AF | PDBR | CY2013 | PD-2013-01864
He was placed on limited duty (LIMDU)and referred for a Medical Evaluation Board (MEB).The “low back pain” and “left leg pain,” were the only two conditions forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 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 VASRD standards to the unfitting medical condition at the time of separation. Post-SepFlexion (90...
AF | PDBR | CY2013 | PD-2013-01865
Muscle strength was normal.The narrative summary on 18 August 2005 (2 months prior to separation) noted a chief complaint of constant lower back pain and right leg numbness that occurred 3-4 times per week that was exacerbated by lifting, prolonged standing or sitting, and running.At the VA Compensation and Pension exam performed on date of separation, the CI reported he did not use any medications or therapy for the back condition. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or...
AF | PDBR | CY2013 | PD-2013-01866
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXXXXXX CASE: PD-2013-01866 BRANCH OF SERVICE: Army BOARD DATE: 20140806 The Board’s role is thus confined to the review of medical records and all evidence at hand to assess the fairness of PEB rating determinations, compared to VA Schedule for Rating Disabilities (VASRD) standards, based on ratable severity at the time of separation; and, to review those fitness determinations within its scope (as elaborated above)...
AF | PDBR | CY2013 | PD-2013-01867
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 left knee pain and right knee pain conditions will bepresented separately; with attendant recommendations regarding separate unfitness determinations for each, and separate ratings, if...
AF | PDBR | CY2013 | PD-2013-01868
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 NARSUM dated 14 May 2004 (3 months prior to separation) documented that the CI reportedmild relief of the right ankle pain; feelings of instability, snapping of the ankle; inability to stand more than 20 minutes, and significant pain with activities. Upon worsening...
AF | PDBR | CY2013 | PD-2013-01871
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 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. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic...
AF | PDBR | CY2013 | PD-2013-01876
Dermatitis w/folliculitis was not evaluated by DOD. The CI was not on any medications for pain. Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01881
SEPARATION DATE: 20051030 The MEB found the hearing loss condition medically unacceptable and forwarded it to the Physical Evaluation Board (PEB) IAW AR 40-501. The Board determined that a disability rating of 0% is warranted for the SNHL condition, it is appropriately coded 6100, and IAW VASRD §4.85 and §4.86 meets criteria for the 0% rating level.After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt) and §4.7 (higher of two evaluations), the...
AF | PDBR | CY2013 | PD-2013-01882
The CI continued to report left lower extremity pain and was referred for a MEB.The MEB Medical Examination (DD Form 2808) dated 2 August 2005, approximately 5 months prior to separation, evidenced left lower extremity tenderness to palpation at the lateral portion of the leg up to the knee. The Board agreed that the chronic lumbago condition could reasonably be determined to be separately unfitting and recommended for disability rating. RECOMMENDATION : The Board recommends that the CI’s...
AF | PDBR | CY2013 | PD-2013-01884
At the 14 September 2004 post-operative urology follow-up, the CI complained of constant 6-7/10 right groin and testicle pain. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt) and §4.7 (higher of two ratings), the Board recommends a disability rating of 10% for the right testicular pain condition (coded 7525). Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01885
No other conditions were submitted by the MEB.The Informal PEB adjudicated “left hip pain w/history of left femoral neck stress fracture” as unfitting, rated 0% with application of theVA Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. 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 Disability Board of...
AF | PDBR | CY2013 | PD-2013-01886
The chronic LBP, characterized as “chronic uncomplicated low back pain (slight/intermittent),” was the only condition forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The Informal PEB adjudicated “chronic subjective low back pain, without neurologic abnormality”as unfitting, rated 10% with likely application of theVA Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. The examination noted limited painful extension and normal flexion,...
AF | PDBR | CY2013 | PD-2013-01887
The thigh condition, characterized as “chronic left thigh pain secondary to abundant callus and quadriceps adhesion” and “saphenous nerve palsy (sensory) after gunshot wound,” were the only two conditions forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The Informal PEB adjudicated “chronic left thigh pain secondary to abundant callus and quadriceps adhesion” and “saphenous nerve palsy (sensory) after gunshot wound to left thigh” as unfitting, rated 0% and 0%, respectively,...
