AF | PDBR | CY2014 | PD-2014-00824
“Lower back pain,” “bilateral shin splints” and “bilateral knee pain,” were forwarded by the MEB 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, bilateral shin splints and chronic bilateral knee pain as unfitting, rated at 10%, 0% and 0%, respectively with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) for the back and shin splints, but adjudicated the knees...
AF | PDBR | CY2014 | PD-2014-00834
The Informal PEB adjudicated “left ACL tear,”as unfitting, rated at 10%with likely application of Department of Defense Instruction (DoDI) 1332.39andVeterans Affairs Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting.The CI made no appeals and was medically separated. 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...
AF | PDBR | CY2014 | PD-2014-00838
Range-of-motion (ROM) was 0-135 degrees.Two months before separation, the CI had a VA Compensation and Pension exam.PE of the right knee revealed no ligamentous instability. After reviewing the evidence, all Board members agreed that a rating of 10% was appropriate for the right knee 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...
AF | PDBR | CY2014 | PD-2014-00843
The MEB also submitted five other conditions including a back condition.The Informal PEB adjudicated tenosynovitis left ankle as unfitting, rated at 10%, citing criteria of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The CI made no appeals and was medically separated. The NARSUM recorded that the CI had reported an 8 month history of back pain to the VA and X-rays done as part of that examination showed thoracic (chest) scoliosis. This record is not in evidence and there...
AF | PDBR | CY2014 | PD-2014-00847
Right Acromioclavicular Separation with Residual Right Shoulder Pain .The MEB NARSUM Examination dated 7 February 2008 documented that the CI sustained a right acromioclavicular separation after a fall in September 2004. Both the PEB and VA assigned a disability rating for 10% for the right acromioclavicular separation with residual right shoulder pain condition. The Board considered if there was evidence for a higher rating under any VASRD shoulder coding option.
AF | PDBR | CY2014 | PD-2014-00848
RECORD OF PROCEEDINGSPHYSICAL DISABILITY BOARD OF REVIEWNAME: XXXXXXXXXXXXXXXXX CASE: PD-2014-00848BRANCH OF SERVICE: Army BOARD DATE: 20140911 Post-Separation)ConditionCodeRatingConditionCodeRatingExam Left Knee Pain…5099-500310%Left Knee s/p ACL and LCL Repair525710%20090430Other x 2 (Not in Scope)Other x 420090430 Rating: 10%Combined: 30%Derived from VA Rating Decision (VARD)dated 20090527(most proximate to date of separation) Left Knee Pain Condition . The Board focus was on if the...
AF | PDBR | CY2014 | PD-2014-00854
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, just over 2 months prior to separation, the CI reported back pain since basic training. Left Ankle Condition .
AF | PDBR | CY2014 | PD-2014-00867
Pre-Separation)Condition CodeRatingConditionCodeRatingExamBilateral Shin Splints (10% rating for each leg)…5299-526220%Right Anterior Tibialis Tendonitis52620%*20080922Left Anterior Tibialis Tendonitis52620%*20080922Other x 0 (Not in Scope)Other x 3 Combined: 20% Combined: 0%Derived from VA Rating Decision (VARD) dated 20090224 (most proximate to date of separation [DOS]) *VARD dated 20090805 increased the left and right anterior tibial tendonitis to 10% each effective 20081119. The PEB...
AF | PDBR | CY2014 | PD-2014-00873
The Informal PEB adjudicated “chronic left knee pain,” and “bipolar II disorder” as unfitting, rated 10% each, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical condition at the time of separation. The VA coded the patellofemoral syndrome, left knee condition as 5014...
AF | PDBR | CY2014 | PD-2014-00878
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 VA Compensation and Pension (C&P) exam performed 2 monthsprior to separation, the CI reported 6/10 pain with weakness, stiffness, fatigability, locking, and swelling of both knees; with giving out of the right...
AF | PDBR | CY2014 | PD-2014-00886
The VA Compensation and Pension (C&P) neurological examination noted that initially the CI had normal lumbar x-rays and was treated with physical therapy. At the VA C&P examinations reviewed, both on the same daya year after separation, the CI’s exam noted muscle spasm and TL ROM of flexion of 40 degrees with pain to 80 degrees and a combined ROM of 225 degreesand normal sensation at the neuro exam, whereas the general exam noted only “pain with motion” with decreased LLE sensation. At the...
