AF | PDBR | CY2009 | PD2009-00529
The CI’s reported minimum weight was 96% of the minimum expected weight based on the minimum normal BMI and remained above 85% of the MLIC desirable weight (133.5 pounds). Other than anorexia nervosa, no other ratable mental conditions were forwarded to the PEB for adjudication by the MEB psychiatry evaluation. I have reviewed the subject case pursuant to reference (a) and, for the reasons set forth in reference (b), approve the recommendation of the Physical Disability Board of Review Mr....
AF | PDBR | CY2009 | PD2009-00530
Neuropsychological testing was done from October 11-13, 2005, nine months prior to separation, to evaluate subjective complaints of impaired memory. The CI also noted irritability. The Board determined therefore that none of the stated conditions were subject to service disability rating.
AF | PDBR | CY2009 | PD2009-00533
The MEB examination was most consistent with the general description for a §4.130 rating of 10%, “occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress or symptoms controlled by continuous medication.” The Board considered that the CI had been excused from all military duties and had fully integrated into civilian life for nearly a year prior to separation, thus...
AF | PDBR | CY2009 | PD2009-00536
The History of Right Axillary Third-Degree Burn and PTSD were determined to be medically unacceptable and the CI was referred to the Physical Evaluation Board (PEB), determined to be unfit for continued military service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. The CI was not on medication for either condition at that time, but Lexapro was restarted in January 2006. The...
AF | PDBR | CY2009 | PD2009-00537
The clinical evidence at the time of TDRL and permanent separation was consistent with a 20% rating IAW VASRD §4.120 as determined by the PEB. The Board unanimously agrees that there were no other conditions eligible for Board consideration which could be recommended as additionally unfitting for rating at separation. Exhibit C. Department of Veterans' Affairs Treatment Record.
AF | PDBR | CY2009 | PD2009-00538
After a while my ankle still was not working well and I still did not have full motion so I set up an appointment on my own and went to physical therapy. She’s able to do most of her activities of daily living with minimal pain…She denies any weakness, any numbness, tingling throughout her ankles She has no knee pain, no hip pain.” Exam demonstrated “right ankle is without swelling…no tenderness to palpation…limited dorsiflexion…no instability…no weakness added to her ankle.” “She has been...
AF | PDBR | CY2009 | PD2009-00539
He reported five symptoms of re-experiencing trauma and two were observed during the examination. He did show some elements of the 50% criteria in that he displayed signs of PTSD on exam. The CI’s condition at the time of the VA examination warrants a 50% rating based on increasing frequency and severity of PTSD symptoms and further withdrawal from almost all activities and people, including his wife and son.
AF | PDBR | CY2009 | PD2009-00542
The Vertigo and Left AC Shoulder Separation were determined to be medically unacceptable and the CI was referred to the Physical Evaluation Board (PEB), determined to be unfit for continued Naval service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. While the CI did have chronic low back pain there is insufficient evidence in the STR to determine this condition was unfitting at...
AF | PDBR | CY2009 | PD2009-00543
The IPEB considered the case, and found him unfit for continued military service due to Chronic Achilles Tendinosis. As noted above, the CI underwent MEB/PEB, and the Right Achilles Tendinosis (coded 5284) was rated at 10% disability. Based on that evaluation, the VA assigned a rating of 10% for Traumatic Brain Injury with Headaches (coded 8045-8100), 10% for Cognitive Disorder with Sleep Disorder (coded 8045-9304), and 10% for Tinnitus (coded 6260).
AF | PDBR | CY2009 | PD2009-00544
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for Deafness in Left Ear with Tinnitus, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. At this time he no longer had any vertigo, incoordination, or headaches but continued to have tinnitus, absolute hearing loss in the left ear, and left facial nerve palsy. The 2008 PEB determined the CI was unfit...
