Plantar fascitis is when the plantar fascia (the thick tissue on the bottom of the soles of your feet) get inflamed due to compression from an injury or obesity.

perhaps plantat fascitis

You can purchase prthopedics that will help you so you don't have to see the doctor at www.cvs.com. They have a large selection of them.

Plantar Fascitis

The shoes needed when someone has plantar fascitis would be well supportive cushioned shoes.

One can find a doctor to treat a planter fascistic by seeing their family doctor who will know other experts and can recommend one that can treat for plantar fascistic.

Usually, heel spurs are curable with conservative treatment. If not, heel spurs are curable with surgery. About 10% of those that continue to see a physician for plantar fascitis have it for more than a year

Plantar fascitis can be cured with surgery. There are also various types of therapy that can help a person relieve the pain. It is important to make sure that the therapy is regular. Surgery isn't necessarily the last option.

The most common cause of heel pain is plantar fascitis. It is said that heel pain effects over two million americans, but can easily be treatment with shoe inserts and treatment from a specially trained foot doctor.

I'm assuming you mean Staph infection. It is an infection caused by the staphylococcus bacteria. It can cause swelling, fever, rash, and pain at the sight of infection. This bacteria causes Strep throat, Scarlet fever, and Necrotizing Fascitis among many other nasty ailments.

Ice, rest, night splinting. Lots of stretching, minimal walking. Don't be frustrated, because it's a slow healer. It's normal that it takes a long time. The only shortening of the time it takes depends on your personal statistics and whether you comply with the above.

a sudden increase in daily activities, an increase in weight, or a change of shoes. Dramatic increase in training intensity or duration may cause plantar fascitis

Stress fractures

Main risk of getting the rheumatic fever and rheumatic heart disease. Next of getting acute glomerulonephritis. Streptococcus pyogenes can give you scarlet fever, impetigo, acute necrotizing fascitis, toxic shock syndrome and septicemia.

Pulling your foot to your toes is one way to strech your plantar fascia. Another suggested method is rolling the foot over a rolling pin while adding increasing pressure. Another helpful stretch involves bending the knees and alternating higher and lower foot positions while pressing forward against the wall.

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 1 words with the pattern FAS-I-I-. That is, eight letter words with 1st letter F and 2nd letter A and 3rd letter S and 5th letter I and 7th letter I. In alphabetical order, they are:

fascitis

dandruf (in the hair) Necrosis is the proper term for flesh that has died. Hair, nails, surface skin and teeth aren't considered flesh. Another possibility is "infarction" which is common in myocardial infarction (MI), another term for a heart attack.

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 1 words with the pattern F---ITIS. That is, eight letter words with 1st letter F and 5th letter I and 6th letter T and 7th letter I and 8th letter S. In alphabetical order, they are:

fascitis

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 4 words with the pattern F-SC---S. That is, eight letter words with 1st letter F and 3rd letter S and 4th letter C and 8th letter S. In alphabetical order, they are:

fascines

fascisms

fascists

fascitis

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 3 words with the pattern -A-CIT-S. That is, eight letter words with 2nd letter A and 4th letter C and 5th letter I and 6th letter T and 8th letter S. In alphabetical order, they are:

caecitis

calcites

fascitis

usually controlled with conservative treatment. Early intervention includes stretching the calf muscles while avoiding re-injuring the plantar fascia. Decreasing or changing activities, losing excess weight, and improving the proper fitting of shoes

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 19 words with the pattern -A--ITI-. That is, eight letter words with 2nd letter A and 5th letter I and 6th letter T and 7th letter I. In alphabetical order, they are:

bauxitic

caecitis

calcitic

carditic

carditis

dakoitis

fascitis

haplitic

mammitis

mannitic

marlitic

mastitic

mastitis

palmitic

palmitin

rachitic

rachitis

samnitis

tallitim

Hello Guys, Plantar Fasciitis Foot Compression Sleeves give you fast relief to troubling heel and foot pain. Plantar fasciitis is perhaps the most common foot problem worldwide. The muscles and tissue that run along the bottom of your foot from your heel to your toes become sore, inflamed, and oh-so-painful.

Does he have a bronchial strep infection, or an external, skin strep infection (like necrotising faciitis)? As a bronchial infection, strep is pretty easy to control in most people. I'm assuming, though, that you mean that he has a strep infection on the skin, which is harder to treat. Lymphedema is simply swelling of a lymphatic region, most often due to an obstruction in the region. It can be caused by acute infection, however. In this case, as you said, probably due to the infection. Fasciitis is a broad term for injury (specifically, inflammation) of the fascia, or the soft connective tissue under the skin. Since your stepdad has been diagnosed with a strep infection that could involve fasciitis and lymphedema, depending on the rate and progression of the infection, I'm not going to lie to you: it could be bad. I assume he is on intravenous antibiotics, and right now the biggest concerns are that he doesn't develop necrotising fasciitis or septicemia. If the infection progresses, the prognosis depends on how quickly they can stabilize and correct the infection and its progression. They may be able to get the infection under control without long-term damage to his leg. He may need amputation. But if they still cannot control the infection, it could be very serious. I really am so sorry for your situation, and I hope your stepdad recovers quickly and well.

Chronic plantar fasciitis lasting more than 3 years may require more aggressive treatment approaches, such as shockwave therapy, corticosteroid injections, physical therapy, custom orthotics, or in some cases, surgery. It is essential to work closely with a healthcare provider to develop a comprehensive treatment plan tailored to individual needs and to address any underlying factors contributing to the condition. Consistent self-care, including stretching exercises, wearing supportive footwear, and controlling factors that worsen symptoms, is also crucial in managing chronic plantar fasciitis.

I want to know this answer too! I have plantar fascitis and have been looking for weeks for something that works to no avail... unless I want to spend over $130!!!

The only thing I've found so far are a good running/hiking shoe, Sorry!

To add to this: Orthaheel is a brand that makes flip flops with INSANE arch support. It's better than mephisto, or even a custom orthotic. They are about $60 but are totally worth it! Earthies have excellent arch support too, and they make some very cute ballet flats as well as heeled sandals. However, these are usually more pricey since they are well over $100.

It is possible to have both a cold and strep throat, although they are not caused by the same thing. You've simply caught two different infections.

A sore throat during a cold is often caused by post-nasal drip going down the back your throat and irritating it. However, any time you have a persistent sore throat, you should have it checked out.

If you have strep throat, make sure you consistently take your antibiotics (finish the prescription!), and if you have any cold sores (or any other cuts anywhere else on your body)- be sure to take especially good care of them. Strep A - the bacteria which causes strep throat, is also responsible for causing nectrotizing fascitis, or flesh-eating disease.

You're not going to like the answer! It's TIME. Unfortunately, there are no good treatments for this condition. Most cases take 6-12 months to resolve, even then, there is a good chance of recurrent. Best treatments are stretching, night splints, good supportive foot wear. Medications are usually not helpful. You can try steroid injections also.

Plantar fasiciitis is caused by irritation of the connective tissue on the bottom of the feet. It is usually related to walking on hard surfaces. Heel stretches can help and improving the padding under the feet with some combination of putting down mats, getting newer more supportive shoes and wearing cushioned shoe inserts with arch support are important.

Anti-inflammatories such as Motrin, Advil and Aleve can help (but not Tylenol). Another trick it to take frozen bottle of water and roll your foot over it to ice it down and massage it.

If the pain persists a podiatrist can confirm the diagnosis, give you custom inserts, and possible inject steroids. Extra corporeal shock wave lithotripsy (as is used to break up kidney stones) is also sometimes used but often is not covered by insurance.

Plantar fasciitis is that pain in the bottom of your foot usually felt around your heel. That pain especially hurts first thing in the morning when you try to get out of bed and stand on your feet, or after sitting for awhile.

