AF | PDBR | CY2013 | PD-2013-02607
The rating for the unfitting cognitive disordercondition is addressed below as well as the TDRL-placement unfitting left upper extremity (LUE) and LLE conditions; and, 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 GAF was 50 (serious symptom range) “with significant impairment in social and occupational functioning.”...
AF | PDBR | CY2013 | PD-2013-02609
The bilateral foot condition, characterized as “metatarsalgia, bilateral feet” and “neuroma, left foot,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.A second MEB changed the “neuroma, left foot” to “neuroma, right foot.” No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated “chronic bilateral foot pain diagnosed as metatarsalgia with left sided neuroma, status post neurectomy”as unfitting, rated 10%, with likely application of the Veterans...
AF | PDBR | CY2013 | PD-2013-02612
SEPARATION DATE: 20041129 No other conditions were submitted by the MEB.The PEB adjudicated “chronic back pain”as unfitting, rated 10%, referencing the VA Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2013 | PD-2013-02617
SEPARATION DATE: 20090327 The Board gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of the disability at the time of separation. 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...
AF | PDBR | CY2013 | PD-2013-02624
The MEB also identified and forwarded two other conditions (rheumatoid arthritis and osteoarthritis) as failing retention standards.The Informal PEB adjudicated “chronic pain right knee due to medial meniscus tear”as unfitting, rated 10%,citing criteria of the US Army Physical Disability Agency (USAPDA) pain policy.The remaining conditions were determined to have existed prior to service (EPTS) and not permanently aggravated beyond natural progression by such service. The examiner noted the...
AF | PDBR | CY2013 | PD-2013-02625
The VA rating was more accurate at the time to the symptoms of my ulcerative colitis, so I would appreciate another review of my case. The Board considered whether the ulcerative colitis condition more nearly approximated the 30% rating than the 10% rating. The Board noted the CI’s report of constant diarrhea and occasional cramping at the time of the VA C&P examination in November 2003 was not consistent with the evidence of the service treatment record and the CI’s statement to SAFPC...
AF | PDBR | CY2013 | PD-2013-02626
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. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination. DoD Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-02627
SEPARATION DATE: 20050902 The rating for the unfitting seizure disorder condition is addressed below. After due deliberation, considering all of the evidence and defaulting to VASRD §4.3, the Board recommends a 20% rating for the seizure disorder; proposing code 8910 (epilepsy, grand mal) for its clinical compatibility.The Category III demyelinating disorder was, more likely than not, the cause of the seizure disorder; but, in itself was manifested only by the seizures as rated above.
AF | PDBR | CY2013 | PD-2013-02628
While deployed to Iraq, the CI reported a flare of skin rash affecting his hands at the time he experience hand swelling and joint pain.A clinic record entry on 6 May 2003 recorded psoriasis of the scalp, hands, feet and elbow for the preceding 25 days treated with topical medication. I would say this is 90% better then when flared off of Enbrel.”The Board first considered whether the psoriasis skin disease was separately unfitting for military service. Throughout the time from 1999 to the...
AF | PDBR | CY2013 | PD-2013-02629
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Bilateral Ankle Pain5099-500310%Stress Reaction Right Ankle52710%*20040804Stress Reaction Left Ankle52720%*20040804Other x0 (Not in Scope)Other x2 Rating: 10%Combined: 0%Derived from VA Rating Decision (VARD) dated 20050114 (most proximate to date of separation)VARD dated 20060913 increased rating to 10% for each ankle effective 20060623 ANALYSIS SUMMARY :The FPEB diagnosed the combined the bilateral ankle pain as a single unfitting...
AF | PDBR | CY2013 | PD-2013-02634
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. RATING COMPARISON : IPEB – Dated 20050808VA* - based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Asthma66020%Asthma660210%STR**Other MEB/PEB Conditions x 5 (Not In Scope)Other x 1 RATING:...
AF | PDBR | CY2013 | PD-2013-02636
Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain5299-523710%Degenerative Disc Disease, Moderate in Nature, L5-S-1 and Mild at L4-5 with Facet Spondylosis Lumbar Spine5242-501010%20080502Obstructive Sleep ApneaNot UnfittingSleep Apnea6847NSCSTRTinnitusNot UnfittingTinnitus Right Ear626010%STROther x 3 (Not In Scope)Other x 5 RATING: 10%RATING: 20% *Derived from VA Rating Decision (VARD)dated 20080613(most proximate to date of separation [DOS]). An MRI of the...
