AF | PDBR | CY2014 | PD-2014-01741
The Informal PEB adjudicated “lumbar degenerative disc disease without neurologic abnormality” as unfitting, rated 10%, 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 the VASRD standards to the unfitting medical condition at the time of separation. The VA coded the lumbar spine DDD condition as 5242 and...
AF | PDBR | CY2014 | PD-2014-01743
The Informal PEB adjudicated “chronic back pain, without neurologic abnormality”as unfitting, rated 10%with likely application of the US Army Physical Disability Agency (USAPDA) pain policy.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 Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at...
AF | PDBR | CY2014 | PD-2014-01744
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 ankle ROM was normal and the examiner specifically noted “Morton's Metatarsalgia is not present.” Weight bearing and non-weight bearing plain film X-rays of the right foot were normal. As all objective...
AF | PDBR | CY2014 | PD-2014-01745
Hyperlipidemia was submitted by the MEB as medically acceptable.The Informal PEBadjudicated “right knee pain” as unfitting at 10%, and “left knee pain” as unfitting at 10%, with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). On PE of the knees, the left knee was normal in appearance. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-01747
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. Chronic Pain, Left Foot Condition . RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-01749
The MEB forwarded “left femur fracture” and “left clavicle fracture” to the Physical Evaluation Board (PEB) IAW AR 40-501. Code 5255 offers analogous ratings aligned with “knee or hip disability” (knee was prominent impairment in this case) of 10% for “slight” disability, 20% for “moderate,” and 30% for “marked.”Members deliberated at length the issue in this case that the CI was separated prior to full recovery, and whether the Board’s recommendation should logically reflect the disability...
AF | PDBR | CY2014 | PD-2014-01755
The Informal PEB adjudicated “degenerative arthritis, lumbar spine with myofascial component”as unfitting, rated 20%, citing criteria of the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were 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. Various STR entries...
AF | PDBR | CY2014 | PD-2014-01758
The foot condition, characterized as “chronic right foot pain, s/p ORIF of Lisfranc fractures and dislocations,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The MEB also identified and forwarded status post right shoulder dislocation and left knee pain as not disqualifying.The PEBadjudicated “chronic right foot pain”as unfitting, rated 10%,with application of the VA Schedule for Rating Disabilities (VASRD).The remaining two conditions were determined to be not...
AF | PDBR | CY2014 | PD-2014-01760
SEPARATION DATE: 20040831 The Informal PEB adjudicated “grade IV chondromalacia of the left knee”as unfitting, rated 10%with likely application of the VA Schedule for Rating Disabilities (VASRD).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 Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical...
AF | PDBR | CY2014 | PD-2014-01761
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 narrative summary (NARSUM) on 8 November 2005 (5 months prior to separation) reported that there was no improvement in the “low back pain with right leg radiculopathy.” Physical exam showed no evidence of non-physiologic pain.Goniometric range-of-motion (ROM) testing...
AF | PDBR | CY2014 | PD-2014-01767
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. During the VA Compensation and Pension (C&P) examination(performed amonthafter separation),the CI stated after the fifth episode of heat exhaustion, theyceased.He reported he was medically discharged because of his...
AF | PDBR | CY2014 | PD-2014-01768
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. RATING COMPARISON : Service IPEB – Dated 20071002VA -Based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Chronic Right Shoulder Pain and Instability5099-500310%Right Shoulder Instability...
AF | PDBR | CY2014 | PD-2014-01770
On examination, the ROM was noted as normal but moderately painful. Painful motion§4.71a Rating0%10%10%The Board directed attention to its rating recommendationbased on the above evidence.The PEB and VA both rated the back condition at 10% using code 5237 (lumbosacral strain); the PEB noting the reduced ROM. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for
AF | PDBR | CY2014 | PD-2014-01771
There was pain during evaluation of ROM and stress of the meniscus. The post separation MRI did not report any abnormality of the PCL and orthopedic examination and arthroscopy did not show any abnormality of the PCL.The Board noted the VA C&P examination report of moderate laxity of the medial collateral ligament upon which the VA based its 20% rating under VASRD code 5257. All Board members agreed that the examinations summarized above reported sufficient evidence of painful motion and...
AF | PDBR | CY2014 | PD-2014-01773
Post-Sep (200 70104 ) FEV-1 (% of Predicted) 94 % pre-drug, 94 % post-drug 73.5 % FEV-1/FVC 76 % pre-drug, 76 % post-drug 65.5 % Medications intermittent use of inhaled bronchodilator in termittent use of inhaled bronchodilator§ 4.97 Rating 1 0% 30%The Board directed attention to its rating recommendation based on the evidence above. The Board’s authority as defined in DoDI 6044.40, resides in evaluating the fairness of PEB fitness determinations and rating decisions for disability at the...
