AF | PDBR | CY2010 | PD 2010 00402
The CI was placed on limited duty and underwent a Medical Evaluation Board (MEB). The PEB adjudged the major depression condition as an unfitting “ overall effect” condition, without applying a VA diagnostic code. Considering the hospitalization, noted symptoms, intensive treatment, and significant lost duty time due to the CI’s mental disorder, and in consideration of the totality of the evidence, the DoDI 6040.44 “fair and equitable” standard was adequately met to adjudge the major...
AF | PDBR | CY2010 | PD2010 00479
A lot of evidence showed a problem at L4-L5 level, that was included in the MEB findings report and later in VAMC reports, yet that was not considered in the decision of the MEB board. Therefore, the Board determined that a disability rating of 10% for the CI’s LBP condition was reasonably justified. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130016402 (PD201000479)I have reviewed the enclosed Department of Defense Physical Disability Board of...
AF | PDBR | CY2010 | PD2010 01131
Considering all the evidence, the Board unanimously recommends a permanent disability rating of 30% for the mental condition (PTSD and GAD). The Board, therefore, has no reasonable basis for recommending any additional unfitting conditions for separation rating. 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 the TDRL at 60% for a period of six months (IAW VASRD §4.129)...
AF | PDBR | CY2010 | PD2010-00004
The PEBs rated the CI’s back condition 10% based on the NARSUM and service records in evidence at the time (flexion to 80°, normal strength, normal gait), while the VA’s 20% rating at the time of separation was additionally based on the January 2006 neurosurgery note documenting an antalgic gait (20% for muscle spasm, severe enough to alter gait). The Board considered whether the CI’s radiculopathy was separately unfitting, warranting a disability rating at the time of separation. ...
AF | PDBR | CY2010 | PD2010-00005
The PEB adjudicated the spine condition as unfitting, rated at 10% IAW the Veterans Administration Schedule for Rating Disabilities (VASRD). Other PEB Conditions . The Board therefore has no reasonable basis for recommending any additional unfitting conditions for separation rating.
AF | PDBR | CY2010 | PD2010-00006
In the matter of the right inguinal neuralgia condition with chronic right groin pain condition, the Board unanimously recommends a rating of 10% coded 8630 IAW VASRD §4.124a. In the matter of the right inguinal scar condition, the Board unanimously agrees that it cannot recommend a finding of unfit for additional rating at separation. Exhibit C. Department of Veterans' Affairs Treatment Record.
AF | PDBR | CY2010 | PD2010-00007
The CI was then medically separated with a 10% combined disability rating. In addition, the CI requests review of the PEB's findings regarding his Sleep Apnea and an award of a 50% rating for this condition.” The contentions discuss decreased work capacity (estimated METS indicating under 11-14 ml/kg/min O2) and lung function (DLCO) parameters for VA Schedule for Rating Disabilities (VASRD) rating other than lung volumes and flows (FEV-1 or FEV-1/FVC). Other PEB Condition .
AF | PDBR | CY2010 | PD2010-00008
Left Ankle Condition . All evidence considered, there is not reasonable doubt in the CI’s favor supporting a change from the PEB’s rating decision for the left ankle condition of 10% disability IAW the VA Schedule for Rating Disabilities (VASRD) §4.71a. Exhibit C. Department of Veterans' Affairs Treatment Record.
AF | PDBR | CY2010 | PD2010-00009
Other PEB Conditions . The Board does not have the authority under DoDI 6040.44 to render fitness or rating recommendations for any conditions not considered by the DES. In the matter of the osteochondritis dissecans condition of the right knee and IAW with VASRD §4.71a, the Board unanimously recommends no change in the PEB adjudication.
AF | PDBR | CY2010 | PD2010-00010
On the VA compensation and pension (C&P) examinations, the CI complained of “horrible, unretractable [ sic ] pain in the left foot.” The pain was constant and worse with any weight-bearing activities, such that he was unable to put any pressure on the foot, walk, or stand. The Board does not have the authority under DoDI 6040.44 to render fitness or rating recommendations for any conditions not considered by the DES. In the matter of the mechanical low back pain, anxiety, and depression or...
