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Are arthrosis and flat feet of the 2nd degree taken into the army?

24 Aug 18

Do they take into the army with arthrosis of 1st and 2nd degrees?

Despite the fact that arthrosis of the knee joints is considered a disease of older people, sometimes this disease also occurs in young people.

Most often it develops in young men, so many of them, when the time comes for conscription, wonder whether they are being drafted into the army with arthrosis.

It is impossible to give a definite answer to this question, since the situation depends on what stage of the disease the young person has and how severe it is.

What is arthrosis of the knee joints

Arthrosis is a disease that destroys the joints. Most often the disease develops in the area of ​​the knee joints, and this disease is called gonarthrosis.

The disease is usually diagnosed in people over 40 years of age, especially women. In young people, the disease most often affects young men. These patients include athletes, especially those who participate in strenuous sports, running, athletics and jumping.

Osteoarthritis of the knee joints is characterized by the following symptoms that require special attention:

  • Pain in the knee area that appears with any physical activity on the knee and hip joint.
  • The pain subsides when the joints are at rest.
  • The pain gradually becomes more frequent, the patient often has to take breaks and rest.
  • Pain may also occur at night.
  • Affected joints usually react to sudden changes in weather.
  • The affected joint cannot fully move, and it is difficult to bend and straighten the lower limb.
  • Depending on the severity and duration of the disease, the joint changes appearance.
  • Gradually these symptoms become stronger. For this reason, at the first signs of the development of the disease, you must consult a doctor to prevent complications from occurring.

    If arthrosis is detected early, curing the disease is much easier and faster.

    Osteoarthritis of the knee joints and its stages

    There are three main stages of the disease. The very initial stage is also highlighted separately, in which X-ray images do not show any abnormalities, but swelling forms in the area of ​​the knee joints.

    Due to the low severity of symptoms, patients always pay attention to such manifestations of arthrosis, but doctors recommend not to lose sight of these signs of the disease.

    1. With arthrosis of the first degree, changes are observed in the area of ​​cartilaginous tissue. They lose elasticity, which causes increased friction of the articular surfaces against each other. After some time, cracks form in the cartilage and swelling appears in the knee area. Patients feel acute but quickly passing pain during movement and physical activity.
    2. With arthrosis of the second degree, existing symptoms intensify and new ones appear. The bones of the joints begin to be compressed even more. The cartilage is practically worn out. The pain becomes stronger and more frequent, and can occur even with the slightest physical exertion on the legs. It is difficult to bend and straighten the knees, and the joints make a cracking sound.
    3. With arthrosis of the third degree, the knee joint is completely deformed. In this case, there are no joint spaces. The patient feels severe pain, even if he does not make active movements and does not load the joints. It is difficult to move the knee.
    4. If you seek medical help in a timely manner and do not let the disease progress, arthrosis can be cured effectively and very quickly at an early stage.

      Meanwhile, if treatment is refused, the patient will have to undergo surgery.

      Why does arthrosis of the knee joints develop?

      This disease does not develop on its own; various factors contribute to its appearance. The main and most common causes of arthrosis are:

    5. The patient is overweight. As doctors note, being overweight increases the risk of developing the disease three times. This is primarily due to the increased impact on cartilage surfaces, which have a very thin and fragile structure.
    6. Excessive physical activity. This applies to people who play professional sports. Due to severe wear and deformation due to aggressive loading, arthrosis can become chronic.
    7. Leading an incorrect lifestyle. Alcohol and smoking have a particularly negative effect on the condition of blood vessels and arteries. With varicose veins, there is a high probability of developing arthrosis. Since the main load falls on the knee joints, the knees are susceptible to damage.
    8. In conscripts, the cause of the development of arthrosis may be:

    9. The presence of severe injuries on the lower extremities, sprains, complex fractures, dislocations.
    10. Engaging in professional sports, especially football, hockey, weightlifting.
    11. The presence of complications after an inflammatory process.
    12. The presence of joint dysplasia, that is, a congenital pathology of the physiological structure of the joints.
    13. Are people conscripted into the army with arthrosis?

      Many young people who are diagnosed with arthrosis of the first and second degrees are interested in whether they are fit for conscription with a similar disease. First of all, it depends on how severe the disease is, what stage of arthrosis the conscript has, and whether there are concomitant diseases.

      Before making a verdict, a young man with suspected knee joint disease undergoes an X-ray examination so that the doctor can obtain detailed information about the condition of the joints.

      An X-ray image reveals how strong the bone growths are and the degree of narrowing of the interarticular space. After this, the patient is sent for examination to a rheumatologist and traumatologist.

      An X-ray image is used to determine the degree of deformation of the knee joints and displays the angle of deviation from the normal positions of the bones. Based on the data received, the doctor writes a conclusion, after which the question is decided whether the young man is fit to serve in the army.

      To make a decision on the fitness or unfitness of a conscript, a special medical commission is convened, which makes a conclusion. When considering the issue, the medical commission primarily pays attention to the following factors:

    14. Degree of disease.
    15. The presence of concomitant diseases - flat feet, kyphosis, and so on. As a rule, they are not conscripted for military service if the conscript has arthrosis of the knee joint, a disorder of the midfoot joint, or stage 3 flatfoot. Most often, such diseases are accompanied by severe pain.
    16. How does arthrosis occur? With arthrosis of the first and second degrees, the patient feels severe pain, the lower limbs cannot fully move and the joints wear out. For this reason, people with such symptoms are not drafted into the army.
    17. Is there deformation of the knee joints and how severe is it? This applies especially to arthrosis of the second and third degrees.
    18. How worn out is the cartilage tissue of the knee joints? This includes assessing the condition of the joint spaces. If the constriction is severe, the young man is removed from the military register.
    19. In addition to conducting a medical examination, the Schedule of Diseases is studied. This document indicates the entire list of diseases for which a conscript is entitled to a deferment or refusal to serve in the army. According to these documents, a conscript is written off from the military register:

    20. In case of arthrosis of the second degree, if the size of bone growths is more than 1 millimeter, the interarticular space is narrowed by more than two times, the joints are deformed, and subchondral osteosclerosis is observed. Meanwhile, the note “fit” is entered in the personal file.
    21. With arthrosis of the third degree, when bone growths are clearly expressed, the joints are deformed, and there are no joint spaces. Such a diagnosis completely exempts you from military service.

