AF | PDBR | CY2012 | PD2012 01050
Ratings for unfitting conditions will be reviewed in all cases. The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the fairness of DES fitness decisions and rating determinations for disability at the time of separation. The DVA, however, is empowered to compensate service-connected conditions and to periodically re-evaluate said conditions for the purpose of adjusting the Veteran’s disability rating should...
AF | PDBR | CY2012 | PD2012 01054
The Board’s authority as defined in DoDI 6044.40 resides in evaluating the fairness of DES fitness determinations and rating decisions for disability at the time of separation. The Board concluded therefore that the Grave’s disease condition could not be recommended for additional disability rating. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record
AF | PDBR | CY2012 | PD2012 01057
RATING COMPARISON : Service PEB – Dated 20010926VA (<1 MonthPost-Separation) – All Effective Date 20011116ConditionCodeRatingConditionCodeRatingExam Pathologic T2ANXMO G-3, Stage II, Liposarcoma (Myxoid) of the Medial Thigh with Residual Weakness of Thigh Muscles5012-8526-531410%Right Leg Liposarcoma7899-781810%20011019↓No Additional MEB/PEB Entries↓Residuals, Right Knee Strain5299-526210%20011019Not Service-Connected x 2 Combined: 10%Combined: 20% ANALYSIS SUMMARY :The Board’s authority, as...
AF | PDBR | CY2012 | PD2012 01059
At the MEB examinationperformed 2January2003,approximately5monthspriortoseparation,theCI reportedLBP. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130014992 (PD201201059) 1. I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR) recommendation and record of proceedings pertaining to the subject individual.
AF | PDBR | CY2012 | PD2012 01062
The FPEB stated “Unfortunately, the Board cannot sustain the IPEB's recommendation for Temporary Retirement because if the member is working fulltime, not missing any work and performing his job rather well, he is certainly not 30 percent disabled. The CI requested mental health evaluation and treatment in July 1998. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2012 | PD2012 01071
RATING COMPARISON : Service IPEB – Dated 20030212VA -Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain 5299-529510%Low Back Pain w/Disc Bulge L3-L4 and L4-L55293-529220%STRNo Additional MEB/PEB EntriesOther x 2STR Combined: 10%Combined: 20%Derived from VA Rating Decision (VARD)dated 20030417 and 20030624 ANALYSIS SUMMARY : Chronic Low Back Pain .The 2002 Veteran Administration Schedule for Rating Disabilities (VASRD) coding and rating standards...
AF | PDBR | CY2012 | PD2012 01072
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXX BRANCH OF SERVICE: Army CASE NUMBER: PD1201072SEPARATION DATE: 20021213 He was issued a permanent U3 profile (131111) andreferred for a Medical Evaluation Board (MEB).The MEB forwarded no other conditions for Physical Evaluation Board(PEB) adjudication.The PEB adjudicated his shoulder condition as unfitting, rated 0%, with application of the US Army Physical Disability Agency (USAPDA) pain policy. In the matter of the...
AF | PDBR | CY2012 | PD2012 01074
She was given several “rule out” diagnoses (delusional disorder, posttraumatic stress disorder, and paranoid personality disorder/traits) at the start of her treatment.The CI was followed by an outpatient psychiatrist whodocumented “hx of paranoid personality”on a progress note dated 07 May 2002.The CI was hospitalized following this visit which recommended that the CI be evaluated by a psychologist and considered for “repeat MEB.”(It was noted that the provider’s progress notes that...
AF | PDBR | CY2012 | PD2012 01077
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active dutySPC/E-4 (92G10/Food Service),medically separated for major depressive disorder (MDD) with psychotic features.Her depressed mood started in May 2000, while experiencing difficulty sleeping, anxiety, difficulty concentrating, decreased appetite, feeling worthless and overwhelmed.She did not improve adequately with treatmentto meet the physical requirements of her...
AF | PDBR | CY2012 | PD2012 01083
He was issued a permanent P3 profile andreferred for a Medical Evaluation Board (MEB).Asthma and mild restrictive pattern were forwarded to the Physical Evaluation Board (PEB) as medically unacceptable IAW AR 40-501.The PEB adjudicated the asthma and mild restrictive pattern as unfitting, rated 10% with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals, and was medically separated with a 10% disability rating. a month prior to the PEB,...
