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Q: Frieberg's disease
asked by: DoctorQuestion on February 24th, 2008
hey there...

I am a 25 yr old female, known for asthma and gastritis with GERD, was diagnosed 6 yrs earlier with Frieberg's disease in the Rt foot which is avascular necrosis of the 2ns metatarsal head, nothing was offered to me at that time and i was only told that the bone will regrow normally !!!

but 6 months passed and i completely lost the joint, it was swollen, painful and i can no longer move it, i was offered surgery then, but i did not want to go for it, i only used broader shoes with support

now its stage V of the disease with degenrative arthritic changes in the 2nd toe which needs surgery especially that i want to get a driving lisence and i will join military training in about 6 months...

I also have hallux valgus deformity in both feet but more on the Lt foot, and i was offered surgey for that problem too because conservative measures failed ...

Now i do not know what to do, is it necessary to go for surgery if i will join army or to get a driving lise


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Dr. Nikola Gjuzelov , MD
replied on March 11th, 2008
Foot Disorders Answer A3759
YOU WROTE: Pre-existing conditions: broncial asthma allergic rhinitis GERD with gastritis nephrolithiasis


Diagnosis that has been suggested: Frieberg's Disease Hallux valgus


Current medical status: upper GI endoscopy 3 months ago showing GERD with esphagitis and active gastritis Feet x-ray standing and lateral showing degenerative changes in the 2nd metatarsal head


Current medical treatment: steriod nasal inhlaer 1 puff in each nostril BD Pantoprazole 40mg PO OD domperidone 10mg PO TID ventolin inhaler 2 puffs BD PRN steroid inhaler 2 puffs BD








First of all, you may be rejected from military service due to inadequate health requirements. People suffering from asthma, GERD hallux valgus deformity in both feet and degenerative arthritic changes in the toes aren't necessarily the most sought after recruits. You probably won’t be able to wear military boots and to withstand hard physical efforts in the army (this is coming from someone who has been there).





Medical conditions necessary for getting a driving license are not even close to those asked for in the military. Nonetheless, you many find it difficult to drive with painful or swollen feet. My advice for you is to solve your medical issues first and then seek information about the Army or military service.













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