AF | PDBR | CY2010 | PD2010-00013
The PEB adjudicated the lumbar condition as unfitting, rated 10% with presumptive application of the US Army Physical Disability Agency (USAPDA) pain policy. The VA rated the condition 0% at separation, but increased the rating to 30% (effective date more than one year after separation). In the matter of the lumbar spondylosis condition and IAW VASRD §4.71a, the Board unanimously recommends no change in the PEB rating adjudication.
AF | PDBR | CY2010 | PD2010-00014
The Informal PEB adjudicated the left knee ACL deficiency condition as unfitting, rated 20%, with application of SECNAVINST 1850.4E, DoDI 1332.39 and Veterans Administration Schedule for Rating Disabilities (VASRD), respectively. Left Knee Condition . Exhibit C. Department of Veterans' Affairs Treatment Record.
AF | PDBR | CY2010 | PD2010-00015
The Formal PEB (FPEB) found the back pain and neck pain conditions unfitting, and rated them 10% each. The CI was thus medically separated with a 20% combined disability rating. In the matter of the migraine headaches, carpal tunnel syndrome, the ten other medically acceptable conditions cited in the MEB, and 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 | CY2010 | PD2010-00016
Headache Condition Due to TBI . In the matter of the headache condition due to TBI, the Board unanimously recommends that this condition be considered separately as a residual of TBI (code 8045-8100, headache condition due to TBI) with a rating of 0%. Service Treatment Record.
AF | PDBR | CY2010 | PD2010-00017
The PEB adjudicated the left patellofemoral arthritis condition as unfitting, rated 10%; additionally left open patella fracture condition was considered category II, a related condition that is not separately unfitting; with application of SECNAVINST 1850.4E respectively. Service Treatment Record In accordance with reference (a), I have reviewed the cases forwarded by reference (b), and, for the reasons provided in their forwarding memorandum, approve the recommendations of the PDBR the...
AF | PDBR | CY2010 | PD2010-00018
The PEB adjudicated the left Achilles tendon condition and the right anterior tibialis tendon condition as unfitting, rated each at 10%, with application of SECNAVINST 1850.4E, DoDI 1332.39 and Veteran’s Administration Schedule for Rating Disabilities (VASRD), respectively. The VA rating decision was 0% for scars which are not considered disabling because of limitation of function of the affected part (coded 7805). In the matter of the right tibialis anterior tendon condition and IAW VASRD...
AF | PDBR | CY2010 | PD2010-00019
The MEB listed “chronic low back pain secondary to intervertebral disc disease,” “chronic neck pain” and “chronic shoulder pain” forwarded to the Physical Evaluation Board (PEB) as medically unacceptable IAW AR 40-501. The Board considered that the MEB and PT exams were closer to the date of separation, comprehensive, more indicative of the CI’s level of disability described in the service records, and therefore had a higher probative value. Minority Opinion : The Action Officer (AO)...
AF | PDBR | CY2010 | PD2010-00020
The CI did not appeal and was medically separated with a 20% disability rating. The other conditions forwarded by the MEB and adjudicated as not unfitting by the PEB were palpitations, bilateral shoulder pain and obstructive sleep apnea (OSA). In the matter of the lumbar intervertebral disc syndrome condition and IAW VASRD §4.71a, the Board unanimously recommends no change in the PEB adjudication.
AF | PDBR | CY2010 | PD2010-00021
Other Conditions . In the matter of the Bell’s Palsy and anomalous CN regeneration condition, the Board recommends by a vote of 2:1 a rating of 20% coded 8399-8307 (Neuritis CN VII as incomplete, severe) IAW VASRD §4.124a. In the matter of the Hypertension, Hypercholesterolemia, Herpetic Whitlow, Hip, Knee Shoulder and Wrist Pain, Neck Pain, Left Shoulder Pain, PRK, Rectal bleeding, Pain in Chest, Migraine Headaches and Allergic Rhinitis conditions or any other medical conditions eligible...
