Is it taken to the army with flat feet of 1, 2 or 3 degrees?
At a certain age, the question often arises, how compatible are the flat feet of 1, 2 or 3 degrees and the army? Moreover, this is a rather common disease, flat feet of different degrees of complexity is very common. What is characteristic, run and load on the foot with such a disease are contraindicated, and the army ignores these contraindications. As a result, the disease in 2 years can seriously progress. Let's see what legislators of such countries as Russia, Ukraine and Belarus think about it.
How to be guided by a conscript?
To go or not to go, that's the question. .
As the largest of the countries in question is Russia, we'll start with it. In this case, the draftee should read the latest edition of Regulation No. 123 dated 25.02.2003, namely, "the schedule of illnesses. People with flat feet are particularly interested in the article number 68 of the section on musculoskeletal diseases. Having carefully studied this document, you will figure out yourself, "threatens" you with going to the army, or not.
A similar document in Ukraine is article 62 of the section "Diseases of the musculoskeletal system and connective tissues, their consequences", which is included in the "Order of Diseases, Conditions and Physical Deficiencies that determine the degree of fitness for military service".This document was approved by the order of the Minister of Defense of Ukraine No. 402 of August 14, 2008.Here you will find information on how to treat this disease when invoking the Ukrainian army.
It is recommended that Belarusians read article No.68 "Instructions on determining the requirements for the state of health of citizens with an addendum to the conscription section, conscription for urgent military service, reserve service, military service of reserve officers. ..".The title of the document is very long, so we give only the first part of it. This instruction was approved by Decree of the Ministry of Defense and the Ministry of Health No. 51/170 of December 20, 2010.
It should be noted that in this case the legislators of all three countries showed a rare unanimity, the issue of flatfoot 1 st, 2 nd, 3 rd degree and service in the army is considered everywhere the same way, and if you read the documents carefully, it seems thatthey were written by the same person, only in different languages. In general, we can say that the flat feet of the army of Belarus, Ukraine and Russia are perceived almost identically. How exactly - we look further.
On which groups in the army are flatfoot divided?
As we have already understood the similarity of documents, we will consider the matter in general. So, in all the lists there is a division of the disease into 4 groups.
Group "a" understands a serious violation of functions with flat feet, in this case the draftee falls into the category "D" and is considered unfit for service in the army.
Group "b" implies a moderate disruption of functions with flat feet, in this case the recruit is waiting for the category "B" - is limited( suitable for peacetime).Such a person receives a military ticket and goes to the reserve, he is released from the draft. A man of this category can be called into the army only in wartime.
Clause "c" describes minor violations of functions with flatfoot, in this case the recruit is waiting for all the same category "B".
The item "g" implies no violation of functions when there is objective data. Here the category "B-3" already goes, it is fit to serve in the army, except for some kind of troops. It should be noted that in the Ukrainian law the category does not sign, people with the item "g" simply get the status "good", but it does not change the essence.
What are the degrees of flatfoot and diagnoses
Degrees of flatfoot
When determining the degree of flatfoot, the physician should be guided by:
- the description of the radiograph in the standing position under the load. This description is made by the radiologist, it is he who determines the height and angle of the longitudinal arch;
- angle of Beler, which determines the degree of deformation of the calcaneal brush;
- computed tomography, which is performed in the coronary plane and should assess the condition of the subtalar joint;
- description of the parameters of the angular deviations of the first finger and the first metatarsal bone.
The diagnoses for position number 123 are distributed as follows:
a) horse, varus, hollow, heel, equinovarus, flat-valgus deformed foot, which was formed as a result of injuries or diseases, preventing the use of military footwear;B) third degree of flatfoot( transverse or longitudinal);
c) 2nd degree of flatfoot( only with arthrosis of the 2 nd degree);
d) 1st or 2nd degree of flatfoot( with deforming arthrosis of 1 st degree in the absence of contracture of fingers and exostoses).
The article states that flat feet of 1-2 degrees not accompanied by osteoarthritis is not an obstacle for military service.
It follows that longitudinal or transverse flat feet of the first and second degree will not cause the draftee to be placed in any of the "unpreserved" categories unless it is burdened by other diseases, but those draftees who found the third degree of flatfoot are "unfitin peacetime "and released from draft.
Who determines the degree of flatfoot?