AF | PDBR | CY2014 | PD-2014-00893
The “lumbago” condition was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditionsweresubmitted by the MEB.The Informal PEB adjudicated “degenerative disc syndrome”as unfitting, rated 10%,citing application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the VASRD standards to the unfitting medical...
AF | PDBR | CY2014 | PD-2014-00894
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. There was no right knee instability noted at the MEB exam. In the matter of the bilateral knee pain condition, the Board unanimously recommends that each joint be separately adjudicated as follows: an unfitting right knee pain condition coded 5003 and rated 10%, and an...
AF | PDBR | CY2014 | PD-2014-00905
Migraine Headaches .The record indicated that the CI’smigraine-type headaches began in 2007 with increasing frequency and severity despite medications. The rating options under 8100 for migraine headaches, which are open to consideration in this case, rely on the frequency of “prostrating” attacks. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board recommends a disability rating of 30% for the migraine headache condition.
AF | PDBR | CY2014 | PD-2014-00908
Service treatment records demonstrated the absence of steroid use and that the CI was prescribed daily inhalational therapy in January 2006 for the condition assessed as asthma, mild, intermittent. The VA used service treatment records and records from the VA where the CI was evaluated, and rated the condition of exertional asthma at 10%. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2014 | PD-2014-00909
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 Board next considered if there was evidence of a functionally impairing radiculopathy due to the low back condition to provide additional rating. The Board considered the evidence in record supports thatthe CI’s...
AF | PDBR | CY2014 | PD-2014-00914
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 pproximately 9 months prior to separation a physical therapist performed ROMs for the MEB exam , which are summarized below. Accordingly, the Board recommended no re-characterization or modification of your...
AF | PDBR | CY2014 | PD-2014-00919
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. Hip X-rays were reported as “within normal.” According to the NARSUM the CI did not have PT for the back pain, but she had been treated with multiple medications including anti-inflammatory medication, pain...
AF | PDBR | CY2014 | PD-2014-00923
The Board reviews medical records and other available evidence to assess the fairness of PEB rating determinations, using the VASRD standards, based on ratable severity at the time of separation; and, to review those fitness determinations within its scope consistent with performance-based criteria in evidence at separation. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Lumbosacral Strain/LBP523710%Back Injury5237NSC*20100519Other x0 (Not in Scope)Other x 9 Combined:...
AF | PDBR | CY2014 | PD-2014-00925
Post-Separation)ConditionCodeRatingConditionCodeRatingExam DJD of the Cervical Spine524220%C3-C4 Disc Disease, with Residual Scar524220%20090407Other MEB/PEB Conditions x 2 (Not In Scope)Other x 1 RATING: 20%RATING: 20% *Derived from VA Rating Decision (VARD) dated 20090609 (most proximate to date of separation [DOS]) Neck pain . The Army PEB and the VA both used VASRD code 5242 (Degenerative arthritis of the spine) and assigned a disability rating of 20%.At both of the neck exams described...
AF | PDBR | CY2014 | PD-2014-00927
CI CONTENTION : “I would like to PDBR to consider all conditions in my PEB/MEB as being unfitting for Military duty and rated accordingly.” The CI also attached 18 pages to his application which was reviewed by the Board and considered in its recommendations. 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...
AF | PDBR | CY2014 | PD-2014-00929
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Major Depressive Disorder943410%Major Depressive Disorder, Mild943410%20070322Other x 0 (Not in Scope)Other x 0 RATING: 10%RATING: 10%*Derived from VA Rating Decision (VARD)dated 20070330and 20090915 ( 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. Accordingly, the Board recommended no...
AF | PDBR | CY2014 | PD-2014-00930
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Left Knee Pain, Patellofemoral Syndrome, s/p Arthroscopy x25099-500310%Degenerative Arthritis, Left Knee5260-500310%20110803 Internal Derangement, Left Knee5003-525730%20110803Other x0Other x1 RATING: 10%RATING: 40%*Derived from VA Rating Decision (VARD)dated 20120720(most proximate to date of separation [DOS]) Left Knee Pain . After review by a Decision Review Officer, the VA applied two different VASRD codes to the left...
