AF | PDBR | CY2012 | PD2012 01228
The MEB forwarded bilateral retropatellarpain syndrome (RPPS)and lateral patellar compression syndrome condition to the Physical Evaluation Board (PEB) IAW AR 40-501. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Bilateral Retropatellar Pain Syndrome S/PArthroscopic Release with only Moderate Improvement5099-50030%Right Knee Patellar Compression Syndrome w/History of Arthroscopic Lateral Release5299-526210%20020429Left Knee Patellar Compression Syndrome w/History of...
AF | PDBR | CY2012 | PD2012 01233
The MEB forwarded no other conditions for Physical Evaluation Board (PEB) adjudication.The PEB adjudicated the right hemiparesis secondary to open-lip schizencephaly as unfitting, rated 20%,with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). They did not allow me to stay in.I didn't think I had a fair medical review board. 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 01234
The PEB adjudicated the post-traumatic headache aggravated by Kevlar as severe headaches resulting in an inability to wear Kevlar; s/p depressed skull fracture, multiple scalp lacerations, near avulsion of right auricleunfitting, rated 0%, with likely application ofVeteran’s Affairs Schedule for Rating Disabilities (VASRD) andAR 635-40.The remaining conditions (hearing loss, left ear, status post ossiculoplasty Oct 1999, on H1 profile;and patellofemoral pain syndrome, intermittently...
AF | PDBR | CY2012 | PD2012 01239
At the VA Compensation and Pension examination dated 3 June 2004, approximately 4months after separation, the CI reported a chronic low-grade pain in the lower thoracic region, 3 on a scale of 10. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record XXXXXXXXXXXXXXXXXX, DAFPresident Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012 01240
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. Asthma Condition .The CI had a history of exercised-induced asthma with running since June 2001 manifested by shortness of breath (SOB), wheezing, and chest discomfort.He reported mild, subjective improvement with an inhaled bronchodilator, which was...
AF | PDBR | CY2012 | PD2012 01247
The PEBadjudicated chronic anterior knee pain, s/p left knee arthroscopic lateral retinacular release for lateral patellar compression syndrome as unfitting, rated 10%with likely application of SECNAVINST 1850.4E/Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining conditions, coxa saltans of the left hip and left greater trochanteric bursitis were determined to be Category III, conditions that are not separately unfitting and do not contribute to the unfitting condition. ...
AF | PDBR | CY2012 | PD2012 01266
Bilateral Knee Condition . Members agreed that the functional limitations as described in the NARSUM, the VA exam and as described in the NMA justified the conclusion that the right knee and left knee conditions were each integral to the CI’s inability to perform activities required of his MOS; and, accordingly a separate rating for each knee is recommended.The Board noted that the C&P exam which was proximal to the CI’s date of separation, demonstrated slight pain-limited motion andthe...
AF | PDBR | CY2012 | PD2012 01267
She was medically separated for multiple stress reaction conditions.The CI reported an onset of foot pain 4 weeks into basic training in 2001, followed by pelvic and hip region pain that did not respond adequate to anti-inflammatory medication and physical therapy (PT)to meet the physical requirements of her MOS or satisfy physical fitness standards. The PEB combined the multiple lower extremities at 20% as noted above, and the VA adjudicated that the conditions were healed without sequelae...
AF | PDBR | CY2012 | PD2012 01268
The MEB forwarded RSD in Left Foot to the Physical Evaluation Board (PEB). RATING COMPARISON : Service IPEB – Dated 20021202VA - Service Treatment Record (STR) USED ConditionCodeRatingConditionCodeRatingExam Left Forefoot Pain8799-872010%Regional Pain Syndrome, Left Foot 8799-87250%STRNo Additional MEB/PEB EntriesOther x 0 Rating: 10%Rating: 0% ANALYSIS SUMMARY :The Board acknowledges the CI’s information regarding the significant impairment with which his service-connected condition...
AF | PDBR | CY2012 | PD2012 01270
The low back condition was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501 and no other conditions were submitted by the MEB.The Informal PEB adjudicated the mechanical low back pain (LBP)as unfitting, rated 10%.The CI made no appeals, and was medically separated. There is insufficient evidence to support the higher rating of 20% since there is no evidence of spasms occurring on extreme forward bending and no documented clinical evidence of spasms in any record prior to...