    With arthrosis of the first degree, a conscript is not deregistered from the military register, that is, he is considered fit for military service. The young person is assigned fitness category B.

    Are young people with arthrosis of the knee joint accepted into the army?

    It is believed that arthrosis of the knee joint is the lot of adults over 40 years of age. However, this judgment is incorrect, since this disease can also develop in young people. At a young age, boys are more likely to suffer from arthrosis of the knee joint. And it is quite natural that, along with questions regarding the treatment of the disease, they are also concerned about whether people with arthrosis will be accepted into the army. It is impossible to answer this question unequivocally, since everything depends on the stage of the disease, the severity of the course and the degree of damage to the joint.

    Osteoarthritis of the knee joint: the essence of the problem

    Arthrosis is a disease characterized by a destructive process in the joint area. Among all types of arthrosis, doctors consider the destruction of the knee joints to be the most common. This type of arthrosis is also called gonarthrosis. As a rule, adults aged 40 years and above are susceptible to this disease. Among patients with this diagnosis, there are more women. However, younger people are also susceptible to this disease. Among young patients, the majority are people who professionally engage in sports, especially heavy sports - athletics, running, jumping.

    The disease is characterized by the following symptoms, which you must pay attention to:

    • painful sensations that are observed even with the slightest physical exertion on the knee and hip joints;
    • the pain goes away if the affected joint is at rest;
    • increased frequency of pain, which forces a person to give more and more rest to the sore limb;
    • Over time, pain occurs at night;
    • the affected joint reacts to weather changes (“twists”);
    • the mobility of the affected joint is impaired, which is accompanied by a difficult process of flexion and extension of the limb;
    • changes in the joint itself are observed, the severity of which depends on the stage of the disease.
    • Over time, these symptoms become increasingly worse. Therefore, it is very important to consult a doctor when you notice the first, barely noticeable signs of inflammation of the knee joint. The earlier the disease is detected, the more effectively and quickly it can be treated, preventing knee deformation and other complications.

      Osteoarthritis of the knee joint: stages of disease development

      Doctors distinguish 3 stages of the disease. However, it is customary to separately highlight the very initial stage of the development of the disease, at which it is extremely difficult to diagnose arthrosis, since even x-rays do not show any abnormalities or deviations from the norm. The initial stage is characterized by only slight swelling in the joint area. But this symptom is so mild that patients do not pay due attention to it. However, over time, the symptoms become more pronounced and varied, and the picture of the disease becomes clearer.

      1. Arthrosis 1st degree. This stage is characterized by changes in the cartilage area. At the same time, its elasticity deteriorates, which leads to increased friction of the joint surfaces. Over time, cracks form on the surface of the cartilage. In addition, there is slight swelling in the knee area. Painful sensations in patients with arthrosis of the 1st degree are transient, but at the same time they are pronounced.
      2. Arthrosis 2 degrees. At the second stage of the disease, the symptoms characteristic of stage 1 disease intensify and new ones appear. So, the articular bones begin to put even more pressure on each other. The cartilage is almost completely worn out, it is practically gone. Painful sensations become very intense and frequent, occurring even with the slightest physical activity on the lower limbs. Problems with mobility begin, which are accompanied by a difficult process of flexion and extension of the limb at the knee. At the same time, the knee crunches a lot.
      3. Arthrosis 3 degrees. This is the last stage of the disease. It is characterized by complete deformation of the knee joint. In this case, there is no joint space. The pain plagues the patient even when there is no physical activity on the affected limb, and movements are severely limited.
      4. If the patient seeks medical help in the early stages of the disease, it can be treated effectively and quickly. However, if you wait until the last stage, you cannot do without complex surgical intervention.

        Osteoarthritis of the knee joint: causes and risk group

        Arthrosis does not occur out of the blue. Like any other pathological process, it has its causes. The most common ones are the following:

        1. Excess weight. Doctors state that obesity increases a person’s susceptibility to developing arthrosis by 3 times. This is due to the increased impact on the cartilage surface, which is very fragile and thin.
        2. Excessive physical activity. In this case we are talking about professional athletes. Often arthrosis is their occupational disease, since the joints are severely worn out and deformed as a result of constant aggressive loads.
        3. Wrong lifestyle. In particular, smoking and alcohol abuse, which negatively affect blood vessels and arteries, and varicose veins also increase the risk of arthrosis.
        4. As a rule, it is the knees that suffer, since they bear the main load, and they are the ones that support the weight of the person’s body. The weakest link is the joints.

          Causes of arthrosis in conscripts

          Doctors identify a number of reasons why a young man who is drafted into the army may have arthrosis. These usually include the following:

          • injuries: sprains, complex fractures of limb bones, dislocations;
          • sports career, especially in football, hockey, weightlifting;
          • past inflammatory processes with complications;
          • joint dysplasia, that is, a congenital pathology of joint physiology.