AF | PDBR | CY2012 | PD2012 01085
Pre-Separation) – All Effective Date 20011007CodeRatingConditionCodeRatingExam Back, bilateral shoulders, bilateral knees, (MEB DX 1-7:1) Spondylolysis/Grade I spondylolisthesis 2) DDD w/disc protrusion 3) Degenerative joint disease 4) Bilateral shoulder pain, mild to moderate 5) Bilateral knee pain, moderate, secondary to chondromalacia 6) Cubital Tunnel syndrome, mild 7) Plantar fasciitis, right foot, mild to moderate Board members agreed that the 5285 criteria do not support an...
AF | PDBR | CY2012 | PD2012 01094
The PEB adjudicated the right knee condition (specifying surgical residuals)as unfitting,rated 0%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD) and with possible application of the US Army Physical Disability Agency (USAPDA) pain policy.The CI made no appeals and was medically separated. The NARSUM stated, “He has not had any significant relief of his pain to this time. The VA Compensation and Pension exam,7 months after separation, recorded “constant...
AF | PDBR | CY2012 | PD2012 01095
The knee condition, characterized as severe left knee pain and anterior cruciate ligament (ACL) deficient left knee,was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The Informal PEB (IPEB)combined the two MEB conditions and adjudicated anterior cruciate (AC) deficient left knee as unfitting, rated 20%,withapplication of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals, and was medically...
AF | PDBR | CY2012 | PD2012 01097
Back Pain with Mild Muscle Spasm Condition .The narrative summary (NARSUM) notes that the CI was experiencing low back pain (LBP) in 2001 associated with physical training. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the adjudication.In the matter of the back pain condition, the Board unanimously...
AF | PDBR | CY2012 | PD2012 01100
No other conditions were submitted.The PEB adjudicated “bilateral foot and tibial pain”as a single unfitting condition, rated 0%,under criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals, and was medically separated. Members first deliberated if the bilateral foot and bilateral tibial conditions were reasonably justified as separately unfitting. In the matter of the servicecombined bilateral tibial and bilateral foot conditions, the Board by a...
AF | PDBR | CY2012 | PD2012 01102
Bilateral Leg Pain Condition . The Board further unanimously agreed that although the PEB rated the leg condition as“bilateral lower leg pain,” the reference was to the shin splint condition as clearly articulated in the PEB document (DD Form 199). BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the...
AF | PDBR | CY2012 | PD2012 01105
No other conditions were submitted by the MEB.The PEBfound the chronic right ankle pain unfitting, and rated it0%.The CI made no appeals, and was medically separated with a 0% disability rating. The Army PEB and VA chose different coding and rating options for the right ankle condition. Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012 01107
The PEB adjudicated “left distal femoral stress fracture” and “stress fracture right talus” as unfitting, each rated 0%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD). If he is on steep ground, the ankle will roll.” The VA physical exam (normal gait as above) recorded, “the right ankle is tender anteriorly to palpation. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be...
AF | PDBR | CY2012 | PD2012 01110
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Left Ankle Pain501010%Post Traumatic Arthritis Left Ankle5010-527110%*20030227Other x 5 (Not in Scope)Other x1 (Not in Scope) 20030227 Rated: 10%Rated: 10%Derived from VA Rating Decision (VARD)dated 20021220. The VA initially used code 5010-5271(limited motion of the ankle) and rated it 10%. The C&P exam, more consistent with a marked limitation of motion, was after separation but more proximate to separation than the MEB...
AF | PDBR | CY2012 | PD2012 01117
Her knee pain continued to worsen despite conservative treatment including: anti-inflammatory medications, physical therapy, and activity restrictions;she was then referred to the MEB.The commander's statement, dated 2 January 2000, references only the right knee as the reason for the CI's inability to perform military duties.On 5 December 2000, the MEB bilateral knee exam noted no effusions, full active range-of-motion (ROM), good muscle strength and no signs of knee instability. When...
