AF | PDBR | CY2014 | PD-2014-00527
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AF | PDBR | CY2014 | PD-2014-00544
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Left Groin and Hip Pain50030%Degenerative Joint Disease of the Left Hip(Claimed as Left Hip Injury)500310%20050628Other x 0 (Not In Scope)Other x 17 RATING: 0%RATING: 20% *Derived from VA Rating Decision (VARD)dated 20050713(most proximate to date of separation [DOS]). Left Hip (Thigh) ROM (Degrees)MEB 4 Mo. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB...
AF | PDBR | CY2014 | PD-2014-00548
Therefore, by majority decision the Board does not recommend a separate disability rating. Based on a thorough review of the evidence in the treatment record, the Board determined that, at the time of separation a rating of 10% was appropriate. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-00553
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. RATING COMPARISON : Service IPEB – Dated 20040116VA* -based on Service Treatment Records (STR)ConditionCodeRatingConditionCodeRatingExam Bipolar Disorder943210%Bipolar Disorder943210%STROther x 0 (Not in Scope)Other x 16 (Not in Scope) Combined: 10%Combined: 40% *Derived from VA Rating Decision...
AF | PDBR | CY2014 | PD-2014-00557
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. Asthma Condition .
AF | PDBR | CY2014 | PD-2014-00558
No other conditions were submitted by the MEB.The Informal PEB adjudicated “chronic non-radiating low back pain with insidious onset”as unfitting, rated at 10% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. The Board then considered other avenues for appropriate rating.The Board noted the occasional reports ofbowel, bladder incontinence, sexual dysfunction and considered a rating for spinal cord injury...
AF | PDBR | CY2014 | PD-2014-00563
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Low Back Pain5299-523710%Chronic Low Back Strain523710%20050706Left knee Pain5099-50030%Residuals L/Knee Lateral Meniscus Repair, Chondromalacia Patella5259-501410%20050706Other x 0 (In Scope)Other x 1 Combined: 10%Combined: 20%Derived from VA Rating Decision (VARD)dated 20050811 ( most proximate to date of separation) Low Back Pain Condition . The CI complained of dull constant pain in the left joint line and pain behind the...
AF | PDBR | CY2014 | PD-2014-00566
The Informal PEBadjudicated “chronic back pain”as unfitting, rated 10%, with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining condition was determined to be not unfitting.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 when specifically requested by the CI, those conditions identified by the PEB, but determined to be not unfitting. ...
AF | PDBR | CY2014 | PD-2014-00568
Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Lt Hip Pain5099-500310%S/P Left Hip Fracture5299-52530%20070207Chronic Low Back Pain52370%DDD, Lumbar Spine52420%20070207Other x 0 (Not In Scope) Combined: 0%Combined: 10%Derived from VA Rating Decision (VARD) dated 20070718 (most proximate to date of separation)Rating for the left hip condition was changed to 10% in a 20091009 VARD with an effective date of 20070519 Left Hip Condition . The Board unanimously agreed the...
AF | PDBR | CY2014 | PD-2014-00570
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. Providing orders...
AF | PDBR | CY2014 | PD-2014-00577
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. Electrodiagnostic studies (electromyogram and nerve conduction velocity testing) demonstrated a right ulnar nerve neuropathy (at the elbow) but no evidence of any cervical spinal nerve root radiculopathy.At the MEB...
AF | PDBR | CY2014 | PD-2014-00598
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. Post-operatively, pain improvement was insufficient to allow return to full duties.The neurology MEB addendum examination on 21 June 2007 (6months prior to separation) noted normal lower extremity muscle strength.At the...
AF | PDBR | CY2014 | PD-2014-00630
Left Shoulder Condition . At the VA C&P examination, performed 16 months prior to separation, the CI reported a cervical spine injury in 1998 with continual pain accompanied by a left upper extremity radiculopathy. Based on the ROMs in the record the Board was unable to find a route to a higher rating.The MEB referred cervical spondylosis with C7-8 radiculopathy; however, the PEB noted cervical spondylosis “without significant neurologic abnormality.” The Board considered whether an...
AF | PDBR | CY2014 | PD-2014-00636
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AF | PDBR | CY2014 | PD-2014-00640
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 was able to bend and touch her knees with pain; extension of the back was normal. The MEB physical exam notedminimal tenderness in the lower back with deep palpation.Motor, sensory and reflex exams were...