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 336 words with the pattern -----TI-. That is, eight letter words with 6th letter T and 7th letter I. In alphabetical order, they are:

acidotic

aconitic

acoustic

acrostic

adenitis

agenetic

agnostic

agrestic

akinetic

amanitin

amitotic

amnestic

amniotic

amuletic

anabatic

analytic

animatic

anoretic

anuretic

aoristic

aortitis

apatetic

aperitif

aplastic

aporetic

apositia

apositic

apractic

apyretic

arenitic

argentic

aromatic

artistic

asbestic

aspartic

athletic

aubretia

autistic

autoptic

balletic

basaltic

basmatis

bathetic

bauxitic

bheestie

bhishtis

biolytic

biotitic

bornitic

botrytis

bulletin

bursitis

busuutis

caecitis

calcitic

carditic

carditis

carrotin

caryatic

caryatid

caryotin

chapatis

chiantis

chiastic

christie

chupatis

clematis

climatic

cobaltic

colistin

colpitis

cosmetic

cricetid

crosstie

cubistic

cuneatic

cyanitic

cyanotic

cystitis

dakoitis

dalmatic

dementia

dementis

dermatic

desertic

despotic

desyatin

diabetic

dialytic

dicastic

dichotic

dicrotic

didactic

dieretic

dietetic

digestif

dioritic

diprotic

diuretic

dogmatic

domestic

doxastic

dramatic

dynastic

eccritic

eclectic

ecliptic

ecstatic

egoistic

elenctic

elliptic

emphatic

enclitic

entastic

enthetic

entoptic

enuretic

enzootic

epidotic

epulotic

eremitic

ergastic

erotetic

esthetic

eucritic

eupeptic

euphotic

eustatic

eutectic

exegetic

exocytic

fascitis

fellatio

felsitic

ferritic

ferritin

fibrotic

flokatis

frenetic

galactic

gammatia

gelastic

geodetic

gerontic

gigantic

gradatim

granitic

gregatim

gumbotil

haematic

haematin

haliotis

hamartia

haplitic

havartis

hermetic

hermitic

herpetic

heuretic

hidrotic

hieratic

holistic

holoptic

homeotic

hoplitic

hospitia

hypnotic

intertie

invertin

izvestia

jesuitic

juristic

karyotin

kismetic

klephtic

kyanitic

kyphotic

lacertid

lamantin

leprotic

leucitic

leukotic

lignitic

limnetic

logistic

lordotic

magmatic

magnetic

maieutic

majestic

mammitis

mannitic

marlitic

mastitic

mastitis

mellitic

mephitic

mephitis

merantis

meristic

metritis

monastic

monistic

muriatic

myelitis

myositis

myosotis

myristic

narcotic

necrotic

neumatic

neuritic

neuritis

neurotic

nomistic

nystatin

oophytic

operatic

orchitic

orchitis

orgastic

oribatid

orthotic

osteitic

osteitis

oustitis

ovaritis

overstir

palmitic

palmitin

panoptic

papistic

pathetic

patootie

pedantic

pelmatic

perentie

periotic

perlitic

phenetic

phimotic

phonetic

phreatic

phyletic

picritic

planetic

poematic

poplitic

poristic

prelatic

primatic

protatic

pruritic

psilotic

punditic

puristic

pycnotic

pyelitic

pyelitis

pyknotic

quixotic

rabietic

rachitic

rachitis

rectitic

rectitis

redistil

rhematic

rhinitic

rhinitis

romantic

sabbatic

sadistic

samnitis

scolytid

secretin

semantic

semiotic

seriatim

shivitis

sigmatic

silastic

silvatic

sinuitis

sonantic

sorbitic

sovietic

spilitic

stenotic

stomatic

strontia

strontic

stylitic

subcutis

suboptic

sulfatic

sulfitic

syenitic

sylvatic

synaptic

syncytia

syndetic

synectic

synoptic

syssitia

tallitim

tektitic

telestic

termitic

theistic

thelitis

thematic

tofuttis

toreutic

trematic

truistic

tungstic

umbratic

unerotic

unexotic

unpoetic

uralitic

uranitic

uteritis

uvulitis

verbatim

veristic

villatic

vulvitis

wistitis

xerantic

zeolitic

zoocytia

zoolitic

zoonitic

zoonotic

To understand how to get rid of heel spurs, it is important to understand how heel spurs develop.

Calcium is the most abundant mineral in the body but may also be the most deficient. The amount of calcium that we absorb from our food varies widely. Our age is one factor. An adolescent may absorb up to 75% of the calcium obtained from foods, while in adults the maximum absorption rate ranges from 20% to 30%.

Even though our bones feel solid and seem permanent they're just like any other body tissue - they're constantly being broken down and formed again. In an adult, 20 percent of bone calcium is withdrawn from bones and replaced each year. Thus, every five years the bones are renewed.

Calcium is found in the extra cellular fluids and soft tissues of the body where it is vital to normal cell functioning. Much of the calcium in soft tissues is concentrated in muscle, although it is contained in the membrane and cytoplasm of every cell.

When the body is deficient of calcium it begins to leach calcium from the bones. In many people this happens to be in the heel of the foot or some other weak area of the body. As the calcium is being leached, it forms an eruption (similar to a volcano). This eruption is the bone spur.

Many people that have suffered from bone spurs found relief when they properly supplemented their diet daily with "good" calcium. They found that providing their body with "good" calcium along with other vital minerals stopped the "leaching process" (calcium deficiency) thus allowing the bone spur to shrink down and eventually disappear. With the bone spur gone, the surrounding damage from the spur is able to heal also.

Important: The calcium+ must be carefully formulated to be easily digested to accomplish the "good" calcium environment in building healthy body/bone cells.

Many people have eliminated heel spurs without surgery by supplementing their diet with a good calcium formula.

According to SOWPODS (the combination of Scrabble dictionaries used around the world) there are 395 words with the pattern --S-I---. That is, eight letter words with 3rd letter S and 5th letter I. In alphabetical order, they are:

abscinds

abscised

abscises

abscisin

abscissa

abscisse

abseiled

aestival

aislings

arshines

assailed

assailer

assoiled

auspices

bascinet

bashings

bassiest

bassinet

bassists

bastides

bastiles

bastille

bastings

bastions

besaints

beshines

beshiver

beslimed

beslimes

besmiled

besmiles

besmirch

bespiced

bespices

bestials

bestiary

besticks

bestills

besuited

boskiest

bossiest

bossisms

busgirls

bushidos

bushiest

bushings

buskined

buskings

bussings

bustiers

bustiest

bustings

cashiers

cassinas

cassines

cassinos

cassises

castings

casuists

cessions

cissiest

cissings

cosmical

cosmines

cosmisms

cosmists

cushiest

cushions

cushiony

cuspidal

cuspides

cuspidor

cystines

cystitis

dashiest

dashikis

deskills

desmines

despight

despisal

despised

despiser

despises

despited

despites

destined

destines

discided

discides

discinct

disciple

dishiest

dishings

disliked

disliken

disliker

dislikes

dislimbs

dislimns

dislinks

dispirit

dissight

distichs

distills

distinct

dossiers

duskiest

dustiest

dustings

eastings

enshield

essoiner

exscinds

fasciate

fascicle

fascines

fasciola

fasciole

fascismi

fascismo

fascisms

fascista

fascisti

fascists

fascitis

fashions

fashiony

fashious

fastings

festiest

festival

fishiest

fishings

fissions

fissiped

fistiana

fistical

fistiest

fossicks

fushions

fussiest

fustians

fustiest

gasfield

gaskings

gaslight

gaspiest

gaspings

gassiest

gassings

gastight

gestical

goslings

gossiped

gossiper

gossipry

gushiest

gustiest

hasbians

hashiest

hassiums

hastiest

hastings

hessians

hessites

hissiest

hissings

histidin

histioid

hospices

hospital

hospitia

hostiles

hostings

hushiest

huskiest

huskings

hustings

huswifes

huswives

inscient

inspired

inspirer

inspires

inspirit

instills

instinct

inswings

jasmines

jaspises

jestings

jesuitic

jesuitry

jussives

justicer

justices

lashings

lastings

lesbians

lispings

listings

lossiest

luscious

lushiest

lustiest

lustique

mashiach

mashiest

mashings

maskings

massicot

massiest

massives

mastiche

mastichs

masticot

mastiest

mastiffs

mastitic

mastitis

mastixes

meshiest

meshings

messiahs

messiest

mestinos

mestizas

mestizos

misaimed

misbills

misbinds

misbirth

miscible

miscited

miscites

misdials

misdiets

misdight

misfield

misfiled

misfiles

misfired

misfires

misgiven

misgives

miskicks

mislight

misliked

misliker

mislikes

mislived

mislives

missiest

missiles

missilry

missions

missises

missives

misticos

mistiest

mistimed

mistimes

mistings

mistitle

moshings

moslings

mossiest

mushiest

muskiest

muslined

muslinet

muspikes

mussiest

mustiest

mystical

mysticly

mystique

nastiest

nescient

nestings

orseille

oustitis

passible

passibly

passings

passions

passives

pasticci

pastiche

pastiest

pastille

pastimes

pastinas

pastings

pastises

pastitso

peskiest

pessimal

pessimum

pestiest

piscinae

piscinal

piscinas

piscines

pismires

possible

possibly

postical

postiche

postiled

postings

postique

pushiest

pussiest

raspiest

raspings

resailed

rescinds

reseized

reseizes

reshined

reshines

reskills

respired

respires

respited

respites

restiest

restings

restitch

riskiest

rispings

rushiest

rushings

rustical

rusticly

rustiest

rustings

sashimis

sassiest

sessions

sestinas

sestines

sissiest

sossings

suspired

suspires

syssitia

taskings

tastiest

tastings

testicle

testiest

testings

toshiest

tossiest

tossings

tuskiest

tuskings

tussises

unsailed

unsained

unsaints

unseized

unshifts

unsliced

unslings

unsoiled

unsticks

unstitch

unsuited

upshifts

upskills

upswings

vastiest

vespiary

vestiary

vestiges

vestigia

vestings

viscidly

washiest

washings

waspiest

wastings

westings

wishings

wispiest

wistitis

wosbirds

wussiest

yeshivah

yeshivas

yeshivot

zestiest

Early diagnosis and a mapped out treatment plan are crucial for curing plantar fasciitis. If treatment is delayed or inadequate in the initial stages of the condition, the condition can take nearly 18 months or more to be fully healed. Nonetheless by sticking to a properly mapped out treatment plan and merging some of the individual treatment methods available, thankfully in the majority of cases, non-surgical treatment cures the condition. Only in the most extreme cases is surgery necessary.

More information on the best way to treat plantar fasciitis can be found at cureplantar.com

A leg MRI scan is a non-invasive imaging test that uses powerful magnets and radio waves to create detailed images of the bones, joints, muscles, and other structures in the leg. It can help diagnose conditions such as fractures, tumors, ligament injuries, and inflammation. The results from an MRI scan can provide valuable information for healthcare providers to develop a treatment plan.

The list of Medical DQ's is long and detailed, and in the end, anything besides being pretty healthy these days will get you DQ'd, even if it's not on the list. All branches are overstaffed, so recruit selection is at a premium, meaning they can pick and choose the best and healthiest of applicants. The Army recently started discharging overweight personnel, as an example.

Below is a general list of the most common Medical DQ's, though for most people it's the legal DQ's that ultimately disqualify them, or a combination. This informatoin is from the Army's "Standards of Medical Fitness", though they generally apply to all military service branches, with a few exceptions for the Navy and Marines, which have more stringent requirements for some personnel qualifications. Note that while these aren't permanently disqualifying (there are waivers for anything), they typically are, particularly in a recruiting climate such as currently exists.

Thanks and credit goes to the great people at Military.com for making this available.

Abdominal organs and gastrointestinal system

The causes for rejection for appointment, enlistment, and induction are an authenticated history of:

a. Esophagus. Ulceration, varices, fistula, achalasia, or other dismotility disorders; chronic or recurrent esophagitis if confirmed by appropriate x-ray or endoscopic examination.

b. Stomach and duodenum.

(1) Gastritis. Chronic hypertrophic, or severe.

(2) Active ulcer of the stomach or duodenum confirmed by x-ray or endoscopy.

(3) Congenital abnormalities of the stomach or duodenum causing symptoms or requiring surgical treatment, except a history of surgical correction of hypertrophic pyloric stenosis of infancy.

c. Small and large intestine.

(1) Inflammatory bowel disease. Regional enteritis, ulcerative colitis, ulcerative proctitis.

(2) Duodenal diverticula with symptoms or sequelae (hemorrhage, perforation, etc.).

(3) Intestinal malabsorption syndromes, including postsurgical and idiopathic.

(4) Congenital. Condition, to include Meckel's diverticulum or functional abnormalities, persisting or symptomatic within the past 2 years.

d. Gastrointestinal bleeding. History of, unless the cause has been corrected, and is not otherwise disqualifying.

e. Hepato-pancreatic-biliary tract.

(1) Viral hepatitis, or unspecified hepatitis, within the preceding 6 months or persistence of symptoms after 6 months, or objective evidence of impairment of liver function, chronic hepatitis, and hepatitis B carriers. (Individuals who are known to have tested positive for hepatitis C virus (HCV) infection require confirmatory testing. If positive, individuals should be clinically evaluated for objective evidence of liver function impairment. If evaluation reveals no signs or symptoms of disease, the applicant meets the standards.)

(2) Cirrhosis, hepatic cysts and abscess, and sequelae of chronic liver disease.

(3) Cholecystitis, acute or chronic, with or without cholelithiasis, and other disorders of the gallbladder including post-cholecystectomy syndrome, and biliary system.

Note. Cholecystectomy is not disqualifying 60 days postsurgery (or 30 days post-laproscopic surgery), providing there are no disqualifying residuals from treatment.

(4) Pancreatitis. Acute and chronic.

f. Anorectal.

(1) Anal fissure if persistent, or anal fistula.

(2) Anal or rectal polyp, prolapse, stricture, or incontinence.

(3) Hemorrhoids, internal or external, when large, symptomatic, or history of bleeding.

g. Spleen.

(1) Splenomegaly, if persistent.

(2) Splenectomy, except when accomplished for trauma, or conditions unrelated to the spleen, or for hereditary spherocytosis.

h. Abdominal wall.

(1) Hernia, including inguinal, and other abdominal, except for small, asymptomatic umbilical or asymptomatic hiatal.

(2) History of abdominal surgery within the preceding 60 days, except that individuals post-laparoscopic cholecystectomy may be qualified after 30 days.

i. Other.

(1) Gastrointestinal bypass or stomach stapling for control of obesity.

(2) Persons with artificial openings.

Blood and blood-forming tissue diseases

The causes for rejection for appointment, enlistment, and induction are an authenticated history of:

a. Anemia. Any hereditary acquired, aplastic, or unspecified anemia that has not permanently corrected with therapy.

b. Hemorrhagic disorders. Any congenital or acquired tendency to bleed due to a platelet or coagulation disorder.

c. Leukopenia. Chronic or recurrent, based upon available norms for ethnic background.

d. Immunodeficiency.

Dental

The causes for rejection are for appointment, enlistment, and induction are:

a. Diseases of the jaw or associated tissues which are not easily remediable, and will incapacitate the individual or otherwise prevent the satisfactory performance of duty. This includes temporomandibular disorders and/or myofascial pain dysfunction that is not easily corrected or has the potential for significant future problems with pain and function.

b. Severe malocclusion that interferes with normal mastication or requires early and protracted treatment; or relationship between mandible and maxilla that prevents satisfactory future prosthodontic replacement.

c. Insufficient natural healthy teeth or lack of a serviceable prosthesis, preventing adequate mastication and incision of a normal diet. This includes complex (multiple fixture) dental implant systems that have associated complications that severely limit assignments and adversely affect performance of world-wide duty. Dental implants systems must be successfully osseointegrated and completed.

d. Orthodontic appliances for continued treatment (attached or removable). Retainer appliances are permissible, provided all active orthodontic treatment has been satisfactorily completed.