AF | PDBR | CY2013 | PD-2013-02642
No other conditions were submitted by the MEB.TheInformal PEB adjudicated “pelvic ring fracture” and “left femur fracture,” conditions, rated at 10% and 10% respectively. It is noted, however, that the VA subsumed the acetabular fracture with the hip rating. Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record
AF | PDBR | CY2013 | PD-2013-02646
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain…5299-523710%Myofascial Pain Syndrome, Lumbar 5236-5237Deferred→ 10%20050106Other MEB/PEB Conditions x 0 (Not In Scope)Other x 13 RATING: 10%RATING: 50% → 70% *Derived from VA Rating Decisions (VARD)dated 20050511 and 20050623(most proximate to date of separation (DOS)). Post-SepFlexion (90 Normal) 90 70 Combined (240)215190 Comment painful motion painful motion ; antalgic gait; tenderness §4.71a...
AF | PDBR | CY2013 | PD-2013-02649
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Benign Essential Tremor8199-810510%Bilateral Benign Essential Tremors800430%20060731Other x 0 (Not in Scope)Other x 3 Combined: 10%Combined: 40%Derived from VA Rating Decision (VARD)dated 20060915(most proximate to date of separation) Benign Essential Tremor Condition .The CI was diagnosed with essential tremor, a condition manifesting as a fine low amplitude tremor most noticeable with movement typically affecting the hands. ...
AF | PDBR | CY2013 | PD-2013-02650
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. Finally, the Board considered whether additional rating could be recommended under a peripheral nerve code for the associated radiculopathies in evidence at separation. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s...
AF | PDBR | CY2013 | PD-2013-02651
The Informal PEB adjudicated “chronic thoracolumbar back pain due to scoliosis” as unfitting, rated 20%, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). 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. RECOMMENDATION : The Board,...
AF | PDBR | CY2013 | PD-2013-02657
The condition“status post left femoral neck open reduction internal fixation [ORIF]” was forwarded as the sole submission to the Physical Evaluation Board (PEB) IAW AR 40-501.The Informal PEBadjudicated “chronic pain, left hip”as unfitting, rated 20%,referencing the US Army Physical Disability Agency (USAPDA) pain policy.The CI made no appeals and was medically separated. The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available...
AF | PDBR | CY2013 | PD-2013-02659
She was placed on limited duty twice and referred for a Medical Evaluation Board (MEB). The rating for the unfitting ankle condition is addressed below; no additional conditions are within the DoDI 6040.44 defined purview of the Board. The Board concluded therefore that this condition could not be recommended for additional disability rating.
AF | PDBR | CY2013 | PD-2013-02660
Furthermore, the Board’s authority is limited to assessing the fairness and accuracy of PEB rating determinations and recommending corrections, where appropriate. The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s...
AF | PDBR | CY2013 | PD-2013-02661
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Left Knee and Left Hip Pain5099-50030%Left Knee Tendonitis5260-502410%20051115Left Hip Strain525110%20051115HypertensionNot Unfitting Hypertension710110%20051115Other x 0 (Not In Scope)Other x 4 RATING: 0%RATING: 50% *Derived from VA Rating Decision (VARD)dated 20060621(most proximate to date of separation (DOS)). Left Knee and Left Hip Pain. In the matter of the left knee condition, the Board unanimously recommends a disability...
AF | PDBR | CY2013 | PD-2013-02662
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. Service IPEB – Dated 20070413VA - (3 days Post-Separation)ConditionCodeRatingConditionCodeRatingExam Bilateral Foot Pain (Right & Left foot separately rated 10% each)528420%Bilateral Plantar Fasciitis...
AF | PDBR | CY2013 | PD-2013-02664
The Informal PEB adjudicated “chronic LBP with degenerative disc disease (DDD) at L5-S1” as unfitting, rated 10%, with application of the VA Schedule for Rating Disabilities (VASRD). My rating was for Chronic Low back pain with Degenerative disc Disease at L5-S1, what was not included but could be condition for being unfit. 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...
AF | PDBR | CY2013 | PD-2013-02665
The PEB adjudicated “chronic low back pain (LBP) without neurologic abnormality” as unfitting, rated 10%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD). 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. RECOMMENDATION : The Board,...