AF | PDBR | CY2012 | PD2012 01272
Service treatment records (STRs) proximate to the date of separation indicated bilateral patellofemoral pain syndrome (PFPS) and noted pain with going up or down stairs, squatting or prolonged sitting; some.The last treatment note stated “still has moderate symptoms in the right knee with flexion.” No VA Compensation and Pension (C&P) exam was performed.The Board directs attention to its rating recommendationbased on the above evidence.The PEB rated the combined bilateral knee pain...
AF | PDBR | CY2012 | PD2012 01273
Left Leg Pain Condition . Physical Disability Board of Review SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130010239 (PD201201273)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 01274
Pre-Separation) – All Effective Date 20021011ConditionCodeRatingConditionCodeRatingExam Chronic right lower leg pain5099-50030%History of a stress fracture of the right tibia with shin splints502210%20020925↓No Additional MEB/PEB Entries↓0% X 0 / Not Service-Connected x 0 Combined: 0%Combined: 10% ANALYSIS SUMMARY :The Board’s authority as defined in DoDI 6040.44, resides in evaluating the fairness of Military Disability Evaluation System (MDES) fitness determinations and rating decisions...
AF | PDBR | CY2012 | PD2012 01278
The PEB coded the back condition utilizing the 2002 VASRD rating rules as 5299-5295, analogous to lumbosacral strain and citing DoDI 1332.39 and AR 635-40.The VA rating of 40% was under the current VASRD §4.71a rating code of 5242 (degenerative arthritis of the spine) which was not in effect at the time of the CI’s date of separation.The spine specific VA examination (6 months after separation) demonstrated significantly worse symptoms and ROMs than the general VA exam (near separation) and...
AF | PDBR | CY2012 | PD2012 01280
The Physical Evaluation Board (PEB) adjudicated the left shoulder condition as unfitting, rated 20%,with application of the US Army Physical Disability Agency (USAPDA) pain policy.The remaining conditions were determined to be not unfitting.The CI made no appeals, and was medically separated with a 20% disability rating. The other requested conditions (left foot, back pain, rectal bleeding, migraines and sleep disorder) are not within the Board’s purview. The Board’s role is confined to...
AF | PDBR | CY2012 | PD2012 01281
Both CRPS and“osteoarthritis left big toe” were forwarded to the Physical Evaluation Board (PEB) as medically unacceptable conditions IAW AR 40-501;and, no other conditions were submitted.The PEB adjudicated “chronic regional pain syndrome, left foot with osteoarthritis great toe”as a singleunfitting condition, rated 20%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. ...
AF | PDBR | CY2012 | PD2012 01283
Low back pain (LBP) and right foot pain conditions were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. -- 210No mention of painful motionPain with motion0% 10%The Board directs attention to its rating recommendation based on the above evidence.After consideration of the two back examinations noted above, it was determined that both exams had probative value, since both were conducted in a thorough manner, and were performed within 6 months of separation. Right Foot Pain .
AF | PDBR | CY2012 | PD2012 01297
It noted that the CI had degenerative changes on X-ray (although an X-ray 2 years after separation was reportedly normal), tenderness on the MEB examination, and weakness with decreased ROM on the C&P examination. It noted that the CI had 4/5 weakness in both lower extremities on the C&P examination, even though it had been normal a month earlier and was also normal on the VA examination 7 years after separation. It noted that the CI had no symptoms on the more probative MEB examination...
AF | PDBR | CY2012 | PD2012 01299
(2) is limited to those conditions which were determined by the PEB to be specifically unfitting for continued military service; or, when requested by the CI, those condition(s) “identified but not determined to be unfitting by the PEB.” The service ratings for unfitting conditions will be reviewed in all cases. The Board directs attention to its rating recommendation based on the above evidence.The PEB rated the residuals of T12 compression fracture with increased thoracic kyphosis 10%...
AF | PDBR | CY2012 | PD2012 01300
Due to missing documents, the Board was not able to determine the Veterans Affairs Schedule for Rating Disabilities (VASRD) code used by the VA but the record indicates the VA also rated the condition at 10%. Physical Disability Board of Review SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130018486 (PD201201300)I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR) recommendation and record of...