This is the task of a doctor in a polyclinic, namely an orthopedic surgeon. Based on the above documents, he must draw a conclusion and make a diagnosis. Military commissioner himself can not diagnose , he simply does not have the right to do so. His task is only to determine the level of fitness for the service in accordance with the diagnosis of the doctor.
Flat feet: symptoms and treatment, longitudinal, transverse 1, 2, 3 degrees, orthopedic insole with flat feet |Orthopedics
Flattening is the deformation of the foot and its arch. In the overwhelming majority of cases, this acquired disease, which develops due to prolonged "standing" work, when wearing shoes with heels or with a narrow toe, when weight is set, when the bones and muscles of the foot begin to "press" an increasing number of kilograms. Among women, flat feet are found 3 times more often than men. The photos below show how the foot is deformed. Flattening leads to the development of other diseases, so it is important to conduct timely prevention and follow all the recommendations of the doctor if you are diagnosed with this.
Photos and types of flatfoot
If the flat feet are clearly expressed, it is noticeable even visually when examining the foot.
Doctors speak of such symptoms of flatfoot:
- pain in the foot;
- frequent fits of the fingers and muscles of the foot;
- shoes wear out more strongly from the inside;
- the foot in the area of the fingers becomes wider, so you have to change your shoes;
- "buzz" in the legs after a long walk.
Doctors-orthopedists distinguish the following types of foot deformities:
- Rickets flat feet, arises from lack of vitamin D,
- is traumatic, appears as a consequence of fractures of the ankles, bones of the foot and other,
- paralytic - the result of paralysis of limbs and foot muscles;
- longitudinal( the inner arch of the foot changes);
- transverse( deformed toenails).
Normally, the foot touches the floor with the heel bone, thumb and little finger, so on its inner side there must be a pronounced bend - the arch of the foot. The smaller the distance between the inner side of the foot and the floor, the greater the degree of longitudinal flat foot. Podologies( a physician dealing with foot problems and flatfoot) distinguish three degrees:
- there are no obvious visual signs of changes in the foot, but with prolonged walking there is fatigue and pain in the foot, swelling is possible;
- the inner arch of the foot disappears, while walking the pain extends to the ankles and lower legs;
- deformation of the foot is clearly pronounced, resulting in a change in the position of the bones in the shin and knee, so there are pains in the legs, knees, lower back, there is a headache. Normal shoes with this degree of longitudinal flat feet is not suitable.
Transverse flatfoot - symptoms and treatment
This type of flatfoot is characterized by a decrease in the length of the foot due to the divergence of the foot bones, as a result of which it is deflected towards the thumb and the medium is significantly deformed. Often on the thumb appears "lump" - a painful thickening.
Degrees of flatfoot
Like the longitudinal, transverse flat feet has several degrees. They differ in the level of curvature of the thumb and the appearance of corns.
flatness 1 degree. A longitudinal flat-foot 1 degree is diagnosed if the first finger is deflected by an angle of less than 20 degrees. In this case fatigue occurs with prolonged walking or stress. Under 2-4 fingers appear seals - natoptyshi.
Flattening of 2nd degree
The second degree of transverse flatfoot is called moderate and is characterized by a deviation of the finger by 20-35 degrees. Usually, pain and burning in the foot area become frequent, especially for a long time to walk in shoes. The nattoids occupy a large surface.
Flatness of 3rd degree
The first toe of the foot deviates by 35-50 degrees, which looks like a dislocation. The pain is permanent, on the foot of the foot, more and more. Often the third degree is accompanied by the development of bursitis - inflammation of the periarticular bag.
If the finger deviates more than 50 degrees, diagnose a 4 degree.
To determine flat feet in a domestic environment, you can apply a solution of the colorant to the feet, and then stand on sheets of blank paper the way you normally stand. If the inner bend is poorly expressed or the imprint differs from those listed below, it is worthwhile to see a doctor. This method of diagnosis is called planktography. The doctor will measure the angle between the two lines, one of which is drawn from the middle of the heel to the thumb, and the second from the same point to the second interdigital space. The final diagnosis is made based on X-ray images of the foot, performed in different positions.
In addition to longitudinal and transverse, there is a mixed flat foot, combining the characteristics of the first two.
Is the army taking a flat foot?
This question excites both conscripts who suffer from this ailment and their parents. Indeed, at 3-4 degrees of flatfoot walking causes painful sensations, and ordinary shoes are not suitable for the patient.