          Many young people who have arthrosis of the 1st or 2nd degree are interested in whether they are accepted into the army with a similar diagnosis (with a disease of the 3rd degree, of course, there is no talk of any service in the army). Whether a conscript with a similar problem will be accepted into the army or not depends on many parameters. In particular, on the degree of the disease and the severity of its course, on concomitant diseases and the degree of damage to the joint. In any case, young people with suspected arthrosis are sent for an X-ray examination to get a clear picture of the disease.

          An X-ray allows you to assess the condition of the joint: whether there are osteophytes, that is, bone growths, whether the interarticular space is narrowed. Next, the conscript undergoes examination by a rheumatologist and traumatologist. Based on the image and personal examination, the doctor determines the degree of deformation of the joint and calculates the angles of deviation from the normal position of the bone. Based on the doctors' opinions, the question of whether to take such a conscript into the army or not is subsequently decided.

          Osteoarthritis of the knee joint and military service

          In order to make a verdict on the fitness or unfitness of a conscript, a special medical commission is convened, which makes a conclusion. So, what do doctors pay attention to first of all:

          1. Degree of arthrosis.
          2. Concomitant diseases: flat feet, kyphosis, etc. Typically, young people are not drafted into the army if they have arthrosis of the knee joints and joints of the midfoot and with flat feet in the 3rd stage of development. These pathologies are accompanied by intense pain and exostoses.
          3. The nature of the course of arthrosis. The disease in degrees 2 and 3 is accompanied by pain, poor mobility and wear and tear of the joints, which makes military service impossible.
          4. Presence and severity of joint deformities. This is especially true for grade 2 and 3 arthrosis.
          5. The degree of wear of the cartilage. In addition, the condition of the joint space plays a role. If it is greatly narrowed, this is an indication for deregistration of the young man with the military registration and enlistment office.
          6. Thus, it is impossible to answer unequivocally whether conscripts with arthrosis are accepted into the army. In addition to medical examination, military registration and enlistment offices resort to the Regulations on Military Medical Examination, namely the Schedule of Diseases. This document is a list of diseases, in the presence of which a conscript may be recalled from military service or given a deferment. Arthrosis is also included in the Schedule of Diseases. At the same time, these are precisely the cases when, due to arthrosis, a conscript can be written off from the military register:

            1. Arthrosis 2 degrees. If there are osteophytes larger than 1 mm and a narrowing of the joint space by more than 50%, joint deformation and subchondral osteosclerosis, then the conscript will not be accepted into the army. However, in the personal file they still mark it as “passable”.
            2. Arthrosis 3 degrees. At this stage, pronounced growths (osteophytes) and joint deformation are observed, and there is no joint space. Conscripts with this diagnosis are not accepted into the army.
            3. As for arthrosis of the 1st degree, in this case young people are not written off from the military register, that is, they are considered fit for military service. In this case, as a rule, they are assigned category B.

              Transverse flatfoot

              The feet are that part of the human body that undergoes heavy loads every day, supporting the weight of the entire body. Thanks to the correct structure of the foot, we can move normally on two legs and maintain balance. Foot deformation leads to severe disorders of the musculoskeletal system, so transverse flatfoot requires special attention.

              The disease often develops in childhood, but as the child grows, the pathology can be eliminated forever. In adulthood, transverse flatfoot can only be cured surgically. To avoid serious complications in the musculoskeletal system, it is necessary to begin treatment at the first symptoms of flat feet.

              The human foot is a rather complex mechanism, thanks to which the load during movement is distributed evenly, impacts on the ground are softened, and balance is established. The skeleton of the foot consists of three sections: metatarsus, tarsus and toes.

              Thanks to the complex structure of the skeleton, ligaments and muscles, the arches of the foot are formed. Properly formed arches ensure the normal performance of all of the above functions. But if there is a violation of the arches and they flatten, then they talk about flat feet. Transverse flatfoot is called flattening of the transverse arch of the foot, and if flattening of the longitudinal arch occurs, then longitudinal flatfoot is diagnosed.

              Normally, the foot has 3 points of support, these are the heads of the first and fifth metatarsal bones, as well as the heel. But with flat feet, the fulcrum points change, due to which the load is distributed incorrectly, and the foot ceases to absorb impacts normally. As a result, pain occurs in the foot itself, as it begins to get tired, and the ankle, knee and hip joints also suffer due to constant shock and vibration.

              Transverse flatfoot can develop for a variety of reasons; the pathology occurs in both children and adults.

              The main causes of flat feet:

            4. connective tissue pathologies;
            5. weakness of the ligamentous apparatus;
            6. hereditary predisposition;
            7. a passive lifestyle, which causes muscles to become weak;
            8. obesity, large excess weight, pregnancy, when the load on the feet increases greatly;
            9. heavy physical activity, constant carrying of weights;
            10. Incorrectly chosen shoes are one of the main causes of flat feet.
            11. According to doctors, flat feet most often develop due to excess weight and wearing bad shoes; for this reason, the disease occurs several times more often in women than in men. The development of flat feet is promoted by wearing narrow shoes with high heels, as well as shoes with flat soles.

              It is very important to pay attention to the presence of a small heel of up to 1.5 cm when buying shoes for children. This is necessary for the correct formation of the arches of the feet as the child grows. Properly selected shoes will help prevent flat feet as your baby grows up.

              Many patients are interested in what flat feet are and how to determine its presence in a child or an adult. The symptoms and treatment of transverse flatfoot are generally the same; in order to identify the pathology, a simple test must be performed. You need to wet your foot and stand with it on a sheet of clean paper, a wet imprint will remain.

              Flat foot test

              The notch that appears on the print in the center should exceed half the length of the entire foot in width. If the notch is too short, then it can be assumed that the person has flat feet.

              It is worth noting that this method is not suitable for children, since children have physiological flat feet, which does not need to be treated. Only an orthopedic doctor can say for sure whether everything is normal in an adult and a child, so if you have any suspicions, you need to visit a specialist.