AF | PDBR | CY2014 | PD-2014-00641
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. She had what was diagnosed as right CTSmarked by pain and paresthesias with decreased manual dexterity along with problems of lifting and carrying, lack of stamina,and decreased strength.At the time of the VA examination, she was not employed.Temporally remote (more...
AF | PDBR | CY2014 | PD-2014-00643
The Board unanimously agreed that the record in evidence did not support a compensable rating for the back condition using range of motion criteria.The Board then considered other avenues for appropriate rating.There was no evidence for ratable peripheral nerve impairment in this case, since no motor weakness was present, NCS were negative and sensory symptoms had no functional implication. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines...
AF | PDBR | CY2014 | PD-2014-00645
to Plantar Fasciitis5399-53100%Bilateral Plantar Fasciitis5299-527910%20050201Other x 0 (Not in Scope)Other x 1 Rating: 0%Combined: 10%Derived from VA Rating Decision (VARD)dated 20060622 (most proximate to date of separation) Chronic Bilateral foot pain/ Plantar Fasciitis. The PEB combined the foot condition recorded as chronic bilateral foot pain secondary to plantar fasciitis, rated analogously coded 5399-5310 (Group X) muscle injury at 0% for slight. The Board noted there were no...
AF | PDBR | CY2014 | PD-2014-00653
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. He also endorsed...
AF | PDBR | CY2014 | PD-2014-00654
At TDRL placement, the PEB adjudicated the CI’s headache condition at 10% coded 8045-9304 (brain disease due to trauma, purely subjective).The PEB documented that the CI’s headaches required him to go home from work twice a week, but that he was still able to work 30 hours a week.The VA rated the condition of chronic headaches, coded 8100 (migraine). The FPEB, under code 6081, rated the condition at 10%, and noted the condition was stable but prevented the return to active duty.The Board...
AF | PDBR | CY2014 | PD-2014-00672
Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Bilateral Tarsal Tunnel Syndrome8799-87250%Tarsal Tunnel Syndrome w/Plantar Fasciitis, Right5276-852510%20030909Tarsal Tunnel Syndrome w/Plantar Fasciitis, Left5276-852510%20030909DysthymiaNot ReviewedDysthymia943310%20030909Other MEB/PEB Conditions x 0 (Not In Scope)Other x 9 RATING: 0%RATING: 50%*Derived from VA Rating Decision (VARD)dated 20031024 ( most proximate to date of separation [DOS]). On the DD Form 2807, Report of...
AF | PDBR | CY2014 | PD-2014-00674
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXXX CASE: PD-2014-00674BRANCH OF SERVICE: NAVYBOARD DATE: 20150108 The examiner concluded that the CI’s thought processes and communication were not impaired, she was employable from a psychiatric standpoint without limitation, her functioning was only mildly impaired, and that the mental disorder signs and symptoms were mild and might decrease work efficiency and ability to perform occupational tasks only during...
AF | PDBR | CY2014 | PD-2014-00700
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXXX CASE: PD-2014-00700BRANCH OF SERVICE: Army BOARD DATE: 20150205 The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Board members agreed that the records at TDRL placement supported the 40%...
AF | PDBR | CY2014 | PD-2014-00701
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Bilateral Knee Pain due to RPS5009-50030%RPS Right Knee526010%20030403RPS Left Knee526010%20030403Other x0Other x920030403 Combined: 0%Combined: 60%Derived from VA Rating Decision (VARD)dated 20030725(most proximate to date of separation [DOS]) ANALYSIS SUMMARY :The PEB combined the right and left knee conditions under a single Service disability rating, coded analogously to 5003. After due deliberation in consideration of...
AF | PDBR | CY2014 | PD-2014-00712
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 : ServiceIPEB – Dated 20071023VA Based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Asthma…660210%Asthma660210%STROther x 0 (Not In Scope)Other x 0 RATING: 10%RATING: 10%Derived from VA Rating Decision (VARD)dated...
AF | PDBR | CY2014 | PD-2014-00717
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. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board recommends no disability rating for the knee condition for painful motion.The Board considered rating...
AF | PDBR | CY2014 | PD-2014-00719
The PEB adjudicated “chronic pain, due to lumbar fusion x2 and sacroilitis with muscle spasm and antalgic gait” as unfitting, rated 20% with likely application of the 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...
