AF | PDBR | CY2013 | PD 2013 01187
Post Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Left Shoulder Pain5099-50030%Left Shoulder Pain, History of Dislocation5202-502410%Other x 0 (Not in Scope)Other x7 Rating: 0%Combined Rating: 40%Derived from VA Rating Decision (VARD) dated 20060921 (most proximate to date of separation [DOS]) ANALYSIS SUMMARY :IAW DoDI 6040.44, the Board’s authority is limited to making recommendations on correcting disability determinations. Chronic Left Shoulder Pain Condition . ...
AF | PDBR | CY2013 | PD 2013 01206
The rating for the unfitting back condition is addressed below; and, as well as the contended, hypertension, hyperlipidemia, patellofemoral pain syndrome (PFPS), coronary artery disease (CAD) and paroxysmal atrial tachycardia (PAT) which are within the DoDI 6040.44 defined purview of the Board. He was noted the have normal, but painful, range-of-motion (ROM) of the lumbosacral back. Spasm was absent.A permanent L3 profile was issued on 18 December 2007 for low back pain with restrictions...
AF | PDBR | CY2013 | PD 2013 01220
The hip condition, characterized as “right hip pain secondary to femoral neck stress fracture,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501, with no other conditions submitted by the MEB.The PEB adjudicated “chronic right hip pain…”as unfitting, rated 0%, with likely application of the US Army Physical Disability Agency (USAPDA) pain policy.The CI made no appeals and was medically separated. All hip exams in evidence proximate to separation indicated pain with motion,...
AF | PDBR | CY2013 | PD 2013 01227
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXX CASE: PD-2013-01227BRANCH OF SERVICE: AIR FORCEBOARD DATE: 20141104 SEPARATION DATE: 20041022 I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2013 | PD-2013-00025
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The PEB requested a psychiatric evaluation due to reference in the MEB and medical records of anxiety disorder NOS and PTSD.The NARSUM psychiatric addendum dated 19 July 2001 notedthe CI’s episodic anxiety was due to...
AF | PDBR | CY2013 | PD-2013-00094
No other conditions were identified by the MEB.The IPEB adjudicated “chronic or exertional compartmental syndrome in the bilateral lower legs status post (s/p)bilateral fasciotomies of the anterior and lateral compartments” as unfitting, with a combined rating of 20% (10% for each leg w/the bilateral factor) with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI appealed to the Formal PEB; however, he withdrew his appeal and was medically separated. The...
AF | PDBR | CY2013 | PD-2013-00102
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXXXXXXX CASE: PD-2013-00102 BRANCH OF SERVICE: NAVY BOARD DATE: 20131031 SEPARATION DATE: 20020628 invalid font number 31506 SUMMARYOFCASE :Dataextractedfromtheavailableevidenceofrecordreflectsthatthiscoveredindividual(CI)wasanactivedutyMN1/E-6(MinemanFirstClass)medicallyseparatedforamajordepressioncondition.Shewasinitiallyseenbyapsychiatristin1998andwasstarted on antidepressant medication. ...
AF | PDBR | CY2013 | PD-2013-00109
My first request is that my active duty medical records be reviewed as well as any x-ray bone scan imaging. My second request is that after all my medical records and images are reviewed and my injury is found to be more serious that a “stress fracture,” I respectfully request the board to give me a new Dx of femoral fracture and take into account how my injury effected me then and during present day. The Board’s authority as defined in DoDI 6044.40 resides in evaluating the fairness of...
AF | PDBR | CY2013 | PD-2013-00134
Cardiac exam was normal.As noted above, the Air Force PEB and the VA both assigned a disability rating of 10% for the heart 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 surmise from the record or PEB ruling in this case that any prerogatives outside the...
AF | PDBR | CY2013 | PD-2013-00146
The Board noted that the cognitive deficits of memory, concentration, attention problems and the emotional/behavioral problems of irritability and mood swingscould not be apportioned between the PTSD and TBI conditions and are subsumed in the §4.130 rating.Therefore, members agreed that the preponderance of the evidence with regard to the functional impairment of the PTSD condition (including decreased memory, attention and concentration) favors its recommendation as an unfitting condition...
