AF | PDBR | CY2014 | PD-2014-02211
SEPARATION DATE: 20050320 Left Knee Pain .The service treatment record (STR) indicated that the CI injured her left knee in a fall while running in early 2000. At the NARSUM examination on 21 January 2005; 2 months prior to separation the CI’s chief complaint presented to the MEB was “chronic left knee and hip pain.”The physical examination (PE) was brief noting “unremarkable for limitations”with reference to the “history of present illness (HPI)”for any objective findings.
AF | PDBR | CY2014 | PD-2014-02215
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 examiner diagnosed PTSD with a GAF of 45 (serious), and noted that although the CI was able to work, he was isolative.The Board directed attention to its rating recommendation based on the above evidence.Both the PEB and VA rated the condition of PTSD under the code...
AF | PDBR | CY2014 | PD-2014-02220
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 | CY2014 | PD-2014-02221
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. All records were reviewed and considered by the Board. In the matter of the left sciatic radiculopathy condition, the Board unanimously recommends it as separately unfitting and recommends adisability rating of 10%, coded 8720 IAW VASRD §4.71a.In the matter of the...
AF | PDBR | CY2014 | PD-2014-02228
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. 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 CI had reported left knee gives way and pain.
AF | PDBR | CY2014 | PD-2014-02239
The initial VA C&P examination (within the DES Pilot process occurred)dated3 June 2009, during the examination, the examiner noted that the CI was not currently in psychiatric treatment and during brief treatment for his MH symptoms in 2008 he was not hospitalized, was not suicidal and had not required any psychotropic medications.At the VA C&P examination the CI denied being anxious or depressedand the examiner noted the CI was “without signs of ongoing anxiety, depression, or psychosis at...
AF | PDBR | CY2014 | PD-2014-02250
Plantar fasciitis bilateral, bilateral knee retropatellar pain syndrome and left iliotibial band were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The Informal PEBadjudicated bilateral planter fasciitis as unfitting, rated 0%,with likely application of the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board...
AF | PDBR | CY2014 | PD-2014-02254
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. Left Knee Condition . However, although the CI reported that his knee frequently “gave out” at the C&P exam, there was no instability or laxity noted at the MEB or C&P exams and after separation rehab records...
AF | PDBR | CY2014 | PD-2014-02255
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 CI ultimately responded to a 10-day, followed by a 21-day, taper of decreasing doses of oral steroids.A subsequent dermatology consultation from March 2008 (8 months prior to separation) described the previous...
AF | PDBR | CY2014 | PD-2014-02258
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. Range-of-motion (ROM) evaluation on 11 March 2006 for the neck and back was significant for over-reaction as well as three other signs of non-organic pain. RECOMMENDATION : The Board, therefore, recommends that there...
AF | PDBR | CY2014 | PD-2014-02268
The PEB rated the condition at 0% whereas the VA rated it at 50%. The use of CPAP supports the 50% rating assigned by the VA. 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...
AF | PDBR | CY2014 | PD-2014-02283
The MEB also identified and forwarded five other conditions, all meeting retentions standards for PEB adjudication.The Informal PEB adjudicated “chronic low back pain”as unfitting, rated 10%, with application of theVA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting and therefore not rated. It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not...
AF | PDBR | CY2014 | PD-2014-02322
AF | PDBR | CY2014 | PD-2014-02326
Formal MEB PT goniometric range-of-motion (ROM) testing of the thoracolumbar spine was performed on 15 December 2006 (approximately 5 months prior to separation) and documented forward flexion of 20 degrees (normal 90) and combined ROM of 120 degrees (normal 240). The PEB disability description indicated the rating was based on tenderness and ROM limited by pain, but did not specify ROM values or detail which ROM exam was used for rating. Additionally, the CI had continuing and recurring...
AF | PDBR | CY2014 | PD-2014-02332
PK ( g4@N6TpF$@YzLxh)HUA+nEka?rre(
AF | PDBR | CY2014 | PD-2014-02334
SEPARATION DATE: 20050515 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. 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...