AF | PDBR | CY2010 | PD2010-00022
The PEB found the arteriosclerotic heart disease unfitting, and rated it 10% IAW the Veterans’ Administration Schedule for Rating Disabilities (VASRD). After heart attack #5 I was told that because I could not deploy I was now considered a liability to the Army. I was told that continuation of service to fulfill my 20 yrs.
AF | PDBR | CY2010 | PD2010-00023
Flexion (140⁰ normal)0-130⁰120⁰ (pain at 105⁰)Extension (0⁰ normal)-2⁰0⁰CommentPatellofemoral crepitusTenderness over knee medial worse than lateral; Positive patellar compression test§4.71a Rating10%10%At the time of the MEB exam on 2 November 2002, seven months prior to separation, the CI had severe left anterior knee pain which limited his activities of daily living. Negative testing included the McMurray test and tests for ligamentous instability; no effusion was noted and gait was...
AF | PDBR | CY2010 | PD2010-00024
My sinus rating is 50% now. All evidence considered, and mindful of VASRD §4.3 (reasonable doubt), the majority of the Board recommends a disability rating of 30% as the fair permanent separation rating for asthma (6602) in this case. RECOMMENDATION : The Board recommends that the CI’s prior determination be modified as follows and that the discharge with severance pay be recharacterized to reflect permanent disability retirement, effective as of the date of his prior medical separation:
AF | PDBR | CY2010 | PD2010-00025
Orthopedic exam several weeks later noted a 1+ effusion with a 1+ Lachman test (i.e., positive anterior instability). After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board unanimously recommends a separation rating of 10% for the left knee ACL condition coded 5257 and 10% for the medial meniscus condition coded 5259 for a combined rating of 20%. Subj: PHYSICAL DISABILITY BOARD OF REVIEW (PDBR) RECOMMENDATIONS
AF | PDBR | CY2010 | PD2010-00026
The anxiety condition was rated by the VA at 30% within three months of separation. Other Conditions. I have reviewed the subject case pursuant to reference (a) and, for the reasons set forth in reference (b), approve the recommendation of the PDBR Mr. XXXX’s records not be corrected to reflect a change in either his characterization of separation or the disability rating previously assigned by the Department of the Navy’s Physical Evaluation Board.
AF | PDBR | CY2010 | PD2010-00029
While he was being treated for these injuries he reported panic attacks, nightmares, and difficulty sleeping and was referred to mental health for evaluation. No evidence this condition was unfitting at the time of separation from service. The Board also considered the condition of Traumatic Brain Injury (TBI) and unanimously determined that this condition was not unfitting at the time of separation from service and therefore no disability rating is applied.
AF | PDBR | CY2010 | PD2010-00031
The right shoulder injury as well as left knee pain, right wrist pain and foot pain were addressed in the narrative summary (NARSUM) and forwarded to the Physical Evaluation Board (PEB) on the DA Form 3947 as medically unacceptable IAW AR 40-501. Right Shoulder Condition . Right Shoulder Condition5003-520120% COMBINED20% ______________________________________________________________________________
AF | PDBR | CY2010 | PD2010-00032
The CI was placed on limited duty (LIMDU) and underwent a Medical Evaluation Board (MEB). The Board, therefore, has no reasonable basis for recommending any additional unfitting conditions for separation rating. 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 XXX’s records not be corrected to reflect a change in either his characterization of separation or in...
AF | PDBR | CY2010 | PD2010-00033
Based on the C&P examination seven months after separation, the Board concluded that the CI’s back condition most nearly approximated the 20% rating IAW the VASRD general rating formula for spine diseases and §4.159 (painful motion), lumbar flexion greater than 30° but not greater than 60°. Motor strength testing was consistently normal and evidence of the record reflects that pain was the reason the CI was unable to perform all the functions of his military specialty. After due...
AF | PDBR | CY2010 | PD2010-00035
ER evaluation revealed heat injury, acute renal failure secondary to rhabdomyolysis and he was admitted to the hospital. In the matter of the migraine headaches, left knee pain 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. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination,...