So, if a draftee is diagnosed with a flat foot 1 or 2 degrees, he is subject to service in the ranks of the armed forces. If it is longitudinal flatfoot 3 or transverse 3-4 grades( there is pain syndrome, finger contracture, arthrosis of joints and other serious deviations from the norm), then the boy or man is released from the call. However, he is given a military ticket and he is credited to the reserve with the record "limited to go."
With a flat-footed second degree, the recruit is given a B-3 fitness category, usually a non-combat service: a cook, a janitor, a builder.
Flattening in children treatment
Infants have imaginary flat feet due to subcutaneous fat in the foot. When the baby begins to walk, the muscles develop and the foot eventually assumes the correct outlines. Only by the age of three does the formation of the foot end. It is very important that the baby at the time wear the right shoes: with a rounded toe, firm back, on the heel to 1cm, inside is desirable insole insoles, which helps to form the arch of the foot. Categorically, you can not walk barefoot on a firm, level surface.
If during the intrauterine development the developmental defects of the foot were observed, the baby may have a congenital flat foot.
Children can also develop acquired flat feet. Its causes:
Treatment of flat feet 1, 2, 3 degrees
Flat-footedness is a very, very common problem, which many consider to be frivolous, letting everything go wild. But in fact such disease harms to all organism as a whole! And how to treat flat feet in adults and children? And is it treated, in general?
What is it?
Flattening is a condition in which the arch of the foot is flattened and deformed. Because of this, the foot can not perform its damping functions and distribute the load. In the normal state of the support, only the outer side of the foot should touch. This position is provided by the longitudinal and transverse vaults. As a result, it turns out that the load is distributed, all other bones perform their functions. But with flat feet, the weight of a person's body presses almost on the entire skeleton, including the spine. Because of this, the vertebrae can move, the cartilage and joints are subjected to compression( squeezing), may fail.
Everyone knows that with such a disease young people are not taken into the army. Now you must understand that this is quite true, because the entire locomotor apparatus can easily fail if a person will expose it to heavy loads.
Why does the disease develop?
Before you figure out how to cure, correct and prevent flat feet in a child or adult, it is worthwhile to find out the reasons for its development, since their elimination is an important point of getting rid of the problem and prevention. So, let's list the negative factors:
- Excess weight. Excess weight is a huge load on the bones, which are a kind of skeleton for the whole body. The most difficult work is performed by feet, pelvic bones and spine. The legs of the feet will certainly flatten.
- The second reason is a profession. In particular, people who are forced to work on their feet all day, often suffer from this ailment. If necessary, you should give your feet a rest. Heeled shoes or very narrow. It turns out that the main load from the heel goes to the phalanx of the fingers and the transverse arch of the foot, because of this the arch will flatten, the flatfoot will develop.
- Age changes can also have a negative impact. The fact is that the muscles weaken with age, the bulk goes exactly to the feet, because of what happens their deformation.
- Injuries can also affect the structure of the bones.
- Some diseases( for example, poliomyelitis or rickets) lead to deformities.
- Also, some doctors believe that there is a hereditary factor. In this case, the signs of the disease can appear already in childhood.
There are several types, forms and degrees of disease.
Depending on which foot arch is susceptible to changes, two types are distinguished:
- Transverse. With this form it is the transverse arch of the foot that falls. The load falls on the metatarsal bones of the fingers. Because of this, the length of the foot decreases, the fingers can diverge in different directions. In a third or even half of patients, along with such a disease, there are other deformities of the feet.
- With longitudinal form, the longitudinal arch is deformed. The foot touches the support almost all over its surface, its length increases.
But both types can occur simultaneously, which worsens the situation.
If you study the specific causes and nature of the disease, then there are several types:
- Traumatic. In this case, the shock for the development of the disease was a foot injury( for example, fracture of the ankle or calcaneus).
- Child. The reasons for it are still unclear. The baby is already born with deformities of the foot. But to reveal changes it is possible only to 5-7 years as at an early age a foot in any case will be completely concerned to a floor( it yet did not have time to be generated).
- Ricky. With rickets, the bones become brittle because of a lack of vitamin D and calcium. As a result, a huge load falls on the leg bones, which they do not always withstand.
- Paralytic. With paralysis of the lower limbs, the vaults and bones will also deform.
- Valgus. It is characterized by deformation of the longitudinal arch, observed along with clubfoot.