              Flat feet are accompanied by the following symptoms:

            12. The legs get tired quickly, and at the end of the working day heaviness begins to appear;
            13. Aching pain appears;
            14. Over time, the shins and thigh muscles begin to ache, this is due to uneven distribution of the load;
            15. Feet swell;
            16. There are difficulties with choosing shoes, they press and rub, so you have to buy shoes a size larger.
            17. Depending on the appearance of symptoms of the disease, 3 degrees of flatfoot are distinguished. Flatfoot of the 1st degree is characterized by weakening of the ligaments, in this case there is no visible deformation, and unpleasant sensations arise during prolonged walking and disappear after a night's sleep.

              Level 2 flat feet can be seen with the naked eye, the foot flattens and becomes wide. Patients complain of more severe pain, which can be constant and with minor exertion. Flat feet of the 2nd degree changes the gait, the patient may limp and bend the toes inward, then they speak of clubfoot.

              Flat feet of the 3rd degree is the most severe stage of the disease, severe pain appears, it spreads to the ankle and knee joints. Such foot disorders are accompanied by pathologies of the spine and joints; the patient is diagnosed with scoliosis, arthrosis and other pathologies. In advanced cases, patients cannot move normally without special shoes.

              There are also types of flat feet, depending on the angle of deviation of the big toe and the angle between the bones of the metatarsus. Normally, the first indicator is less than 14 degrees, and the second is less than 9.

            18. First-degree flatfoot is characterized by deviation of the toe by 14-20 degrees, and the deviation of the metatarsal bones by 10-13.
            19. Flat feet 2nd degree by 20-30 degrees and 13-15.
            20. Flat feet 3rd degree at 30-40 and 15-20.
            21. Grade 4 is characterized by a deviation of more than 41 degrees for the big toe and more than 20 for the metatarsal bones.
            22. The higher the degree of flatfoot, the greater the likelihood of complications. Thus, foot pathology can cause diseases such as arthritis, arthrosis, osteochondrosis, radiculitis, scoliosis, intervertebral hernias, heel spurs, and varicose veins. And this is not the entire list of dangerous diseases.

              Only an orthopedist can correctly diagnose pathology, especially in children. You should not try to undergo treatment on your own or choose shoes, as you can harm your feet even more.

              At the first appointment, the doctor will examine the foot; as a rule, this is enough for an experienced doctor to make the correct diagnosis and prescribe treatment. In severe cases, it may be necessary to undergo a series of tests to accurately determine the severity of the disease.

              To do this, the patient will be sent for x-rays to study the degree of deformity of the foot, and may also require electromyography to detect muscle weakness. Modern diagnostic methods make it possible to accurately diagnose and identify the degree of transverse flatfoot.

              Patients who are faced with a similar pathology are interested in how to treat flat feet. In children, treatment for flat feet is carried out using conservative methods, since the bones in children are still growing, they are flexible and are able to return to the correct position.

              For an adult, conservative treatment will not help get rid of the problem forever, but will only alleviate the condition and prevent the leg from further deforming. Treatment of flat feet in the final stages in adults is carried out surgically; the operation is complex and painful, but it helps to restore the person’s ability to move independently.

              To avoid surgery, you need to start treating flat feet as early as possible, before severe pain and severe deformation appear. Conservative treatment will help stop the progression of the disease, and the patient’s condition will significantly improve.

              Treatment of flat feet consists of the following measures:

              Therapeutic exercises are necessary to strengthen the muscles of the foot. Weak muscles cannot normally withstand the load, which is why all the weight during movement is transferred to the joints and bones, deforming them and destroying them. Massage will help improve blood circulation in tissues, relieve inflammation and pain.

              Orthopedic insoles must be used for flat feet; they help place the foot in the correct position and prevent further deformation. Orthopedic insoles also help relieve the patient from pain, corns and calluses; they are also used to prevent disease.

              Orthopedic insoles and shoes need to be selected correctly; it is best to entrust this process to an orthopedic doctor. The specialist will be able to identify the extent of the disease and prescribe a suitable model of insoles.

              Physiotherapy is necessary to improve blood circulation, relieve pain and fatigue in the legs, and is prescribed by a podiatrist if necessary. Also, for severe pain, analgesics and non-steroidal anti-inflammatory drugs are prescribed internally and externally.

              If a patient is diagnosed with third degree flatfoot, conservative treatment is ineffective, and the quality of life is severely deteriorating, surgical intervention is necessary. Various operations are performed, in some cases it is necessary to correct bones, in others muscles.

              Young people of military age are interested in the question of whether they are accepted into the army if they have flat feet. This pathology is quite common in our time, and with sore legs a person cannot play sports, which is necessary for military service.

              To answer accurately whether they are recruited into the army if they have a flattened foot, you need to figure out what degree of disease the conscript has. In the army there are 4 degrees of the disease:

            23. Grade A is characterized by serious violations, in which case they are not accepted into the army.
            24. grade B is characterized by the presence of moderate dysfunction of the foot. Whether one is accepted into the army with such a degree cannot be given a definite answer; in this case, the conscript is sent to the reserves in peacetime, but in wartime he is fit for service.
            25. grade B is characterized by minor dysfunction of the foot, in this case the conscript is sent to the reserve, as with grade B.
            26. degree G is characterized by the absence of dysfunction of the foot; in this case, they will be accepted into the army, but some types of troops are prohibited.
            27. It is possible to say for sure whether a person will be accepted into the army in a particular case only after passing a medical examination. Doctors will send the conscript for x-rays and conduct an external examination. If the changes are minor, they may provide a temporary delay for treatment. The conscript will be prescribed to wear orthopedic insoles, engage in physical therapy, after which he will have to undergo a medical examination again.