AF | PDBR | CY2014 | PD-2014-00721
The examiner’s diagnoses were due to shrapnel blast injuries: permanent sciatic nerve damage left leg (peroneal and tibial nerves) with right foot and ankle complete weakness; shrapnel injuries to bilateral knees; right ankle anterior tibialis tendon subluxation and ankle instability; and, shrapnel wounds to both lower extremities. The VA rated the left sciatic neuropathy together with “ left knee pain from shrapnel” and “left ankle pain from shrapnel/tendon sublux” with code 8520 at 60%...
AF | PDBR | CY2014 | PD-2014-00728
SEPARATION DATE: 20031218 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. XXXXXXXXXXXXXXX, AR20150010577 (PD201400728)I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR) recommendation and record of proceedings...
AF | PDBR | CY2014 | PD-2014-00731
The examiner noted that most of the CI’s pain was from his elbow. An orthopedic follow-up on 30 April 2004 noted that the CI continued to have some shoulder crepitus and pain.At the MEB examination on 11 February 2004, 6 months prior to separation, the CI reported chronic right shoulder pain. Providing a correction to the individual’s separation document showing that the individual was separated by reason of permanent disability retirement effective the date of the original medical...
AF | PDBR | CY2014 | PD-2014-00732
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Back Pain5299-523710%Lumbar Strain 523740%20080428Other x 0 (Not in Scope)Other x 2 Rating: 10%Combined: 80%Derived from VA Rating Decision (VARD)dated 20080522. In assigning probative value to these somewhat conflicting examinations, the Board noted that: (1) the MEB measurements were consistent with other proximate (prior to separation) exams by primary care, PT, physical medicine, chiropractic, and orthopedic clinics; as...
AF | PDBR | CY2014 | PD-2014-00734
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. In February 2006, the CI underwent consultation with a civilian spine specialist and was assessed with degenerative disc disease, lumbar spine, facet arthrosis, bilateral lower extremity numbness, myofascial pain, and back pain. All of the contended conditions were...
AF | PDBR | CY2014 | PD-2014-00740
CI CONTENTION : “Attached with this application, you will find VA Rating Decision Dated 8 June 2005 detailing Mr. R-- receiving a VA disability percentage of 20% for his chronic cervical muscle spasms. Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Mechanical Low Back Pain523710%Low Back Pain w/ Limited Motion523740%20050421Chronic Mechanical Neck Pain523710%Chronic Cervical Muscle Spasms w/ Limited Motion523720%20050421Other x 3 (Not in Scope) Combined: 100%Combined:...
AF | PDBR | CY2014 | PD-2014-00741
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. In the 18 September 2006 (a month prior to separation) Compensation and Pension (C&P) exam the CI complained of back weakness, stiffness, and low back pain. The lumbar spine ROM was normal in all directions.
AF | PDBR | CY2014 | PD-2014-00747
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The VA rated the condition analogously to code 5242 at 10%, citing the range-of-motion (ROM) measurements done at the C&P examination.The limitation of motion at the MEB examination supported the 20% rating adjudicated...
AF | PDBR | CY2014 | PD-2014-00749
Separation Date: 20051117 Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Neck & Shoulder Pain due to Myofascial Pain Syndrome & C7 Facet Degeneration523710%Cervical Strain w/Myofascial Pain Syndrome5323-523710%20060228Other x 0 (Not in Scope)Other x 2 Rating: 10%Combined Rating: 20%Derived from VA Rating Decision (VARD) dated 20060427 (most proximate to date of separation [DOS]) invalid font number 31502 Chronic Neck and Shoulder Pain Condition. The CI was evaluated by...
AF | PDBR | CY2014 | PD-2014-00754
SEPARATION DATE: 20060707 It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditionsidentified, but not determined to be unfitting by the PEB when specifically requested by the CI. The NARSUM attached a medication profile for the CI for the period 21 January 2005 to 1 February 2006, to its report to the PEB.At the VA Compensation and Pension (C&P) dated 12 May 2006 (2 months before separation), the CI wasreported to be taking...
AF | PDBR | CY2014 | PD-2014-00759
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. The narrative summaryprepared 3 months prior to separation notedthe CI was not able to get back to where...
AF | PDBR | CY2014 | PD-2014-00762
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Right Anterior Lower Leg Pain with Swelling5399-531010%Nerve Damage to Right Leg with Swelling8599-8521NSC20110621Aching Joints and Muscle Pain5099-5025NSC20110621Arthralagias, Both Knees5009NSC20110621Other x 0 (Not in Scope)Other x 9 20110621 Combined: 10%Combined: 20%Derived from VA Rating Decision (VARD)dated 20090714(VARDclosest to DOS). Right Anterior Lower Leg Pain with Swelling (Right Leg) Condition .The CI had continuous...