AF | PDBR | CY2013 | PD-2013-01888
Bilateral severe high frequency sensorineural hearing loss was forwarded to the Physical Evaluation Board (PEB) as not meeting medical standards IAW AR 40-501. The InformalPEBadjudicated bilateral severe high frequency sensorineural hearing loss as unfitting, rated 0%, with application of VA Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Bilateral High Frequency Sensorineural Hearing...
AF | PDBR | CY2013 | PD-2013-01889
The inflammation, pain causes my “ illegible ” walk and due to this it brought many alterations to my body which the VA will not take care of due to my medical discharge from the Army so they will not treat my Lt. 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.As discussed above,...
AF | PDBR | CY2013 | PD-2013-01892
Any conditions or contention not requested in this application, or otherwise outside the Board’s defined scope of review, remain eligible for future consideration by the Board for Correction of Military Records.The Board acknowledges the CI’s information regarding the worsening impairment with which her service-connected condition burdens her; but, must emphasize that the Disability Evaluation System has neither the role nor the authority to compensate members for anticipated future severity...
AF | PDBR | CY2013 | PD-2013-01893
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. * VARD dated 20080710 indicates a rating of 10% for the Crohn’s Disease based on a C&P exam specific to that condition dated 20080505. DoD Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01895
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 Chronic Bilateral Knee Pain5099-500310%Retropatellar Pain Syndrome with Chondromalacia, Right Knee5099-501410%20040802Retropatellar Pain Syndrome with...
AF | PDBR | CY2013 | PD-2013-01896
SEPARATION DATE: 20040608 After a thorough review of the treatment record, the Board determined that the CI’s right shoulder condition was essentially non-compensable based solely on the VA Schedule for Rating Disabilities (VASRD) §4.71a codes for the shoulder and arm (5200 through 5203). Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01897
SEPARATION DATE: 20040408 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. DoD Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01898
The MEB characterized the back condition as “chronic LBP with 4/5 Waddell signs and no radicular symptoms” and the right knee pain as “chronic right knee pain following trauma…” Both conditions were deemed medically unacceptable by the MEB and were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Although the PEB and VA titled the unfitting back condition slightly differently, they both utilized(in various combinations) similar codes of 5237 (lumbosacral strain) and 5242...
AF | PDBR | CY2013 | PD-2013-01900
SEPARATION DATE: 20040310 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 back condition and IAW VASRD §4.71a, the Board unanimously recommends...
AF | PDBR | CY2013 | PD-2013-01901
SEPARATION DATE: 20041001 Sleep Apnea was ruled during the med board not to be an issue for unfit condition-but was rated by the VA in a letter dated April 20, 2005, 50% as service-connected disability effective as of October 02, 2004, but rated only 10% disabled for Bilateral plantar fasciitis by the Navy & VA. 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...
AF | PDBR | CY2013 | PD-2013-01902
SEPARATION DATE: 20040514 The rating for the unfitting bipolar condition is addressed below; and, no additional conditions are within the DoDI 6040.44 defined purview of the Board. RECOMMENDATION : The Board recommends that the CI’s prior determination be modified as follows; and, that the discharge with severance pay be recharacterized to reflect permanent disability retirement, effective as of the date of his prior medical separation:
AF | PDBR | CY2013 | PD-2013-01903
The NARSUM rated the pain of the right knee as constant and minimal and the orthopedic surgeon diagnosed “postoperative knee pain and dysfunction due to internal derangement of the knee with residual instability.” The VA in its VARDdated 17 November 2005, 17 months after separation,made no reference to a separate C&P examination and cited the MEB examination and evidence of the STR. After due consideration and review of the evidence, the Board determined the right knee ROM did not rise to...