              We figured out what transverse flatfoot is and how to treat it, whether people with flatfoot are drafted into the army, but it is best to prevent the development of the disease, but to prevent it in time.

              Prevention of flat feet is as follows:

            28. Proper footwear must be worn;
            29. Obesity should not be allowed;
            30. When working hard, you need to wear orthopedic insoles, and also give your feet a rest, conduct contrast baths in the evenings and massage;
            31. It is very important to consult with an orthopedist at least once a year to find out about the disease at an early stage.
            32. The state places serious demands on the health of future soldiers. At the same time, the list of possible diseases that do not interfere with military service has expanded; grade 2 flat feet is included in the list.

              Degrees of flat feet and suitability for conscription

              Until recently, it was possible to get out of the army with second-degree flat feet. Upon receipt of category “b3”, an exemption or deferment from military service was issued. Taking into account new changes in the law from January 1, 2014, which are still in force today, the second degree of flat feet does not prevent service in the Armed Forces. There is no provision for deferment. To the question: “Are people with flat feet accepted into the army?” - the answer will be: “They will take into the troops, with the first degrees of development.” Exemption or deferment from service is given for grades 3 and 4. The type of disease is divided into degrees:

            33. 1st degree, suitability for category “a” – the longitudinal inclination of the foot is no more than 140 degrees, the height of the foot is up to 25 mm. A conscript with level 1 flat feet is required to serve; it will not be possible to “slope.”
            34. 2nd degree, suitability for category “b3” – the longitudinal inclination of the foot is no more than 155 degrees, the height is up to 24 mm. A conscript is required to serve in the army; it cannot be avoided.
            35. 3 and 4 degrees, suitability in category “b” - complicated, the angle of inclination in the category is more than 155 degrees, height - less than 17 mm. For both degrees of the disease, an exemption or deferment from military service is given.
            36. With flat feet of the 3rd and 4th degree, conscripts are exempt from military service and are enlisted in the military reserves for peacetime. A military ID is issued after confirmation of the degree of flat feet and scoliosis. The factor is explained by the fact that grades 3 and 4 flat feet have pronounced symptoms:

            37. Pain syndromes in the area of ​​the knee, hip and ankle joints;
            38. Exostoses;
            39. Contracture of fingers;
            40. Presence of arthrosis of the foot;
            41. Possibility of curvature of the skeleton of the musculoskeletal system;
            42. The occurrence of scoliosis.
            43. Checking flat feet at the military registration and enlistment office, x-ray

              Military registration and enlistment office employees initially use a conservative method of checking for flat feet - plantography, determining the presence of flat feet “by eye”. A layer of iodine or fatty cream (or oil) is applied to the conscript’s foot, and the young man steps with his “marked” foot on a blank sheet of A4 paper. Based on the remaining trace, representatives of the military registration and enlistment office diagnose the degree of flat feet.

              An additional method of checking for flat feet at the military registration and enlistment office is to check the hollow of the foot with your hand. The conscript stands straight, facing forward. The military registration and enlistment office employee places his hand under the inner surface of the feet from the side of the inner recess. If the foot is healthy, the joints of the toes extend one and a half phalanges under the notch. If the joints of the fingers extend less than the phalanx, or do not extend at all, flat feet are diagnosed, and the conscript is sent for an x-ray.

              When confirming grade 3 flat feet, to determine suitability, the conscript is sent for an x-ray of the foot with tactile stress to the x-ray room. The X-ray image is inserted into the conscript’s file with detailed descriptions of the advanced disease. Subject to X-ray confirmation of the 3rd degree, they receive a military ID. If an X-ray reveals first-degree flat feet, the conscript will not be able to recede, the soldier is sent to serve in the army, his suitability is beyond doubt.

              Signs of further development of flat feet

              Flat feet is an insidious disease; it does not manifest itself for a long time and does not cause inconvenience, until a certain time. The first most important signs of the development of flat feet and scoliosis are the appearance of crunching in the joints of the musculoskeletal system of the human skeleton and pain in the lumbar region, in some cases it is possible to develop headaches.

              From the moment the first crunches occur in the knee, ankle and hip joints until the complete destruction of the joint, a long period of time passes, developing over a number of years. The appearance of crunches in the knees, ankle joints, and hip joints signals that the cartilage joint tissue has begun the process of destruction due to the loss of shock-absorbing functions of the arches of the feet.

              The time of joint destruction decreases faster with increased physical activity; the impact force on the joints is greater than during normal walking or running. The impact load on the articular surfaces in the process of hitting each other will lead to serious consequences. To avoid the process of surgical intervention, it is necessary to treat flat feet in the early stages.

              Treatment methods for flat feet in military conditions

              The soldiers' military uniforms have been modernized; instead of heavy tarpaulin boots, soldiers wear comfortable ankle boots. For comfortable service, reducing the load on the joints and feet, special orthopedic insoles have been developed - arch supports. They support the longitudinal transverse arch of the foot, unloading it and returning the function of springy shock absorption, interfering with the process of walking and unloading the knee joint. This will avoid serious consequences and ease the load on the joints, reducing pain syndromes when they occur.

              You should choose orthopedic insoles taking into account your age, body type and upcoming types of physical activity. It is recommended to wear orthopedic insoles every day, including after military service, otherwise complications may develop. Army combat boots are maintained in good condition in order to wear insoles with them; the sole should not be worn out, otherwise the orthopedic insole will not bring any benefit; on the contrary, it will cause harm to the sore foot.

              An effective method for combating flat feet in military conditions will be self-massage of sore feet before bed. Massage actions help improve blood circulation, bring muscles into a mode of restoring working functionality, helping to prevent joints from impacting each other. A massage of the ankles and feet will relieve excess tension and fatigue in the legs, improving sleep.