AF | PDBR | CY2013 | PD-2013-00171
The service treatment record (STR) to this point remained silent as to any finding of clinical evidence of actual brain tissue injury or skull fracture requiring direct intervention.The commander’s comment signed 25 February 2004 stated that the CI’s medical condition prevented him from fulfilling his mission requirements being unable to run, carry a ruck, carry a rifle or wear a helmet. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines...
AF | PDBR | CY2013 | PD-2013-00175
On the physical examination, the NARSUM noted a well-healed scar, limited neck motion due to pain, but “no limitation of movement” of upper extremities, without weakness, including both shoulders. The IPEB (5 months prior to separation) adjudicated that the neck and shoulder condition was unfitting, noting normal EMG and full strength, but with decreased cervical range-of-motion (ROM) due to pain. §4.71a Rating 10 % 10%The Board directed attention to its rating recommendationbased on the...
AF | PDBR | CY2013 | PD-2013-00176
Service IPEB – Dated 20021122VA - Service Treatment Records (STR)ConditionCodeRatingConditionCodeRatingExam Recurrent Medial Tibial Stress Syndrome (Shin Splints)5022-500310%Recurrent Bilateral Medial Tibial Stress Syndrome5022-52620%*Service Treatment Record(STR)Chronic Shin SplintsCategory IIGERDCategory IIIDuodenal Ulcer Disease73050%STRRecurrent UrolithiasisCategory IIIUrolithiasis75080%STRNo Additional MEB/PEB EntriesOther x 1STR Combined: 10%Combined: 0%Derived from VA Rating Decision...
AF | PDBR | CY2013 | PD-2013-00222
CI CONTENTION : “I was put on NON deployment status and required to take physical therapy for my knees. Pre-SeparationConditionCodeRatingConditionCodeRatingExam Bilateral Chondromalacia Patella5299-500320%Right Knee Chondromalacia Patella5099-50190%20031021Left Knee Chondromalacia Patella5099-50190%20031021Other x 0 (Not in Scope)Other x 1/NSC x 320031021 Combined: 20%Combined: 0%Derived from VA Rating Decision (VARD)dated 20031230 ( most proximate to date of separation [DOS]). BOARD...
AF | PDBR | CY2013 | PD-2013-00258
The conditions were characterized as “right elbow pain and stiffness… and “right knee pain and stiffness” by the MEB and forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The 20 October 2005 (seven months post-separation) VA compensation and pension (C&P) exam documented the 1985 right knee injury, but recorded no subsequent injuries. In the matter of the right knee condition and right elbow condition, and IAW VASRD §4.71a, the Board unanimously recommends no change in the...
AF | PDBR | CY2013 | PD-2013-00288
SEPARATION DATE: 20061114 No other conditions were submitted by the MEB.The Informal PEB adjudicated “chronic back pain without neuralgic abnormality” and “left Achilles tendonitis without ratable limitation of motion,” rated 10% and 0% respectively.The CI made no appeals and was medically separated. 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 | CY2013 | PD-2013-00622
SEPARATION DATE: 20040526 The Board reviewed the records for evidence of changes in diagnosis of the MH condition during processing through the DES. Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-00629
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. Post-separation evidence is probative to the Board’s recommendations only to the extent that it reasonably reflects the disability at the time of separation. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record
AF | PDBR | CY2013 | PD-2013-00671
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. After due deliberation in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to recommend a determination of unfit for any mental health condition; and therefore,...
AF | PDBR | CY2013 | PD-2013-00696
The chronic neck and lumbar pain conditions, characterized as “cervical spine pain and lumbar spine pain” and “mild degenerative disk disease (DDD), cervical spine,” were the only conditions forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The Informal PEB adjudicated “chronic neck pain,” and “chronic lumbar pain”as unfitting, rated 10% and 10% respectively, with likely application ofthe Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was...
