VA - (1 Mos. Pre-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
S/P L5-S1 Discectomy, With Residual Low Back Pain…without Neurologic Abnormality | 5243 | 10% | Degenerative Arthritis Lumbar Spine | 5242 | 10% | 20071010 | |
Chronic Right Plantar Fasciitis Associated With Pes Planus; (Left Pes Planus– ‘Not Unfitting’) | 5299-5310 | 10% | Right Foot Plantar Fasciitis With Arthritis Of The Ankle | 5010-5284 | 10% | 20071010 | |
Bilateral Pes Planus | 5276 | 0% | 20071010 | ||||
Hallux Valgus, Right Great Toe | 5280 | 0% | 20071010 | ||||
Right Patellofemoral Syndrome, without Neurologic Abnormality | 5099-5003 | 0% | Chondromalacia Patella With Meniscus Tear Right Knee | 5010-5014 | 10% | 20071010 | |
Other x 11 | 20071010 | ||||||
Combined: 60% |
Thoracolumbar ROM (Degrees) |
PT ~ 7 Mo. Pre-Sep | MEB ~ 4 Mo. Pre-Sep | VA C&P ~1 Mo. Pre-Sep |
Flexion (90 Normal) | 55 | 50 | 75 |
Combined (240) | 185 | 195 | 2 10 |
Comment | N ormal gait | N ormal gait ; normal contour | |
§4.71a Rating | 20 % | 20 % (PEB 10%) | 10 % |
UNFITTING CONDITION | VASRD CODE | RATING |
Status Post L5-S1 Discectomy, with Residual Low Back Pain and Multi-Level Degenerative Disc Disease | 5243 | 20% |
Chronic Right Plantar Fasciitis Associated with Pes Planus | 5299-5310 | 10% |
Right Patellofemoral Syndrome, without Neurologic Abnormality | 5010-5014 | 10% |
COMBINED | 40% |
AF | PDBR | CY2013 | PD-2013-01542
There was extremely limited service treatment record (STR)in evidence related to the low back pain condition for the Board to consider for rating recommendation. Bilateral Hip Pain .The PEB combined the bilateral hip pain conditions under a single disability rating analogously coded, 5003. As noted above, the Board,IAW VASRD §4.7 (higher of two evaluations), must consider separate ratings for PEB bilateral joint adjudications; although, separate fitness assessments must justify each...
AF | PDBR | CY2011 | PD2011-01101
An additional combined condition, “secondary low back and bilateral knee pain” was forwarded as “not boardable.” The PEB (via an Informal Reconsideration following an appeal) conceded aggravation of the congenital podiatric conditions; and, consolidated three of the MEB submitted conditions (as specified in the PEB’s DA Form 199 language quoted below) as a single unfitting condition characterized as “Painful feet on [sic] ankles due to plantar fasciitis and posterior tibial tendonitis with...
AF | PDBR | CY2011 | PD2011-00565
Please re-evaluate my Medical Evaluation Board from the Army and my medical records from my extensive period of active duty service (11 years, 5 months total) as well as VA medical records.” Bilateral Foot Pain Condition . The Board thus recommends separate 10% ratings for each foot under the code 5399-5310.
AF | PDBR | CY2013 | PD-2013-02034
Left Shoulder Pain . In the MEB NARSUM, the diagnosis for his shoulder condition was: “Left shoulder pain with impingement syndrome, status post arthroscopic stabilization.” The CI’s physical profile (DA Form 3349) did not allow lifting over 10 pounds or performing profile.At the 28 February 2005 C&P exam, performed 3 months prior to separation, the CI reported that the left shoulder condition did not interfere with ordinary lifting/carrying, activities of daily living, or service...
AF | PDBR | CY2011 | PD2011-00386
The PEB adjudicated the lumbar condition as unfitting, rated 10%, with presumptive application of the US Army Physical Disability Agency (USAPDA) pain policy. The MEB exam followed a pre-separation VA Compensation and Pension (C&P) exam performed two months earlier; at which the CI had related significantly more severe pain with bilateral radiation, and more significant physical limitations. In the matter of the pes planus with plantar fasciitis condition, the Board unanimously recommends...
AF | PDBR | CY2014 | PD-2014-01418
The CI’s chronic bilateral foot pain, chronic low back pain (LBP), plantar fasciitis and pes planus conditions were forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. The IPEB did not address the remaining conditions (plantar fasciitis, pes planus and adjustment disorder).The CI appealed to the Formal PEB (FPEB) which reaffirmed the IPEB’s findings for the chronic low back condition as unfitting, rated at 10%, but changed the chronic foot pain (bilateral) diagnosis to bilateral...
AF | PDBR | CY2011 | PD2011-01102
The PEB adjudicated the bilateral, plantar fasciitis and bilateral flat feet conditions as unfitting, rated 0%, with application of the U.S. Army Physical Disability Agency (USAPDA) pain policy. It noted the progression of the bilateral foot pain despite conservative treatment and limitation of activities; “currently, her feet still hurt and she is not doing any high impact activities but the pain is starting to increase.” The examination documented bilateral pes planus and tenderness on...
AF | PDBR | CY2012 | PD-2012-01245
The NARSUM documented a normal neurological examination and ROM. The conditions adjudicated as not unfitting by the PEB and that were also contended by the CI are right foot pain secondary to pes planus, plantar fasciitis, and fractured 4th phalanx, right shoulder bursitis, bilateral knee osteoarthritis, and DDD of the cervical spine. An MRI of the left knee on 8 May 2006 (2 months prior to separation) was normal.
AF | PDBR | CY2011 | PD2011-00636
Bilateral Foot Condition . Secondly, the congenital pes planus condition itself was not service-aggravated; rather, the painful complications of plantar fasciitis and/or tendinitis were the service-acquired and unfitting conditions (e.g., subject to disability rating). In the matter of the bilateral plantar fasciitis condition, the Board unanimously recommends that each foot be separately adjudicated as follows: an unfitting right plantar fasciitis condition coded 5399-5310 and rated 10%;...
AF | PDBR | CY2013 | PD-2013-01841
No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated the right anterior knee pain as unfitting, rated 0%IAW the VA Schedule for Rating Disabilities (VASRD); the pes planus and secondary plantar fasciitis was determined to have existed prior to service, were not permanently service aggravated and therefore not compensable. Post-Separation) ConditionCodeRatingConditionCodeRatingExam Right Anterior Knee Pain5099-50030%Residuals, Right Knee Injury 526010%20060119Pes...