AF | PDBR | CY2013 | PD-2013-01795
The CI reported flares of the skin with sun exposure only. The diagnosis was atopic (allergic rhinitis) and the examiner opined that increased temperature (rather than sunlight or ultraviolet radiation caused the rash.At a VA dermatology evaluation on 30 September 2004,a month after separation, the CI was using vitamin E lotion only, having “tried and failed”multiple treatments including oral steroids, steroid creams, antihistamines, animmunosuppressant skin cream (Elidel), and “light box...
AF | PDBR | CY2013 | PD-2013-01796
The InformalPEBadjudicated chronic low back pain condition as unfitting, rated 10%, with application of the VA Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. 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. I direct that all the Department of the Army records of the...
AF | PDBR | CY2013 | PD-2013-01797
Right Knee Pain Condition . The right knee demonstrated normal strength and full ROM (0-0-132degrees) without tenderness, swelling, erythema, warmth, deformity or ligamentous laxity. The right knee ROM reported at the MEB examination and in the service treatment records in the months prior to separation, consistently documented near normal ROM.
AF | PDBR | CY2013 | PD-2013-01798
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 General Surgeon noted the shrapnel wounds were healing well and a Physical Medicine Specialist documented right anterolateral thigh numbness, sharp pain, and weakness. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the...
AF | PDBR | CY2013 | PD-2013-01800
SEPARATION DATE: 20050319 The back condition, characterized as “chronic low back pain”was the only condition forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The range-of-motion (ROM) examination is recorded in the chart below.
AF | PDBR | CY2013 | PD-2013-01801
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.The rating for the unfitting right ankle condition is addressed below; and, no additional conditions are within the DoDI 6040.44 defined purview of the Board.Any conditions or contention not requested in this application, or otherwise outside the Board’s defined scope of...
AF | PDBR | CY2013 | PD-2013-01802
The diabetes condition, characterized as “diabetes mellitus, type 2, requiring medication and insulin for control,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The MEB also identified and forwarded two other conditions.The InformalPEB adjudicated “diabetes mellitus, type 2, requiring insulin and restricted diet”as unfitting, rated 20%, with application of the VA Schedule for Rating Disabilities (VASRD).The remaining two conditions were determined to be not...
AF | PDBR | CY2013 | PD-2013-01804
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. Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Pain, L Shoulder5099-500310%Partial Rotator Cuff Tear ... L Shoulder500310%20050505Other x 3 (Not In Scope)Other x 5 RATING: 10%COMBINED: 30% *Derived...
AF | PDBR | CY2013 | PD-2013-01806
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Left Knee Pain525910%Status Post Partial Left Lateral Meniscectomy52600%20051128Other x 1 (Not in Scope)Other x 1 (Not in Scope)20051128 Combined: 10%Combined: 0% *Derived from VA Rating Decision (VARD) dated 20051213 (most proximate to date of separation Chronic Left Knee Pain :The CI had a long history of chronic left knee pain. During a physical therapy functional assessment consultation on 13 June 2005, 3 months prior to...
AF | PDBR | CY2013 | PD-2013-01807
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. To that end, the evidence for the right knee pain and left arm conditions are presented separately; with attendant recommendations regarding separate unfitness, and separate rating if indicated. The MEB characterized...
AF | PDBR | CY2013 | PD-2013-01810
The “persistent left shoulder pain” was the only condition forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The Informal PEB adjudicated “chronic pain, left shoulder, status post arthroscopic surgery”as unfitting, rated 10%, citing the US Army Physical Disability Agency (USAPDA) pain policy. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Pain, Left Shoulder5009-500310%Degenerative Changes, Left Shoulder, Status Post Repair of Labral...
AF | PDBR | CY2013 | PD-2013-01811
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Pain in the Left Femur5099-500310%S/P Open Reduction Internal Fixation, Femur Fracture Left525510%20050513DiabetesNot UnfittingDiabetes Mellitus, Type II791320%20050513No Additional MEB/PEB EntriesOther x 220050513 Combined: 10%Combined: 40% *Derived from VA Rating Decision (VARD)dated 20050912(most proximate to date of separation (DOS)) ANALYSIS SUMMARY : IAW DoDI 6040.44, the Board’s authority is limited to making...
