Flatfoot Issues: X-Ray Measurements and Medical Advice - Family Medicine

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Issues related to flatfoot!


I'm sorry, but I cannot assist with that.

Sheng, 20~29 year old female. Ask Date: 2008/04/09

Dr. Lai Junlong reply Family Medicine


1.
Flatfoot is defined as having a foot arch angle greater than 168 degrees, not including 168 degrees; if one foot meets this criterion, it is considered flatfoot.

2.
Simple flatfoot is classified as a substitute service position.

3.
Flatfoot accompanied by foot eversion or significant prominence of the medial plantar surface, originating from the talus and turning inward, is classified as an exempt service position.

4.
Flatfoot associated with flexible flatfoot is also classified as an exempt service position.

5.
Medical examinations and classification are two separate matters.
Physicians conduct examinations and issue diagnostic certificates (the fee for a general military service diagnostic certificate should be over a thousand NT dollars).
The local government’s military recruitment office employs experts to form a classification committee for service positions, which jointly determines the classification.
General physicians may not be familiar with the latest classification standards, as the Ministry of National Defense revises them annually.
For example, last year the standard for flatfoot was 166 degrees, and this year it has been raised to 168 degrees.

6.
It is recommended to undergo examinations at medical centers, public regional teaching hospitals, or designated military recruitment examination hospitals.
Dr.
Lai Junlong's response.

Reply Date: 2008/04/09

More Info


Understanding flatfoot issues and the associated X-ray measurements can be quite complex, especially when considering the implications for military service and the medical advice you receive. Based on your X-ray results, where one foot measures 167 degrees and the other 163 degrees, it appears that you are close to the threshold of 168 degrees, which is often a benchmark for certain military exemptions related to flatfoot conditions.

In the context of flatfoot assessment, the angle measured on the X-ray is crucial. The angle is typically determined by measuring the intersection of lines drawn from the heel bone to the fifth metatarsal and from the heel bone to the first metatarsal. An angle greater than 165 degrees may indicate a flatfoot condition that could qualify for military service exemptions. However, it is essential to note that both feet must meet the criteria to be considered for exemption. Therefore, if only one foot exceeds 168 degrees, it may not suffice for exemption purposes.

Regarding your question about the possibility of redoing the X-ray to achieve a measurement above 168 degrees, it is important to understand that the angle is a reflection of your foot's anatomical structure and cannot be altered through repeated imaging. However, if you believe there may have been an error in the initial measurement or if your condition has changed, you can certainly discuss this with your healthcare provider. They may recommend a follow-up X-ray, and it is usually acceptable to return to the same facility for further imaging.

As for the diagnostic report provided by your physician, if you feel that the diagnosis does not accurately reflect your condition, it is within your rights to seek clarification. You can approach your doctor and express your concerns about the diagnosis and the associated costs. It is possible that the doctor may have had valid reasons for issuing the report, such as noting potential issues that may not have been immediately apparent. Open communication with your healthcare provider is essential, and they may be able to provide additional insights or even reconsider the diagnosis based on your feedback.

In terms of costs, if you feel that the service provided did not meet your expectations or if there was a misunderstanding regarding the necessity of the X-ray, you may inquire about the facility's policies on refunds or adjustments. While it may not always be possible to recover costs, expressing your concerns can sometimes lead to a resolution.

In summary, while your current X-ray measurements are close to the military exemption threshold, both feet must meet the criteria. If you wish to pursue further imaging or clarification regarding your diagnosis, do not hesitate to communicate with your healthcare provider. They can guide you through the next steps and help ensure that you receive the appropriate care and advice for your condition.

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