AF | PDBR | CY2013 | PD-2013-02670
SUMMARY OF CASE :Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty E-4 (Food Service Operations) medically separated for chronic low back pain. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic LBP…5299-52370%Lumbar Myofascial Pain Syndrome523710%20100302Other x 0 (Not In Scope)Other x 3 RATING: 0%RATING: 10% *Derived from VA Rating Decision (VARD) dated 20100320 (most proximate to date of separation (DOS)). ...
AF | PDBR | CY2013 | PD-2013-02672
The MEB also identified and forwarded three other conditions.The InformalPEBadjudicated hypothyroidism to include arthralgia, and bilateral plantar fasciitis as unfitting, rated 10%, and 0% respectfullywith application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). 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)...
AF | PDBR | CY2013 | PD-2013-02675
The MEB forwarded “aortic valve disorder” to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E.No other conditions were submitted by the MEB.The Informal PEB adjudicated “hypercoagulable state requiring chronic anticoagulation therapy”as unfitting, rated 0%, and determined that the bicuspid aortic valve (status post replacement) was a Category III condition, not separately unfitting and not contributing to the unfitting condition.The CI made no appeals and was medically separated. ...
AF | PDBR | CY2013 | PD-2013-02681
The Board gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of the disability at the time of separation. Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Back Pain, w/o Neurologic…Abnormality5299-52370%Spondylolisthesis L4 on L5524320%20041203Atypical Chest Pain5099-50030%Residuals, Spontaneous Bilateral Pneumothorax, s/p Left Thoracotomy6699-66020%20041203Other x 0 (Not In...
AF | PDBR | CY2013 | PD-2013-02682
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRD standards to the unfitting medical condition at the time of separation. Chronic Back Pain . The diagnoses of lumbar radiculitis involving the right L4-L5 nerve roots, spondylolisthesis (degenerative versus congenital), and lumbar spinal stenosis, severe at L4-L5-S1 on the right, were recorded.
AF | PDBR | CY2013 | PD-2013-02684
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. Right Ankle . 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...
AF | PDBR | CY2013 | PD-2013-02686
RATING COMPARISON : FPEB – 20070720VA Rating Decision 1 - 20051213TDRL Placement – 20050516Code RatingConditionCodeRating Proximate ConditionTDRLPlacementTDRL RemovalTDRL 2 TDRL 2 Removal Hepatitis B7312/734530%0%Cirrhosis of the Liver with Hepatitis B7312100%100%Other x 0 (Not in Scope)Other x 0 RATING: 30% → 0%RATING: 10% 1. The examiner noted the CI was not receiving any current treatment and reported no incapacitation from the condition.The exam was normal, without signs of liver...
AF | PDBR | CY2013 | PD-2013-02687
SEPARATION DATE: 20060515 The Informal PEBadjudicated “Crohn’s disease”as unfitting, rated 10%, with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. Others with this condition have a rating above 10%.
AF | PDBR | CY2013 | PD-2013-02688
The Informal PEB (IPEB)adjudicated the chronic bilateral knee pain as unfitting, rated 10%, citing application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. invalid font number 31502 BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military...
AF | PDBR | CY2013 | PD-2013-02693
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. Chronic Neck Pain . The commander’s statement made no mention that the sleep apnea interfered with the CI performing his MOS duties.The MEB examiner mentioned that the sleep apnea condition was controlled with use of a...
AF | PDBR | CY2013 | PD-2013-02696
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRD standards to the unfitting medical condition at the time of separation. The Board gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of the disability at the time of separation. The commander’s statement dated 30 October 2007,7 months before...
AF | PDBR | CY2013 | PD-2013-02698
No other conditionwas submitted by the MEB.The Informal PEB adjudicated “left knee pain due to degenerative joint disease [DJD]” and “right ankle pain due to degenerative joint disease”as unfitting, rated 10% and 10%, citing application of the DODI and Veterans Affairs Schedule for Rating Disabilities (VASRD). Post-Separation) ConditionCodeRatingConditionCodeRatingExam Left Knee Pain due to DJD5009-500310%Left Knee Residuals, S/P ACL … 5003-526010%20090831Right Ankle Pain due to...
AF | PDBR | CY2013 | PD-2013-02704
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Stress Fractures, Both Heels5099-500310%Residuals, Stress Fracture, Left Heel528410%20061108Residuals, Stress Fracture, Right Heel528410%20061108No Additional MEB/PEB EntriesOther x 1 Rating: 10%Combined Rating: 20%Derived from VA Rating Decision (VARD)dated 20070129 ( most proximate to date of separation [DOS]). After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt) and §4.59...