AF | PDBR | CY2014 | PD-2014-01774
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. All Board members agreed that the NARSUM examination 6 weeks prior to TDRL entry did not support any §4.71a criteria greater than 10% impairment level; and, therefore, recommends no change from the PEB’s 10% impairment rating entering into TDRL.The Board next considered...
AF | PDBR | CY2014 | PD-2014-01776
The MEB also forwarded low back pain as medically acceptable.The Informal PEB adjudicated “chronic neck pain with…cervicogenic headaches with components of migraine headaches superimposed” as a single unfitting condition, rated 10%,with likely application oftheVeterans Affairs Schedule for Rating Disabilities (VASRD).The low back pain was found to be not unfitting.An Administrative Correction was completed by the US Army Physical Disability Agency (USAPDA)noting “headaches are not...
AF | PDBR | CY2014 | PD-2014-01777
The gait and neurological examination were normal.The Board considered if the neck was separately unfitting. Back Pain . The gait and neurological examination were normal.The Board considered if the back was separately unfitting.
AF | PDBR | CY2014 | PD-2014-01778
SEPARATION DATE: 20051012 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. I have carefully reviewed the evidence of record and the recommendation of the Board.
AF | PDBR | CY2014 | PD-2014-01781
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 NARSUM exam was further away from the date of separation, did not have goniometric ROM testing (no measured numbers IAW VASRD §4.2), did not address receptive motion or DeLuca criteria, and did not mention posture,...
AF | PDBR | CY2014 | PD-2014-01783
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Right Foot Pain...50220%Stress Fracture Right Foot528410%20050201Other x 0 (Not in Scope)Other x 3 Rating: 0%Rating:10%Derived from VA Rating Decision (VARD)dated 20050419 ( most proximate to date of separation [DOS]). Right Foot Condition . 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-2014-01787
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. Slow speech was noted but his neurological examination was normal. ), rating of this condition under 8045-9304 is limited to 10%, and cannot be combined with any other rating for a disability due to brain trauma.
AF | PDBR | CY2014 | PD-2014-01788
The bowel and hip conditions, characterized as “irritable bowel syndrome [IBS] with chronic pain and bloating” and “snapping hip syndrome,” were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. Snapping Hip Syndrome . The DA Form 2173( Statement of Medical Examination and Duty Status ),dated 14 December 2005, noted complaints of bilateral hip pain during mobilization training in August 2004, with increasing hip pain due to the weight of gear and weight loss.
AF | PDBR | CY2014 | PD-2014-01790
Orthopedic clinic note dated 12 February 2008 noted the CI reported recurrent episodes of subluxation. Full ROM of the right shoulder was recorded in May 2008 during separate PT and orthopedic clinic examinations. 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...
AF | PDBR | CY2014 | PD-2014-01793
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. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination. DoD Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-01794
The spine condition, characterized as “spine fractures” by the MEB was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The PEB adjudicated the T7, T11 vertebral compression fractures, forward flexion 50 degrees as unfitting with a disability rating of 20% coded 5235,vertebral fracture or dislocation. The VA rated the thoracic spine, residuals of compression fractures T7, T11 with a disability rating of 40%, coded 5237.
AF | PDBR | CY2014 | PD-2014-01795
The Informal PEB adjudicated “chronic pain and instability, left knee”as unfitting, rated 20%,with likely application of the VA Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting and therefore not ratable. 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-2014-01796
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 MEB narrative summary (NARSUM) exam approximately 4 months prior to separation documentedpersistent left ankle pain which failed to improve with PT, an inability to run, climb ladders without significant difficulty...
AF | PDBR | CY2014 | PD-2014-01802
The rating for the unfitting arthrofibrosis left shoulder status post left shoulder manipulation under anesthesia and capsular release condition is addressed below along with the Category II chronic left shoulder pain condition;no additional conditions are within the DoDI 6040.44 defined purview of the Board. The PEB rated the left shoulder condition 20%, coded 5099-5003 (analogous to degenerative arthritis) with chronic left shoulder pain as a Category II condition. The orthopedic...
AF | PDBR | CY2014 | PD-2014-01810
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 Board directed attention to its rating recommendationbased on the above evidence.The PEB rated the back condition at 0% coded 5237 (lumbosacral strain) citing normal gait, full motion, no tenderness or spasm and no clinical signs of radiculopathy, with imaging that...
AF | PDBR | CY2014 | PD-2014-01813
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active dutyE-2(Basic Marine)medically separated for left shoulder separation and related shoulder strain.The conditions could not be adequately rehabilitated to meet the physical requirementsof his Military Occupational Specialty.He was placed on limited dutyand referred for a Medical Evaluation Board (MEB).The “closed dislocation of acromio-clavicular (AC) (joint)” and...
AF | PDBR | CY2014 | PD-2014-01814
It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not determined to be unfitting by the PEB when specifically requested by the CI. ROM was flexion to 90 degrees (normal 90)and extension 25 (normal 30)both ROMswith painful motion. BOARD FINDINGS : 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 chronic LBP...
