Final Service PEB - 20050330 |
VA (2 Mos. Post Separation)* - Effective 20000901 | |||||||
On TDRL - 20000901 |
Code | Rating | Condition | Code | Rating | Exam | ||
Condition |
TDRL | Sep. | ||||||
Herniated Nucleus Pulposus |
5295 | 20% | 20% | Residual Postoperative Injury, Lumbar Spine, With Lumbar Disk Disease | 5299-5295 | 10% | 20001004 | |
Chronic Right Knee Pain |
5299-5003 | 10% | 0% | Residual Postoperative Chondromalacia, Right Knee | 5299-5259 | 10% | 20001004 | |
Chronic Low Back Pain |
Category II | Other x 1 (NSC) | 20001004 | |||||
Lumbar Degenerative Disc Disease |
Category II | |||||||
Mechanical Back Pain Exacerbation |
Category II | |||||||
Right Knee Chondromalacia of Patella |
Category II | |||||||
No Additional MEB/PEB Entries. |
||||||||
Combined: 30% → 20% |
Combined: 20% |
Thoracolumbar ROM (Degrees) |
MEB ~ 6 Mos. Pre-TDRL Placement | VA C&P ~ 1 Mo . Post-TDRL Placement | TDRL #2 ~ 20 Mos . Pre-Permanent Separation | |
Flexion (90 Normal) |
“mid-shin” | 90 | 60 | |
Extension (30) |
- | 30 | 15 | |
R Lat Flexion (30) |
- | 30 | 30 | |
L Lat Flexion (30) |
- | 30 | 30 | |
R Rotation (30) |
- | 30 | - | |
L Rotation (30) |
- | 30 | - | |
Combined (240) |
- | 240 | - | |
Comment |
Pain with motion , tenderness | Pain at extremes of ROM , tenderness | Pain with mo tion | |
§4.71a Rating |
20 % | 10 % | 20 % |
Right
Knee ROM (Degrees) |
VA C&P ~ 1 Mo . Post-TDRL Placement | TDRL #2 ~ 20 Mo s. Pre-Permanent Separation | TDRL #3 ~ 7 Mos . Pre-Permanent Separation | |
Flexion (140 Normal) |
140 | 1 3 5 | 140 | |
Extension (0 Normal) |
0 | 0 | 0 | |
Comment |
+crepitus and tenderness | Pain ful motion, subjective instability, mild tenderness | Mild crepitus, slight antalgic gait | |
§4.71a Rating |
10 % * | 10 % | 10% * (PEB 0%) |
UNFITTING CONDITION |
VASRD CODE | RATING | ||
TDRL | PERMANENT | |||
Herniated Nucleus Pulposus |
5295 | 20% | ||
Herniated Nucleus Pulposus |
5243 | 20% | ||
Chronic Right Knee Pain |
5299-5003 | 10% | 10% | |
COMBINED |
30% | 30% |
AF | PDBR | CY2009 | PD2009-00218
The condition was determined to be medically unacceptable and the CI was referred to the Physical Evaluation Board (PEB), found unfit for continued military service, and separated at 20% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. Additional 5 degrees loss ROM with repeated motion; 5/5 motor; negative straight leg raise; decrease in sensation to pinprick and light touch on left leg and great...
AF | PDBR | CY2012 | PD2012 01583
ThePEB adjudicated “chronic pain, low back and left leg due to L4-5 herniated nucleus pulposus”as unfitting, rated 10%, with likely application of the US Army Physical Disability Agency (USAPDA) pain policy, noting that this decision was based on all three MEB conditions . The Board directs attention to its rating recommendation based on the above evidence.Both the PEB and the VA rated the condition using the 5293 code (intervertebral disc syndrome). Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012-01058
IAW DoDI 6040.44, this Board must consider the appropriate rating for the CI’s back condition at separation based on the VASRD standards in effect at that time. An outpatient examination on 21 November 2001 (7 months prior to separation) documented a negative straight leg raise (SLR) test and normal muscle strength, sensation and DTRs. At a later C&P exam on 23 June 2003 (a year after separation), the CI reported constant low back dull, aching pain.
AF | PDBR | CY2013 | PD2013 00009
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active dutySGT/E-5 (71L/Administrative Specialist)medically separated for chronic low back and chronic right ankle conditions.The CI initially reported low back pain (LBP) in 1992. The chronic low back and right ankle conditions, characterized as “lumbar spondylosis, chronic low back pain” and “ankle arthritis after fracture” were forwarded to the Physical Evaluation...
AF | PDBR | CY2009 | PD2009-00077
Although the VA rating exam cited above would yield a 30% rating, no repeat rating decision is in evidence. The VA rating examination 11 months later did not provide full goniometric ROM measurements for the thoracolumbar spine, stating the CI was too unsteady to cooperate with them. In the matter of the chronic neck pain condition, the Board unanimously recommends a rating of 20% coded 5242 IAW VASRD §4.71a.
AF | PDBR | CY2012 | PD-2012-00633
The 2003 VASRD coding and rating standards for the spine, which were in effect at the time of separation, were changed to the current §4.71a rating standards in 2004. IAW DoDI 6040.44, this Board must consider the appropriate rating for the CI’s back condition at separation based on the VASRD standards in effect at the time of separation (i.e. pre‐2004 standards). At an orthopedic evaluation 10 months prior to separation, the CI indicated his pain was exacerbated by flexion and extension.
AF | PDBR | CY2013 | PD-2013-02260
The examiner also noted that the CI had a normal gait, no muscle spasm and pain rating was recorded as moderate / intermittentIAW the American Medical Association.The MEB’s history and physical examinationdocumenteddecreased ROM of the lumbar spine with tenderness to palpation and decreased sensation in the right lower extremity.The MEB NARSUM physical exam findings were summarized in the chart above.The VA Compensation and Pension (C&P) examination (performed a month post separation),...
AF | PDBR | CY2012 | PD2012 00385
While the CI experienced radiating pain, this is subsumed under the general spine rating criteria, which specifically states “with or without symptoms such as pain (whether or not it radiates).”There was no motor impairment present on any exam that could be linked to functional deficit or limitation of specific physical requirements. RECOMMENDATION : The Board recommends that the CI’s prior determination be modified as follows; and, that the discharge with severance pay be recharacterized...
AF | PDBR | CY2012 | PD2012-00032
Lower Back Condition . The Board considered whether the PEB removal of an unfitting sciatica was deliberate and if additional permanent rating could be recommended under a peripheral nerve code, as conferred by the FPEB for TDRL entry, for the sciatic radiculopathy at separation. The Board concluded therefore that the left sciatic radiculopathy condition could not be recommended for additional disability rating.
AF | PDBR | CY2012 | PD2012 01605
Post-SepFlexion (90⁰ Normal)90⁰50⁰20⁰Combined (240⁰)215⁰145⁰Extension 10⁰CommentsAntalgic gait.Antalgic gait.Antalgic gait.§4.71a Rating20%20%40%The Board directs attention to its rating recommendationbased on the above evidence.The PEB’s DA Form 199 referenced the ROM values charted above (from physical therapy) which would achieve only a 10% rating; but, noted the presence of an abnormal gait on a “recent exam” (presumably an STR entry, not the NARSUM), which was the basis for the PEB’s...