AF | PDBR | CY2013 | PD-2013-00707
The Informal PEB adjudicated “chronic neck pain due to DDD,”“chronic LBP due to DDD” and “chronic pain of right shoulder due to acromioclavicular joint separation” as unfitting, rating them at 10%, 10% and 0% respectively, citing the US Army Physical Disability Agency (USAPDA) pain policy for the right shoulder condition.The CI made no appeals and was medically separated Mental Health Review .The CI was deployed to Iraq from April to August 2003.On 1 November 2003 (9 months prior to...
AF | PDBR | CY2013 | PD-2013-00776
The NARSUM conducted on 13 June 2007 (2 months prior to separation)documented constant pain rated 4/10 on average, exacerbated by “any increased activity, especially prolonged standing or walking up or down stairs.” The examiner further stated, “He denies any significant swelling of the knee, but states that it does lock up at least once or twice per day, with frequent popping.” Physical findings for the knee were not documented in the NARSUM, but measured ROM was flexion 128 degrees (normal...
AF | PDBR | CY2013 | PD-2013-00843
The CI was subsequently medically evacuatedfrom theater for further evaluationforheat–related illness.At an internal medicine evaluation on 29 May 2003, the CI reported that a previous episode of heat stroke occurred in October 2002 while walking/running.At a neurological examination on 4 June 2003, the CIreported that the first heat-related episode while deployed was in early May after she was on guard duty. On the MEB DD Form 2807, dated 24 November 2003, the CI indicated she had anxiety,...
AF | PDBR | CY2013 | PD-2013-00868
SEPARATION DATE: 20061020 The bilateral foot conditions, characterized by the MEB as “hallux valgus” and “bilateral pes planus,” were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. There were no other MH treatment notes for review.
AF | PDBR | CY2013 | PD-2013-00907
CI CONTENTION : “I request Board for Correction of Naval Records (BCNR) review for medical retirement vice separation for conditions sustained during active service that have resulted in permanent. The FPEB provided a rationale that although the CI met a 30% rating for the asthma condition according to the VA Schedule for Rating Disabilities (VASRD), according to SECNAVINST 1850.4E the 30% rating also required evidence that the CI could not perform normal daily activities without medication...
AF | PDBR | CY2013 | PD-2013-00909
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The NARSUM and PEB identified injury of “upper and lower extremity.” Despite references in the NARSUM and some other clinic notes to pain in both legs, the assessment by the neurologist (who addressed the pain...
AF | PDBR | CY2013 | PD-2013-01040
The CI is also eligible for PDBR review of other conditions evaluated by the PEB and has elected review by the PDBR.The rating for the unfitting chronic low back condition is addressed below. The major depression diagnosis was not forwarded by the MEB or adjudicated by the PEB; therefore the Board determined that this applicant did appear to meet the inclusion criteria in the Terms of Reference of the MH Review Project.The Board next considered whether any mental condition, regardless of...
AF | PDBR | CY2013 | PD-2013-01048
He was placed on limited duty (LIMDU) and referred for a Medical Evaluation Board (MEB). Recurrent Left Shoulder Pain Condition. The CI had a left shoulder injury prior to enlisting into the US Navy;however, his symptoms improved and the shoulder returned to normal.
AF | PDBR | CY2013 | PD-2013-01058
The DVT condition, characterized as “recurrent left lower extremity DVT,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated “deep vein thrombosis, left lower extremity with pulmonary embolism (resolved)”as unfitting, rated 20%. The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs...
AF | PDBR | CY2013 | PD-2013-01061
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The VA C&P examination summarized the CI’s prior right knee injury noting no specific or additional complaints. The condition was not listed on the permanent profile nor implicated in the commander’s statement.After...
AF | PDBR | CY2013 | PD-2013-01062
Following nonconcurrence/rebuttal, the US Army Physical Disability Agency reaffirmed the FPEB’s rating and the CI was medically separated. Given the CI’s symptoms necessitating wearing of pad continuously as well as soft stool occurring at other than bowel movements, the CI’s disability picture more nearly approximated that envisioned by the disability picture of the 30% rating level. In the matter of the rectum and anus impairment condition and IAW VASRD § 4.114, the Board unanimously...