AF | PDBR | CY2012 | PD2012 01302
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty, LCPL/E-3,(6541/Aviation Ordinance) medically separated for a left ankle condition.She was injured in 2001 and a review of health records revealed a history of left ankle fibular stress fracture. The left ankle condition was forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E. The Board noted that despite appropriate medical treatment the...
AF | PDBR | CY2012 | PD2012 01303
The knee condition, characterized as “right knee anterior cruciate ligament tear, surgically...” was forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E.No other conditions were submitted by the MEB.The PEB adjudicated right knee anterior cruciate ligament (ACL) tear, surgically reconstructed, as unfitting, rated 10% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals, and was medically separated. A pivot shift test...
AF | PDBR | CY2012 | PD2012 01306
No other conditions were submitted by the MEB.The PEB adjudicated “right ankle pain secondary to osteochondral fracture and surgery” as unfitting, rated 10%, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. At the MEB/NARSUM evaluation approximately 7months prior to separation, physical examination noted right ankle dorsiflexion of 5 degrees with crepitus without significant associated pain on motion. ...
AF | PDBR | CY2012 | PD2012 01310
From the time the Medical Evaluation Board conducted their exam on 4/8/2003 to the time they rendered their decision on 6/16/2003 there were additional medical conditions identified on a physical exam on 5/22/203 that were no [sic] considered. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Allergic Rhinitis, with Polyps or Obstruction(Includes: Severe Allergies, Upper Airway Resistant Syndrome and Refractory Allergic Rhinitis)65220%Chronic Rhinitis Upper Airway Resistant...
AF | PDBR | CY2012 | PD2012 01313
Sarcoidosis 2. A 10% disability rating was assigned based on the 9434 code and a“mild social and industrial impairment.”The CI appealed and both a FPEB and USAPDA affirmed the 10% disability rating.In December 2001, the VA determined that both sarcoidosis and depression had EPTS and neither had been aggravated by service. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130012146 (PD201201313)I have reviewed the enclosed Department of Defense...
AF | PDBR | CY2012 | PD2012 01316
N/A §4.71a Rating 20% 10% 30%30%At the VA Compensation and Pension (C&P) exam 7 months prior to separation, the CI reported cervical neck pain rated 2/10 with muscle spasms and tremors of the right upper extremity. 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.The Board did not surmise...
AF | PDBR | CY2012 | PD2012 01323
The left foot injury condition, characterized as “diastasis of the first and second metatarsal base joint and medial and central cuneiform joint diathesis” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501 as medically unacceptable.No other conditions were submitted by the MEB.The PEBadjudicated the condition as left foot injury (moderate) as unfitting, rated 10%. At the MEB exam, on 24 April 2003, 2 months prior to separation, the CI reported 3 years of pain in the left...
AF | PDBR | CY2012 | PD2012 01328
The CI’s profile listed LBP, right PFS of knee with limitation of no running, jumping, marching, squatting, ruck or deep knee bends.The profile allowed walking, swimming, and biking at own pace.On MEB/NARSUM evaluation, 12 April 2002, 6 weeksprior to separation,the CI reported LBP and right knee pain. RECOMMENDATION : The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: SUBJECT: Department of Defense Physical...
AF | PDBR | CY2012 | PD2012 01332
The 7900 code used by the PEB and 5025 rating code by the VA reflects the fact that there is no code specific for rhabdomyolysis.The VA used the service treatment records (STRs) and rated the condition at 10% based on the use of pain medication for control. A 10% rating under the 7900 and 5025 codes requires continuous use of medication for control of the condition. Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012 01335
He was issued a permanent P3 profile and referred for a Medical Evaluation Board (MEB).The epilepsy condition, characterized as partial onset epilepsy with secondary generalization was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501 as medically unacceptable.No other conditions were submitted by the MEB.The PEBadjudicated partial onset epilepsy with secondary generalization as unfitting and rated 20% with application of theVeterans Affairs Schedule for Rating Disabilities...
