RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2010-04572
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
While it is not readily apparent, it appears as though the
applicant is requesting that her lower back pain condition be
determined to be in the line of duty (LOD).
________________________________________________________________
APPLICANT CONTENDS THAT:
It appears as though the applicant contends she sustained an LOD
injury while on active duty in 2000; however, her command did
not initiate a request for an LOD determination until several
years later (2008). She submitted sufficient documentation to
substantiate her injury was line of duty (ILOD); however, much
of it was completely ignored in violation of the requirements of
AFI 36-2910, Line of Duty (Misconduct) Determinations, and DoD
Instruction 1332.38, Physical Disability Evaluation. As a
result, her condition was erroneously determined to not be LOD -
existed prior to service (EPTS). Furthermore, the approving
authority ignored the requirements of 10 USC 1207a, also known
as the eight-year rule, which provides that an airman on active
duty for over 30 days, who has at least eight years of active
service, will be compensated for all unfitting disabilities,
even if the unfitting disabilities were not incurred or
aggravated while entitled to basic pay (i.e. not in the line of
duty).
In support of her request, the applicant provides a voluminous
submission which includes copies of active duty orders; point
credit summaries; excerpts of her military and civilian medical
records; excerpts of DoDI 1332.38, AFI 36-2910, and other
pertinent directives; an ARPC/JA memo describing the tenets of
the eight-year Rule; and various e-mail communiqués pertaining
to the matter under review.
The applicants complete submission, with attachments, is at
Exhibit A.
_________________ ______________________________________________
STATEMENT OF FACTS:
Information extracted from the Military Personnel Data System
(MilPDS) on 8 Sep 11 indicates the applicant is currently
serving in the Air Force Reserve in the grade of chief master
sergeant (E-9), effective and with a date of rank of 1 Mar 04.
As of 27 Oct 10, the close-out of her most recent
retention/retirement (R/R) year, the applicant has been credited
with 29 years of satisfactory reserve service, of which 13 years
and 9 days is active service.
Title 10, United States Code (USC), Section 1207a provides that
a member with at least eight years of active service who would
be covered by section 1201, 1202, or 1203 of Title 10
(disability evaluation provisions) but for the fact that the
members disability is determined to have been incurred before
the member became entitled to basic pay in the members current
period of active duty, the disability shall be deemed to have
been incurred while the member was entitled to basic pay and
shall be so considered for purposes of determining whether the
disability was incurred in the LOD.
The remaining relevant facts pertaining to this application are
contained in the letters prepared by the Air Force office of
primary responsibility (OPR) and the AFBCMR Medical Consultant,
which are attached at exhibits C and E.
________________________________________________________________
AIR FORCE EVALUATION:
AFRC/SGP recommends denial, indicating there is no evidence of
an error or injustice. While the applicants request is
unclear, it appears as though she is concerned about the
findings and notification of multiple LOD determinations. She
had five such determinations completed. The first was for
Asthma and was completed in Oct 09 with a finding of ILOD. The
second was for Lumbar Disc Herniation and was completed on 3 Mar
10 with a finding of EPTS LOD N/A. A thorough review of her
case file indicated a long history of back pain predating
entrance onto status with no specific injury and nothing more
than natural progression to support a service aggravation. The
third was for major depression and was completed on 23 Feb 10
with a finding of ILOD of duty in accordance with 10 USC 1207a
(eight-year rule). The fourth was for a right meniscal tear and
patellofemoral syndrome and was completed on 6 Apr 10 with a
finding of in the ILOD. The fifth was for obstructive sleep
apnea and was completed on 6 Feb 11 with a finding of EPTS LOD
N/A. In this case, the eight-year rule did not apply as it only
applies to disabling conditions. No requests for LOD
reinvestigations have been submitted in accordance with
AFI 36-2910, Line of Duty (Misconduct) Determinations.
A complete copy of the AFRC/SGP evaluation is at Exhibit C.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the Air Force evaluation was forwarded to the
applicant on 4 Mar 11 for review and comment within 30 days. As
of this date, no response has been received by this office
(Exhibit D).