AF | PDBR | CY2009 | PD2009-00547
The Board considered this evaluation in determining the CI’s condition at the time of separation from service. While the VASRD code 5276 could be used analogously, it appears that the malunion of the metatarsal fractures with subsequent pain, arthritis, and painful motion of the right foot and ankle as well as the inability to perform or sustain prolonged or exertional activities are the conditions that limited the CI’s ability to perform the required duties of his rank and rating. The CI...
AF | PDBR | CY2009 | PD2009-00548
The Board determined that the CI was exhibiting significant occupational and social impairment with reduced reliability and productivity. These other conditions are all judged by the Board to be not unfitting at the time of separation from service, and are not relevant for disability rating. Exhibit C. Department of Veterans' Affairs Treatment Record.
AF | PDBR | CY2009 | PD2009-00550
The medical basis for the separation was Crohn’s Disease. The CI was referred to the Physical Evaluation Board (PEB), determined unfit for the one condition, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. The Board also considered the conditions of Fibrous Dysplasia Left Hip and Osteoporosis and unanimously determined that neither condition was unfitting at the time of...
AF | PDBR | CY2009 | PD2009-00551
The CI was referred to a Physical Evaluation Board (PEB) and was found unfit for continued military service, due to the left knee condition. Post-operatively the CI was treated with PT and her knee pain improved 50%. Exhibit C. Department of Veterans' Affairs Treatment Record.
AF | PDBR | CY2009 | PD2009-00552
The medical basis for the separation was Central Nervous System Hypersomnolence. The CI was referred to the PEB, determined unfit for continued military service, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. The initial 10% rating was based on lack of evidence of either at least two minor seizures in the last six months or a diagnosis of sleep apnea with persistent...
AF | PDBR | CY2009 | PD2009-00553
The case was referred to the Physical Evaluation Board (PEB), he was determined unfit for continued Naval service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy/Marine Corps and Department of Defense regulations in effect at that time. The most complete examination available for review is the Physical Medicine Consult from 20021009 which clearly stated the pain was intermittent. The Board also considered the...
AF | PDBR | CY2009 | PD2009-00554
The CI was placed on limited duty (LIMDU) and underwent a Medical Evaluation Board (MEB). Right Knee Condition . The Board determined that the shoulder injury was not unfitting, and therefore not subject to service disability rating.
AF | PDBR | CY2009 | PD2009-00556
The CI was referred to the Physical Evaluation Board (PEB), determined to be unfit for continued military service, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. However, the CI failed to show up for multiple scheduled VA Compensation and Pension (C&P) exams and the PTSD rating was decreased to 0% because of the lack of information to provide an accurate disability description. ...
AF | PDBR | CY2009 | PD2009-00557
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for continued Naval service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Navy and Department of Defense regulations. It also noted markedly decreased strength of the left hand. The Board also considered Left Knee Pain and unanimously determined that this condition was not unfitting at the time of separation from service and therefore no...
AF | PDBR | CY2009 | PD2009-00558
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for the one condition, and separated at 0% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. The hearing profile is required to be 1 and his was 3 (The L2 profile, presumably for his femur fracture met the minimum standard of 3 for his AFSC.). The Board considered the condition of Vertigo and unanimously determined that...
AF | PDBR | CY2009 | PD2009-00559
There were no trophic skin changes or evidence of stasis dermatitis.” Diagnosis was “Postphlebitic syndrome, left lower extremity.” The VA (near entry into TDRL) used essentially the same exams and history as the military and rated the CI’s DVT-related conditions as 7121 (Left Lower Extremity Deep Venous Thrombosis) at 10%, and 6817 (Bilateral Base Pulmonary Emboli Secondary to Deep Venous Thrombosis) at 60%. After due deliberation, considering all of the evidence and mindful of VASRD §4.3...