              Among other things, it is permissible to treat flat feet with the help of simple gymnastic exercises:

            44. Pulling the toes in opposite directions: towards oneself alternately with pulling away from oneself;
            45. Movement of the feet in a circle;
            46. Confident walking on your heels;
            47. Intensive walking on toes;
            48. Flexion and extension of the ankle muscles;
            49. Walking barefoot on various uneven surfaces;
            50. Manipulations for collecting the smallest objects with the toes: pen caps, buttons, thread spools.
            51. The main task in treating flat feet in military conditions is patience and continuous exercise, even two minutes of gymnastics before bed, massage in combination with wearing orthopedic insoles.

              What kind of flat feet are not accepted into the army?

              Men with diagnosed scoliosis and flat feet of the third or fourth degree are not called up for military service. Flat feet of the third degree can be longitudinal or transverse. If a young man has developed transverse flatfoot and there are no signs of arthrosis or scoliosis, the possibility of military service is not excluded. In the case of longitudinal changes in the foot, the development of symptoms of diseases is observed: arthrosis, osteochondrosis, scoliosis. The development of longitudinal flatfoot is accompanied by constant pain in the feet even with minor physical exertion; military service is not possible for young men with progressively developed flatfoot disease.

              When treating severe degrees of the disease, surgical intervention will be required; after the operation, the rehabilitation period will increase by months.

              What to do if flat feet progress in service

              In cases where scoliosis or grade 2 flatfoot disease begins to progress during military service, pain syndromes appear in the feet, knees and lower back, it is recommended to contact the medical unit. After staying in the hospital, you need to check the working condition of your feet. If pain due to scoliosis begins to increase, aggravated by constant fatigue, you should complete the procedure for discharge from the army, then consult an orthopedic doctor and undergo the prescribed course of treatment.

              At what degree of flat feet are they not taken into the army?

              Everyone, without exception, has heard that flat feet can be an obstacle to military service. Whether this is really true, and whether people with flat feet are accepted into the army at the present time, this article will help you figure it out.

              At an early age, all children are tested for flat feet, because... it may cause serious consequences in the future. It is important to diagnose this pathology at an early stage in order to begin treatment on time. Most children are diagnosed with flat feet, but the severity varies. In addition, in childhood one can hope that by adulthood the foot will become different.

              For a long time, there has been a myth that people with flat feet are not allowed into the army. This is too general a belief and does not include some details. Many high school students are confident that they will be able to avoid the army. Arriving at the military registration and enlistment office, confidence disappears, because... in many cases, flat feet do not become a reason for refusal to serve.

              Degrees of flat feet and call

              Flat feet have 4 degrees. Depending on the stage of the conscript, the verdict set by the military registration and enlistment office differs.

            52. First degree. If a young person is diagnosed with “flat feet of the 1st degree”, his fitness category is “A”. It gives the conscript the right to serve without any restrictions. Upon examination, the doctor sees the angle of inclination of the foot no more than 140 degrees with longitudinal flatfoot and no more than 12 degrees with transverse one.
            53. Second degree. Previously, if you had second-degree flat feet, you couldn’t join the army. But some changes in laws have changed the situation, so now such conscripts can serve with some restrictions. Those troops that require perfect health will not accept a guy, but you can get into a regular military unit. With longitudinal flatfoot, the angle of the internal arch should not exceed 155 degrees, and with transverse flatfoot - no more than 15 degrees.
            54. Third and fourth degrees. Many people are interested in whether people with flat feet of 3 or 4 degrees are recruited into the army, because the deformation in this case is more noticeable and brings discomfort. Only in this case they have no right to call. A young man at the military registration and enlistment office is given an exemption from service in peacetime.
            55. Flat feet due to arthrosis

              Only those young men who have flat feet without arthrosis have the right to be recruited into the army. In the center of the foot, arthrosis destroys cartilage tissue and provokes inflammation. As a result, contractures and exostoses occur. Arthrosis is accompanied by severe pain. All this happens against the background of third-degree flatfoot of any kind. They must not accept such a young man into the army.

              How is diagnostics carried out?

              Specialists at the military registration and enlistment office can use the old method to determine flat feet - a thick cream is applied to the foot and the drafted young man stands on a piece of paper. This method allows you to quickly, “by eye,” determine the degree of deformation.

              Modern methods for determining the degree of flat feet include radiography and computed tomography. If the flatfoot is grade 3, then an x-ray is necessary before the army - the image is sewn into the file. In the event that the flatfoot is of the first degree and x-rays confirm this, suitability is beyond doubt.

              There is plantography - a procedure with which you can make a foot print using a special device. The device will show the shape of the foot and allow the doctor to see how the pressure is distributed under the feet.

              How to treat flat feet in the army

              Now the form has been so improved that even with flat feet a young man may not experience discomfort. Instead of tarpaulin boots there are now ankle boots. To prevent flat feet from bothering you in the army, you can use special orthopedic insoles. They provide good support to the longitudinal and transverse arch of the foot, relieving some of the load from it. Thanks to this, you can avoid complications, ease the load on the joints and reduce pain.

              Insoles should be selected in accordance with age, body type and type of upcoming load. It is advisable to wear them daily, even after finishing military service, in order to prevent complications. The boots must be in good condition, then you can wear them with insoles. It is not allowed for the sole to be worn down, otherwise the insoles will only cause harm.

              Another treatment method is self-massage before bed. This helps improve blood circulation and restore normal functionality. In addition, calming movements will be a good way to improve sleep.