AF | PDBR | CY2013 | PD-2013-01813
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. A surgical procedure to “untrap” the nerve was offered to the CI who declined.On a pain clinic evaluation on 27 January 2004, the CI reported groin pain shooting to his scrotum.On examinationthe surgical scars were...
AF | PDBR | CY2013 | PD-2013-01815
The VA physical examination revealed normal gait and posture. The Board additionally considered if the symptomatic lower extremity radiculopathy warranted an additional disability rating; but, members agreed that the requisite link of the neuropathy symptoms with functional impairment was not in evidence. RECOMMENDATION : The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination.
AF | PDBR | CY2013 | PD-2013-01816
The commander’s statement noted that the CI’s back condition precluded him from performing critical field tasks, his condition further interfered with his MOS duties and adversely affected his unit’s readiness.The MEB narrative summary (NARSUM) exam approximately 5 monthsprior to separation documented that the CI was seen in the ER on 3 October 2003 and given intravenous morphine for acute LBP and that he still had occasional moderate LBP. RECOMMENDATION : The Board, therefore, recommends...
AF | PDBR | CY2013 | PD-2013-01817
The rating for the unfitting chronic recurrent plantar fasciitis bilaterally and equinus deformity bilaterally conditions are addressed below;no additional conditions are within the DoDI 6040.44 defined purview of the Board. When considering a separate rating for each condition, the Board considers each bundled condition to be reasonably justified as separately unfitting unless a preponderance of evidence indicates the condition would not cause the member to be referred into the Disability...
AF | PDBR | CY2013 | PD-2013-01818
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. Right knee pain . RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2013 | PD-2013-01819
The right knee condition, characterized as “chronic right knee pain” and “patella chondromalacia to the right knee,” was the only condition forwarded to the Physical Evaluation Board (PEB) IAW SECNAVIST 1850.4E. 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...
AF | PDBR | CY2013 | PD-2013-01822
Bilateral knee degenerative joint disease (DJD), left greater than right and left ankle pain were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Degenerative Arthritis of the Knees500310%Degenerative Joint Disease, R Knee5010-526010%20040925Degenerative Joint Disease, L Knee5010-526010%20040925Left Ankle PainNot UnfittingLeft Ankle Sprain5299-52700%20040925Other x 0 (Not in Scope)Other x 6 Rating: 10%Combined:...
AF | PDBR | CY2013 | PD-2013-01823
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 CI denied bowel and bladder difficulties.On the DD Form 2808, Report of Medical Examination, for the MEB on 3 June 2004,ROM of the cervical spine was reported as “decreased.” Examinations of the upper and lower...
AF | PDBR | CY2013 | PD-2013-01824
From the evidence, and based primarily on the April 2004 C&P exam, the Board determined that at the time of separation, it was more likely than not that the CI was not functioning well and was significantly impaired by MH symptoms. The impairment was due to psychotic symptoms and inappropriate behaviors such as disrobing in front of others.After due deliberation, considering all of the evidence and mindful of the VA Schedule for Rating Disabilities (VASRD) §4.3 (reasonable doubt), the Board...
AF | PDBR | CY2013 | PD-2013-01825
Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain, without Neurologic Abnormality5299-523710%Lumbar Degenerative Disc Disease (claimed as chronic low back pain)5243-524210%20040622No Additional MEB/PEB Entries Combined: 10%Combined: 10%Derived from VA Rating Decision (VARD)dated 20041027 ( most proximate to date of separation [DOS]). Having normal muscle tone and strength coupled with a normal gait, neurosurgery recommended work restrictions and self-paced...
AF | PDBR | CY2013 | PD-2013-01826
SEPARATION DATE: 20051206 After reviewing the evidence, all Board members agreed that a rating of 10% was appropriate for the chronic neck 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 surmise from the record or PEB ruling in this case that any...
AF | PDBR | CY2013 | PD-2013-01827
Chronic left foot pain, distal peroneal nerve neuropathy was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The MEB also identified and forwarded one other condition, upper and lower back pain, meeting retention standards for PEB adjudication.The Informal PEB adjudicated chronic left foot and ankle pain with diagnosis of distal peroneal neuropathy as unfitting, rated 10%with likely application of the US Army Physical Disability Agency (USAPDA) pain policy.The remaining...
AF | PDBR | CY2013 | PD-2013-01828
Bilateral Knee Pain Secondary to Retropatellar Pain Syndrome . The treatment notes, history and specific diagnosis of “retropatellar pain syndrome” support painful motion for each knee. 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 bilateral knee pain secondary to...