AF | PDBR | CY2009 | PD2009-00560
The CI was referred to the Physical Evaluation Board (PEB) and determined unfit for the Testalgia (coded 8730). The prognosis was good, and “with regard to disability rating I would say it would be mild with respect to the diagnosis of post-traumatic stress disorder.” The Navy PEB determined that the CI’s PTSD was not unfitting. These other conditions are all judged by the Board to be not unfitting at the time of separation from service, and are not relevant for disability rating.
AF | PDBR | CY2009 | PD2009-00562
Knee pain was noted as separate from the paresthesia and pain below the knee as early as 20070524 at an outpatient visit to clinic at Groton and the CI was referred to physical therapy for his knee. The Board considered the condition of Urinary Incontinence, Frequency, and Urgency and unanimously determined that this condition was not unfitting at the time of separation from service and therefore no disability rating is applied. While the VA C&P examination of 20080912 states the CI had...
AF | PDBR | CY2009 | PD2009-00564
The VA examiner noted that there was nerve damage to the Sciatic Nerve. In the matter of the scars, abdomen, from surgical procedure to repair the gunshot wound injuries, resection of the transverse colon, liver repair, shoulder dislocation, incompletely healed, and hearing loss conditions the Board unanimously determined that it cannot recommend any findings of unfit for additional rating at separation. In the matter of the bilateral tinnitus, lumbar strain condition, bilateral pes...
AF | PDBR | CY2009 | PD2009-00566
This review was completed and the initial rating was corrected to a 70% rating for 9211 Schizoaffective Disorder, Depressed Type. These records support a diagnosis of schizoaffective disorder, depressed type (as opposed to mood disorder NOS) as well as either personality disorder or traits. As discussed above, PEB rated the CI’s mental health condition IAW with DoDI 1332.39 which was in effect at the time the CI separated from service and the condition was adjudicated independently of that...
AF | PDBR | CY2009 | PD2009-00567
The Board considered that the CI had numerous clinical visits; multiple non-surgical treatment modalities for his back pain (ESIs, TENS, facet injection, physical therapy, back brace, acupuncture, and pain management), abnormal spine imaging consistent with symptoms, flares of symptoms including not-unfitting radicular symptoms, and long-term narcotic medications. Other Conditions . Prior to this the CI had measurements done on 30 Jan 2009, where his lumbar spine flexion was 50%, and on 02...
AF | PDBR | CY2009 | PD2009-00568
Neck Pain – Review of treatment record reveals that the CI complained of neck pain on several occasions. However, at no time during his military service did he receive any evaluation or treatment of his painful neck condition. The Board recommends that there be no re-characterization of the CI’s prior disability and separation determination.
AF | PDBR | CY2009 | PD2009-00569
On mental status exam, no thought disorder was in evidence, affect was full and appropriate, mood was congruent, delusions, hallucinations, suicidal or homicidal ideation were denied, and judgment was intact. The VA assigned a 100% rating for the PTSD condition based upon §4.130 criteria at the time of the C&P exam three months after separation. The Board determined therefore that none of the stated conditions were subject to service disability rating.
AF | PDBR | CY2009 | PD2009-00571
The VA has rated an additional disability, being bilateral lumbar radiculopathy at 10%, which is related to the herniated disc disability. This case, however, does document all elements required to rate under current VASRD §4.71a spine rating criteria. Although not specifically mentioned by diagnosis, the symptoms attributable to bilateral plantar tendonitis were noted with the bilateral plantar fasciitis and the condition was adjudged to be within the purview of the Board for adjudication.
AF | PDBR | CY2009 | PD2009-00572
This condition is well-documented and associated with the CI’s diabetes. In the matter of the left knee condition or any other medical conditions eligible for Board consideration, the Board unanimously agrees that it cannot recommend any findings of unfit for additional rating at separation. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2009 | PD2009-00573
Bilateral Ankle and Foot Pain (including Scars) Conditions : The PEB found the CI unfit for: “Bilateral foot and ankle pain with history of bilateral surgically treated clubfeet, right calcaneonavicular coalition and resection of left calcaneonavicular coalition.” The PEB combined the Left ankle, Left foot, Right ankle, and Right foot as a single unfitting condition, coded as 5271 (VA Rating Code “5271 Ankle, limited motion of:”) and rated 10% (“Moderate”) with possible use of SECNAVINST or...
