Medical Review: Knee Problem = PES C ?

blade001 SG

Hi guys i need some serious help here, I am pes B recruit going to POP. I was suppose to downpes as my specialist said i have chondro malacia patella(CMP), knee pain when marching and running. I brought my specialist letter to the Tekong MO.The MO read the letter and arrange for me to go for Medical Board Review to downpes.

However I was not given a medical board review but another specialist appointment at MMI. The specialist there took less than 2 mins to check on me. He said physiotherapy shall do and pain is common for ns-men. What should i do to downpes??

And why is it since my condition is meant to downpes the doc does not approve it?

Lokey SG

And why is it since my condition is meant to downpes the doc does not approve it?

Because it is not a big problem.

The MO offer you to go physio then go loh.

Usually the medical side, will adopt a "wait and see". If physio is able to "CURE" you then you dont need to down pes. Since you are able to POP means that you are fine with marching, or whatever. It is troublesome now. Hope when you POP and get posted out to other unit, then request for downgrade.

It is a fact that most kids dont do much physical activity and will only show problem when physically stressed.

noahnoah SG

And why is it since my condition is meant to downpes the doc does not approve it?

I think if MMI spec told u tat ur problem is common

then hard to downgrade liao..

meaning ur CMP not really serious de liao

The final decision still always lies with Army MO de

blade001 SG

It is a fact that most kids dont do much physical activity and will only show problem when physically stressed.

hi Lokey, i used to run frequently and suffer the injury from excess running. Also, i was excused from all the marching activity as the officers knew of my condition(i only participated in upper limbs activity).

I cannot march more than 4km with FBO and cannot complete the SOC without aggravating the injury.

Anyone with a solution for me?

TrueHeart SG

I cannot march more than 4km with FBO and cannot complete the SOC without aggravating the injury.

Anyone with a solution for me?

Hi blade,

I believe the best thing for you to do now will be to wait for the physiotherapy session to be over and see if it is effective or not. If it is not, seek help from the MO of the unit which you are posted to.

I will suggest that you do not try to seek the MO at BMT Tekong for help right now, as he may wrongly assume that you are malingering. Do inform your commanders of your situation, it is unlikely that they will force you to perform any activities that may aggravate your injury.

Cheers.

Lokey SG

I cannot march more than 4km with FBO and cannot complete the SOC without aggravating the injury.

Anyone with a solution for me?

It is really hard to solve.

I think just act stupid.

If it cause you to have pain, take MC, fall out or whatever.

If you have a medical record from specialist, it should be in the medical system. It is very easy for you to take mc. The MO will usually refer to history for reference.

just follow the system.

If cannot POP, then never mind. get out of course. take BMT later.

runner knees is a common runner problem, knee guard, or patella strip might help.

Lokey SG

Runners knee can recover if the quad surrounding muscles are properly conditioned and reduce mileage. But it will take years to do such correction and get "CURE"

And I have been to MMI and the specialist really sucks. And they really sucks if you are in medical field, you should know why.

And it is no surprise that they do pay enough attention to you.

Please continue to seek treatment in the public hospital.

blade001 SG

Thanks guys for the advice. I recently just went to the physiotherapy. The Physiotherapist suggest to me to go get a temporary downpes as the treatment shall be a few months long.

Hal Georgie SG

i had a similar prob but i recovered from it. the pain was really a bother. hated it. thk god its all gone. all the best in your recovery

Lokey SG

Thanks guys for the advice. I recently just went to the physiotherapy. The Physiotherapist suggest to me to go get a temporary downpes as the treatment shall be a few months long.

Actually you got any knee or leg problem, it is better to sound out during CMPB medical screening. Wait till you get into BMT, you will experience a lot of problem.

safetyleo SG

Nothing much you can do, just go through it. MO won't downgrade recruits easily, even the PC says my friend should not be in PES B at all, I mean due to physical weakness...etc, but since he was graded PES B before BMT, i.e. not physical injury, no serious medical history, although experienced knee cap pain during running, route march.... now still PES B :(

dkcx SG

Regardless what a specialist says, the final decision lies with the medical board whether they want to give you a temp/perm down PES.