Ears

The causes for rejection for appointment, enlistment, and induction are:

a. External ear. Atresia or severe microtia, acquired stenosis, severe chronic or acute otitis externa, or severe traumatic deformity.

b. Mastoids. Mastoiditis, residual of mastoid operation with fistula, or marked external deformity that prevents or interferes with wearing a protective mask or helmet.

c. Meniere's Syndrome. Or other diseases of the vestibular system.

d. Middle and inner ear. Acute or chronic otitis media, cholesteatoma, or history of any inner or middle ear surgery excluding myringotomy or successful tympanoplasty.

e. Tympanic membrane. Any perforation of the tympanic membrane, or surgery to correct perforation within 120 days of examination.

Hearing

The cause for rejection for appointment, enlistment, and induction is a hearing threshold level greater than that described in paragraph c below.

a. Audiometers, calibrated to standards of the International Standards Organization (ISO 1964) or the American National Standards Institute (ANSI 1996), will be used to test the hearing of all applicants.

b. All audiometric tracings or audiometric readings recorded on reports of medical examination or other medical records will be clearly identified.

c. Acceptable audiometric hearing levels (both ears) are:

(1) Pure tone at 500, 1000, and 2000 cycles per second of not more than 30 decibels (dB) on the average (each ear), with no individual level greater than 35dB at these frequencies.

(2) Pure tone level not more than 45 dB at 3000 cycles per second each ear, and 55 dB at 4000 cycles per second each ear.

Endocrine and metabolic disorders

The causes for rejection for appointment, enlistment, and induction are an authenticated history of:

a. Adrenal dysfunction of any degree.

b. Diabetes mellitus of any type.

c. Glycosuria. Persistent, when associated with impaired glucose tolerance or renal tubular defects.

d. Acromegaly. Gigantism or other disorder of pituitary function.

e. Gout.

f. Hyperinsulinism.

g. Hyperparathyroidism and hypoparathyroidism.

h. Thyroid disorders.

(1) Goiter, persistent or untreated.

(2) Hypothyroidism, uncontrolled by medication.

(3) Cretinism.

(4) Hyperthyroidism.

(5) Thyroiditis.

i. Nutritional deficiency diseases. Such diseases include beriberi, pellagra, and scurvy.

j. Other endocrine or metabolic disorders such as cystic fibrosis, porphyria, and amyloidosis that obviously prevent satisfactory performance of duty or require frequent or prolonged treatment.

Upper extremities

The causes for rejection for appointment, enlistment, and induction are:

a. Limitation of motion. An individual will be considered unacceptable if the joint ranges of motion are less than the measurements listed below.

(1) Shoulder:

(a) Forward elevation to 90 degrees.

(b) Abduction to 90 degrees.

(2) Elbow:

(a) Flexion to 100 degrees.

(b) Extension to 15 degrees.

(3) Wrist: a total range of 60 degrees (extension plus flexion) or radial and ulnar deviation combined arc 30 degrees.

(4) Hand:

(a) Pronation to 45 degrees.

(b) Supination to 45 degrees.

(5) Fingers and thumb: inability to clench fist, pick up a pin, grasp an object, or touch tips of at least three fingers with thumb.

b. Hand and fingers.

(1) Absence of the distal phalanx of either thumb.

(2) Absence of distal and middle phalanx of an index, middle, or ring finger of either hand, irrespective of the absence or loss of little finger.

(3) Absence of more than the distal phalanx of any two of the following fingers: index, middle finger, or ring finger of either hand.

(4) Absence of hand or any portion thereof except for fingers as noted above.

(5) Polydactyly.

(6) Scars and deformities of the fingers or hand that are symptomatic or that impair normal function to such a degree as to interfere with the satisfactory performance of military duty.

(7) Intrinsic paralysis or weakness, including nerve palsy sufficient to produce physical findings in the hand such as muscle atrophy or weakness.

(8) Wrist, forearm, elbow, arm, or shoulder. Recovery from disease or injury with residual weakness or symptoms such as to preclude satisfactory performance of duty, or grip strength of less than 75 percent of predicted normal when injured hand is compared with the normal hand (non-dominant is 80 percent of dominant grip).

Lower extremities

The causes for rejection for appointment, enlistment, and induction are:

a. Limitation of motion. An individual will be considered unacceptable if the joint ranges of motion are less that the measurements listed below.

(1) Hip (due to disease, injury):

(a) Flexion to 90 degrees.

(b) No demonstrable flexion contracture.

(c) Extension to 10 degrees (beyond 0 degrees).

(d) Abduction to 45 degrees.

(e) Rotation of 60 degrees (internal and external combined).

(2) Knee (due to disease, injury):

(a) Full extension compared with contralateral.

(b) Flexion to 90 degrees.

(3) Ankle (due to disease, injury):

(a) Dorsiflexion to 10 degrees.

(b) Planter flexion to 30 degrees.

(4) Subtalar (due to disease or injury): eversion and inversion (total to 5 degrees).

b. Foot and ankle.

(1) Absences of one or more small toes if function of the foot is poor or running or jumping is prevented; absence of a foot or any portion thereof except for toes.

(2) Absence of great toe(s); loss of dorsal/plantar flexion if function of the foot is impaired.

(3) Deformities of the toes, either acquired or congenital, including polydactyly, that prevent wearing military footwear or impair walking, marching, running, or jumping. This includes hallux valgus.

(4) Clubfoot or Pes Cavus, if stiffness or deformity prevents foot function or wearing military footwear.

(5) Symptomatic pes planus, acquired or congenital or pronounced cases, with absence of subtalar motion.

(6) Ingrown toenails, if severe.

(7) Planter fascitis, persistent.

(8) Neuroma, confirmed condition and refractory to medical treatment or will impair function of the foot.

c. Leg, knee, thigh, and hip.

(1) Loose or foreign bodies within the knee joint.

(2) Physical findings of an unstable or internally deranged joint. History of uncorrected anterior or posterior cruciate ligament injury.

(3) Surgical correction of any knee ligaments if symptomatic or unstable.

(4) History of congenital dislocation of the hip, osteochondritis of the hip (Legg-Perthes disease), or slipped femoral epiphysis of the hip.

(5) Hip dislocation within 2 years before examination.

(6) Osteochondritis of the tibial tuberosity (Osgood-Schlatter disease), if symptomatic.

d. General.

(1) Deformities, disease or chronic pain of one or both lower extremities that have interfered with function to such a degree as to prevent the individual from following a physically active vocation in civilian life or that would interfere with walking, running, or weight bearing, or the satisfactory completion of prescribed training or military duty.

(2) Shortening of a lower extremity resulting in a noticeable limp or scoliosis.

Miscellaneous conditions of the extremities

The causes for rejection for appointment, enlistment, and induction are an authenticated history of:

a. Arthritis.

(1) Active, subacute, or chronic arthritis.

(2) Chronic osteoarthritis or traumatic arthritis of isolated joints of more than a minimal degree, which has interfered with the following of a physically active vocation in civilian life or that prevents the satisfactory performance of military duty.

b. Chronic Retro Patellar Knee Pain Syndrome with or without confirmatory arthroscopic evaluation.

c. Dislocation if unreduced, or recurrent dislocations of any major joint such as shoulder, hip, elbow, or knee; or instability of any major joint such as shoulder, elbow, or hip.

d. Fractures.

(1) Malunion or non-union of any fracture, except ulnar styloid process.