There are several degrees of disease:
- First degree. With this form, the angle of the arch is about 130-140 degrees. And the height of the foot can be reduced to 25-35 millimeters. Treatment of flatfoot 1 degree is not so difficult.
- The second degree is characterized by an increase in the angle of the arch to 140-150 degrees and a decrease in height to 17-24 millimeters.
- The third degree entails serious changes and deformations. In this state, the arch of the arch of the foot will be more than 155 degrees, and the height will be less than 17 millimeters.
The stages of longitudinal flatfoot were listed above. But four stages of transverse are also distinguished. Each degree of flatfoot is determined on the basis of two parameters: the angle of the deviation of the thumb from the other( it will increase), as well as the angle between the first and second metatarsal bones( it also grows).
Symptoms and Diagnosis
It is quite easy to identify flat feet. There are several symptoms:
- Pain in the foot. First they arise when putting on shoes( especially narrow, uncomfortable or on the heel), and also after physical exertion. But in the absence of necessary measures, the pain may be permanent.
- Keep track of your fingers. Large will be rejected first, then changes will affect all others.
- Deformation of the foot. At the first stage they are not so noticeable, but on the second they are already obvious.
- Measure the distance between the bend of the foot and the floor. With such an ailment, it decreases.
In any case, for any smallest manifestations, you need to see a doctor. If you do not know which doctor is treating flat feet, then this is an orthopedist.
What should I do?
So, you went to the doctor. He will examine you and determine the nature and extent of the changes that have occurred, and also tell you how to get rid of flat feet. It should be noted right away that it is impossible to completely get rid of an ailment in an adult person. Unfortunately, deformations have already occurred, and it is not possible to eliminate them. In this case, all measures should be aimed at stopping the changes and keeping the foot structure that is already there. A person will have to change his way of life and some habits. So, it is necessary to wear orthopedic shoes with special insoles, perform special therapeutic exercises from flat feet, avoid increased loads and periodically undergo certain procedures. This will avoid even more serious problems.
Treatment of flat feet of 1 or 2 degree in children is quite possible both in a hospital and at home. The bones, ligaments and joints of the child are only being formed, so that, until adolescence, measures to eliminate the problem will be quite effective. The chances of getting rid of the disease are increased, if we reveal it already at the earliest stages. Then there will be enough special gymnastics, proper shoes and massage. In more complex cases, procedures, massage, special adaptations are shown. But the treatment of flat-footedness of the third degree is complicated, since deformations in this case will be serious. But all the same efforts, an integrated approach and continuity will achieve success. And in some cases, surgical treatment is indicated. And now about everything in more detail.
The right shoes and orthopedic insoles
What shoes should I wear when I'm flat-legged? Certainly orthopedic. It must necessarily have a supinator, which provides the foot with the necessary physiologically correct bend. Heel should be no more than 3( maximum 4) centimeters, otherwise the foot will be deformed. But a completely flat sole is also harmful. Shoes or shoes should not be pressed, but they can not be too free. Pay attention to comfort and convenience when walking.
Now about the insole. They differ from conventional ones, since they have special bends and convexities, which ensure the correct position of the foot during movements.
How to choose insole from flat feet? They are all alike. So, in place of the inner curve of the foot, a supinator is provided. The rolling zone is slightly elevated, and where there is a heel, there is a small depression. In the back, the insole thickens, providing the necessary leg lift. Also, there are wedges that help to regulate the position of the foot relative to the support. There are special children's insoles, soft for patients with diabetes, as well as for the elderly. The materials used are different, for example, polymers. But the real leather is more preferable.
It's best to ask a doctor for an individual footbed. He will take measurements to take into account all the features. This option is most effective.
Insoles can be purchased at pharmacies or specialty stores. The cost of such products can range from 400-500 rubles to 1500. But if you decide to manufacture to order, you will have to give more, namely a minimum of 2-3 thousand. But health is priceless.
Massage and procedures
Massage with flat feet is very effective. Among its main tasks such as improving the blood supply and circulation of lymph, strengthening the muscles, tendons and ligaments, removing the load from the most strained parts, as well as restoring some important functions of the foot. In addition, this procedure will help to relax and get rid of the pain. But it's important to trust only the professionals of your business!
On average, one session lasts from 5-7 to 10-15 minutes. The masseuse should also pay attention to the legs. In addition, the effect on the lower back will also be effective. The course of treatment includes an average of 13-15 procedures, but if necessary, their number can be increased.