AF | PDBR | CY2014 | PD-2014-00937
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 the VA had access to the service treatment records for its adjudication and that the orthopedist clearly diagnosed a shoulder condition separate from the neck condition.Despite this, it attributed...
AF | PDBR | CY2014 | PD-2014-00946
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active dutyE-4 (Health Care Specialist)medically separated for left knee pain.The left knee condition could not be adequately rehabilitated to meet the physical requirementsof his Military Occupational Specialty.He was issued a permanent L3 profileand referred for a Medical Evaluation Board (MEB).“Chronic left knee pain”was forwarded to the Physical Evaluation Board (PEB)...
AF | PDBR | CY2014 | PD-2014-00954
The PEB adjudicated “chronic left (non-dominant) shoulder pain”as unfitting, rated at 10%,referencing the Veterans Affairs Schedule for Rating Disabilities (VASRD).The IPEB also determined that the remaining condition (achalasia)existed prior to service and was not service aggravate, consequently it was not unfitting, not rated.The CI made no appeals and was medically separated. (2).It is limited to those conditions determined by the PEB to be unfitting for continued military service and...
AF | PDBR | CY2014 | PD-2014-00957
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 Diabetes Mellitus Type 1791320%Diabetes Mellitus I791320%20080923Other x 0 (Not In Scope)Other x1 Combined: 20%Combined: 20% *Derived from VA Rating Decision...
AF | PDBR | CY2014 | PD-2014-00973
He underwent extensive therapy toinclude rehabilitation and pain management and still had persistent left groin painwithradiation into his left leg and knee. The 20% rating for the incomplete paralysis of the femoral nerve is the highest rating available under VASRD guidelines. 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-2014-00980
The PEB adjudicated “abdominal pain, due to irritable bowel syndrome, with gastritis” and “chronic subjective neck pain status post fusion, without neurologic abnormality, cervical range of motion limited by pain”as unfitting, rated 10% and 10%, respectively, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting.The CI made no appeals and was medically separated. The report of medical examination (DD...
AF | PDBR | CY2014 | PD-2014-00989
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 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-2014-00996
SEPARATION DATE: 20060508 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. Examination on 6 October 2004 revealed the right knee range-of-motion (ROM) 120 degrees with medial joint line tenderness with “good quad tone.” In spite of physical therapy, the symptoms of...
AF | PDBR | CY2014 | PD-2014-01000
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.In addition, the Secretary of Defense Mental Health Review Terms of Reference directed a comprehensive review of Service members with certain mental health (MH) conditions referred to a disability evaluation process between 11 September 2001 and 30 April 2012 that were changed or eliminated...
AF | PDBR | CY2014 | PD-2014-01001
Chronic Non-Cardiac Chest Pain .Although the CI’s pre-service medical history and physical exam forms are not available for review by the Board, the available evidence documents that the CI experienced intermittent chest pain prior to 2006. They also acknowledged that it existed prior to service but was permanently aggravated by military service beyond the natural progression of the disease. The VA rating decision stated:
AF | PDBR | CY2014 | PD-2014-01003
Physical examination noted edema (swelling) of the ankle, pain and tenderness of the supporting ligaments; however, did have full ROM. Physical examination noted a well-healed scar warm to touch and tender, but without induration (hardness of tissues).The CI underwent a wound irrigation and debridement and was discharged with antibiotics.The CI continued to experience pain, therefore he was issued a permanent P3 profile restricting running, road marching, rucksacking or constructing an...
AF | PDBR | CY2014 | PD-2014-01004
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 opined that the physical findings were“ consistent with more than a moderate deformity.” The examiner noted that the radiologist described the February 2008 X-rays indicative of moderate bilateral pes planus deformity; however the examiner opined that the...
AF | PDBR | CY2014 | PD-2014-01010
The left small finger condition, characterized as “chronic left pinkie pain with decreased range of motion secondary to tendon and nerve injury”was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The MEB also identified and forwarded high frequency hearing loss (HFHL) left ear; adjustment disorder; and right knee pain for PEB adjudication. The Informal PEB adjudicated “left (non-dominant) small finger, limitation of motion of” as unfitting, rated 0%with likely application of...
