How many temporary profiles can a soldier get before it is made permanent for the same recurring issue?

I recently had surgery in April on my left rest in which I was on a temporary profile before that for 8 months. I asked about getting a profile and was told that I need to be on a temporary profile now for at least 6 months since I got surgery. I don't know what to do because it's keeping me from progressing in my career. Do you have any advice?

I'm assuming you mean to obtain a permanent profile. The provider, or whomever you spoke with, is correct because you will need to reach an end point before a permanent profile can be considered. This is called the Military Retention Decision Point (MRDP). A Soldier obtains temporary profiles ideally to reach a MRDP, at which point a military provider will weigh your diagnosis, treatments thus far, and prognosis to determine if you have reached your MRDP. But, there is no specific timeframe to consider. If you are AD, then this is closely monitored through your treatment at the MTF. If you are RC, then the military provider's MRDP is predicated solely on the civilian medical treatment documentation you provide them. If your civilian doctor can write you a note that explains your diagnosis, treatment received, and prognosis that ***pay attention here*** demonstrates that you have reached an end point in the care and treatment for "x" condition, then you have reached the MRDP and the military provider can permanently profile you IAW AR 40-501. In the TXARNG, we have created a Medical Doctor's Functional Assessment (MDFA) that is, for all intents and purposes, a form that allows the civilian practitioner to profile you IAW DA 3449. In fact, it has all of the same components. When a Soldier in need of profiling presents to our military providers their medical treatment documentation (current always) and a recent (within 30 days or so) MDFA, they can profile accordingly.

Now, what to do. I believe you're AD. If that is the case, take the time to inform yourself of your condition, care, and prognosis as thoroughly as possible. This is called being an informed patient. Speak to your treating doctor(s) and discuss with them what your diagnosis is (step 1 to being informed), what treatments can be expected and the timeframe of each (step 2 to being informed), and the prognosis of your condition, i.e. when can you expect to be at an end point of your treatment and care for your wrist and what impact to your health and wellbeing can you expect at that end point (step 3, now you're an informed patient). When your condition's end point has been reached, your treatment provider will indicate that in your military health records and a permanent profile can then be discussed. Hmmm, "discussed"? What? That's right, as an informed patient, you no longer are at the whims of the provider on the keyboard. An informed patient has the facts, knows their condition(s) intimately, and brings to the table a distinct knowledge of what outcome is desired from any...ANY...medical appointment they attend. As the saying goes, ignorance is bliss. Rest assured, I'm a medic, I got this. But if you put me in front of "x" (you name the circumstances), if I'm given the chance to inform myself of how to do "x", I will do so before I go in and get shred.

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As stated above it usually takes about a year of being on temporary Profile before you are even considered for a Permanent Profile. If I where you I would focus more on understanding your Injury and rehab, your ultimate goal should be to get off of profile instead trying to get a permanent profile. A permanent profile is not meant for you to stay on profile your whole career. A permanent profile only gives you time to heal your injury and you are reevaluated every 3 to 5yrs. In my career I have been on 2 permanent profiles and have done majority of the rehab myself and gotten off of the permanent profiles. Everything comes to pass you will heal, be patient and focus on rehabilitation of your injury.