AF | PDBR | CY2009 | PD2009-00578
The MEB exam on 25 April 2007 four months prior to separation demonstrated range of motion (ROM) of the left knee from 0 to 120 degrees of flexion, with tenderness to palpation over the well healed medial incision. These conditions were reviewed by the action officer and considered by the Board. Service Treatment Record.
AF | PDBR | CY2009 | PD2009-00579
Other Conditions. In the matter of the bilateral plantar fasciitis condition, the Board unanimously recommends combining the condition and rating with the chronic bilateral sesamoiditis with left foot sesamoid shift condition as a combined unfitting condition, and the Board unanimously recommends that these conditions be coded as a separation rating of 10% for the left chronic plantar fasciitis/sesamoiditis with sesamoid shift condition coded 5284, and a separation rating of 20% for the...
AF | PDBR | CY2009 | PD2009-00581
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for continued Naval service, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Naval and Department of Defense regulations. At the time of separation from service, the 2003 VASRD was in effect. Although the 2004 VASRD was not in effect until after the CI separated from service, if the condition had been rated using the updated VASRD, the rating...
AF | PDBR | CY2009 | PD2009-00582
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for continued Naval service, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Naval and Department of Defense regulations. The VA did not find limited or painful motion on examinations. The VA rated his PTSD at 30%.
AF | PDBR | CY2009 | PD2009-00583
The MEB found in view of the “osteoarthritis degeneration of the left knee joint” as interfering with duty and forwarded “Bicompartmental Osteoarthritis of the Left Knee, Failed ACL (Anterior Cruciate Ligament) Reconstruction in the Left Knee and Accompanying Anterolateral Rotatory Instability” to the Physical Evaluation Board (PEB) on the NAVMED 6100/1. Based on the examination results, the examiner opined that the CI had Bicompartmental osteoarthritis of the left knee secondary to the ACL...
AF | PDBR | CY2009 | PD2009-00584
The MEB and VA exams both documented full range of motion, while the hand surgeon noted palmar flexion limited to 65 degrees. Right Foot Condition. The PEB coding for foot injury allows a moderate rating that more accurately reflects the degree of painful motion, painful use and painful scar comprising the CI’s foot condition.
AF | PDBR | CY2009 | PD2009-00587
The CI was referred to the Navy Physical Evaluation Board (PEB), determined unfit continued service, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Naval and Department of Defense regulations. VA Training Letter, TL 07-05, Evaluating Residuals of Traumatic Brain Injury, dated 20070831 was in effect at the time the CI separated from service and therefore the Board will consider separate ratings for each symptom or condition...
AF | PDBR | CY2009 | PD2009-00589
He continued to report nightmares, difficulty initiating and maintaining sleep, hypervigilance, increased startle response, avoidance and isolation. He was separated from the TDRL on 20080430 with a 10% rating for 9411 PTSD. At the time of the first TDRL evaluation in March 2008 the CI had slightly improved but continued to have mild to moderate frequent symptoms of PTSD.
AF | PDBR | CY2009 | PD2009-00590
The CI was referred to the Physical Evaluation Board (PEB), found unfit for the painful Right Knee condition (Patello-femoral Chondromalacia), and separated at 10% disability using the Veterans Affairs Schedule for Rating Disabilities (VASRD) and applicable Navy and DoD regulations. These other conditions are all judged by the Board to be not unfitting at the time of separation from service, and are not relevant for disability rating. RECOMMENDATION : The Board recommends that there be no...