(2) Orthopedic hardware, including plates, pins, rods, wires, or screws used for fixation and left in place; except that a pin, wire, or screw not subject to easy trauma is not disqualifying.

e. Injury of a bone or joint of more than a minor nature, with or without fracture or dislocation, that occurred within the preceding 6 weeks: upper extremity, lower extremity, ribs and clavicle.

f. Joint replacement.

g. Muscular paralysis, contracture, or atrophy, if progressive or of sufficient degree to interfere with military service and muscular dystrophies.

h. Osteochondritis dessicans.

i. Osteochondromatosis or Multiple Cartilaginous Exostoses.

j. Osteoporosis.

k. Osteomyelitis, active or recurrent.

l. Scars, extensive, deep, or adherent to the skin and soft tissues that interfere with muscular movements.

m. Implants, silastic or other devices implanted to correct orthopedic abnormalities.

Eyes

The causes for rejection for appointment, enlistment, and induction are:

a. Lids.

(1) Blepharitis, chronic, of more than mild degree.

(2) Blepharospasm.

(3) Dacryocystitis, acute or chronic.

(4) Deformity of the lids, complete or extensive, sufficient to interfere with vision or impair protection of the eye from exposure.

b. Conjunctiva.

(1) Conjunctivitis, chronic, including trachoma and allergic conjunctivitis.

(2) Pterygium, if encroaching on the cornea in excess of 3 millimeters (mm), interfering with vision, progressive, or recurring after two operative procedures.

(3) Xerophthalmia.

c. Cornea.

(1) Dystrophy, corneal, of any type, including keratoconus of any degree.

(2) Keratorefractive surgery, history of lamellar and/or penetrating keratoplasty. Laser surgery or appliance utilized to reconfigure the cornea is also disqualifying.

(3) Keratitis, acute or chronic, which includes recurrent corneal ulcers, erosions (abrasions), or herpetic ulcers.

(4) Vascularization or opacification of the cornea from any cause that is progressive or reduces vision below the standards prescribed below.

d. Uveitis or iridocyclitis.

e. Retina.

(1) Angiomatosis, or other congenitohereditary retinal dystrophy that impairs visual function.

(2) Chorioretinitis or inflammation of the retina, including histoplasmosis, toxoplasmosis, or vascular conditions of the eye to include Coats' disease, Eales' disease, and retinitis proliferans, unless a single episode of known cause that has healed and does not interfere with vision.

(3) Congenital or degenerative changes of any part of the retina.

(4) Detachment of the retina, history of surgery for same, or peripheral retinal injury or degeneration that may cause retinal detachment.

f. Optic nerve.

(1) Optic neuritis, neuroretinitis, secondary optic atrophy, or documented history of attacks of retrobulbar neuritis.

(2) Optic atrophy, or cortical blindness.

(3) Papilledema.

g. Lens.

(1) Aphakia, lens implant, or dislocation of a lens.

(2) Opacities of the lens that interfere with vision or that are considered to be progressive.

h. Ocular mobility and motility.

(1) Diplopia, documented, constant or intermittent.

(2) Nystagmus.

(3) Strabismus, uncorrectable by lenses to less than 40 diopters or accompanied by diplopia.

(4) Strabismus, surgery for the correction of, within the preceding 6 months.

(5) For entrance into the USMA or ROTC programs, the following conditions are also disqualifying: esotropia of over 15 prism diopters; exotropia of over 10 prism diopters; hypertropia of over 5 prism diopters.

i. Miscellaneous defects and conditions.

(1) Abnormal visual fields due to disease of the eye or central nervous system, or trauma. Meridian-specific visual field minimums are as follows:

(a) Temporal, 85 degrees.

(b) Superior-temporal, 55 degrees.

(c) Superior, 45 degrees.

(d) Superior nasal, 55 degrees.

(e) Nasal, 60 degrees.

(f) Inferior nasal, 50 degrees.

(g) Inferior, 65 degrees.

(h) Inferior-temporal, 85 degrees.

(2) Absence of an eye, congenital or acquired.

(3) Asthenopia, severe.

(4) Exophthalmos, unilateral or bilateral, non-familial.

(5) Glaucoma, primary, or secondary, or pre-glaucoma as evidenced by intraocular pressure above 21 millimeters of mercury (mmHg), or the secondary changes in the optic disc or visual field loss associated with glaucoma.

(6) Loss of normal pupillary reflex reactions to accommodation or light, including Adie's syndrome.

(7) Night blindness.

(8) Retained intraocular foreign body.

(9) Growth or tumors of the eyelid, other than small basal cell tumors which can be cured by treatment, and small nonprogressive asymptomatic benign lesions.

(10) Any organic disease of the eye or adnexa not specified above, that threatens vision or visual function.

Vision

The causes for rejection for appointment, enlistment, and induction are:

a. Distant visual acuity of any degree that does not correct with spectacle lenses to at least one of the following:

(1) 20/40 in one eye and 20/70 in the other eye.

(2) 20/30 in one eye and 20/100 in the other eye.

(3) 20/20 in one eye and 20/400 in the other eye. However, for entrance into USMA or ROTC, distant visual acuity that does not correct to 20/20 in one eye and 20/40 in the other eye is disqualifying. For entrance into OCS, distant visual acuity that does not correct to 20/20 in one eye and 20/100 in the other eye is disqualifying.

b. Near visual acuity of any degree that does not correct to 20/40 in the better eye.

c. Refractive error (hyperopia, myopia, astigmatism), in any spherical equivalent of worse than -8.00 or +8.00 diopters; if ordinary spectacles cause discomfort by reason of ghost images or prismatic displacement; or if corrected by orthokeratology or keratorefractive surgery. However, for entrance into USMA or Army ROTC programs, the following conditions are disqualifying:

(1) Astigmatism, all types over 3 diopters.

(2) Hyperopia over 8.00 diopters spherical equivalent.

(3) Myopia over 8 diopters spherical equivalent.

(4) Refractive error corrected by orthokeratology or keratorefractive surgery.

d. Contact lenses. Complicated cases requiring contact lenses for adequate correction of vision, such as corneal scars and irregular astigmatism.

e. Color vision. Although there is no standard, color vision will be tested because adequate color vision is a prerequisite for entry into many military specialties. However, for entrance into the USMA or Army ROTC or OCS programs, the inability to distinguish and identify without confusion the color of an object, substance, material, or light that is uniformly colored a vivid red or vivid green is disqualifying.

Genitalia

The causes for rejection for appointment, enlistment, and induction are:

a. Female genitalia.

(1) Abnormal uterine bleeding, including menorrhagia, metrorrhagia, or polymenorrhea.

(2) Amenorrhea, unexplained.

(3) Dysmenorrhea, incapacitating to a degree recurrently necessitating absences of more than a few hours from routine activities.

(4) Endometriosis.

(5) Hermaphroditism.

(6) Menopausal syndrome, if manifested by more than mild constitutional or mental symptoms, or artificial menopause if less than 1 year's duration.

(7) Ovarian cysts, persistent, clinically significant.

(8) Pelvic inflammatory disease, acute or chronic.

(9) Pregnancy.

(10) Uterus, congenital absence of, or enlargement due to any cause.

(11) Vulvar or vaginal ulceration, including herpes genitalia and condyloma acuminatum, acute or chronic, not amenable to treatment. Such treatment must be given and demonstrated effective prior to accession.

(12) Abnormal Pap smear graded LGSIL or higher severity, or any smear in which the descriptive terms carcinoma-in-situ, invasive cancer, condyloma acuminatum, human papilloma virus, or dysplasia are used.

(13) Major abnormalities and defects of the genitalia such as a change of sex. A history thereof, or dysfunctional residuals from surgical correction of these conditions.

b. Male genitalia.

(1) Absence of both testicles, either congenital, or acquired, or unexplained absence of a testicle.

(2) Epispadias or Hypospadias, when accompanied by evidence of infection of the urinary tract, or if clothing is soiled when voiding.

(3) Undiagnosed enlargement or mass of testicle or epididymis.

(4) Undescended testicle(s).

(5) Orchitis, acute or chronic epididymitis.

(6) Penis, amputation of, if the resulting stump is insufficient to permit normal micturition.

