VA - (9 Years 4 Mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Myofascial Back Pain | 5021-5099 | 10% | Chronic Lumbar Strain (claimed as spinal condition) | 5237 | 10% | 20130520 | |
Other x 0 (Not in Scope) | |||||||
Combined: 10% |
AF | PDBR | CY2013 | PD 2013 00095
Despite the CI’s remarks of pain during portions of flexion of both knees, the VA C&P noted that examination of his knee on 10 June 2003 “ was grossly unremarkable” the examiner of on to state that the knee examination revealed “ no soft tissue swelling, no point tenderness, or joint effusion and there was no ligamentous instability appreciated.” After due deliberation in consideration of the preponderance of the evidence, the Board concluded there was insufficient cause to recommend a...
AF | PDBR | CY2012 | PD 2012 00982
The 2003 Veterans Affairs Schedule for Rating Disabilities (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, and were identical to the 2003 VASRD standards used by the VA in its initial rating decision. IAW DoDI 6040.44, this Board must consider the appropriate rating for the CIs back condition at separation based on the VASRD standards in effect at the time of separation. The...
AF | PDBR | CY2012 | PD 2012 00825
The Board then considered its rating recommendation for the condition at the time of separation. The Board then considered its rating recommendation for the condition at the time of separation. RECOMMENDATION: The Board recommends that the CIs prior determination be modified as follows, effective as of the date of his prior medical separation: UNFITTING CONDITION VASRD CODE RATING Chronic Low Back Pain 5237 10% Chronic Neck/Upper Back Myofascial Pain Syndrome 5099-5021 0 COMBINED 10% The...
AF | PDBR | CY2012 | PD2012-00570
Three months prior to separation, the PEB adjudicated the mechanical LBP post MVA condition as unfitting, rated 10%, with application of the DoD Instruction 1332.39 and Application of the Veterans Administration Schedule for Rating Disabilities (VASRD) under spine rules applicable on or before 23 September 2002. At the MEB exam, 5 months before separation, the CI reported pain‐“pains that radiate down the leg from back pains” on the DD 2807 without elaboration in the NARSUM. Service...
AF | PDBR | CY2012 | PD2012 01978
The conditions, characterized as “bilateral retropatellar pain syndrome with subjective ankle pain,” “neck pain,” and“acute chronic low back pain” were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.No other conditions were submitted by the MEB.The informal PEBadjudicated the “neck, low back, bilateral knee and ankle pain with subjective symptoms only, x-rays and exam essentially normal, rated (and diagnosed) as myofascial pain syndrome” conditionas unfitting, with likely...
AF | PDBR | CY2013 | PD 2013 00870
The back pain condition, characterized as “chronic myofascial thoracic pain syndrome,” was forwarded to the Physical Evaluation Board (PEB) as not meeting medical standards IAW AFI 48-123. X-rays and computer aided tomograms of the spine done as part of his work up were normal without evidence of fracture or disc problem.The MEB narrative summary (NARSUM) dated 24 May 2007,7 months prior to separation,described in the physical examination that the CI demonstrated “…normal gait and station,...
AF | PDBR | CY2014 | PD-2014-02109
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. A pain specialist opined that thoracic and lumbar spondylosis and myofascial pain were the causes of the back pain, although imaging studies of the thoracic spine were normal. In the matter of the chronic thoracolumbar back pain condition and IAW VASRD §4.71a, the Board...
AF | PDBR | CY2013 | PD-2013-02401
There was no effusion and no instability.At the VA C&P examination on 11 May 2005 (approximately 6 weeks after separation), the CI reported left knee pain aggravated by activity and reported giving away symptoms, and easy fatigability.On examination there was an antalgic gait. The PEB rated the left knee condition 10% coded 5259, symptomatic status post removal of meniscus, noting full motion and good stability. The “minus 10 degrees” was in the context of reporting onset of painful...
AF | PDBR | CY2012 | PD 2012 00458
The lumbar spine condition, characterized as “myofascial low back pain (LBP) syndrome” and “degenerative arthritis of the lumbar spine,” were forwarded to the Physical Evaluation Board (PEB).The MEB also identified and forwarded one other condition“moderate obstructive sleep apnea,” as medically acceptable,IAW AR 40-501. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination. Physical Disability Board of Review
AF | PDBR | CY2011 | PD2011-00996
Pain was exacerbated by “driving and lifting over 25 pounds.” The VA exam noted a normal gait; and “only mild paraspinal tenderness” with “no associated muscle spasm.” Conversely the ROM measurements recorded by the VA examiner were a flexion of 25⁰, extension 20⁰, right flexion 20⁰ and left flexion 15⁰ (no rotational measurements). The VA rating decision for the 40% rating invoked ‘severe’ limitation of ROM under code 5292, which was supported by the marked ROM impairment documented on the...