              Some exercises will help cure grade 1 flat feet:

            56. Pulling your toes in different directions - towards yourself and away from you.
            57. Circular movements of the feet.
            58. Walking on heels and toes.
            59. Walking on uneven surfaces.
            60. Collecting various small objects with your toes.
            61. What to do if the disease progresses in service

              In the event that level 2 flat feet and the army become incompatible due to an exacerbation, you must contact the medical unit. You may need to spend some time in hospital to monitor the condition of your feet. If the pain increases and fatigue increases, the conscript should be discharged from the army and referred to an orthopedist for treatment. It is impossible to completely get rid of flat feet; you can only maintain the condition. Sometimes surgery is required.

              It is important for a conscript who wants to be released from the army to remember some points:

              • It is necessary to take with you to the military registration and enlistment office prepared documents that confirm the third degree of flat feet. Without them, they can give you the first or second degree with which you can serve.
              • All documents must be issued by a government agency. Conclusions from a private medical center, no matter how prestigious it may be, are not taken into account.
              • The military registration and enlistment office may ask you to take off your shoes to see with your own eyes the extent to which flat feet are developed. Then they will ask you to lean against the wall so that there is no load on the foot and visually flat feet are not observed. You can't fall for such tricks. Only medical documents are reliable.
              • Mothers of little boys should not count on a deferment from the army just because an orthopedist saw flat feet. Time will pass, by the age of 16-18 the foot will be completely formed, and then the issue regarding the army can be resolved.

                Will people with flat feet of 1st, 2nd, 3rd or 4th degree be accepted into the army in 2018?

                The autumn conscription ended quite recently. To this day, there are cases when a poor young man can be taken into the valiant ranks of the Russian army almost on New Year's Eve. However, that's not what we're talking about. The previous recruiting campaign is about to end, and the next one is already inexorably approaching - the Spring conscription. Many young guys with undisguised fear are waiting for the approach of April 1, 2018, when the doors of domestic military registration and enlistment offices will cordially open their doors to fresh, or as they usually call “young” conscripts in the army.

                From a very young age, boys who want to get out of the service know the right way to get out of work - you need to take off your shoes and briskly splash on the concrete with your bare feet. For what? To develop the coveted flat feet - some incomprehensible disease that does not cause its owner any trouble or inconvenience, but miraculously allows one to avoid the fate of enlisting in the orderly ranks of soldiers of the Armed Forces of the Russian Federation.

                Let's figure out together what this flatfoot is and whether it truly helps to avoid service, as they say.

                What is flat feet?

                Before delving into the deep matters of regulations that actually regulate the issue of commissioning during a military medical commission due to the discovery of flat feet in a conscript that interferes with military service, let’s define what the disease flat feet itself is.

                In the broadest sense, flat feet are characterized by the shape of the foot, in which its longitudinal or transverse arch drops. We are talking about the same lifting of the inner part of the foot. You can make sure by standing on your feet that in a healthy person this part does not touch the floor.

                Below is an illustration depicting foot prints (healthy on the left, pathological on the right):

                So, due to the fact that the human foot has two types of arches - longitudinal and transverse, medical science distinguishes the following categories of flat feet:

              • Longitudinal flatfoot.
              • Transverse flatfoot.
              • Flat feet have many factors and causes for its appearance in humans. For example, its occurrence directly correlates with excess weight gain. The more extra pounds a person gains, the greater the load the foot bears, and therefore the longitudinal form of flatfoot arises and progresses. However, I will warn young men from the desire to acquire the stage of obesity - the above described occurs mainly in women . Men have stronger and thicker bones.

                In general, it is customary to distinguish types of flat feet depending on its origin:

                An extremely rare form, which is diagnosed in no more than five percent of patients suffering from flat feet. This form cannot be detected before the age of six, due to the special morphology of children's limbs.

                This includes the appearance of the disease due to fractures of the ankle, heel, and tarsal bones (those small bones that form the arch of the foot).

                Here, flat feet appear due to paralysis of the foot muscles due to illness.

                When muscle activity deteriorates, for example, with a constant immobile, standing lifestyle or, on the contrary, working while sitting, with excessive weight. This form is an overwhelming factor in acquiring the disease.

                As the name suggests, it is acquired as a result of rickets, a vitamin D deficiency.

                Further, it is customary to divide flat feet into degrees. This differentiation is most important in determining the fate of the conscript. Therefore, let us dwell on it especially.

                Degrees of flat feet

                First, we point out that you can read all the necessary information described below in the Decree of the Government of the Russian Federation dated July 4, 2013 N 565 (as amended on March 30, 2017) “On approval of the Regulations on military medical examination”, just check the current year of edition - 2018.

                The military medical commission diagnoses this degree if the conscript has a flat foot with a longitudinal shape - an angle of no more than 140 degrees of inclination, with a transverse shape - no more than 12 degrees.

                I will upset, or maybe, on the contrary, please, young conscripts right away - this degree of flat feet does not interfere not only with serving, but also does not prevent the conscript from being classified as “A” fitness category. This is because those with this degree of flatfoot often do not even suspect the presence of foot deformity. If a person can engage in any activity without restrictions, perform any physical activity and enjoy sports on an equal basis with everyone else, it would be strange if such a young man were exempted from military service.

                Flat feet of the second degree

                The military medical commission diagnoses the second degree if the conscript has flat feet with a longitudinal form - an angle of no more than 155 degrees of inclination, with a transverse form - no more than 15 degrees.

                There is all the hype around second degree flat feet. Indeed, previously, with this degree, they were not drafted into the army, but were given the category of limited fitness. However, no more than two years ago, the military changed the situation. It is unlikely that citizens with a built-in degree of flat feet began to feel less discomfort during marches; most likely, the demographic crisis of the nineties had an effect, which is why today it has become incomparably more difficult to ensure the occupancy of military units.