AF | PDBR | CY2012 | PD2012 01119
Right Shoulder Condition . The CI reported having “mild pain from time to time.” On examination, the right shoulder appeared to be “slagging looking.” The right shoulder ROM testing revealed 80 degrees of flexion and abduction and 90 degrees of internal and external rotation. Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012 01121
The back conditions, characterized as “T11 Compression Fracture” and “Chronic Mid Back Pain,” in addition to a hypertension condition,were forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E. After due deliberation in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to recommend a change in the PEB fitness determination for the hypertensioncondition and the T11 compression fracture was considered with the unfitting...
AF | PDBR | CY2012 | PD2012 01124
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active dutyPFC/E-3 (11B/Infantry)medically separated for chronic left ankle pain.In January 2002, the CI fractured his left ankle while in the U.S. Army Airborne School.He underwent open reduction and internal fixation (ORIF) of the left ankle fracture. The chronic left ankle condition, characterized as “chronic ankle pain secondary to a left ankle fracture status post...
AF | PDBR | CY2012 | PD2012 01126
RATING COMPARISON : Service IPEB – Dated 20011102VA* - Service Treatment Records (STR)ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain with Mild Compression Fracture of T12-L1 and Degenerative Lower Lumbar Disc Disease529510%DDD L5-S1 with Spondylolysis529310%STRChronic Retropatellar Pain SyndromeNot UnfittingRetropatellar Pain Syndrome; s/p Arthroscopy w/Residuals, Old Tear and Lateral Meniscus with Laxity or Lateral Collateral Ligament, Right...
AF | PDBR | CY2012 | PD2012 01131
The right knee condition, characterized as “chronic right knee pain (patellar tendonitis),” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The PEB adjudicated “chronic right knee pain without any history of trauma/injury”as unfitting, rated 0%citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals, and was medically separated. RATING COMPARISON : Service IPEB (Dated...
AF | PDBR | CY2012 | PD2012 01137
He was placed on limited duty and referred for a Medical Evaluation Board (MEB). The PEB also found the CI’s patellofemoral pain syndrome (PFPS), hypertension, and chronic tension headaches to be Category III; conditions that are not separately unfitting and do not contribute to the unfitting condition.The CI made no appeals and was medically separated. The Board also concluded that the PEB properly subsumed the s/p tear of anterior talofibular and calcaneal fibular ligaments, and the...
AF | PDBR | CY2012 | PD2012 01139
Traumatic Optic Neuropathy Condition : The PEB rated the traumatic optic neuropathy with visual limitation of 20/40,limitation of up gaze in the right eye, right orbital fracture, hypertropia and exotropia and status post multiple skull fractures, Including a right orbit and bi-basilar skull fracture as Category II conditions (“Conditions that contribute to the unfitting condition”). Right Wrist Fracture Condition : T he PEB determined that the right wrist fracture condition was related to...
AF | PDBR | CY2012 | PD2012 01144
The PEB adjudicated “s/p left ankle bimalleolar fracture” as unfitting, rated 10% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). I believe that the Decision Board didn't take in consideration all the medical evidence in my favor thus making an erroneous decision; in this case: "when the disability was likely to have occurred or was aggravated, rather than make the assumption it occurred when the claim was originally filed, in addition this is a "faulty...
AF | PDBR | CY2012 | PD2012 01148
Ratings for unfitting conditions will be reviewed in all cases. The orthopedic evaluations on 18 November 2002 and 12 December 2002 recommended MEB, stating the ankle instabilityhad persisted despite repeated surgery, and that he had “worsening ankle pain due to physical activity,” and was unable to run, hike, march, or to perform his required duties.The MEB narrative summary (NARSUM) examination dated 21 March 2003 recorded “bilateral ankle with tenderness to palpation along lateral and...
AF | PDBR | CY2012 | PD2012 01153
The CI was placed on the TDRL with 30% disability.In April 2003, the CI had a clinical re-evaluation. On 2 May 2003, the CI had a C&P exam. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130010828 (PD201201153)I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR) recommendation and record of proceedings pertaining to the subject individual.
AF | PDBR | CY2012 | PD2012 01154
The Board directs attention to its rating recommendationbased on the above evidence.The PEB and VAboth rated the condition using code 5201 (limitation of arm motion) but assigned different ratings. Physical Disability Board of Review SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130010838 (PD201201154)I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR) recommendation and record of proceedings...