AF | PDBR | CY2014 | PD-2014-02347
Medication treatment consisted of Effexor XR and Ambien (zolpidem-to help fall asleep).The MEB psychiatric addendum dated 26 April 2007 reiterated details of the CI’s encounters with the psychiatrist and noted the Axis I conditions to be MDD, chronic severe manifested by depressed mood, anxiety, lack of motivation, chronic pessimism, obsessiveness, social isolation, poor self-esteem, hopelessness, and helplessness.An S3 permanent profile was issued on 12 March 2007 for the MDD with...
AF | PDBR | CY2014 | PD-2014-02348
He was evaluated in the pain clinic on 14 January 2008 and noted to have a normal neurological examination and no significant difficulty with back flexion and extension. At the MEB examination on 13June 2008, the CI reported persistent LBP and numbness of the left leg. DoD Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-02350
AF | PDBR | CY2014 | PD-2014-02357
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. Migraine...
AF | PDBR | CY2014 | PD-2014-02360
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 Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The VA examiner noted reports of psychiatric...
AF | PDBR | CY2014 | PD-2014-02361
AF | PDBR | CY2014 | PD-2014-02362
The “right wrist injury with continued pain”was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. 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...
AF | PDBR | CY2014 | PD-2014-02365
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Radiating Low Back Pain52430%Degenerative Disc Disease, Lumbar Spine524310%20070414Other x0 (Not in Scope)Other x2 (Not in Scope)20070414 Rating: 0%Rating: 10%*Derived from VA Rating Decision (VARD)dated 20070522(most proximate to date of separation) ANALYSIS SUMMARY :The Board notes the earliest VA evaluation was approximately 2 years after the date of separation. DoDI 6040.44 provides for consideration of post-separation...
AF | PDBR | CY2014 | PD-2014-02369
SEPARATION DATE: 20051011 Asthma 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.In the matter of the asthma condition, the Board unanimously recommends a disability rating of 30%, coded 6602 IAW VASRD §4.100.In the matter of the contended allergic rhinitis, migraine...
AF | PDBR | CY2014 | PD-2014-02370
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. Bilateral Foot Condition . In the matter of the bilateral foot condition and IAW VASRD §4.71a, the Board unanimously recommends no change in the PEB adjudication.There were no other conditions within the Board’s scope...
AF | PDBR | CY2014 | PD-2014-02373
The MEB also identified and forwarded two other conditions.The Informal PEB adjudicated “chronic bilateral foot pain secondary to stress reactions in both feet…)”as a condition existing prior to service but was permanently service aggravated and rated at 0%,with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining conditions weredetermined to be not unfitting therefore not ratable.The CI made no appealsand was medically separated. The 5022 code...
AF | PDBR | CY2014 | PD-2014-02381
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. At the time of separation, the CI’s right hip condition was not compensable above the 10% level based on the evidence present for review. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department...
AF | PDBR | CY2014 | PD-2014-02382
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. Left Elbow Condition . The examiner noted the fracture and the donor site were still in the healing process, and once healed, the CI may still lack a few degrees of full extension of the left elbow.
AF | PDBR | CY2014 | PD-2014-02385
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain5299-523710%Mild Levoscoliotic Curvature with Lumbago5299-523710%20080829Other x 0 (Not In Scope)Other x 0 RATING: 10%RATING: 10% *Derived from VA Rating Decision (VARD) dated 20081027 (most proximate to date of separation [DOS]). Low Back Pain (LBP) . RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-02417
AF | PDBR | CY2014 | PD-2014-02419
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 examiner referred the CI to neurology and opined that the left foot numbness was most likely due to his lower back. The neurologist documented mid-lumbar spine tenderness back pain with forward flexion.
AF | PDBR | CY2014 | PD-2014-02420
The PEB adjudicated the condition under the analogous code 8199-8105 (Sydenham’s chorea) for spastic gait, and determined that the condition EPTS, not permanently aggravated by service, and therefore, did not rate the condition. Therefore, the Board unanimously agreed that the evidence did not support a determination of permanent service aggravation.After due deliberation in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to...