________________________________________________________________
ADDITIONAL AIR FORCE EVALUATION
The AFBCMR Medical Consultant recommends the applicants record
be corrected to reflect that her chronic recurrent low back pain
was service-incurred and ILOD. The applicant supplied a
personal chronology of her medical history and official medical
documentation reflecting evaluations and treatment she received
for chronic recurrent low back pain, presumably originating from
a reported injury in Sep 2000, and lasting at least through
9 Mar 10, the date of the notification of not in the line of
duty. The documentation provided describes the extensive
treatment she received over the span of several years, which are
punctuated with recurrences of lower back pain and lower left
leg pain and numbness, referrals for physical therapy and other
specialty treatments, radiographic studies, etc. Of note is an
incident in Feb 07 where she presented with back pain times one
week, stating that she had mopped a floor and developed some
pain. Another is an incident in Oct 08 where she was involved
in a motor vehicle accident which resulted in her being admitted
to the emergency room and diagnosed with a sprained back. The
AFRC/SGP evaluation noted the applicants long history of back
pain predating entrance onto status with no specific injury and
nothing more than natural progression to support a service
aggravation, and the resultant finding of EPTS LOD N/A. The
Medical Consultant concedes, in the absence of a discernable
injury, the presence of lumbar degenerative disc disease is
likely a product of the natural aging process over time.
Therefore, a recommendation to overturn the findings of
HQ RMG/SG and the LOD approving authority is not taken lightly;
however, given the applicants lengthy service and greater than
eight years of active service (IAW 10 USC 1207a), albeit not
continuous, the applicable extract from AFI 36-2910, paragraph
3.4.1.2.3, and the HQ ARPC/JA policy directive of 31 Aug 04, the
Medical Consultant opines, whether emanating from her 7 Sep 00
gym workout, aggravated by mopping a floor in Feb 07, by her
motor vehicle accident in Oct 08, worsened by her continued
efforts to comply with fitness requirements, that there is a
greater than 50 percent probability that her back condition was
permanently aggravated through her military service. This was
the position taken by the initial evaluating physician and LOD
appointing authority; and is the current position of the Medical
Consultant. Should the Board determine the applicants
recurring lumbar pain condition should have been determined to
be service incurred, one might consider this condition may have
also been unfitting and included in her disability computation.
According to AFPC/DPSD (USAF Physical Disability Division) a
decision was made, on or about 30 Jun 11, to place the applicant
on the TDRL with a combined disability rating of 50 percent;
which consisted of a 30 percent disability rating for Asthma and
a 30 percent disability rating for Major Depression. Noting the
applicants predominant spine range of motion present in the
supplied documentation and the absence of sufficient
incapacitating episodes, the Medical Consultant believes that no
greater than a ten percent disability rating would likely have
been awarded for the applicants low back pain under the general
rating formula for rating disabilities.
A complete copy of the AFBCMR Medical Consultant evaluation is
at Exhibit E.
________________________________________________________________
APPLICANT'S REVIEW OF ADDITIONAL AIR FORCE EVALUATION:
A copy of the Air Force evaluation was forwarded to the
applicant on 11 Jul 11 for review and comment within 30 days.
As of this date, no response has been received by this office
(Exhibit F).
________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by
existing law or regulations.
2. The application was timely filed.
3. Sufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice. The
applicant contends that her lower back pain should have been
found to be in the line of duty (LOD). After a thorough review
of the evidence of record and the applicants complete
submission, we believe corrective action is warranted. While we
note the comments of AFRC/SGP indicating the applicant has a
long history of back pain with no specific injury and nothing
more than natural progression to support a service aggravation,
we believe that a preponderance of evidence indicates the
applicants back injury should have been determined to be in the
LOD. In this respect, we note the comments of the AFBCMR
Medical Consultant indicating the applicants condition is
unfitting and there is at least a 50 percent probability the
applicants back injury was aggravated by her military service.
Furthermore, we note that 10 USC 1207a (eight-year rule)
provides that an unfitting condition that existed prior to the
current period of service (such as the case with the applicant)
shall be deemed to have been incurred while in a duty status in
the case of a member who has served more than eight years of
active duty and is currently serving on active duty for over
30 days. Therefore, in view of the AFBCMR Medical Consultant
opinion that her lower back injury is unfitting and in light of
the applicants lengthy service, we believe the records should
be corrected to reflect that her lower back injury was incurred
in the line of duty under the provisions of 10 USC 1207a (eight-
year rule).
________________________________________________________________
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air
Force relating to the APPLICANT be corrected to show that on
3 March 2010, her chronic recurrent lower back pain was found to
be in the Line of Duty (LOD) under the provisions of Title 10,
United States Code, Section 1207a.
________________________________________________________________
The following members of the Board considered AFBCMR Docket
Number BC-2010-04572 in Executive Session on 15 Sep 11, under
the provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
All members voted to correct the records as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 29 Nov 10, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFRC/SGP, dated 24 Feb 11.
Exhibit D. Letter, SAF/MRBR, dated 4 Mar 11.
Exhibit E. Letter, AFBCMR Medical Consultant,
dated, 6 Jul 11.
Exhibit F. Letter, SAF/MRBR, dated 11 Jul 11.
Panel Chair
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