AF | PDBR | CY2012 | PD2012 01338
The Board considered codes 5290 (limitation; cervical spine) and 5293 (Intervertebral disc syndrome) as more appropriate codes in lite of limited cervical ROMs and radiographically identified bulging C5-C6 disc.The Board deliberated if the CI’s overall disability picture of limited cervical ROM near the time of his separation met 10% (slight) or 20% (moderate) under code 5290, or rose to the 20% rating level under code 5293. Upper Back Pain . BOARD FINDINGS : IAW DoDI 6040.44, provisions...
AF | PDBR | CY2012 | PD2012 01339
No other conditions were submitted by the MEB.The PEB adjudicated right hip pain condition as unfitting, rated 0% with application Veterans Affairs Schedule for Rating Disabilities (VASRD). Right Hip Pain Condition . 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.The Board did not...
AF | PDBR | CY2012 | PD2012 01340
Other x 120030827 Combined: 10% *Derived from VA Rating Decision (VARD)dated 20040308(most proximate to date of separation)**No change to ratings derived from subsequent C&P exams ANALYSIS SUMMARY :The PEB combined bilateral foot and ankle pain as the single unfitting and solely rated condition, coded 5022. Members agreed that the bilateral ankle pain condition was not reasonably justified as separately unfitting and it cannot be recommended for a separate disability rating.After due...
AF | PDBR | CY2012 | PD2012 01341
The CI received a permanent profile that stated he could walk, run, swim, and bike at his own pace and could march up to one quarter of a mile.At the MEBnarrative summary (NARSUM) evaluation on 13 November 2001, approximately 5 months prior to separation, the CI reported pain of the hip with running, jumping, marching, sit ups and walking.The MEB evaluator referred to the physical exam findings of physical therapy and orthopedic exam above.The referenced physical therapy examination dated 24...
AF | PDBR | CY2012 | PD2012 01343
The Informal PEB (IPEB) adjudicated chronic LBP secondary to DDDL4-L5, L5-S1 without radiculopathy or chronic musclespasmasunfitting, rated 10%with likely application of the Veterans’ Administration Schedule for Rating Disabilities (VASRD).The other condition was determined to be not unfitting and therefore not ratable.The CI made no appeals, and was medically separatedwith a 10% disability rating. Based on a thorough review of the evidence in the service treatment record (STR), the Board...
AF | PDBR | CY2012 | PD2012 01345
He continued with post operative pain, right greater than the left. The CI reported no use of pain medications for the testicular pain. The Board directs attention to its rating recommendationbased on the above evidence.The PEB adjudicated the bilateral testalgia condition as unfitting and rated it analogous to neuralgia of the ilio-inguinal nerve, VASRD code 8730.
AF | PDBR | CY2012 | PD2012 01350
The “s/p closed head injury w/post concussive syndrome” and “posttraumatic headaches secondary to #1,”and “affective disorder & cognitive disorder secondary to #1,”were forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E.The PEBadjudicated “status post closed head injury with post concussive syndrome”as unfitting, rated 10% and 10%, noting “affective disorder and cognitive disorder, posttraumatic headaches and post concussive syndrome” as CAT II conditionswith likely...
AF | PDBR | CY2012 | PD2012 01359
The condition, characterized as “bilateral exertional compartment syndrome”, was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Furthermore, VASRD §4.55 (principles of combined ratings for muscle injuries)stipulates that “each muscle group injury shall be separately rated.” Therefore, a combined bilateral rating is not countenanced by the VASRD in this case, regardless of any speculative argument that neither extremity was separately unfitting. Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012 01365
Subsequently after two TDRL periodic exams, the PEB determined the CI’s left lower leg DVT to be stable and unfitting and at this time also determined the CI’s condition to be “post phlebitic syndrome” rated 10%. CI CONTENTION : “Per the findings of my Physical Evaluation Board Proceeding dated 17 Nov 2002, my combined disability rating was rated at 40% category I unfitting conditions. Both the PEBand the VA used the same code:7121, with the PEB rating the condition 10%and the VA rating it...
AF | PDBR | CY2012 | PD2012 01369
The Physical Evaluation Board (PEB) adjudicated the chronic LBPcondition as unfitting, rated 10%with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). There was no pain or tenderness and strength of both upper extremities was normal. 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...