The best you can do is ask your specialist to write a strongly worded letter to request for you to have a temp down PES if not hopefully get an excuse for the duration so that you can recover from your problem.

Lord_Nazrul SG

Runners knee can recover if the quad surrounding muscles are properly conditioned and reduce mileage. But it will take years to do such correction and get "CURE"

And I have been to MMI and the specialist really sucks. And they really sucks if you are in medical field, you should know why.

And it is no surprise that they do pay enough attention to you.

Please continue to seek treatment in the public hospital.

See bold:The specialists at MMI are all NSmen Medical Officers who are Orthopadic Specialists at the Hospitals u love so much.No NSF MO is a specialist.Only the regulars are and they mostly do not open clinic unless needed.What do you expect??U want a Maj(Dr) to listen to u whine??

For the person with Chondromalacia patella,physio is for not serious cases and it will be a long time b4 u get a perm pes.In the DOD of a page i shall not mention,it warrants a C9L2 x 6/12 only.PERMANENT PES FOR CMP IS AT THE DISCRETION OF THE CHAIRMAN

Guohua tan SG

you go for MRI, then operation, sure down pes

blade001 SG

hi Lord_Nazrul, you sound experienced in this matter. Could you guide me on how to get a temporary downpes to recover from the injury?

Guohua tan- i don’t wish to go under the knife, unless the specialist has said it is necessary.

dkcx SG

hi Lord_Nazrul, you sound experienced in this matter. Could you guide me on how to get a temporary downpes to recover from the injury?

Guohua tan- i don’t wish to go under the knife, unless the specialist has said it is necessary.

If the MO does not feel there is a need to and ask you to continue your physio 1st, there is unlikely any chance of him ever considering giving you a down PES till your physio is completed.

Lokey SG

hi Lord_Nazrul, you sound experienced in this matter. Could you guide me on how to get a temporary downpes to recover from the injury?

Guohua tan- i don’t wish to go under the knife, unless the specialist has said it is necessary.

So get out of course loh. Since you are unfit and unable to walk, long march or run, getting you trained to be something or anything, will get you anywhere !!?

Please understand the meaning of ORD (operational ready date) = getting you really to be operational-ready. Even if you are going to finish the course, are you considered combat-fit?. Then why bother to get trained in the first place?

Isnt it a mistake that you get Pes B and go to BMT in the first place? You are covering mistake with more mistake? Face it! U are not heathy and fit, like average people. And due to your handicap you are not trainable, as per normal individual. Your fitness level will not enhance anymore, so dont talk about having a mission, marching across jungle.

[there are people who are pes B but he is a storeman..]

tarutaru SG

CMP is now Pes B, u can excuse or downgrade for 6/12 - 1 yr depending on the severity of your case. At worse, maybe excuse RMJ for 6/12 but still Pes B, but all these u need the MO to endorse. Perhaps u can ask your specialist to write u MC to these excuse then the MO bo bian must board u to endorse. But bear in mind. that if u go on board, you'll most likely to be OOC. Then u will need to retake BMT. Why not try to go through BMT with these pain then downgrade temp in unit.

dkcx SG

TS has POPed and is in unit now

blade001 SG

Lokey- I am in course now, i shall talk to my inchek see what he can do or recommend me to do. I shown the camp mo the specialist letter. He said the most he give me temporary downpes for 1 or 2 months, i guess is linked to my next specialist appointment in 3 months time. I am afraid i will OOC when the combat training when i cannot perform physically ( i like my vocation so i dont wish to OOC, unless i am given a non-physical vocation to recover, which i think is impossible..haha)

dkcx- I can’t go book out for the physio as the commanders suggest that people that continuously do so will be OOC.

tarutaru- the mo seem very determined not to let me downpes temporary to recover.