AF | PDBR | CY2013 | PD-2013-02706
No other conditionwas submitted by the MEB.The Informal PEB (IPEB)adjudicated chronic radiating low back pain and chronic left (non-dominant) shoulder painas unfitting, rated 10% and 0% respectively,with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) for the back condition and with likely application of the US Army Physical Disability Agency (USAPDA) pain policy for the shoulder condition. Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic...
AF | PDBR | CY2013 | PD-2013-02708
The MEB physical exam documented left hip decreased ROM (limits not specified), 4/5 hip flexion (strength), and normal gait [there was no specific evaluation comment of the right hip]. The PEB combined the left and right hip conditions under a single disability rating, coded under 5003. 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...
AF | PDBR | CY2013 | PD-2013-02714
SEPARATION DATE: 20061228 Right Foot 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 VASRD were exercised.In the matter of the right foot condition, the Board unanimously...
AF | PDBR | CY2013 | PD-2013-02715
No other conditions were submitted by the MEB.The Informal PEB adjudicated “chronic neck pain due to degenerative disc disease without neurosensory deficit”as unfitting, rated 10%,with likely application VA Schedule for Rating Disabilities (VASRD). Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Neck Pain due to Degenerative Disc Disease5299-523710%Cervical Spine Degenerative Disc Disease w/ Lt Arm Radiculopathy524210%20061106Chronic Cervical Neuritis LUE …Not...
AF | PDBR | CY2013 | PD-2013-02717
DATE OF PLACEMENT ONTO TDRL: 20030523DATE OF REMOVAL FROM TDRL: 20070301 The “avascular necrosis of the bilateral femur heads, left greater than right” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditionwas submitted by the MEB.The Informal PEB adjudicated his bilateral hip conditions as unfitting, rated 20% left and 10% right, citing application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). It then considered the right hip and left hip...
AF | PDBR | CY2013 | PD-2013-02719
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. The DD Form 2808, Report of Medical Examination , dated 16 December 2005, dated 4 months prior to separation, documented “pain on palpation and ROM” for the lower extremity exam. The MEB narrative summary (NARSUM) exam performed3 months prior to separation documented...
AF | PDBR | CY2013 | PD-2013-02720
He was followed up in neurology on 29 August 2006 and noted to have a normal motor examination. These measurements are also more consistent with the final clinical note prior to separation which recorded near resolution of symptoms. 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...
AF | PDBR | CY2013 | PD-2013-02724
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. However, the CI noted that he was doing better with regards to his PTSD. Providing a correction to the individual’s separation document showing that the individual was separated by reason of temporary disability...
AF | PDBR | CY2013 | PD-2013-02727
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRD standards to the unfitting medical condition at the time of separation. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Panic Disorder with Agoraphobia941210%Anxiety Disorder NOS with Panic Attacks941250%20080710Personality DisorderCategory IIIOther MEB/PEB Conditions x 0 (Not In Scope)Other x 0 Rating: 10%Rating: 50% * Derived...
AF | PDBR | CY2013 | PD-2013-02728
§4.71a Rating N/A 1 0%N/A10%The Board directed attention to its rating recommendationbased on the above evidence.The PEB adjudicated the chronic right heel pain condition as unfitting with a disability rating of 10% for moderate ankle limitation of motion; coded 5271 (ankle limitation of motion). 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...
AF | PDBR | CY2013 | PD-2013-02729
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. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Bilateral…Plantar Fasciitis5399-531010%Bilateral Plantar Fasciitis5299-527910%20070409Other x 0 (Not In Scope)Other x 2 RATING: 10 %RATING: 20% *Derived from...
AF | PDBR | CY2013 | PD-2013-02730
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain523710%Strain, Thoracolumbar Spine523710%20070521Other x0 (Not in Scope)Other x 6(Not in Scope)20070521 Combined: 10%Combined:50%Derived from VA Rating Decision (VARD)dated 20070618 ( most proximate to date of separation) Chronic LBP Condition . Physical therapy ROM was TL flexion of 50 degrees (normal 90 degrees) and TL combined ROM of 152 degrees (normal 240 degrees) with ROM noted to be limited by pain.At...
AF | PDBR | CY2013 | PD-2013-02731
SEPARATION DATE: 20061222 Chronic Low Back Pain .The first record in evidence addressing the LBP condition was a neurology evaluation (for headaches) dated 9 August 2006, just over 4 months prior to separation. Review of the records shows that in the last year of service, the CI was on quarters for 19 days.