AF | PDBR | CY2014 | PD-2014-02424
SEPARATION DATE: 20050428 Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain5299-523720%Chronic Lower Back Pain5299-523720%20050104Other x 0 (Not In Scope)Other x 3 RATING: 20%RATING: 40% *Derived from VA Rating Decision (VARD)dated 20050503(most proximate to date of separation [DOS]). RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-02426
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 20070205VA* -Based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Chronic Left Knee Pain5099-500310%Residuals of Left Knee Injury52600%STROther x 0 (Not In...
AF | PDBR | CY2014 | PD-2014-02436
The VA made no deduction for the substance abuse although it was noted to pre-date his MH condition, and rated the CI at 50% for major depression, coded 9434. The Board considered this and the majority determined that the PEB deduction for the alcohol and drug abuse was not appropriate. The VA psychiatrist, who also reviewed the medical records in the post-separation evaluation, did not diagnose a personality disorder either.
AF | PDBR | CY2014 | PD-2014-02441
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Bilateral Foot Pain…50220%Pes Planus…Left Foot…527620%20090122Other x 0 Other x 3 RATING: 0%RATING: 20% *Derived from VA Rating Decision (VARD)dated 20090313(most proximate to date of separation (DOS)). The Board directed attention to its rating recommendation based on the above evidence. I direct that all the Department of the Army records of the individual concerned be corrected accordingly no later than 120 days from...
AF | PDBR | CY2014 | PD-2014-02444
AF | PDBR | CY2014 | PD-2014-02460
“Right ankle pain”was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditionwas submitted by the MEB.The Informal PEB adjudicated “chronic right ankle pain”as unfitting, rated 0% with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Right Ankle Pain5099-50030%Degenerative Joint Disease, Right Ankle5271-501010%20040618Other x 0 (Not In Scope)Other x 11 RATING:...
AF | PDBR | CY2014 | PD-2014-02465
AF | PDBR | CY2014 | PD-2014-02466
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 standards to the unfitting medical condition at the time of separation. Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Pain, Left Knee Secondary to Patella Alta & Patellar Tendon Injury5099-500310%Patella Alta Of The Left Knee (claimed as left knee to include degenerative left...
AF | PDBR | CY2014 | PD-2014-02473
Left hip. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Left Hip Pain5299-525510%Residuals, Left Femoral Neck Fracture525520%20090504Other x 0 (Not In Scope)Other x 8 RATING 10%RATING: 30% *Derived from VA Rating Decision (VARD)dated 20090731(most proximate to date of separation (DOS)). Left Hip Pain.
AF | PDBR | CY2014 | PD-2014-02478
AF | PDBR | CY2014 | PD-2014-02479
SEPARATION DATE: 20041202 Lumbar Spine Condition .The service treatment record (STR) documents an onset of back pain with a vehicular accident in January 2002, although there are also indications of back pain dating to a strain injury in Korea 2 years earlier. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-02490
AF | PDBR | CY2014 | PD-2014-02496
SEPARATION DATE: 20080805 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 noted that there was no evidence of a separately unfitting radiculopathy and concluded therefore, that this condition could not be recommended for additional disability rating.
AF | PDBR | CY2014 | PD-2014-02501
Examination of the back was reported as normal and the examiner stated he could not ascribe any physical diagnosis or attribute any physical impairment to the LBP complaint.The Board first considered whether the back pain condition was unfitting when considered separately from the hip pain condition.Although the back and hip pain were somewhat intermingled in treatment records, orthopedic examiners described back pain separately from hip pain and indicated some impairment due to back pain. ...
AF | PDBR | CY2014 | PD-2014-02503
Any conditions outside the Board’s defined scope of review and any contention not requested in this application may remain eligible for future consideration by the Board for Correction of Military/Naval Records. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Lumbago5299-52370%Lumbago523710%20070130Other x 0 (Not In Scope)Other x 2 RATING: 0%RATING: 30% *Derived from VA Rating Decision (VARD)dated 20070319(most proximate to date of separation (DOS)). Motor, sensory and reflexes...
AF | PDBR | CY2014 | PD-2014-02506
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. Back Pain . RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-02511
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. Occupational therapy examination on 29 August 2007 recorded normal range-of-motion (ROM) of the joints of the middle finger except for 7 degrees of decreased extension at the middle joint of the middle finger. Grip...