AF | PDBR | CY2014 | PD-2014-01815
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 Right Knee Pain5099-500310%Right Knee Degenerative Joint Disease5257-501010%20060629Other x0Other x7 RATING: 10%RATING: 60% *Derived from VA Rating Decision...
AF | PDBR | CY2014 | PD-2014-01819
A Reconsideration PEB (Recon PEB) adjudicated the same diagnosis (chronic LBP), but rated 10% disability due to service aggravation; the case was adjudicated with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). Physical therapy (PT) evaluation on 19 July 2004 noted no radicular symptoms were present and the examination showed decreased ROM described as “20% limited all directions”, with pain with flexion, and positive testing for sacroiliac pain, with an...
AF | PDBR | CY2014 | PD-2014-01820
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 gait was noted as being normal at the time of the VA C&P, over 5 months after separation and almost 11 months after the second surgery. The PEB and VA both adjudicated a 10% rating, the former citing the pain...
AF | PDBR | CY2014 | PD-2014-01834
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 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 (as...
AF | PDBR | CY2014 | PD-2014-01845
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. His physical examination (PE) revealed decreased lumbosacral range-of-motion (ROM), sensory deficit in the left thigh and calf, and altered sensation to the left foot noting a “positive straight leg raise (SLR).”Plain...
AF | PDBR | CY2014 | PD-2014-01849
No other conditions were forwarded for adjudication.The Informal PEBadjudicated “fracture of the femoral neck of the right hip” and “chronic low back pain,” as unfitting, rated 0% each, 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 the VASRD standards to the unfitting medical condition at the time of...
AF | PDBR | CY2014 | PD-2014-01852
The CI 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 Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Left-Hip Pain5099-500320%Left Hip Strain525520%20081208Other x 0 (Not in Scope)Other x 1 RATING: 20%RATING:...
AF | PDBR | CY2014 | PD-2014-01853
The back condition, characterized as “non-radicular lower back pain with mild degenerative changes at L5-S1” 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 the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Post-Sep (20071207)Flexion (90...
AF | PDBR | CY2014 | PD-2014-01855
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 PEB rated the chronic neck pain 0%, coded 5237 (cervical strain) and the VA rated it 20%.The Board considered that the CI was noted to have painful, mildly limited cervical ROM without noted muscle spasm at the MEB...
AF | PDBR | CY2014 | PD-2014-01857
Chronic Left Knee Pain Condition . At the VA Compensation and Pension examon 7 March 2005 (8 months after separation) the CI reported chronic pain in the left knee joint with flare-ups from prolonged walking, going up and down stairs or trying to squat. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2014 | PD-2014-01861
No other conditions were submitted by the MEB.The PEB adjudicated “osteochondritis dissecans right”as unfitting, rated 10%with likely applicationof the US Army Physical Disability Agency (USAPDA) pain policy.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 Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting...
AF | PDBR | CY2014 | PD-2014-01863
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 a cursory neurology entry in the STR after that (3 weeks prior to separation) noting “varying severity” of headaches. Right Shoulder Condition .
AF | PDBR | CY2014 | PD-2014-01865
RATING COMPARISON : Service IPEB – Dated 20020207VA -( 99Months Post-Separation)ConditionCodeRatingConditionCodeRatingExam Diabetes Mellitus791320%Diabetes Mellitus791320%20100722Other x 0 (Not in Scope)Other x 5 Rating: 20%Combined: 20%Derived from VA Rating Decision (VARD)dated 20100908. The PEB and VA rated the condition at 20% for requiring insulin and restricted diet. DoD Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-01870
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Right Shoulder Pain5299-520220%Acromioclavicular Separation of the R/Shoulder w/Tendinitis, Bursitis, and Impingement520120%20061218Other x 0 (Not In Scope)Other x 9 RATING: 20%RATING: 40% *Derived from VA Rating Decision (VARD)dated 20080904(most proximate to date of separation [DOS]). Chronic Right Shoulder Pain Condition . BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or...
AF | PDBR | CY2014 | PD-2014-01871
The MEB also identified and forwarded two other conditions (bilateral sensorineural hearing loss and bilateral knee pain), both meeting retention standards for PEB adjudication. 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. bilateral SLR; Repetitive motion...
AF | PDBR | CY2014 | PD-2014-01872
Chronic Right Knee Pain Condition . After due deliberation in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to recommend a change in the PEB fitness determination for the left knee stress fracture condition and so no additional disability rating is recommended. Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-01873
It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not determined to be unfitting by the PEB when specifically requested by the CI. RATING COMPARISON : Service FPEB – Dated 20071127VA* - Based on Service Treatment Records(STR)ConditionCodeRatingConditionCodeRatingExam Chronic Pain Left Foot, Possibly Secondary to Sural Neuralgia8799-872510%Left Ankle Condition, Status Post Brostrom Surgery52710%STRSural...
AF | PDBR | CY2014 | PD-2014-01877
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. Bilateral Knee Pain Condition . 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...