There are many different techniques, techniques and approaches. They are selected individually, taking into account the degree of disease and features of the structure of the limb. But usually the specialist moves from the toes to the calcaneal part and from the lower leg to the knee. There are also a lot of tricks: kneading, squeezing, rubbing, stroking, patting, squeezing, rubbing, smoothing, pressing and so on. During the procedure, you can use a variety of rollers, balls, rollers and so on. Remember that massage has its contraindications!
Physiotherapeutic procedures favorably influence the regeneration and structure of tissues, therefore they are also effective, as are contrast baths( they improve metabolism).
We offer several exercises:
- Place the feet first on the outside, then on the inside. First, do the exercise, sitting on a chair and leaning with your feet on the floor, then stand up and stand up. Repeat all 30-50 times.
- You can unfold your feet. To do this, sit on a chair and try to place your feet on one straight line. First, connect the heels, and then the fingers. Then get up and do the same. You must do at least 30 repetitions.
- Stand upright and place your feet shoulder width apart. Now alternately get up on your toes, then on your heels. Do smooth rolling, then change position faster. Repeat the exercise 40-50 times.
- Sit on a chair, lift your legs off the floor. Rotate your feet first into one, then to the other side. Make 20-30 turns in each.
- Walking in place without tearing off the floor socks. Only the heels are raised, and as high as possible. Perform the exercise quickly for one to two minutes.
Can I run with flatfoot? At the first degree a little is possible. With the second and even more so the third is better to be more careful and consult with a doctor.
There are various devices for treating this ailment: rollers, rollers, balls and so on. But the most effective mat from flat feet. It is a surface in the form of sections with different convex invoices: balls( imitation stones), villi( like grass) and others. You need to walk on such a rug 10-20 minutes a day( you can for a few tricks).This is easy and even pleasant. Take a device with you on your travels, do regular exercises, only then there will be a positive effect.
If the case is complex and serious, surgical treatment can be prescribed. It consists in removing the protruding part of the bone, as well as in the transplantation of ligaments and muscles. In addition, the joint capsule will be corrected.
How to avoid problems?
It is extremely important to prevent flat feet in preschool children in kindergarten and other pre-school children, as well as in adolescents at school and even adults.
We list some preventive measures:
- It is important to monitor your weight and avoid large and sharp increases.
- It is necessary to lead an active lifestyle, but not to allow heavy loads on the feet.
- Wear comfortable shoes.
- The doctor can advise a special preventive complex of exercises.
- You can do a light massage yourself.
- It is also important to eat balanced and correctly.
- If possible, go barefoot more often( especially on stones and grass).
Remember that health is the most important thing that a person has. Attentively and more seriously concern to it, do not forget about preventive maintenance of a flatfoot, in due time take measures.
Degrees of flatfoot 1, 2, 3 - degree
Softly and noiselessly, like a cat, a person did not learn to walk. Of course, all the animals walk on four legs, but here you have to grumble for two, hard, of course. Yes, and indecent in our enlightened time to walk a man on four.
So, the stop is arranged in such a way that it acts as a spring and softens the impact of the foot on the asphalt, protects against shaking during walking, helps to keep the balance.
The foot consists of two arches - longitudinal( along the inner zone of the foot) and transverse( between the fingers).It happens that the arches of the foot are flattened, and since the flat spring can no longer perform its function, the cushioning properties of the foot come to naught. This is a flatfoot. And, depending on what the arch leads, it is possible to obtain longitudinal flatfoot or transverse flatfoot. And it is possible to acquire with different degrees of flatfoot , which will be discussed further.
Forks and degrees of flatfoot
Depending on which of the arches is deformed, distinguish between longitudinal and transverse flatfoot. There is, naturally, a combined option.
Longitudinal flat feet are more common in young women with excessive body weight, because they feel excessive pressure on still soft bones of the foot. The foot contacts the floor with almost the entire area.
The same trouble awaits people , whose activities are associated with a large static load - sellers, weavers, etc. When the longitudinal arch of the foot flattened, the width and length of the foot increase.
