Service IPEB – Dated 20080821 |
VA - (~4 Mos. Post-Separation) | ||||||
Condition |
Code | Rating | Condition | Code | Rating | Exam | |
Spinal Fusion, L5-S1 |
5241 | 20% | Status Post Lumbar Decompression, Discectomy, and Fusion L5-S1 | 5241 | 20% | 20090304 | |
Sleep
Apnea
|
Meets retention standards | Obstructive Sleep Apnea, Status Post Uvulopalatopharyngoplasty | 6847 | 50% | 20090304 | ||
No Additional MEB/PEB Entries |
Other x 6 | 20090304 | |||||
Combined: 20% |
Combined: 60% |
Thoracolumbar ROM (Degrees) |
NARSUM ~ 6 .5 Mo s . Pre-Sep | VA C&P ~ 3 Mo s . Post-Sep | |
Flexion (90 Normal) |
60 ( 62 ) | 35 ( 37 ) | |
Extension (30) |
20 | 5 ( 7 ) | |
R Lat Flexion (30) |
10 ( 8 ) | 10 ( 8 ) | |
L Lat Flexion (30) |
10 ( 12 ) | 5 ( 7 ) | |
R Rotation (30) |
45 | 20 ( 19 ) | |
L Rotation (30) |
30 ( 60 ) | 20 ( 22 ) | |
Combined (240) |
175 | 95 | |
Comment |
+painful motion; muscle spasm and guarding, antalgic gait | +painful motion | |
§4.71a Rating |
20 % | 20% |
UNFITTING CONDITION |
VASRD CODE | RATING | |
Spinal Fusion, L5-S1 |
5241 | 20% | |
COMBINED |
20% |
AF | PDBR | CY2013 | PD-2013-02428
The Informal PEBadjudicated “chronic low back pain s/p L4-5 fusion w/o neurologic deficit”as unfitting rated at10%. The Board noted that the VA examination 4 months post separation indicated a forward flexion of 45degreeswhich supports a 20% rating IAW VASRD §4.71a (forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees).However, ROM values reported by the VA examiner approximately 4 months after separation are significantly worse than those...
AF | PDBR | CY2011 | PD2011-01058
After Separation) – All Effective Date 20070913 Condition Degenerative Disc Disease (DDD) Lumbar Spine with Chronic LBP Right Leg Neuropathy a/w DDD Lumbar Spine … Sleep Apnea Left Rotator Cuff Tear Umbilical Hernia with Recurrence Adjustment Disorder with Anxiety and Depression Code 5237 8521 6847 5299-5201 7399-7339 9440-9434 0% x 2 Rating Exam 30%* 20080325 20% **not noted 20% 20% 30% 20080325 20110309 20080325 20080325 20080518 20080325 Combined: 0% Combined: *80% * DDD, 5237 rated 30%...
AF | PDBR | CY2012 | PD2012-00377
After Separation) – All Effective Date 20070913 Condition Degenerative Disc Disease (DDD) Lumbar Spine with Chronic LBP Right Leg Neuropathy a/w DDD Lumbar Spine … Sleep Apnea Left Rotator Cuff Tear Umbilical Hernia with Recurrence Adjustment Disorder with Anxiety and Depression Code 5237 8521 6847 5299-5201 7399-7339 9440-9434 0% x 2 Rating Exam 30%* 20080325 20% **not noted 20% 20% 30% 20080325 20110309 20080325 20080325 20080518 20080325 Combined: 0% Combined: *80% * DDD, 5237 rated 30%...
AF | PDBR | CY2014 | PD-2014-00071
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in...
AF | PDBR | CY2009 | PD2009-00193
Condition 2: Left Shoulder Using an evaluation completed four months after the time of separation from Service, the Veterans Administration (VA) rated this disability as 5201-5019 Left Shoulder Partial Rotator Cuff Tear and Impingement Syndrome at 10%. The CI received the same rating percentages from the Air Force PEB and the VA for her back and left shoulder conditions.
AF | PDBR | CY2009 | PD2009-00230
This is evidence that the CI’s back condition worsened over time but the board must rate the disability of unfitting conditions as they are at the time of separation. The CI had obstructive sleep apnea that required the use of a CPAP machine and the Commander’s letter implied that this condition had a negative impact on his daily duty performance along with his back pain. However, at the time of separation the Air Force did not separate service members simply because they were not able to deploy.
AF | PDBR | CY2013 | PD2013 02511
The rating for the unfitting spinal fusion condition is addressed below; and, no additional conditions are within the DoDI 6040.44 defined purview of the Board. Pre-SepVA C&P ~ At SepFlexion (90 Normal) 8 5 (84)70 Extension (30) 25 ( 23 )15 R Lat Flexion (30) 3030 L Lat Flexion (30) 3030 R Rotation (30) 3030 L Rotation (30) 3030 Combined (240) 230205 Comment +tenderness , painful motion +painful motion §4.71a Rating 10% 10%The Board directs attention to its rating recommendationbased on the...
AF | PDBR | CY2013 | PD-2013-02161
Chronic Low Back Pain Condition .The CI experienced chronic low back pain that radiated into the right leg. The VA C&P examination noted a somewhat weakened hamstring muscle but lower extremity strength was otherwise normal and gait was normal.The Board also noted that the hamstring muscle is innervated by multiple spinal nerve roots L5, S1, S2 and S3 so significant weakness from a single nerve root is not expected. I have carefully reviewed the evidence of record and the recommendation of...
AF | PDBR | CY2011 | PD2011-00687
PHYSICAL DISABILITY BOARD OF REVIEW S/P Fusion L4-5 and L5-S1 for HNP Condition . After due deliberation, in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to recommend a change in the PEB fitness determination for the L2 vertebral fracture healed condition; and, therefore, no additional disability ratings can be recommended.
AF | PDBR | CY2012 | PD2012-00078
A PT examination on 28 January 2008 noted a mildly antalgic gait, normal ROM and reduced girth of the left thigh as well as reduced strength in the left lower extremity (LLE). Left Knee Condition. Left Knee ROM Flexion (140 Normal) Extension (0 Normal) Comment §4.71a Rating Ortho ~17 Mo.