AF | PDBR | CY2009 | PD2009-00592
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for the Sinus Tarsi Syndrome condition, and separated at 10% disability using the Veterans Affairs Schedule for Rating Disabilities (VASRD) and applicable Naval and Department of Defense regulations. The CI was separated on 20020814 for Sinus Tarsi Syndrome with chronic bilateral foot and ankle pain rated analogously as code 5279, Metatarsalgia, anterior, (Morton’s Disease), unilateral or bilateral, which assigns...
AF | PDBR | CY2009 | PD2009-00594
The CI was referred to the Physical Evaluation Board (PEB), and was found unfit for continued military service. Left Shoulder Condition. In the matter of the hypertension, hyperlipidemia, ADHD, GI malfunction, right shoulder pain, or any other conditions eligible for Board consideration, the Board unanimously agrees that it cannot recommend any findings of unfit for additional rating at separation.
AF | PDBR | CY2009 | PD2009-00596
The headaches, neck pain, and finger numbness have persisted from the first surgery. Cervical Spine Condition. The Navy PEB coded the cervical spine condition as 5241 (spinal fusion), with a 10% disability rating.
AF | PDBR | CY2009 | PD2009-00598
Other PEB Conditions . Although the CI clearly had a history of low back pain that had required treatment, there was no evidence that the condition was unfitting at the time of separation. Service Treatment Record.
AF | PDBR | CY2009 | PD2009-00602
The CI was referred to the Physical Evaluation Board (PEB), determined unfit for the condition, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. The PEB most likely rated the CI’s asthma IAW DoDI 1332.39 which was in effect at the time the CI separated from service. The Board also considered the condition of Chronic Lumbosacral Strain and unanimously determined that this...
AF | PDBR | CY2009 | PD2009-00606
After a follow-up TDRL evaluation, the PEB recommended a permanent rating of 10% for the right femoral neck stress fracture condition. CI CONTENTION : The CI states, “Was rated 10% for scar on right thigh, which overlooks the fact that I have three pins that were inserted in my right femur for a right femoral neck stress fracture. After this follow-up TDRL evaluation, the PEB, on 24 Jun 08, recommended a permanent rating of 10% for the right femoral neck stress fracture condition (code...
AF | PDBR | CY2009 | PD2009-00607
I believe this to be the more appropriate rating for medical retirement.” The CI also submitted a hand-written note to the Physical Disability Board of Review (PDBR) dated 20091101, requesting consideration of his PTSD, which was rated by the VA. The Board recommends that the PTSD condition be considered not unfitting at the time of separation from service. For the Chronic Left Knee Pain, the Board recommends a rating of 10% (coded 5299-5259) IAW VASRD §4.71a.
AF | PDBR | CY2009 | PD2009-00609
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty Sgt (2311, Ammunition Technician) medically separated from the Marine Corps. The PEB adjudicated the chronic right shoulder pain condition as unfitting, rated 10%, with application of the SECNAVINST 1850.4E and the Veterans Affairs Schedule for Ratings Disabilities (VASRD). In the matter of the chronic right shoulder pain s/p right shoulder Bankart...
AF | PDBR | CY2009 | PD2009-00611
The VA compensation and pension (C&P) examination (mental examination) on 30 September 2008, six months after separation, noted Axis I diagnoses of MDD, panic disorder without agoraphobia, and somatoform disorder. RECOMMENDATION : The Board recommends that the CI’s prior separation be recharacterized to reflect that rather than discharge with severance pay, the CI was placed on constructive TDRL at 50% for six months following CI’s medical separation (PTSD at minimum of 50% IAW §4.129 and...
AF | PDBR | CY2009 | PD2009-00616
Left Knee Pain . In the matter of the left saphenous neuroma, low back pain, shell fragment wounds, mental condition, hearing loss, shoulder pain, right knee pain, right hip pain, tinea pedis, pilonidal cyst, headache, GERD, or any other conditions eligible for consideration, the Board unanimously agrees that it cannot recommend any findings of unfit for additional rating at separation. Exhibit C. Department of Veterans' Affairs Treatment Record.