AF | PDBR | CY2014 | PD-2014-01014
The Informal PEB adjudicated “chronic low back pain”as unfitting, rated 10% citing 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. 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....
AF | PDBR | CY2014 | PD-2014-01028
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. Left Foot Plantar Fasciitis Condition . The MEB examiner documented left foot pain with activity as slight.Board members agree that plantar fasciitis was the correct diagnosis and that that condition is more appropriately rated under VASRD code 5310 as applied by the PEB.
AF | PDBR | CY2014 | PD-2014-01033
The Informal PEB adjudicated “lumbar degenerative disc disease”as unfitting, rated 10%, with likely application of the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting.The CI made no appeals and was medically separated. The CI was also noted to have a tender left foot and the abnormal gait was also cited here. The Board noted that the VA C&P examination was the only time an abnormal gait was recorded in the records in evidence.
AF | PDBR | CY2014 | PD-2014-01040
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 PT performed ROMs for the MEB exam and noted an abnormal spine motion. I direct that all the Department of the Army records of the individual concerned be corrected accordingly no later than 120 days from the date of this memorandum.
AF | PDBR | CY2014 | PD-2014-01049
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 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-2014-01050
SEPARATION DATE: 20090626 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. 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...
AF | PDBR | CY2014 | PD-2014-01053
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 Heat Intolerance7999-790010%Residuals of Heat Stroke8199-810010%20040224Other x 0 (Not In Scope)Other x 8 RATING: 10%RATING: 10% *Derived from VA Rating...
AF | PDBR | CY2014 | PD-2014-01055
The Informal PEB adjudicated “panuveitis, which may be a manifestation of Behcet’s disease” 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 evidence for application of theVASRD standards to the unfitting medical condition at the time of separation. The next day, the examiner evaluated the CI and changed the...
AF | PDBR | CY2014 | PD-2014-01069
The back condition, characterized by the MEB as “low back pain” and “herniated discs with spinal stenosis and foraminal stenosis,” 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. Post-Separation)...
AF | PDBR | CY2014 | PD-2014-01080
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 that exam, the CI’s gait was normal. 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...
AF | PDBR | CY2014 | PD-2014-01089
The Informal PEB adjudicated “chronic low back pain,” rated 20%citing criteria from the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting.The CI made no appeals and was medically separated. The VA Rating Decision dated10 September 2008 revealed normal but painful motion of the thoracolumbar spine with normal sensation and minimally decreased motor at 4 of 5 scale bilateral lower extremities. RECOMMENDATION : The Board, therefore,...
AF | PDBR | CY2014 | PD-2014-01090
The Informal PEB (IPEB) adjudicated “bilateral medial tibial stress fracture” as unfitting, rated 20%, citing application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). invalid font number 31502 SAF/MRB 1500 West Perimeter Road, Suite 3700 Joint Base Andrews, MD 20762Dear XXXXXXXXXXXXXXXXXXXX:Reference your application submitted under the provisions of DoDI 6040.44 (Section 1554, 10 USC), PDBR Case Number PD-2014-01090.After careful consideration of your application and...
AF | PDBR | CY2014 | PD-2014-01095
Right Knee Condition . As pointed out by the PEB, the final MH diagnosis of adjustment disorder is not subject to compensation IAW DoDI 1332.38 regardless of fitness implications; and, althougha competing diagnosis of PTSD must be considered in this case, members agreed that there is not a preponderance of evidence to support a change in diagnosis.Furthermore it must be considered that, although the MH condition surfaced as a functional impediment after MEB referral, there is no evidence...
AF | PDBR | CY2014 | PD-2014-01099
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Bilateral Lower Leg Pains… 5099-50220%Chronic Shin Splints, Right Lower Extremity 5299-52620%20070308Chronic Shin Splints, Left Lower Extremity5299-52620%20070308Adjustment Disorder with Anxious MoodNot UnfittingAdjustment Disorder with Anxious Mood (also Claimed as Anxiety)9435-944030%20070531Personality DisorderNot UnfittingNo Diagnosis20070531Vocal Cord DyskinesiaNot UnfittingVocal Cord Dysfunction -...