AF | PDBR | CY2012 | PD2012 01371
Left Foot and Ankle Pain. The condition was coded 5020-5003 and rated at 20%.The VA also bundled the two pain problems and rated them 20%. Accordingly, the Board does not recommend a separate disability rating for the two pain problems.
AF | PDBR | CY2012 | PD2012 01372
I never got any rating for my right knee. The VA has rated me for right, left knee, back & depression.” Spondylolysis, L5, Bilateral, Symptomatic .The 2002 VASRD coding and rating standards for the spine, which were in effect at the time of separation, were changed to the current §4.71a rating standards on 26 September 2003, and were identical to the interim VASRD standards used by the VA in its rating decision.
AF | PDBR | CY2012 | PD2012 01379
No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated the “C5-C6 herniated disc”as unfitting, rated 10%, and cognitive deficit, status post (s/p) occipital skull fracture as a Category II condition (a condition that can be unfitting but is not currently compensable or ratable) with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI appealed to the Formal PEBbut later waived his previous election and was medically separated. ...
AF | PDBR | CY2012 | PD2012 01381
The rating for the unfitting cervical spine condition is addressed below;no additional conditions are within the DoDI 6040.44 defined purview of the Board. At both the MEB and May 2002 VA exams the CI reported neck and right arm pain and numbness of the right arm with occasional problems dropping things; both exams showed decreased, painful cervical ROM with mildly decreased right hand strength noted,with decreased sensation also noted in the VA exam. xxPresident Physical Disability Board...
AF | PDBR | CY2012 | PD2012 01383
Range-of-motion (ROM) in the lumbar and cervical spine were normal on each side without evidence of pain or tenderness. The Board notes that the VASRD rating guidance under 5025 for FM includes associated symptoms of depression and the Board considered the associated depression symptoms in its rating recommendation.The Board agreed the condition required medication for control supporting the 10% rating adjudicated by the PEB, but noted that there was evidence indicating that the overall...
AF | PDBR | CY2012 | PD2012 01385
The Formal PEB (FPEB) combined the two right knee problems into a single unfitting condition, rated at 20%. Accordingly, the Board does not recommend separate disability ratings. It is reasonably justified for the two right knee problems to be “bundled” together, and treated as a single unfitting condition.The Board determined that at the time of separation from service, the CI’s right knee impairment was best described as “moderate.” There was insufficient evidence in the record to...
AF | PDBR | CY2012 | PD2012 01387
The migraine headache and low back conditions, characterized as “classic migraine headache, mild-moderate severity” and “mechanical low back pain-refractory,” were forwarded to the Physical Evaluation Board (PEB) IAW AFI 48-123.Intermittent right sided action tremor and subjective right sided tingling and paresis conditions were identified by the MEB and also forwarded as failing retention standards.The Informal PEB (IPEB)adjudicated the migraine headaches and LBPas unfitting, rated 10% and...
AF | PDBR | CY2012 | PD2012 01388
The MEB forwarded “chronic back pain…” to the Physical Evaluation Board (PEB) IAW AR 40-501. The PEB adjudicated “chronic back pain, without neurologic abnormality”as unfitting, rated 10%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD) and referencing Department of Defense Instruction (DoDI) 1332.39 and AR 635-40.The CI made no appeals and was medically separated. 5292 Spine, limitation of motion of, lumbar
AF | PDBR | CY2012 | PD2012 01394
Bilateral Tibial Stress Fractures Condition . The right and left tibia stress fractures and pain resulting from them are well documented in the service treatment record.The CI initially reported pain in her right leg in her first 2 weeks of training in April 2002 but a month later had bilateral leg pain. 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...
AF | PDBR | CY2012 | PD2012 01396
No other conditions were submitted by the MEB.The PEB adjudicated the left ankle pain condition as unfitting, rated 10%, with likely application of the US Army Physical Disability Agency (USAPDA) pain policy. As discussed above, PEB reliance on the USAPDA pain policy for rating the left ankle pain condition was operant in this case and the condition was adjudicated independently of that policyby the Board.In the matter of the left ankle pain condition, the Board unanimously recommends a...