AF | PDBR | CY2013 | PD-2013-01904
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. RATING COMPARISON : IPEB – Dated 20040721VA* -(Based on Service Treatment Records[STR])ConditionCodeRatingConditionCodeRatingExam Right Knee Pain5099-50100%S/P ACL Reconstruction, R Knee52570%STROther MEB/PEB Conditions x...
AF | PDBR | CY2013 | PD-2013-01908
Separation Date: 20040617 RECOMMENDATION : The Board recommends that the CI’s prior determination be modified as follows; and, that the discharge with severance pay be recharacterized to reflect permanent disability retirement, effective as of the date of his prior medical separation: Physical Disability Board of Review
AF | PDBR | CY2013 | PD-2013-01909
The seizure condition, characterized as “PCS (partial complex seizures) with secondary generalization,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501 with no other conditions submitted by the MEB.ThePEB adjudicated “partial complex seizure disorder with secondary generalization,” rated 40%,citing criteria of the VA Schedule for Rating Disabilities (VASRD) and placed the CI on the Temporary Disability Retired List (TDRL) effective on 13 December 1998 to allow the...
AF | PDBR | CY2013 | PD-2013-01911
The VA rated under a peripheral nerve code 8520 (sciatic nerve) at 40% (moderately severe) citing pain and numbness to both extremities; in addition to lumbar disc protrusion for 10% under code 5242 (degenerative arthritis).Board members first agreed that sufficient evidence of painful motion was present to justify the rating of 10%, as well as the presence of localized tenderness not resulting in abnormal gait or spinal contour IAW §4.59 and §4.71a.Next, members acknowledged the ROM values...
AF | PDBR | CY2013 | PD-2013-01913
The VARD stated that the 40% rating of the back condition was based on findings in the “service medical records which shows incapacitating episodes between 4 and 6 weeks during the past 12 months (sic).” The Board reviewed the evidence proximate to separation-the MEB and PT ROM for the MEB exams and prior to separation and after separation C&P exams. The CI reported LLE pain and at the MEB exam decreased sensation of the lateral leg and foot was noted. Providing a correction to the...
AF | PDBR | CY2013 | PD-2013-01914
The left foot condition, characterized as “delayed union left 5 th metatarsal fracture” was forwarded to the Physical Evaluation Board (PEB) IAWSECNAVINST 1850.4E.No other conditions were submitted by the MEB.The informal PEB adjudicated “delayed union left fifth metatarsal fracture”as unfitting, rated 10%.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 evidence for...
AF | PDBR | CY2013 | PD-2013-01915
For the TDRL re-evaluation the PEB re-adjudicated both the neck and asthma condition. The Board’s recommendations for rating, IAW DoDI 6040.44,must be and shall be, premised on the codes uses during both TDRL entry and removal. 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...
AF | PDBR | CY2013 | PD-2013-01918
The Board’s role is thus confined to the review of medical records and all evidence at hand to assess the fairness of the PEB rating determinations compared to VASRD standards, based on ratable severity at the time of separation, and to review those fitness determinations within its scope (as elaborated above) consistent with performance-based criteria in evidence at separation. The CI had an L3 profile that recorded a back condition only and restricted all physical activities except...
AF | PDBR | CY2013 | PD-2013-01919
It is limited to those conditions determined by the PEB to be unfitting for continued military service and when specifically requested by the CI, those conditions identified by the PEB, but determined to be not unfitting. There was no route to a higher rating under the 5259 code (cartilage, semilunar, removal of, symptomatic), and no support for rating under the alternate knee codes 5257 (knee, other impairment of) and 5258 (dislocated semilunar cartilage).After due deliberation,...
AF | PDBR | CY2013 | PD-2013-01920
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. There is no evidence in this case that OSA was associated with any functional impairment that was not corrected by CPAP. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2013 | PD-2013-01921
At times he complained of thoracic back pain, but mostly his pain was low back pain (LBP). Physical Disability Board of Review I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2013 | PD-2013-01922
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 exam noted full flexion and abduction, with painful ROM and an MEB was recommended.At the MEB examination on 8 April 2004, 6 months prior to separation, the CI reported shoulder pain, specifically noting “cannot...