AF | PDBR | CY2013 | PD-2013-01064
The PEB also recommended discharge under provisions other than Chapter 61, Title 10, United States Code.The CI appealed to the Formal PEB (FPEB), which adjudicated “major depressive disorder, severe without psychosis, single episode, social and industrial adaptability impairment mild” as unfitting rated at 30%, with application of the VA Schedule for Rating Disabilities (VASRD), withthe hypothyroidismagain adjudicated to be Category II, placing the CI on Temporary Disability Retired List...
AF | PDBR | CY2013 | PD-2013-01075
The MEB also identified and forwarded one other condition.The Informal PEB adjudicated “chronic back pain due to lumbar degenerative disc disease (DDD), without neurologic abnormality”as unfitting, rated 10%,citing criteria of theVeterans Affairs Schedule for Rating Disabilities (VASRD).The remaining condition was determined to be not unfitting and therefore not rated. The rating for the unfitting lumbar spine condition and the above considerations for the MH condition are addressed...
AF | PDBR | CY2013 | PD-2013-01108
CI CONTENTION : “The Physical Evaluation Board (PEB) medically separate [ sic ] me with a 10% rating and I contend that it should have been more than what the medical board granted! The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. BOARD FINDINGS : IAW DoDI 6040.44,...
AF | PDBR | CY2013 | PD-2013-01112
The back condition, characterized as “herniated thoracic disc” and “herniated lumbar disc” by the MEB, was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Post-Separation) ConditionCodeRatingConditionCodeRatingExam LBP diagnosed as Herniated Thoracic and Lumbar Disc523710%Lumbar Spine Degenerative Arthritis524210%20081212Other x 7 (Not in Scope)Other x 620081212 Rating: 10%Combined: 60%Derived from VA Rating Decision (VARD)dated 20090511(most proximate to date of separation)...
AF | PDBR | CY2013 | PD-2013-01115
Likewise, this degree of limitedmotion is not consistent with the ability to run 300 meters (as the CI reported he could do), to perform some activities allowed on his permanent profile, or to complete alternate aerobic fitness events.Finally, the VA note 6 months after separation suggested that the ankle pain was not “constant” as previously reported by the NARSUM examiner. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by...
AF | PDBR | CY2013 | PD-2013-01117
Service IPEB – Dated 20011205 VA - B ased on Service Treatment Records (STR*)Condition CodeRatingConditionCodeRatingExams/p Left ACL deficiency and PCL Deficiency Following Reconstruction52570%S/P ACL and PCL Reconstruction, Left Knee with Scar525710%STR*Other x0 (Not in Scope)Other x5STR* Rating: 0% Combined: 10% Derived from VA Rating Decision (VARD) dated 20020903 (most proximate to date of separation [DOS]) *Service Treatment Record ANALYSIS SUMMARY :The Board acknowledges the impairment...
AF | PDBR | CY2013 | PD-2013-01119
CI CONTENTION :“Please consider increasing my disability rating to at least 30% which is more consistent with the VA's initial rating of 30% for my chronic GI illness dated 20020821 (please note, the 30% I received was the maximum allowed rating in code 7325/7319 of the VA's Schedule of Ratings for Irritable Colon Syndrome at the time of my separation.) I'd ask you to also consider my Anxiety Disorder related to general medical condition (VA 30% effective date 20060923) and Recurrent...
AF | PDBR | CY2013 | PD-2013-01130
The VA C&P general medical examination obtained in March 2007 (a month post-separation), documents that the CI’s PTSD condition was stable with medications. The VA rated the condition of PTSD coded as 9411, at 50%. Providing orders showing that the individual was separated with a permanent combined rating of 20% effective the day following the six month TDRL period with no recharacterization of the individual’s separation.
AF | PDBR | CY2013 | PD-2013-01132
Any conditions outside the Board’s scope of review may be eligible for consideration by the Board for Correction of Military Records. It is appropriately coded 7913, and IAW VASRD §4.119, meets criteria for the 60% rating level due to requiring insulin, restricted diet, and regulation of activities; with an episode of ketoacidosis, which required hospitalization, plus complications that would not be compensable if separately evaluated. In the CI’s treatment record, there was not sufficient...