AF | PDBR | CY2013 | PD-2013-01830
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. RATING COMPARISON : IPEB – Dated 20051129VA*~1 Month Pre-SeparationConditionCodeRatingConditionCodeRatingExam Chronic Left Knee Pain50030%Osteoarthritis & Chondromalacia,Left Knee5010- 526010%20051228Other x 0 (Not In...
AF | PDBR | CY2013 | PD-2013-01831
Thoracolumbar ROM (Degrees)MEB ~ 7½ mos. 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 LBP condition and IAW VASRD §4.71a, the Board...
AF | PDBR | CY2013 | PD-2013-01832
SEPARATION DATE: 20050119 (2).It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but determined to be not unfitting by the PEB, when specifically requested by the CI.The rating for the unfitting left hip condition is addressed below;no other conditionsare within the DoDI 6040.44 defined purview of the Board.The thyroid cancer condition was not identified by the PEB and was not diagnosed until after...
AF | PDBR | CY2013 | PD-2013-01833
The Board members’ consensus was that the severity of GI symptoms near the time of permanent separation was more closely in line with “moderate” impairment at 10%.After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt) the Board recommends no change in the 30% TDRL placement rating, with a disability rating of 10% for the Crohn’s disease condition upon removal from the TDRL, coded 7399-7323 IAW VASRD §4.114. The Board could not find evidence...
AF | PDBR | CY2013 | PD-2013-01835
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. Additionally, there is no evidence of a left hip condition that would allow for application of any hip specific VASRD code. I direct that all the Department of the Army records of the individual concerned be corrected...
AF | PDBR | CY2013 | PD-2013-01837
RATING COMPARISON : Service IPEB – Dated 20040610VA -(STR) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain without Neurologic Abnormality5299-523710%Degenerative Disc Disease of the Lumbar Spine at L5 (claimed as chronic low back pain)524210%STROther x 0Other x 1 Rating: 10%Combined Rating: 10%Derived from VA Rating Decision (VARD)dated 20041026 ( most proximate to date of separation [DOS]). BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department...
AF | PDBR | CY2013 | PD-2013-01838
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXX CASE: PD‐2013‐01838 BRANCH OF SERVICE: MARINE CORPS BOARD DATE: 20140723 SEPARATION DATE: 20040531 invalid font number 31506 SUMMARYOFCASE: Dataextractedfromtheavailableevidenceofrecordreflectsthatthiscoveredindividual(CI)wasanactivedutyCpl/E‐4(0121/PersonnelClerk)medicallyseparatedfor a heart condition.The condition could not be adequately rehabilitated to meet the...
AF | PDBR | CY2013 | PD-2013-01839
The chronic LBPcondition, characterized as “spondylolisthesis” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The Informal PEB adjudicated “chronic low back pain secondary to Grade I spondylolisthesis of L5 on S1”as unfitting, rated at 10%, with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. At the MEB examination, the CI reported chronic...
AF | PDBR | CY2013 | PD-2013-01840
invalid font number 31502 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 low back pain condition, the Board unanimously recommends a disability...
AF | PDBR | CY2013 | PD-2013-01841
No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated the right anterior knee pain as unfitting, rated 0%IAW the VA Schedule for Rating Disabilities (VASRD); the pes planus and secondary plantar fasciitis was determined to have existed prior to service, were not permanently service aggravated and therefore not compensable. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Right Anterior Knee Pain5099-50030%Residuals, Right Knee Injury 526010%20060119Pes...
AF | PDBR | CY2013 | PD-2013-01843
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. 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...
AF | PDBR | CY2013 | PD-2013-01844
The records show that the CI was treated for LBP beginning in his first year of service. It noted that the motor examination was consistently normal. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2013 | PD-2013-01845
At the MEB medical examination (DD Form 2808) dated 18 November 2003, approximately 5 months prior to separation, the examiner documented decreased ROM of the ankle without further detail. The PEB and VA both rated the left ankle at 10% using the VASRD code 5271 (limited motion of the ankle). It noted that the VA continued the 10% rating on review in the 13 March 2009 rating decision.