(7) Penile infectious lesions, including herpes genitalis and condyloma acuminata, acute or chronic, not amenable to treatment. Such treatment must be given and demonstrated effective prior to accession.

(8) Prostatitis, acute or chronic.

(9) Hydrocele. Left varicocele, if painful, or any right varicocele.

c. Major abnormalities and defects of the genitalia, such as a change of sex, a history thereof, or dysfunctional residuals from surgical correction of these conditions.

Urinary system

The causes for rejection for appointment, enlistment, and induction are:

a. Cystitis.

b. Urethritis.

c. Enuresis or incontinence of urine beyond age 12.

d. Hematuria, pyuria, or other findings indicative of renal tract disease.

e. Urethral stricture or fistula.

f. Kidney.

(1) Absence of one kidney, congenital or acquired.

(2) Infections, acute or chronic.

(3) Polycystic kidney, confirmed history of.

(4) Horseshoe kidney.

(5) Hydronephrosis.

(6) Nephritis, acute or chronic.

g. Proteinuria under normal activity (at least 48 hours after strenuous exercise) greater than 200 milligrams (mg)/24 hours, or a protein to creatinine ratio greater than 0.2 in a random urine sample, unless nephrologic consultation determines the condition to be benign orthostatic proteinuria.

h. Renal calculus within the previous 12 months, recurrent calculus, nephrocalcinosis, or bilateral renal calculi at any time.

Head

The causes for rejection for appointment, enlistment, and induction are:

a. Injuries, including severe contusions and other wounds of the scalp and cerebral concussion, until a period of 3 months has elapsed.

b. Deformities of the skull, face, or jaw of a degree that would prevent the individual from wearing a protective mask or military headgear.

c. Defects, loss or congenital absence of the bony substance of the skull not successfully corrected by reconstructive materials, or leaving residual defect in excess of 1 square inch (6.45 centimeter (cm) 2 ) or the size of a 25 cent piece.

Neck

The causes for rejection for appointment, enlistment, and induction are:

a. Cervical ribs, if symptomatic or so obvious that they are found on routine physical examination. (Detection based primarily on x-rays is not considered to meet this criterion.)

b. Congenital cysts of branchial cleft origin or those developing from remnants of the thyroglossal duct, with or without fistulous tracts.

c. Contraction of the muscles of the neck, spastic or non-spastic, or cicatricial contracture of the neck to the extent that it interferes with wearing a uniform or military equipment or is so disfiguring as to impair military bearing.

Heart

The causes for rejection for appointment, enlistment, and induction are:

a. All valvular heart diseases, congenital or acquired, including those improved by surgery except mitral valve prolapse and bicuspid aortic valve. These latter two conditions are not reasons for rejection unless there is associated tachyarrhythmia, mitral regurgitation, aortic stenosis, insufficiency, or cardiomegaly.

b. Coronary heart disease.

c. Symptomatic arrhythmia (or electrocardiographic evidence of arrhythmia), history of.

(1) Supraventricular tachycardia, or any dysrhythmia originating from the atrium or sinoatrial node, such as atrial flutter, and atrial fibrillation, unless there has been no recurrence during the preceding 2 years while off all medications. Premature atrial or ventricular contractions are disqualifying when sufficiently symptomatic to require treatment or result in physical or psychological impairment.

(2) Ventricular arrhythmias, including ventricular fibrillation, tachycardia, and multi focal premature ventricular contractions. Occasional asymptomatic premature ventricular contractions are not disqualifying.

(3) Ventricular conduction disorders, left bundle branch block, Mobitz type II second degree atrioventricular (AV) block, and third degree AV block. Wolff-Parkinson-White Syndrome and Lown-Ganong-Levine-Syndrome associated with an arrhythmia are also disqualifying.

(4) Conduction disturbances such as first degree AV block, left anterior hemiblock, right bundle branch block, or Mobitz type I second degree AV block are disqualifying when symptomatic or associated with underlying cardiovascular disease.

d. Hypertrophy or dilatation of the heart.

e. Cardiomyopathy, including myocarditis, or history of congestive heart failure even though currently compensated.

f. Pericarditis.

g. Persistent tachycardia (resting pulse rate of 100 or greater).

h. Congenital anomalies of heart and great vessels, except for corrected patent ductus arteriosus.

Vascular system

The causes for rejection for appointment, enlistment, and induction are:

a. Abnormalities of the arteries and blood vessels, including aneurysms, even if repaired, atherosclerosis, or arteritis.

b. Hypertensive vascular disease, evidenced by the average of three consecutive diastolic blood pressure measurements greater than 90 mmHg or three consecutive systolic pressure measurements greater than 140 mmHg. High blood pressure requiring medication or a history of treatment including dietary restriction.

c. Pulmonary or systemic embolization.

d. Peripheral vascular disease, including Raynaud's phenomenon.

e. Vein diseases, recurrent thrombophlebitis, thrombophlebitis during the preceding year, or any evidence of venous incompetence, such as large or symptomatic varicose veins, edema, or skin ulceration.

Height

The causes for rejection for appointment, enlistment, and induction are:

a. Men: Height below 60 inches or over 80 inches.

b. Women: Height below 58 inches or over 80 inches.

Weight

a. Applicants for initial appointment as commissioned officers (to include appointment as commissioned warrant officers) must meet the standards of AR 600-9 . Body fat composition is used as the final determinant in evaluating an applicant's acceptability when the weight exceeds the weight tables.

b. All other applicants must meet the standards of tables (see "Height and Weight" tables in this section). Body fat composition is used as the final determinant in evaluating an applicant's acceptability when the weight exceeds the weight tables.

Body build

The cause for rejection for appointment, enlistment, and induction is deficient muscular development that would interfere with the completion of required training.

Lungs, chest wall, pleura, and mediastinum

The causes for rejection for appointment, enlistment, and induction are:

a. Abnormal elevation of the diaphragm, either side.

b. Abscess of the lung.

c. Acute infectious processes of the lung, until cured.

d. Asthma, including reactive airway disease, exercise induced bronchospasm or asthmatic bronchitis, reliably diagnosed at any age. Reliable diagnostic criteria should consist of any of the following elements:

(1) Substantiated history of cough, wheeze, and/or dyspnea that persists or recurs over a prolonged period of time, generally more than 6 months.

(2) If the diagnosis of asthma is in doubt, a test for reversible airflow obstruction (greater than a 15 percent increase in forced expiratory volume in 1 second (FEVI) following administration of an inhaled bronchodilator) or airway hyperactivity (exaggerated decrease in airflow induced by standard bronchoprovocation challenge such as methacholine inhalation or a demonstration of exercise-induced bronchospasm) must be performed.

e. Bronchitis, chronic, symptoms over 3 months occurring at least twice a year.

f. Bronchiectasis.

g. Bronchopleural fistula.

h. Bullous or generalized pulmonary emphysema.

i. Chronic mycotic diseases of the lung including coccidioidomycosis.

j. Chest wall malformation or fracture that interferes with vigorous physical exertion.

k. Empyema, including residual pleural effusion or unhealed sinuses of chest wall.

l. Extensive pulmonary fibrosis.
m. Foreign body in lung, trachea, or bronchus.
n. Lobectomy, with residual pulmonary disease or removal of more than one lobe.
o. Pleurisy with effusion, within the previous 2 years if known or unknown origin.
p. Pneumothorax during the year preceding examination if due to a simple trauma or surgery; during the 3 years preceding examination from spontaneous origin. Recurrent spontaneous pneumothorax after surgical correction or pleural sclerosis.
q. Sarcoidosis.
r. Silicone breast implants, encapsulated if less than 9 months since surgery or with symptomatic complications.
s. Tuberculous lesions.


Mouth
The causes for rejection for appointment, enlistment, and induction are:
a. Cleft lip or palate defects, unless satisfactorily repaired by surgery.
b. Leukoplakia.