AF | PDBR | CY2010 | PD2010-00036
The PEB adjudicated the low back condition and left foot condition as unfitting, rated 10% each, with application of the US Army Physical Disability Agency (USAPDA) pain policy. The Board’s role is confined to the review of medical records and all evidence at hand to assess the fairness of PEB rating determinations compared to the VA Schedule for Rating Disabilities (VASRD) standards, as well as the fairness of PEB fitness adjudications at the time of separation. Other PEB Conditions.
AF | PDBR | CY2010 | PD2010-00037
Additionally, the CI had already been on a period of TDRL prior to final separation rating. They are not useful for final separation rating, but are useful for rating upon entry into the TDRL period. In the matter of the sinus 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.
AF | PDBR | CY2010 | PD2010-00038
The MEB exam was eight months prior to separation. Other PEB Conditions . The Board, therefore, has no reasonable basis for recommending any additional unfitting conditions for separation rating.
AF | PDBR | CY2010 | PD2010-00039
The CI was placed on limited duty for the varicocele and underwent a Medical Evaluation Board (MEB). The PEB took into consideration that §4.124a does allow for a rating of severe to complete in this case, and the Board considered extra-scheduler rating as severe because of the degree and persistence of pain in evidence. In the matter of the varicocelectomy scar, groin; tinnitus; and PTSD conditions, or any other medical conditions eligible for Board consideration, the Board unanimously...
AF | PDBR | CY2010 | PD2010-00040
AF | PDBR | CY2010 | PD2010-00041
PHYSICAL DISABILITY BOARD OF REVIEW Orthopedic consultation on 3 October 2008 (six months pre-separation) noted calcaneal stress fracture and lateral ankle instability with medial impingement, however, no comprehensive examination or comment on range of motion was included. In the matter of the right ankle RSD, peroneal tendonitis, lateral instability of the right ankle and calcaneal stress fracture conditions the Board unanimously recommends no change in the PEB adjudication.
AF | PDBR | CY2010 | PD2010-00042
The PEB found the posttraumatic headache condition unfitting, and rated it 10% IAW the Veterans’ Administration Schedule for Rating Disabilities (VASRD). Posttraumatic Headaches . There is no evidence that the CI was on a profile for either of these mental diagnoses prior to separation.
AF | PDBR | CY2010 | PD2010-00043
Because the C&P examination was significantly more detailed than the NARSUM exam, it was considered by the Board for rating purposes. Other PEB Conditions. Service Treatment Record.
AF | PDBR | CY2010 | PD2010-00044
AF | PDBR | CY2010 | PD2010-00045
The Board considered rating the left ankle degeneration separately, but determined the rear-foot pain was best considered as degenerative changes of the left rear foot which also contributed to the limitation of ankle motion from the plantar fasciitis. The Board recommends no additional separately unfitting foot or ankle condition, or change in the PEB adjudications other than PF, and all symptoms were considered under the separate 5399-5310 coding ratings above. Exhibit C. Department of...
AF | PDBR | CY2010 | PD2010-00047
AF | PDBR | CY2010 | PD2010-00049
AF | PDBR | CY2010 | PD2010-00051
AF | PDBR | CY2010 | PD2010-00052
AF | PDBR | CY2010 | PD2010-00053
The IPEB on 13 August 2001 one month before separation from the TDRL found the anxiety disorder in partial remission to be unfitting, code 9400 with a 10% rating. I have carefully reviewed the evidence of record and the recommendation of the Board. I concur with that finding, accept their recommendation and direct that your records be corrected as set forth in the attached copy of a Memorandum for the Chief of Staff, United States Air Force.
AF | PDBR | CY2010 | PD2010-00055
The CI had VA PTSD C&P examinations at 4 1/2 and 20 months after separation from service. The CI had not been receiving treatment for PTSD at the time of his first VA examination. The VA rated the PTSD at 50% and also rated post-concussive headaches at 50% based on the frequency of incapacitating headaches.
AF | PDBR | CY2010 | PD2010-00056
AF | PDBR | CY2010 | PD2010-00059
AF | PDBR | CY2010 | PD2010-00060
AF | PDBR | CY2010 | PD2010-00061
AF | PDBR | CY2010 | PD2010-00062