reply Date: 2007/02/22

More Info

Flat feet, or pes planus, is a common condition characterized by the collapse of the arch of the foot, resulting in the entire sole coming into contact with the ground. This condition can lead to various symptoms, including foot pain, fatigue, and discomfort, particularly during activities like standing or walking for extended periods. In your case, experiencing soreness and numbness after squatting may indicate that your flat feet are contributing to these symptoms, potentially due to overuse or strain on the muscles and ligaments of the foot and lower leg.

Diagnosis of Flat Feet
To diagnose flat feet, a healthcare provider typically conducts a physical examination, which may include observing your feet while standing, walking, and squatting. They may also assess your foot's range of motion and check for any associated symptoms. One common method for measuring the degree of flatness is the "navicular drop test," where the height of the navicular bone is measured in both a non-weight-bearing and a weight-bearing position. Additionally, a radiographic assessment (X-ray) can be performed to quantify the angle of the foot's arch, often referred to as the "calcaneal pitch" or "talonavicular angle."
In your case, if you are concerned about the degree of flatness for military service implications, you may want to seek a formal evaluation. The military guidelines you mentioned indicate that a certain degree of flat feet (165 degrees or more) may qualify for alternative service. This measurement typically refers to the angle formed by the alignment of the heel and the forefoot, which can be assessed through X-rays or specialized foot assessments.

Treatment Options
Treatment for flat feet varies based on the severity of the condition and the symptoms experienced. Common treatment options include:
1. Orthotic Devices: Custom or over-the-counter arch supports can help provide additional support to the foot's arch, alleviating discomfort and improving alignment.

2. Physical Therapy: A physical therapist can guide you through exercises aimed at strengthening the muscles of the foot and ankle, improving flexibility, and enhancing overall foot function.

3. Footwear Modifications: Wearing shoes with good arch support and cushioning can significantly reduce discomfort associated with flat feet.

4. Surgical Options: In severe cases where conservative treatments fail, surgical intervention may be considered to correct structural issues in the foot.

Military Service Implications
Regarding military service, it is essential to understand that the evaluation process for flat feet can vary by jurisdiction and military branch. If you are concerned about your eligibility due to flat feet, it is advisable to consult with a healthcare provider who specializes in orthopedics or podiatry. They can provide a thorough evaluation and documentation of your condition, which may be necessary for your military service assessment.

You can visit a local hospital or clinic that has an orthopedic or podiatry department for diagnosis and treatment. When making an appointment, specify that you are seeking evaluation for flat feet, as this will help ensure you see the appropriate specialist.

In summary, flat feet can be diagnosed through physical examination and imaging studies, and treatment options are available to manage symptoms effectively. If you are preparing for military service, obtaining a thorough evaluation and understanding the implications of your condition is crucial. Don't hesitate to reach out to a healthcare professional for guidance tailored to your specific situation.

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