AF | PDBR | CY2012 | PD2012 01155
Twoleft ankle conditions, characterized as “chronic ankle pain, left” and “synovitis of the left ankle,” were forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E. The hepatitis C condition was not specifically requested by the CI, and will not be adjudicated by the Board. The Navy PEB and the VA chose different coding options for the unfitting left ankle condition, but both assigned a disability rating of 10%.
AF | PDBR | CY2012 | PD2012 01157
No other conditions were submitted by the MEB.The IPEB adjudicated bilateral plantar fasciitisas unfitting, rated 10% and 0% (not specified, but probably left and right, respectively) with likely application of Veterans Affairs Schedule for Rating Disabilities (VASRD).The bilateral pes planus condition was determined to be a Category IIcondition (one which contributes to the unfitting condition).The CI appealed to the Formal PEB (FPEB), which changed the PEB ratingfor the plantar fasciitis...
AF | PDBR | CY2012 | PD2012 01158
On the MEB DD Form 2807 dated29 June 2001, approximately 6 months prior to separation, the CI reported recurrent back pain and numbness and tingling in his legs with running, jumping or heavy lifting.The MEB DD Form 2808 examination of the same date noted decreased “ROM with toe touch, SLR B positive, TTP lumbar region.”At the VA Compensation and Pension (C&P) exam 25 April 2002, approximately 3 months after separation, the CI reported intermittent LBP without radiation that was aggravated...
AF | PDBR | CY2012 | PD2012 01162
The MEB forwarded no other conditions for Informal Physical Evaluation Board (IPEB) adjudication.The IPEB adjudicated chronic right foot and ankle pain conditions as unfitting rated 10%, with likely application of the US Army Physical Disability Agency (USAPDA) pain policy. Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Right Foot and Ankle Pain5099-500310%Right Ankle Fracture (also claimed as right foot pain)527110%20021223No Additional MEB/PEB EntriesOther x 420021223...
AF | PDBR | CY2012 | PD2012 01166
The MEB forwarded no other conditions for PEB adjudication.The PEB adjudicated the chronic back pain condition as unfitting, rated 10%with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals, and was medically separated with a 10% disability rating. The Board noted the PEB included “low thoracic pain” as part of the back pain condition and that the VASRD provides for a dorsal spine (thoracic spine) limitation of motion rating when the...
AF | PDBR | CY2012 | PD2012 01167
The left knee condition, characterized as chondromalacia of patella, left kneewas forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E.No other conditions were submitted by the MEB.The Physical Evaluation Board (PEB) adjudicated chrondromalacia patella, left kneeas unfitting, rated 10%. The CI did attend a VA C&P Exam for Joints on 20041026, 8 months after his DOS. The VA used code 5099-5014, and rated it 0% based on the service treatment record.
AF | PDBR | CY2012 | PD2012 01169
The keratoconus and sleep apnea conditions, characterized as “keratoconus in each eye corrected with rigid gas permeable contact lenses, EPTS (existed prior to service), not permanently aggravated by service;” and “sleep apnea requiring CPAP,”were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501 as medically unacceptable.The MEB forwarded no other conditions.The PEBadjudicated “keratoconus in each eye, corrected with rigid gas permeable contact lens, EPTS, not permanently...
AF | PDBR | CY2012 | PD2012 01179
RATING COMPARISON : ServiceIPEB – Dated 20030221VA -( 2 weeks Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Bilateral Medial Tibial Plateau Stress FractureR-5003-5262 L-5003-526210% 0%Stress Fracture, Lt. Medial Tibial Plateau and FemoralCondyle526220%*20030303Bilateral Medial Femoral Condyles Stress FractureCAT IIIStress Fracture, Right. It is noted for the record that the Board is subject to the same laws for disability entitlements as those under which the Disability...
AF | PDBR | CY2012 | PD2012 01180
He was then medically separated with a 0% disability rating. Low Back Pain and Scoliosis Condition . I direct that all the Department of the Army records of the individual concerned be corrected accordingly no later than 120 days from the date of this memorandum.