Nose, sinuses, and larynx

The causes for rejection for appointment, enlistment, and induction are:
a. Allergic manifestations.
(1) Allergic or vasomotor rhinitis, if moderate or severe and not controlled by oral medications, desensitization, or topical corticosteroid medication.
(2) Atrophic rhinitis.
(3) Vocal cord paralysis, or symptomatic disease of the larynx.
b. Anosmia or parosmia.
c. Epistaxis, recurrent.
d. Nasal polyps, unless surgery was performed at least 1 year before examination.
e. Perforation of nasal septum, if symptomatic or progressive.
f. Sinusitis, acute.
g. Sinusitis, chronic, when evidenced by chronic purulent nasal discharge, hyperplastic changes of the nasal tissue, symptoms requiring frequent medical attention, or x-ray findings.
h. Larynx ulceration, polyps, granulated tissue, or chronic laryngitis.
i. Tracheostomy or tracheal fistula.
j. Deformities or conditions of the mouth, tongue, palate throat, pharynx, larynx, and nose that interfere with chewing, swallowing, speech, or breathing.
k. Pharyngitis and nasopharyngitis, chronic.

Neurological disorders

The causes for rejection for appointment, enlistment, and induction are:
a. Cerebrovascular conditions, any history of subarachnoid or intracerebral hemorrhage, vascular insufficiency, aneurysm, or arteriovenous malformation.
b. Congenital malformations, if associated with neurological manifestations or if known to be progressive; meningocele, even if uncomplicated.
c. Degenerative and hereditodegenerative disorders affecting the cerebrum, basal ganglia, cerebellum, spinal cord, and peripheral nerves, or muscles.
d. Recurrent headaches of all types if they are of sufficient severity or frequency to interfere with normal function within 3 years.


e. Head injury.
(1) Applicants with a history of head injury with -
(a) Late post-traumatic epilepsy (occurring more than l week after injury).
(b) Permanent motor or sensory deficits.
(c) Impairment of intellectual function.
(d) Alteration of personality.
(e) Central nervous system shunt.


(2) Applicants with a history of severe head injury are unfit for a period of at least 5 years, after which they may be considered fit if complete neurological and neurophysical evaluation shows no residual dysfunction or complications. Applicants with a history of severe penetrating head injury are unfit for a period of at least 10 years after the injury. After 10 years they may be considered fit if complete neurological and neuropsychological evaluation shows no residuals dysfunction or complications. Severe head injuries are defined by one or more of the following:


(a) Unconsciousness or amnesia, alone or in combination, of 24 hours duration or longer.
(b) Depressed skull fracture.
(c) Laceration or contusion of dura or brain.
(d) Epidural, subdural, subarachnoid, or intracerebral hematoma.
(e) Associated abscess or meningitis.
(f) Cerebrospinal fluid rhinorrhea or otorrhea persisting more than 7 days.
(g) Focal neurologic signs.
(h) Radiographic evidence of retained metallic or bony fragments.
(i) Leptomeningeal cysts or arteriovenous fistula.
(j) Early post-traumatic seizure(s) occurring within 1 week of injury but more than 30 minutes after injury.


(3) Applicants with a history of moderate head injury are unfit for a period of at least 2 years after injury, after which they may be considered fit if complete neurological evaluation shows no residual dysfunction or complications. Moderate head injuries are defined by unconsciousness or amnesia, alone or in combination of 1 to 24 hours duration or linear skull fracture.


(4) Applicants with a history of mild head injury, as defined by a period of unconsciousness or amnesia, alone or in combination, of 1 hour or less, are unfit for at least 1 month after injury; after which they may be acceptable if neurological evaluation shows no residual dysfunction or complications.


(5) Persistent post-traumatic sequelae, as manifested by headache, vomiting, disorientation, spatial disequilibrium, personality changes, impaired memory, poor mental concentration, shortened attention span, dizziness, altered sleep patterns, or any findings consistent with organic brain syndrome are disqualifying until full recovery has been confirmed by complete neurological and neuropsychological evaluation.


f. Infectious diseases.
(1) Meningitis, encephalitis, or poliomyelitis within 1 year before examination, or if there are residual neurological defects.
(2) Neurosyphilis of any form, general paresis, tabes dorsalis meningovascular syphilis.
g. Narcolepsy, sleep apnea syndrome.
h. Paralysis, weakness, lack of coordination, pain, sensory disturbance.
i. Epilepsy, beyond the age of 5 unless the applicant has been free of seizures for a period of 5 years while taking no medication for seizure control, and has a normal electroencephalogram (EEG). All such applicants will have a current neurology consultation with current EEG results. EEG may be requested by the reviewing authority.
j. Chronic disorders such as myasthenia gravis and multiple sclerosis.
k. Central nervous system shunts of all kinds.

Disorders with psychotic features

The causes for rejection for appointment, enlistment, and induction are disorders with psychotic features.

Neurotic, anxiety, mood, somatoform, dissociative, or factitious disorders

The causes for rejection for appointment, enlistment, and induction are a history of such disorders resulting in any or all of the below:
a. Admission to a hospital or residential facility.
b. Care by a physician or other mental health professional for more than 6 months.
c. Symptoms or behavior of a repeated nature that impaired social, school, or work efficiency.

Personality, conduct, and behavior disorders

The causes for rejection for appointment, enlistment, and induction are:

a. Personality, conduct, or behavior disorders as evidenced by frequent encounters with law enforcement agencies, antisocial attitudes or behavior, which, while not sufficient cause for administrative rejection, are tangible evidence of impaired capacity to adapt to military service.
b. Personality, conduct, or behavior disorders where it is evident by history, interview, or psychological testing that the degree of immaturity, instability, personality inadequacy, impulsiveness, or dependency will seriously interfere with adjustment in the Army as demonstrated by repeated inability to maintain reasonable adjustment in school, with employers and fellow workers, and with other social groups.
c. Other behavior disorders including but not limited to conditions such as authenticated evidence of functional enuresis or encopresis, sleepwalking, or eating disorders that are habitual or persistent occurring beyond age 12, or stammering of such a degree that the individual is normally unable to express himself or herself clearly or to repeat commands.
d. Specific academic skills defects, chronic history of academic skills or perceptual defects, secondary to organic or functional mental disorders that interfere with work or school after age 12. Current use of medication to improve or maintain academic skills.
e. Suicide, history of attempted or suicidal behavior.

Psychosexual conditions

The causes for rejection for appointment, enlistment, and induction are transsexualism, exhibitionism, transvestitism, voyeurism, and other paraphilias.

Skin and cellular tissues

The causes for rejection for appointment, enlistment, and induction are:
a. Acne, severe, or when extensive involvement of the neck, shoulders, chest, or back would be aggravated by or interfere with the wearing of military equipment, and would not be amenable to treatment. Patients under treatment with isotretinoin (Accutane) are medically unacceptable until 8 weeks after completion of course of therapy.
b. Atopic dermatitis or eczema, with active or residual lesions in characteristic areas (face, neck, antecubital, and or/popliteal fossae, occasionally wrists and hands), or documented history thereof after the age of 8.
c. Contact dermatitis, especially involving rubber or other materials used in any type of required protective equipment.
d. Cysts.