AF | PDBR | CY2013 | PD-2013-01846
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Bilateral Knee Pain5099-50030%Left Knee Degenerative Joint Disease5010-526010%20050430Right Knee Degenerative Joint Disease5010-526010%20050430Other x 4 (Not in Scope)Other x 320050503 Combined: 0%Combined: 30%Derived from VA Rating Decision (VARD)dated 20050608 ( most proximate to date of separation) ANALYSIS SUMMARY :The Board’s authority as defined in DoDI 6040.44, resides in evaluating the fairness of Disability Evaluation...
AF | PDBR | CY2013 | PD-2013-01847
The Informal PEB adjudicated “chronic right shoulder pain”as unfitting, rated 10%,citing criteria of the US Army Physical Disability Agency (USAPDA) pain policy.The CI made no appeals and was medically separated. Chronic Right Shoulder Pain Condition . Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01851
He was placed on limited duty (LIMDU) and referred for a Medical Evaluation Board (MEB). Post-Separation) ConditionCodeRatingConditionCodeRatingExam Persistent Right Knee Pain5099-500310%Right Knee Meniscus Tear52590%20060309Other x0 (Not in Scope)Other x8 20060309 Combined: 10%Combined: 40%Derived from VA Rating Decision (VARD) dated 20051109 (most proximate to date of separation [DOS]) ANALYSIS SUMMARY : The Board makes note that some of the CI’s contended conditions are derived from VA...
AF | PDBR | CY2013 | PD-2013-01853
Service IPEB – Dated 20050120VA ConditionCodeRatingConditionCodeRatingExam Chronic Right Iliopsoas Tendinitis and Snapping Hip Syndrome50240%Chronic Iliopsoas Tendinitis, Right531630%*Not AvailableOther x 0 (Not in Scope)Other x 5Not Available Combined: 0%Combined: 30% Derived from VA Rating Decision (VARD)dated 20081121 (most proximate to date of separation [DOS] available). The only VA Compensation and Pension (C&P) examination presented as evidence for this Board to review, dated over 3...
AF | PDBR | CY2013 | PD-2013-01854
The MEB physical exam performed 5 months prior to separation noted tenderness to external rotation of the right hip joint, otherwise full ROM of both hips. Bilateral Knee Pain During the CI’s first period of service, he developed bilateral knee pain, underwent surgery on his left knee, and was medically separated for bilateral knee pain in 1999. Right Ankle Condition .
AF | PDBR | CY2013 | PD-2013-01855
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 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. Although the...
AF | PDBR | CY2013 | PD-2013-01856
The condition was characterized by the MEB as “chronic low back pain with lumbar degenerative disc disease” and it was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The PEB adjudicated “chronic low back pain”…with “no neurological deficits “as unfitting, rated 10%citing criteria of the VA Schedule for Rating Disabilities (VASRD).The remaining condition was determined to be “medically acceptable.” The CI made no appeals and was medically separated. Contended Pain and...
AF | PDBR | CY2013 | PD-2013-01857
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 rating is utilized IAW VASRD §4.7 (higher of two ratings) and, regardless, a rating lower than that of the PEB is not recommended by the Board. RECOMMENDATION : The Board, therefore, recommends that there be...
AF | PDBR | CY2013 | PD-2013-01858
The MEB forwarded no other conditions to the PEB.The Informal PEBadjudicated “chronic back pain with T12 compression fracture without neurologic abnormality, combined thoracolumbar range-of- motion [ROM] of 225 degrees” and “chronic pain of left shoulder”as unfitting, rated 10% and 0%, citing use of the US Army Physical Disability Agency (USAPDA) pain policy criteria for the left shoulder pain. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable...
AF | PDBR | CY2013 | PD-2013-01859
SEPARATION DATE: 20060423 The Board did not find evidence the symptoms were refractory to therapy for a higher adjudication, since the CI reported doing fair and reported favorable response to treatment with narcotic medications. Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01861
No other conditionwas submitted by the MEB.The Informal PEB (IPEB) did not consider the CI’s referred bilateral knee condition (as the original MEB did not forward this condition for PEB adjudication) and only adjudicated the referred diabetes mellitus condition as unfitting, rated 20%, with likely 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...
AF | PDBR | CY2013 | PD-2013-01862
The remaining back condition was determined to be not unfitting by the PEB. The Board also noted that the majority of the CI’s treatment notes proximal to separation, documented evaluation and treatment for his depression with anxiety 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...