AF | PDBR | CY2013 | PD-2013-01923
Right Shoulder 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.As discussed above, PEB reliance on the USAPDA pain policyfor rating the right shoulder was operant in this case and the condition was adjudicated independently of that policyby this Board.In the matter of the...
AF | PDBR | CY2013 | PD-2013-01924
I was just rated for knee and two knee surgeries. RATING COMPARISON : IPEB – Dated 20050810VA* -Based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Chronic Left Knee Pain…5099-500320%Osteoarthritis, Left Knee, Status Post Two ArthroscopicSurgeries501010%STROther x 0 (Not In Scope)Other x 1 RATING: 20%RATING: 10% *Derived from VA Rating Decision (VARD)dated 20060628(most proximate to date of separation (DOS)). BOARD FINDINGS : IAW DoDI 6040.44, provisions of...
AF | PDBR | CY2013 | PD-2013-01927
SEPARATION DATE: 20050524 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.
AF | PDBR | CY2013 | PD-2013-01928
Nerve studies (electromyelogram and nerve conduction) on 30 April 2003 were normal: “There is no evidence via electrodiagnostic parameters to suggest cervical radiculopathy, brachial plexopathy, thoracic outlet syndrome, ulnar neuropathy or median neuropathy.” On 24 May 2004, a neurologist reported that, “According to the patient, if he lifts his arms above his head or uses his arms, he will experience pain in his neck followed by numbness and tingling in his arms and sometimes weakness in...
AF | PDBR | CY2013 | PD-2013-01930
The foot condition, characterized as “chronic right foot pain following bunion surgery,” was the only condition forwarded to the Physical Evaluation Board (PEB) IAW AFI 48-123. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2013 | PD-2013-01931
However, there was left hip pain with flexion/abduction and no pain radiation into the groin. straight leg raise; Normal strength; No Deluca criteria§4.71a Rating-20%10% invalid font number 31502 The Board directs attention to its rating recommendationbased on the above evidence.The PEB coded the chronic LBP condition as 5237, lumbosacral or cervical strain, and rated at 10%. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2013 | PD-2013-01932
SEPARATION DATE: 20051115 The Board first considered examination probative value noting “passive” ROM performed at the NARSUM and therefore, not in compliance with VASRD criteria. 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...
AF | PDBR | CY2013 | PD-2013-01933
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 Board gives consideration to DVA 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 examination on 5March 2009 (5 years after separation) showed...
AF | PDBR | CY2013 | PD-2013-01934
No other conditions were submitted by the MEB.The Informal PEB adjudicated “recurring pilonidal cyst”as unfitting, rated 10%, with likely application of VA Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. The rating for the unfitting recurring pilonidal cyst condition is addressed below including possible residuals; no additional conditions are within the DoDI 6040.44 defined purview of the Board. Additionally, he also had difficulties with his...
AF | PDBR | CY2013 | PD-2013-01937
The Board determined that the evidence reasonably supported pain limited motion for a disability rating of 10%; analogous to limitation of motion, coded 5299-5260.After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board recommends a disability rating of 10% for the right knee instabilityand 10% for the right knee limitation of motion for a combined 20% disability rating. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military...
AF | PDBR | CY2013 | PD-2013-01938
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. RATING COMPARISON : Service IPEB – Dated 20050208VA -Based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Stress Fractures, Bilateral Navicular Bone5003-528310%Left Foot Navicular Bone Stress Fracture528410%STR5003-528310%Right Foot...
AF | PDBR | CY2013 | PD-2013-01939
Separation Date: 20050408 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 asthma condition and IAW VASRD §4.97, the Board unanimously...
AF | PDBR | CY2013 | PD-2013-01940
Asthma Condition . The examiner concluded that the CI was “doing well with daily Flovent use.” The plan was to continue using Flovent twice per day.The narrative summaryon 30 March 2005 (4 months prior to separation) reported that the CI had not required systemic steroids or emergency treatment. 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...