In cases with transverse flatfoot, women are also seen, but mostly older - from 30 to 50 years. The process is characterized by an increase( expansion) of the front zone of the foot, the foot is shortened because of the "fan" unfolding metatarsal bones. The deformation of the fingers occurs, they take the form of hammers( usually the middle finger), the thumb is deflected outwards. There is a characteristic "bone".The heads of the first metatarsal bones grow, and the stomatitis arises. One of the reasons for the transverse flatfoot is the use of uncomfortable, narrow shoes especially on high heels .
By origin distinguish congenital platypodia, traumatic, paralytic and static.
Congenital pathology of the foot is not easy to establish before the age of six, since children are identified all the elements of a flat foot. Congenital flat feet are defined in about 3% of all cases.
Traumatic platypodia - is a consequence of a fracture of the ankles, calcaneus, tarsometric bones.
Paralytic platypodia - a consequence of the paralysis of the plantar muscles of the foot and muscles that begin on the shin. This is usually a consequence of polio.
There is a rickety flat foot - due to the burden of the body on the weakened elements of the foot.
The most common is the static flatfoot , which is caused by the weakness of the muscles of the lower leg and foot, ligaments and bones. The reasons are different: heightened body weight, prolonged standing in a standing position, for example, at work, of course, old age, sedentary work without industrial gymnastics, etc.
Stop is also a rather complex device and act normally as a single complex it can, onlyif there is an equilibrium between the load acting on it and the strong ligaments and muscles. With the weakening of the ligamentous-muscular complex, the normal form is broken - the foot sags, flattenes, loses its elasticity, springiness.
In this case, shocks and jolting when walking are transmitted to the spine, ankle, knee, hip joints of the legs. Since these organs are not designed for such loads, they perform a spring function poorly and quickly fail.
Many know the pain in the back, legs, when the eggs are filled with lead by evening - this is often the result of flat feet. This disease constantly reminds of itself when walking, when unnaturally fast fatigue occurs, pain in the feet, hips, lower leg, lumbar spine.
Without the support of the foot, the body quickly ends the forces necessary to ensure normal movement. Then the knee, hip joints suffer, pathological posture develops.
The result is deplorable - arthrosis .A combination of flat feet plus arthrosis, great joy does not bring. Immediately, and scoliosis, as a consequence of the pathology of the support system.
The development of varicose veins is often associated with flat feet. And here it is much more difficult to help patients.
FIRST SIMPLE SYMPTOMS Ploskostopiya can be recognized by everyone:
• On the inside, the shoes wear out much stronger
• Fast fatigue of the legs when walking and standing
• At the end of the day, unhealthy fatigue arises, the legs ache, sometimes accompanied by cramps, and edematous
• Unbearably walking on
heels • Leg increased you are forcedreplace shoes with large ones( especially in width),
does not fit into your favorite shoes. Of course, these signs are characteristic not only for flat feet, but also for other diseases - for example, for varicose veins or boezney kidneys.
Therefore, do not do yourself medical investigations, but contact an orthopedic surgeon if there are unpleasant, painful or incomprehensible sensations in the foot.
The basis of the diagnosis of flat feet - clinical examination of problem areas by an orthopedic doctor and radiographic examination of the feet. At the same time, X-rays of both feet are performed in a straight and lateral projection with a load, and, based on the X-ray images, the final diagnosis is made and the degree of flatfoot is determined.
DEGREES OF PLANE
When the ligament begins to fail, this is the earliest stage of the disease. The shape of the foot has not yet changed, but due to the stretching of the ligaments from increased loads, pain occurs after a long walk or by the end of the day. A small rest relieves pain.
The first degree( flat feet of the 1st degree ) is a slightly flattened flat foot. Here, after physical exertion, a feeling of fatigue is felt in the legs, pressure on the foot causes painful sensations. In addition to fatigue when walking, the gait becomes less plastic, the foot swells up in the evening.
Second degree ( flat feet of 2nd degree) diseases - combined flat feet. The arches are leveled, the foot is flattened. The pains become permanent and their intensity increases. Pain rises up to the knee joint. Walking is difficult.
The third degree of flatfoot( 3rd degree stamping) is characterized by a pronounced deformation of the foot. It could be said that everything is already over, but patients often turn to the doctor at this stage. On the lower leg, there is almost always swelling, pain is constantly felt in the feet, legs, knee joints. To this is added a pain in the lower back, a painful headache. Sports activities are already inaccessible, work capacity falls, even walking short walking is hampered. Shoes are suitable only for special.