AF | PDBR | CY2012 | PD2012 01187
It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not determined to be unfitting by the PEB when specifically requested by the CI. She was placed on medications and was able to function well. The majority agreed that the evidence did not warrant application of VASRD §4.129.The Board then determined the most appropriate fit with VASRD §4.130 criteria, its permanent rating recommendation at the time of...
AF | PDBR | CY2012 | PD2012 01192
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty PFC/E-3 (71L/Administrative Specialist) medically separated for a major depression with psychotic features. Any conditions or contention not requested in this application, or otherwise outside the Board’s defined scope of review, remain eligible for future consideration by the Board for Correction of Military Records.The Board acknowledges the CI’s information...
AF | PDBR | CY2012 | PD2012 01193
It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not determined to be unfitting by the PEB when specifically requested by the CI. After removal of the external fixator, the CI continued to report left ankle pain over the site of the screw. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to...
AF | PDBR | CY2012 | PD2012 01198
invalid font number 31502 Physical therapy measured right knee ROM at 5 to 125 degrees in early November 2001. invalid font number 31502 At that time, invalid font number 31502 the CI underwent a right knee invalid font number 31502 invalid font number 31502 diagnostic arthroscopy, partial synovectomy invalid font number 31502 , invalid font number 31502 an invalid font number 31502 d mechanical knee chondroplasty and the MEB was placed on hold. invalid font number 31502 A C&P invalid font...
AF | PDBR | CY2012 | PD2012 01207
The PEB adjudicated “diabetes mellitus type 1”as unfitting, rated 20%, with likely application of the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting.The CI did not agree with the PEB findings but did request a formal hearing or submit an appeal, so his case was sent to the US Army Physical Disability Agency (USAPDA). This condition was indeed “not unfitting” at the time of separation.The Board therefore concluded that this condition...
AF | PDBR | CY2012 | PD2012 01210
No other conditions were submitted by the MEB.The PEB adjudicated asthma with VCDand chronic pain left knee conditions as unfitting, rated 30% and 0% respectively,referencing the US Army Physical Disability Agency (USAPDA) pain policy. 660230%10%Asthma with Vocal Cord Dysfunction660230%20020606Chronic Pain, Left Knee In addition, the CI had a VCD that significantly responded to the beta-agonist inhalational medication, Albuterol for which the medication profile in evidence reflects dosing...
AF | PDBR | CY2012 | PD2012 01213
No other conditions were submitted by the MEB.ThePEBadjudicated left elbow pain with a history of left CTS and ulnar nerve decompression in March 2003 as unfitting, rated 10%citing criteria of the US Army Physical Disability Agency (USAPDA) pain policyand Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining condition was determined to be not unfitting.The CI made no appeals and was medically separatedwith thatdisability rating. Other x 720040304 Combined: 10% Derived from...
AF | PDBR | CY2012 | PD2012 01219
Conversely, and likely erroneously, the profiles specified only “chronic left knee pain” but the commander’s corresponding statement referred only to “right knee pain.” Clinical notes consistently documented knee range-of-motion (ROM) as full, and no entries specified painful motion. If the members judge that separately ratable conditions are justified by performance based fitness criteria and indicated IAW VASRD §4.7 (higher of two evaluations), separate ratings are recommended.The Board...
AF | PDBR | CY2012 | PD2012 01223
The PEB adjudicated “chronic bilateral patellar tendinitis (tenosynovitis)”asunfitting, rated 0%, citing criteria of the Veterans Administration Schedule for Rating Disabilities (VASRD) with possibleapplication of the US Army Physical Disability Agency pain policy.The remaining conditions were determined to be not unfitting, not ratable.The CI made no appeals and was medically separated with a 0%disability rating. For the right knee, he recorded “knee pain on a daily basis increased by...
AF | PDBR | CY2012 | PD2012 01225
The neck and knee conditions, characterized as “chronic neck pain with evidence of spondylosis” and “chronic bilateral knee pain, retropatellar pain syndrome,” were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.ThePEB adjudicated “chronic pain – neck and bilateral knees”as a single unfitting condition, rated 10%,referencing theUS Army Physical Disability Agency (USAPDA) pain policy.The CI made no appeals and was medically...