AF | PDBR | CY2014 | PD-2014-00763
The MEB examination performed on 10 March 2006, the CI reported chronic right shoulder pain, but denied knee pain. Painful motion was not recorded on the NARSUM (although it was recorded on the C&P.) 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...
AF | PDBR | CY2014 | PD-2014-00764
The Informal PEBadjudicated chronic LBPwith SI joint fusion and left elbow and forearm pain as unfitting, rated 10% and 0% respectively, with likely application of the US Army Physical Disability Agency (USAPDA) pain policyfor the left elbow and forearm pain. The left upper extremity pain was diagnosed as left ulnar neuropathy by both the Service and VA, and there was insufficient evidence of elbow joint pathology or objective painful motion of the elbow joint for separate joint coding. ...
AF | PDBR | CY2014 | PD-2014-00766
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 MEB examination on 11 May 2004, 10 months prior to separation, the CI complained of painful bilateral shoulders (which popped all the time), constant back pain, foot pain, tender “knots” on both of the knees,...
AF | PDBR | CY2014 | PD-2014-00769
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 Generalized Anxiety D/O940010%Adjustment Disorder with Mixed Anxiety and Depressed Mood944010%20080515Hypertrophic Cardiomyopathy with Mitral Regurgitation7020----Hypertrophic Subaortic Stenosis with Mitral...
AF | PDBR | CY2014 | PD-2014-00771
One other condition, sleepwalking, was submitted by the MEB.The Informal PEBadjudicated “chronic right hip pain and snapping hip from an iliotibial band syndrome” as unfitting, rated 0%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD). Chronic Right Hip Pain Condition . Persistent pain was eventually determined to be due to snapping hip syndrome, a condition resulting from movement of the iliotibial band across the lateral aspect of the hip.
AF | PDBR | CY2014 | PD-2014-00772
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXXX CASE: PD-2014-00772BRANCH OF SERVICE: AIR FORCEBOARD DATE: 20141030 Right Knee Pain Condition . The CI underwent right knee arthroscopy in June 2003 at which time a lateral meniscal tear was repaired, but no ACL tear was present.Follow-up right knee X-rays showed mild changes of osteoarthritis.Ongoing pain led to a second arthroscopy in November 2004 that involved operative repair of cartilage lesions; the ACL...
AF | PDBR | CY2014 | PD-2014-00775
In addition, the CI was notified by the Army that his case may be eligible for review of the military disability evaluation of his mental health (MH) condition in accordance with Secretary of Defense directive for a comprehensive review of Service members who were referred to a disability evaluation process between 11 September 2001 and 30 April 2012 and whose MH diagnoses were changed during that process. No diagnosis of any MH condition was forwarded by the MEB or adjudicated by the PEB;...
AF | PDBR | CY2014 | PD-2014-00779
Endometriosis Condition . The Board directed its attention to its rating recommendationbased on the above evidence.The PEB and VA both rated the condition at 10% using the code 7629 (endometriosis). Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record
AF | PDBR | CY2014 | PD-2014-00808
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Cervical Strain523710%Cervical Strain523710%20060620Bilateral Knees and 1 st Metatarsophalangeal Joint, DJD500310%Left Knee Strain526010%20060620Right Knee Strain526010%20060620DJD, Bilateral Great Toes500310%20060620Chronic Right Shoulder Pain Secondary to Impingement Syndrome5099-50030%Right Shoulder Impingement Syndrome520110%20060620Depressive Disorder, NOSNot UnfittingAnxiety Disorder941330%20060607Other x 2 (Not in...
AF | PDBR | CY2014 | PD-2014-00812
No other conditions were submitted by the MEB.The PEB adjudicated “anterior right knee pain secondary to posterior cruciate ligament (PCL) tear”as unfitting, rated 20%with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appealsand was medically separated. The assessment was “a mild Grade 1 tear, possibly Grade 2 at the very worst.” The examiner opined that the CI would benefit from use of a PCL stabilization brace.At the MEB exam on 21...
AF | PDBR | CY2014 | PD-2014-00819
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 was no objective evidence of either knee instability on exams for possible dual rating of either knee, and no evidence of frequent effusions for any rating higher than 10% for either knee. DoD Physical...