(1) Cysts, other than pilonidal, of such a size or location as to interfere with the normal wearing of military equipment.
(2) Pilonidal cysts, if evidenced by the presence of a tumor mass or a discharging sinus. History of pilonidal cystectomy within 6 months before examination is disqualifying.
e. Dermatitis factitia.
f. Bullous dermatoses, such as Dermatitis Herpetiformis, pemphigus, and epidermolysis bullosa.
g. Chronic Lymphedema.
h. Fungus infections, systemic or superficial types, if extensive and not amenable to treatment.
i. Furunculosis, extensive recurrent, or chronic.
j. Hyperhidrosis of hands or feet, chronic or severe.
k. Ichthyosis, or other congenital or acquired anomalies of the skin such as nevi or vascular tumors that interfere with function or are exposed to constant irritation.
l. Keloid formation, if the tendency is marked or interferes with the wearing of military equipment.
m. Leprosy, any type.
n. Lichen planus.
o. Neurofibromatosis (von Recklinghausen's disease).
p. Photosensitivity, any primary sun-sensitive condition, such as polymorphous light eruption or solar urticaria; any dermatosis aggravated by sunlight such as lupus erythematosus.
q. Psoriasis, unless mild by degree, not involving nail pitting, and not interfering with wearing military equipment or clothing.
r. Radiodermatitis.
s. Scars that are so extensive, deep, or adherent that they may interfere with the wearing of military clothing or equipment, exhibit a tendency to ulcerate, or interfere with function. Includes scars at skin graft donor or recipient sites if the area is susceptible to trauma.
t. Scleroderma.
u. Tattoos that will significantly limit effective performance of military service or that are otherwise prohibited under AR 670-1 .
v. Urticaria, chronic.
w. Warts, plantar, symptomatic.
x. Xanthoma, if disabling or accompanied by hyperlipemia.
y. Any other chronic skin disorder of a degree or nature, such as Dysplastic Nevi Syndrome, which requires frequent outpatient treatment or hospitalization, or interferes with the satisfactory performance of duty.


Spine and sacroiliac joints

The causes for rejection for appointment, enlistment, and induction are:

a. Arthritis.
b. Complaint of a disease or injury of the spine or sacroiliac joints with or without objective signs that has prevented the individual from successfully following a physically active vocation in civilian life or that is associated with pain referred to the lower extremities, muscular spasm, postural deformities, or limitation of motion.
c. Deviation or curvature of spine from normal alignment, structure, or function if -
(1) It prevents the individual from following a physically active vocation in civilian life.
(2) It interferes with wearing a uniform or military equipment.
(3) It is symptomatic and associated with positive physical finding(s) and demonstrable by x-ray.
(4) There is lumbar scoliosis greater than 20 degrees, thoracic scoliosis greater than 30 degrees, and kyphosis or lordosis greater than 55 degrees when measured by the Cobb method.
d. Fusion, congenital, involving more than two vertebrae. Any surgical fusion is disqualifying.
e. Healed fractures or dislocations of the vertebrae. A compression fracture, involving less than 25 percent of a single vertebra is not disqualifying if the injury occurred more than 1 year before examination and the applicant is asymptomatic. A history of fractures of the transverse or spinous processes is not disqualifying if the applicant is asymptomatic.
f. Juvenile epiphysitis with any degree of residual change indicated by x-ray or kyphosis.
g. Ruptured nucleus pulposus, herniation of intervertebral disk or history of operation for this condition.
h. Spina bifida when symptomatic or if there is more than one vertebra involved, dimpling of the overlying skin, or a history of surgical repair.
i. Spondylolysis and spondylolisthesis.
j. Weak or painful back requiring external support such as a corset or brace; recurrent sprains or strains requiring limitation of physical activity or frequent treatment.


Systemic diseases



The causes for rejection for appointment, enlistment, and induction are:
a. Amyloidosis.
b. Ankylosing spondylitis.
c. Eosinophilic granuloma when occurring as a single localized bony lesion and not associated with soft tissue or other involvement should not be a cause for rejection once healing has occurred. All other forms of the Histiocytosis X spectrum should be rejected.
d. Lupus erythematosus and mixed connective tissue disease.
e. Polymyositis/dermatomyositis complex.
f. Progressive Systemic Sclerosis, including CRST (calcinosis, Raynaud's phenomenon, sclerodactyly, and telangiectasis) variant. A single plaque of localized scleroderma (morphea) that has been stable for at least 2 years is not disqualifying.
g. Reiter's Disease.
h. Rheumatoid arthritis.
i. Rhabdomyolysis.
j. Sarcoidosis, unless there is substantiated evidence of a complete spontaneous remission of at least 2 years duration.
k. Sjogren's Syndrome.
l. Tuberculosis.
(1) Active tuberculosis in any form or location, or history of active tuberculosis within the previous 2 years.
(2) One or more reactivations.
(3) Residual physical or mental defects from past tuberculosis that would preclude the satisfactory performance of duty.
(4) Individuals with a past history of active tuberculosis MORE than 2 years prior to enlistment, induction and appointment are QUALIFIED IF they have received a complete course of standard chemotherapy for tuberculosis. In addition, individuals with a tuberculin reaction 10 mm or greater and without evidence of residual disease are qualified once they have been treated with chemoprophylaxis.
(5) Vasculitis such as Bechet's, Wegener's granulomatosis, polyarteritis nodosa.


General and miscellaneous conditions and defects



The causes for rejection for appointment, enlistment, and induction are:


a. Allergic manifestations. A reliable history of anaphylaxis to stinging insects. Reliable history of a moderate to severe reaction to common foods, spices, or food additives.
b. Any acute pathological condition, including acute communicable diseases, until recovery has occurred without sequelae.
c. Chronic metallic poisoning with lead, arsenic, or silver, or beryllium or manganese.
d. Cold injury, residuals of, such as: frostbite, chilblain, immersion foot, trench foot, deep-seated ache, paresthesia, hyperhidrosis, easily traumatized skin, cyanosis, amputation of any digit, or ankylosis.
e. Cold urticaria and angioedema, hereditary angioedema.
f. Filariasis, trypanosomiasis, schistosomiasis, uncinariasis, or other parasitic conditions, if symptomatic or carrier states.
g. Heat pyrexia, heatstroke, or sunstroke. Documented evidence of a predisposition (including disorders of sweat mechanism and a previous serious episode), recurrent episodes requiring medical attention, or residual injury (especially cardiac, cerebral, hepatic, and renal); malignant hyperthermia.
h. Industrial solvent and other chemical intoxication.
i. Motion sickness. An authenticated history of frequent incapacitating motion sickness after the 12th birthday.
j. Mycotic infection of internal organs.
k. Organ transplant recipient.
l. Presence of human immunodeficiency virus (HIV-I) or antibody. Presence is confirmed by repeatedly reactive enzyme-linked immunoassay serological test and positive immunoelectrophoresis (Western Blot) test, or other DOD-approved confirmatory test.
m. Reactive tests for syphilis such as the rapid plasma reagin (RPR) test or venereal disease research laboratory (VDRL) followed by a reactive, confirmatory Fluorescent Treponemal Antibody Absorption (FTA-ABS) test unless there is a documented history of adequately treated syphilis. In the absence of clinical findings, the presence of reactive RPR or VDRL followed by a negative FTA-ABS test is not disqualifying if a cause for the false positive reaction can be identified and is not otherwise disqualifying.
n. Residual of tropical fevers, such as malaria and various parasitic or protozoal infestations that prevent the satisfactory performance of military duty.
o. Rheumatic fever during the previous 2 years, or any history of recurrent attacks; Sydenham's chorea at any age.
p. Sleep apnea.

Tumors and malignant diseases

The causes for rejection for appointment, enlistment, and induction are:

a. Benign tumors (M8000) that interfere with function, prevent wearing the uniform or protective equipment, would require frequent specialized attention, or have a high malignant potential.
b. Malignant tumors (V10), exception for basal cell carcinoma, removed with no residual. In addition, the following cases should be qualified if on careful review they meet the following criteria: individuals who have a history of childhood cancer who have not received any surgical or medical cancer therapy for 5 years and are free of cancer; individuals with a history of Wilm's tumor and germ cell tumors of the testis treated surgically and/or with chemotherapy after a 2-year disease-free interval off all treatment; individuals with a history of Hodgkin's disease treated with radiation therapy and/or chemotherapy and disease free off treatment for 5 years; individuals with a history of large cell lymphoma after a 2-year disease-free interval off all therapy.

Miscellaneous
Any condition that in the opinion of the examining medical officer will significantly interfere with the successful performance of military duty or training may be a cause for rejection for appointment, enlistment, and induction.