AF | PDBR | CY2013 | PD-2013-01144
The condition could not be adequately rehabilitated to meet the physical requirements of her Military Occupational Specialty or satisfy physical fitness standards.She was referred for a Medical Evaluation Board (MEB). The C&P examiner commented that her CRPS was secondary to a possible injury through the superficial sensory nerve. RECOMMENDATION : The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows:
AF | PDBR | CY2013 | PD-2013-01145
Left shoulder instability, leftshoulder superior labral tear and left shoulder acromioclavicular(AC)joint degenerative arthritis were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated chronic pain with instability left shoulder, with superior labral tear, debrided and AC degenerative joint disease as unfitting, rated 10% with application of the US Army Physical Disability Agency (USAPDA) pain...
AF | PDBR | CY2013 | PD-2013-01155
No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated “sural nerve entrapment syndrome, left intractable”as unfitting, rated 20%, with likely application of theVA Schedule for Rating Disabilities (VASRD).The CI appealed to the Formal PEB (FPEB) with a petition to include the ankle scar and loss of tongue sensation. RATING COMPARISON : Service IPEB – Dated 20030926VA -based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Sural Nerve...
AF | PDBR | CY2013 | PD-2013-01158
Although gait revealed a “slight limp right leg,” heel, toe and tandem walking were reportedly normal. At the general medical C&P evaluation 2 weeks after separation, the CI reported he had not consumed alcohol for 3 months, but that he was previously drinking a six pack, a fifth of whiskey or a case of beer daily.At the C&P examination, dated 13 December 2004 (a month after separation), the CI reported an inpatient psychiatric hospitalization at age 16 for mental evaluation in the context...
AF | PDBR | CY2013 | PD-2013-01161
The LBP and left shoulder pain conditions, characterized as “back pain without radiculopathy” and “left shoulder pain status post rotator cuff repair,” were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The MEB also identified and forwarded “migraine headaches” and “adjustment disorder” as medically acceptable.The Informal PEB adjudicated “low back pain and left shoulder pain”as unfitting, rated 10% and 0%, citing criteria of the US Army Physical Disability Agency (USAPDA)...
AF | PDBR | CY2013 | PD-2013-01165
The left foot condition, characterized as “hallux valgus status post (s/p) surgery x2, including bunionectomy with persistent left foot pain” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Left Hallux Valgus528010%S/P Left Foot Surgeries528410%20051110PTSD /Cyclothymic disorderw/Anxiety & DepressionNot UnfittingPTSD w/Mood Disorder941150%20051110Other x 5 (Not In Scope)Other x 5 Rating: 10%Combined: 60%Derived...
AF | PDBR | CY2013 | PD-2013-01171
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. RATING COMPARISON : Service IPEB – Dated 20020605VA –No VA Records in EvidenceConditionCodeRatingConditionCodeRatingExam Bilateral Patellofemoral Pain Syndrome5099-50030%No Additional MEB/PEB EntriesOther Combined: 0%Combined: % ANALYSIS SUMMARY :IAW DoDI 6040.44, the...
AF | PDBR | CY2013 | PD-2013-01174
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. “The neurologic exam was grossly non-focal.” Three months prior to separation, he was seen for severe pain and noted to have tenderness, muscle spasm, pain with full ROM, and normal contour of the lumbosacral spine. I...
AF | PDBR | CY2013 | PD-2013-01176
The CI appealed to the Formal PEB (FPEB) which adjudicated chronic LBP and headaches as unfitting, rated 20% and 0% respectfully; applying the Veterans Affairs Schedule for Rating Disabilities (VASRD) to the LBP condition and Department of Defense Instruction(DoDI) 1332.39 to the headache condition. The examiner noted a normal spine examination at that time and included “chronic LBP” in the diagnoses. A neurology addendum to the MEB NARSUM (1.5 months prior to separation) stated that the...
AF | PDBR | CY2013 | PD-2013-01193
The CI participated in physical therapy (PT) and was prescribed medication for pain; however, her pain persisted. Although the examiner recorded knee instability during certain activities, treatment records in the 9 months prior to separation indicated pain was the most reported symptom. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.