                A young man diagnosed with the second degree of flatfoot should not count on elite branches of the military, but service in ordinary units - in motorized rifles, artillery, the national guard and the like cannot be avoided.

                As children of the 2000s approach conscription age, the situation with conscription will improve, and the attitude towards the second degree may also change, but this is far from certain. It remains to be advised to either accept it or play for time waiting for positive changes in the schedule of illnesses. Perhaps by then conscription service will be completely abolished, as is constantly being predicted.

                Flat feet of the third and fourth degrees

                With these degrees, everything remains unchanged - they will not be recruited into the army and are not going to for the next few years. It is physically impossible to serve with foot impairments of this order. Therefore, in peacetime, they are barred from joining the troops. You can safely come to the regional military registration and enlistment office, where you will be given a fitness category of “B” - limited fitness.

                Upon reaching conscription age, every young man suffering from flat feet wonders whether he can be discharged due to this disease or whether this will not be an obstacle to service. If you have flat feet, long-term physical activity on your legs is not recommended. But it’s not hard to guess that no one in the army will take care of this. To avoid harm to health, a young conscript needs to be aware of the existing standards on this issue, and know at what degree of flat feet he is unsuitable for military service.

                Flat feet and its varieties

                Normally, any person’s foot has two arches:

                Both arches are important and needed for softening (depreciation). In addition, they enable a person to maintain balance, not fall while walking, and partially facilitate the work of the lower extremities. If the arches of the feet become deformed for any reason, the doctor will diagnose flat feet.

                Dear readers! Our articles talk about typical ways to resolve issues, but each case is unique and must be resolved individually!

                8 (499) 703-35-33 ext. 620 Moscow and Moscow Region

                8 (812) 309-06-71 ext. 272 St. Petersburg and Leningrad Region

                8 (800) 777-08-62 ext. 249 Regions of the Russian Federation

                Based on the available codes, two types of the disease are distinguished:

              • Longitudinal flatfoot;
              • Transverse flatfoot;
              • Combined flatfoot.
              • Each variety is characterized by its own symptoms. Sometimes there is a combination of flat feet, consisting of two forms of flat feet. In addition, the disease is divided into:

              • Congenital. A rare phenomenon formed as a result of improper development of the child inside the mother's womb.
              • Acquired. This form of flatfoot can manifest itself at any stage of life and has its own subtypes:
                1. Static - appears as a result of deterioration in muscle activity.
                2. Rachitic - formed due to a lack of vitamin D, as a result of which the musculoskeletal system is weakened.
                3. Paralytic - the cause of this subtype of flat feet is polio.
                4. Traumatic – occurs due to bone fracture or damage.
                5. Passing a medical examination at the military registration and enlistment office

                  To get into the army, you must undergo a medical examination, where it will be determined whether there are flat feet or other diseases with which the conscript is unfit for service. To make a reliable diagnosis, the doctor sends the young man for an x-ray.

                  X-rays are taken in a standing position, when the load on the feet is maximum, in a transverse and longitudinal view. The pictures clearly show whether there is a disease or not. A computed tomography scan of the subtalar joint and a description of the deviations of the first toe and metatarsus (the part of the foot under the toes) are also necessary. If the result is positive, the doctor determines the type of flatfoot and its degree.

                  Attention! The conclusion is made by an orthopedic doctor in a medical institution; the military commissar only determines the procedure for admission in accordance with the documents received.

                  In addition, the military registration and enlistment office has its own medical commission, consisting of qualified doctors, which examines conscripts.

                  Each of them examines the young conscripts, makes his own assessment of the health status of each of the young men, reviews the conclusions with signatures and seals of doctors from medical institutions and assigns the appropriate degree of fitness for service in the army. There are five categories in total:

                6. “A” – fit for service.
                7. “B” – suitable with some restrictions.
                8. “B” – exempt from conscription.
                9. “G” – unfit for service for a certain period.
                10. “D” – not suitable.
                11. For the note! It must be remembered that the commission at the military registration and enlistment office must take into account chronic diseases that cannot be treated, as well as temporary diseases that interfere with service.

                  8 (812) 309-06-71 ext. 272 (St. Petersburg)

                  8 (800) 777-08-62 ext. 249 (Regions)

                  Provided that the medical commission of the military registration and enlistment office was unable to determine the degree of suitability of the conscript in the army, he is sent for additional medical care. commission. There, a re-examination of the conscript takes place, where a decision will be made whether to send the person for treatment, or he will bear military duties. The document must be certified by the signature of the heads. doctor, seal of the medical institution.

                  If a young man received a deferment from military service while undergoing a medical examination at the military registration and enlistment office for health reasons, then at the end of this period, or by the time of the next conscription, he must undergo re-examination (control examination). Medical examination is carried out by the draft commission. This commission can also conduct a control medical examination of those who share the previously issued result of a medical examination at the military registration and enlistment office.

                  Do people with flat feet join the army?

                  Flat feet are divided into four degrees. The verdict of the military registration and enlistment office will depend precisely on the degree of the disease indicated in the diagnosis.

                  Flat feet of the first degree

                  With the first degree, the conscript belongs to a special category “A”, which indicates that the conscripted young man can fully serve in the army. During a medical examination, the doctor determines that the angle of inclination of the foot is 140 degrees (no more) for longitudinal flatfoot and 12 degrees (no more) for transverse type.

                  There was a time when young people with the second degree of illness were not allowed to serve in the army. Then some points of the law changed, and conscripts with such a diagnosis already have the right to serve, although there are specific restrictions for them. The conscript will not be able to get into serious troops, but for a simple military unit it is quite rated. With the second degree of flatfoot, the arch of the inner part of the foot has up to 155 degrees, the transverse zone up to 15 degrees.

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