Can I Apply for Alternative Military Service with 167-Degree Angle and Mitral Valve Prolapse? - Family Medicine

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


Hmm...
I currently have an X-ray showing an angle of 167 degrees in one leg.
Is there a chance that the angle could change on the day of the physical examination? Also, if one leg is at 167 degrees and I have mitral valve prolapse, can I still apply for alternative service?

Sheng, 20~29 year old female. Ask Date: 2008/04/19

Dr. Lai Junlong reply Family Medicine


Hello: In response to your questions: 1.
Flatfoot is defined as having any arch angle greater than 168 degrees, determined based on measurements taken on the day of the examination.
2.
Simple mitral valve prolapse is classified as active duty status, while a replacement duty status is only assigned if there is mild mitral stenosis or moderate mitral regurgitation.
3.
The classification of duty status is determined individually based on each criterion, with those not meeting the criteria for replacement duty remaining in active duty status.

Reply Date: 2008/04/19

More Info


To determine whether you can apply for alternative military service due to a 167-degree angle in your leg and mitral valve prolapse (MVP), it is essential to understand the medical criteria used by military health assessments and how your specific conditions may affect your eligibility.

Firstly, a 167-degree angle in your leg suggests a significant limitation in mobility, particularly if this angle refers to a joint like the knee or hip. Military service often requires individuals to meet specific physical standards, including the ability to perform various physical activities without significant limitations. Depending on the regulations of your country's military, a 167-degree angle could be considered a disqualifying factor, especially if it impacts your ability to march, run, or perform other essential duties.

Regarding mitral valve prolapse, this condition occurs when the mitral valve in the heart does not close properly, which can lead to various symptoms, including palpitations, chest pain, and in some cases, more severe complications like arrhythmias or heart failure. While MVP is often considered a benign condition, it can be associated with other cardiovascular issues, particularly if you experience significant symptoms or if there is associated mitral regurgitation (leakage of blood backward through the valve). Military assessments typically evaluate the severity of any heart condition, and if your MVP is symptomatic or associated with other complications, it may further influence your eligibility for service.

In many cases, military medical boards will consider both your physical limitations due to the leg angle and the potential impact of your MVP on your overall health and ability to perform military duties. If either condition is deemed to significantly impair your physical capabilities or poses a risk to your health during service, you may be eligible for alternative military service or even exemption from service altogether.

To apply for alternative military service, you will likely need to provide comprehensive medical documentation detailing both your leg condition and your mitral valve prolapse. This documentation should include:
1. Medical Records: Detailed reports from your healthcare providers, including any imaging studies (like X-rays) that demonstrate the angle of your leg and any assessments related to your MVP.

2. Functional Assessment: An evaluation of how these conditions affect your daily activities and physical capabilities. This may include recommendations from physical therapists or cardiologists.

3. Symptomatology: A clear description of any symptoms you experience related to MVP, such as chest pain, shortness of breath, or palpitations, and how these symptoms may affect your ability to serve.

4. Recommendations: Any recommendations from your healthcare providers regarding your fitness for military service, including whether they believe alternative service is appropriate given your conditions.

It is also advisable to consult with a legal advisor or a representative familiar with military regulations in your country. They can provide guidance on the application process for alternative service and help ensure that your case is presented effectively.

In conclusion, while a 167-degree angle in your leg and mitral valve prolapse may provide grounds for applying for alternative military service, the final determination will depend on the specific regulations of your military and the thoroughness of your medical documentation. It is crucial to gather all necessary information and seek professional advice to navigate this process successfully.

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