VA* - (~6 Mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Low Back Pain Following Lumbar Fusion | 5241 | 10% | Status Post Lumbar Spine Fusion, with Retained Hardware at L4-5 and L5-S1, with Bone Grafting from Left iliac Crest and Left Sciatica (also Claimed as Numbness in Left Leg and Left Foot and Left Hip Pain due to Bone Graft) | 5241 | 20% | 20060417 | |
Other x 6 | |||||||
RATING: 30% |
Thoracolumbar ROM (Degrees) |
PT ~7 Mo. Pre-Sep |
PT (for MEB) ~2 Mo. Pre-Sep |
PCC ~3 Mo.
Post
-Sep |
VA C&P ~6 Mo. Post-Sep |
Flexion (90 Normal) | 10 | 25( 25/22/24 ) | FROM | 60 |
Extension (30) | 0 | 5( 5/5/5 ) | 20 | |
R Lat Flexion (30) | 15 | 15( 15/15/15 ) | -- | |
L Lat Flexion (30) | 5 | 10( 10/10/10 ) | -- | |
R Rotation (30) | 10 | 30( 38/40/40 ) | -- | |
L Rotation (30) | 5 | 25( 28/25/27 ) | -- | |
Combined (240) | - | 105 | - | - |
Comment | Measured “Trunk” | Limited motion due to pain | Examination for work ; no pain or tenderness | Limited by pain; back tender one year post-op; loss of motion by pain-20-25 degrees flexion |
§4.71a Rating | - | 40% | - | 20 % |
CONDITION | VASRD CODE | RATING |
Low Back Pain | 5241 | 40% |
COMBINED | 40% |
AF | PDBR | CY2013 | PD-2013-02598
Also noted was “decreased sensation over T12-L1 dermatomal areas to include genitalia.” This examiner also reported the absence of any lower extremity muscle weakness. Undeniably the CI suffered additional lower extremity pain from the nerve involvement, but this is subsumed under the general spine rating criteria, which specifically states “with or without symptoms such as pain (whether or not it radiates).” The lower extremity pain components in this case have no functional implications. ...
AF | PDBR | CY2009 | PD2009-00264
Low Back Pain . Exam of the lower extremities showed normal strength, sensation and reflexes bilaterally. In the matter of the painful back condition, the Board unanimously recommends a rating of 20% for Chronic Low Back Pain (coded 5241) IAW VASRD §4.71a.
AF | PDBR | CY2013 | PD2013 00193
The Board’s role is confined to the review of medical records and all evidence at hand to assess the fairness of PEB rating determinations, compared to Veterans Affairs Schedule for Rating Disabilities (VASRD) standards, based on severity at the time of separation. Degeneration of the disc was noted, but no evidence of nerve root compression or radiculopathy were presented.Although surgical records were not in evidence, the available service treatment records indicated he underwent L4-S1...
AF | PDBR | CY2011 | PD2011-00284
Although this condition did worsen over time, both the MEB NARSUM and the VA C&P examinations near the time of separation support a 10% disability rating. 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 medical separation for disability with severance pay. Providing orders showing that the individual was retired with permanent disability effective the...
AF | PDBR | CY2013 | PD-2013-02779
The Board thus determined that the VA C&P ROM was the most probative for a rating recommendation at the time of separation. I have carefully reviewed the evidence of record and the recommendation of the Board. I concur with that finding, accept their recommendation and direct that your records be corrected as set forth in the attached copy of a Memorandum for the Chief of Staff, United States Air Force.
AF | PDBR | CY2013 | PD-2013-01439
At the CI’s post-operative visit with his Neurosurgeon, 19 months prior to separation, the CI stated that he “ [did] get occasional lumbar discomfort if he [sat] for prolonged period of time … o/w [the CI was] doing very well.” The neurosurgeon documented that the CI “ [arose] from a chair to a standing position without difficulty.” At a PT evaluation, approximately 16 months prior to separation, the CI stated that his pain level was a “2.5/10” and his “back is doing pretty good but does...
AF | PDBR | CY2014 | PD 2014 00068
The back condition, characterized as “chronic low back pain with associated right leg and knee pain” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The VA rated the CI back conditions at 40% with code 5242 (degenerative arthritis of the spine) for “forward flexion 30 degrees or less”.source MEB ROMs documented pain-limited forward flexion to 30 degrees (similar to the VA exam) and the Board found the similar measurements and disability ratings from these two exams close...
AF | PDBR | CY2013 | PD-2013-02301
The VA increased their radiculopathy rating, but maintained the 40% back rating until a subsequent exam in 2012 led to a decreased spine rating of 20%. RECOMMENDATION : The Board recommends that the CI’s prior determination be modified as follows; and, that the discharge with severance pay be recharacterized to reflect permanent disability retirement, effective as of the date of his prior medical separation: XXXXXXXXXXXXXXX President Physical Disability Board of Review
AF | PDBR | CY2012 | PD2012-00530
Low Back Condition. RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows; and, that the discharge with severance pay be recharacterized to reflect permanent disability retirement, effective as of the date of her prior medical separation: UNFITTING CONDITION Lumbar DDD VASRD CODE RATING 5293 COMBINED 40% 40% The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120602, w/atchs Exhibit B. Service Treatment Record Exhibit...
AF | PDBR | CY2009 | PD2009-00072
These disabling conditions, along with the necessary medications for the pain and depression associated with these conditions, is why this rating should be reviewed by the PDBR. The initial VA rating and exam did not have the history of opioid dependence or treatment and separately rated the CI at 30%. Fusion of the lower back resulting in lower back pain and limitation of range of motion AND FUNCTION524140%Major depressive...