Having arisen, flat feet fairly quickly progresses. So it's better not to let it develop. Before thinking about flattening flat-footedness as an method, slough away from the army , think about whether you need it.
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Flatness of 2nd degree: diagnostic criteria and level of fitness for service in the army
Unlike the initial stages of the disease, flat feet of the 2nd degree is accompanied by a noticeable deformation of the foot, marked by clinical manifestations and gait alteration. A serious threat is also presented by initial changes in the upper parts of the musculoskeletal system - in the large joints of the legs and in the lumbar spine.
Flatness of 2nd degree: complaints
Pain in the legs is the main clinical sign, accompanied by flat feet of the 2nd degree. Typical localization of pain are the areas of the arch of the foot, sole, medial or lateral ankle, heel bone.
It should be noted that the aforementioned localization of pain is also characteristic of the first degree of flatfoot. However, if at the initial stages of the disease the pain is unstable, appears later in the evening, weakens and completely passes after rest, then the flat foot of the 2nd degree is characterized by the relative constancy of the pain syndrome. Painful sensations trouble a person both after physical exertion( walking, prolonged standing), and at rest.
We return to the localization of pain. For the second degree of flatfoot, the "lifting" of pain along the upper limb is characteristic. If at the first stage the pain sensations were limited to the sole and adjacent areas, then in the 2 stages of flatfoot, the pain "rises" into the muscles of the lower leg and even reaches the knee joint. The muscles of the anterior and posterior surface of the thigh, as well as the hip joints, are not as yet usually affected, however, non-constant pain can also occur in these anatomical areas.
But pain is by no means the only symptom. Flattening of the 2nd degree is manifested by fatigue, heaviness in the legs, edema of the ankle joint and the arch of the foot, especially pronounced by the end of the working day, after a static or dynamic physical load. These symptoms are often accompanied by cramps calf muscles and a noticeable change in gait: appears clubfoot, walking is somewhat difficult.
Flatness of 2nd degree: inspection of
Deformation of the foot is determined even with a superficial examination: the flattening of the arch and the increase in the width of the foot, which is most pronounced with transverse flat feet, catches your eye. It should be noted that an increase in transverse size, as well as longitudinal, often forces a person to purchase shoes one size larger. The leg "grows".It is also worthwhile to pay attention to worn footwear: as a rule, with flat feet, it is heavily worn from the inside.
To confirm the diagnosis, the anthropometric data of the main indicators of the arch of the arch of the foot are used: height, corner of the arch, Friedland index. The norm and description of the methodology for determining these indicators is given in the material on the initial stage of the disease, here we confine ourselves to listing the diagnostic criteria of the 2nd degree of flatfoot: the arch angle "flatten" to 141-155 °, the height of the arch is reduced to 24-17 mm, and the index of Friedlandfalls to 25-27%.
Flattened 2 degrees: army
Flat feet - this is not just a cosmetic defect, which only makes it difficult to walk. A normal arch of the foot takes over and softens all axial loads when walking( and, especially, when running), thereby protecting the knees, hips and spine. With flatfoot, the spring function of the foot is disturbed, as a result of which the load on all the above-mentioned departments of the musculoskeletal system sharply increases. As a result, such diseases develop as a deforming arthrosis of large joints of the lower extremities, osteochondrosis of the lumbar region, and intervertebral hernia.
Unfortunately, the legislators of the Russian Federation, apparently, did not hear about the principles of preventive medicine. The military does not know that the disease should not be treated, but, if possible, prevented. Therefore, draftees with the 1 st and 2 nd degree of flat feet( both longitudinal and transverse) are considered eligible and are not exempt from conscription. Although the hardships and deprivations of military service are likely to lead to the development of the initial stages of deforming diseases of the joints of the lower extremities, with the diagnosis of flat feet of the 2nd degree the army is waiting for its heroes. But if at the same 2 degrees of ailment the conscript already has signs of the 2 nd stage of degenerative joint disease, he is recognized as "not fit in peacetime".
Therefore, even if the orthopedic physician has confirmed the presence of a flat foot 2 degrees, your attention should be focused not so much on the underlying diagnosis as on its complications. In the clinical diagnosis should be indicated the presence of the 2nd( !) Stage of arthrosis of the joints of the lower extremities, which will become the decisive argument in determining the eligibility of conscripts for urgent service. And in the absence of this item in the diagnosis, it is not necessary to count on the humanity of the military commissioner.