VA - (3 mos. and 11 mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Chronic Neck Pain S/P C1-2 Fusion | 5241 | 20% | Spinal Fusion, C1-2 | 5242 | 10% | 20041228 | |
Chronic Low Back Pain | 5299-5237 | 0% | Lumbar Strain Associated with Spinal Fusion, C1-2 | 5237 | *20% | 20050811 | |
Other x 2 | 20050811 | ||||||
Combined: 50% |
Cervical ROM (Degrees) |
MEB
~8 Mo. Pre-Sep |
VA C&P ~4 Mo. Post-Sep |
Flex (45 Normal) | 35 | 40 |
Extension (45) | 30 | 30 |
R Lat Flexion (45) | 35 | 30 |
L Lat Flexion (45) | 25 | 30 |
R Rotation (80) | 15 | 15 |
L Rotation (80) | 20 | 15 |
Combined (340) | 160 | 160 |
Comment | No tenderness | T enderness to palpation |
§4.71a Rating | 20 % | 20 % |
Thoracolumbar ROM (Degrees) |
MEB ~8 Mo. Pre-Sep |
VA C&P ~11 Mo. Post-Sep |
Flexion (90 Normal) | 70 | 50 |
Extension (30) | 10 | 10 |
R Lat Flexion (30) | 25 | 20 |
L Lat Flexion (30) | 25 | 20 |
R Rotation (30) | 30 | 25 |
L Rotation (30) | 30 | 25 |
Combined (240) | 190 | 150 |
Comment | No tenderness | + spasm, tenderness |
§4.71a Rating | 10 % | 10 % |
UNFITTING CONDITION | VASRD CODE | RATING |
Chronic Neck Pain | 5241 | 20% |
Chronic Low Back Pain | 5237 | 10% |
COMBINED (w/ BLF) | 30% |
AF | PDBR | CY2014 | PD-2014-01855
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The PEB rated the chronic neck pain 0%, coded 5237 (cervical strain) and the VA rated it 20%.The Board considered that the CI was noted to have painful, mildly limited cervical ROM without noted muscle spasm at the MEB...
AF | PDBR | CY2013 | PD-2013-02289
The MEB only referred “chronic neck pain” and “chronic low back pain” to the Physical Evaluation Board (PEB) IAW AR 40-501. The MEB physical examination noted decreased range-of-motion (ROM) of the cervical areas and tenderness with spine palpation.The narrative summary (NARSUM) dated 7 April 2004 noted the CI could not perform the duties of his MOS secondary to chronic low back and neck pain.A permanent profile U3/L3dated 12 May 2004 was issued for neck pain, CTS and a chronic lower back...
AF | PDBR | CY2014 | PD2014 00906
The VARD also noted the absence of radicular findings and no recording of ROM (the CI refused testing).The Board directs attention to its rating recommendation based on the above evidence.The PEB rated the condition for ROM limited by pain, coded 5237, and assigned a rating of 0%.The VA rated the condition under code 5242, 10% for muscle spasm.Under the applicable spine rules, a rating of 10% requires cervical spine flexion of greater than 30 degrees but less than 40 degrees or a combined...
AF | PDBR | CY2013 | PD-2013-02524
The VA Compensation and Pension (C&P) exam approximately 6.5 months after separation documented that the CI had constant daily neck pain rated at 7/10, neck stiffness occurred with turning the neck to any side with radiation down both upper extremities with feelings of hand weakness during an acute exacerbation. invalid font number 31502 RECOMMENDATION : The Board recommends that the CI’s prior determination be modified as follows; and, that the discharge with severance pay be...
AF | PDBR | CY2009 | PD2009-00253
Pain rating: Bilateral knees - slight/constant. The PEB noted cervical range of motion limited by pain, with localized tenderness. X-rays showed normal spine.
AF | PDBR | CY2014 | PD-2014-00734
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. In February 2006, the CI underwent consultation with a civilian spine specialist and was assessed with degenerative disc disease, lumbar spine, facet arthrosis, bilateral lower extremity numbness, myofascial pain, and back pain. All of the contended conditions were...
AF | PDBR | CY2014 | PD2014 01910
The MEB also identified and forwarded two other conditions (high frequency hearing loss and anxiety disorder) for PEB adjudication.The Informal PEBadjudicated left shoulder pain, neck pain and LBPas unfitting, rated 10%, 0% and 0% respectively, with likely application of the VA Schedule for Rating Disabilities (VASRD) for the neck and back condition and citing the US Army Physical Disability Agency (USAPDA) pain policy for the shoulder condition. The PEB rated the condition of chronic neck...
AF | PDBR | CY2013 | PD2013 02083
At the MEB exam, the CI reported daily lower back pain causing him to be depressed. The neck condition was reviewed and considered by the Board. 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 effect at the time of the adjudication.The Board did not surmise from the record or PEB ruling in this case that any prerogatives...
AF | PDBR | CY2011 | PD2011-00476
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty member; E-6/SSG (11B/Infantryman) medically separated for a neck (cervical) and back (lumbar) condition. The PEB adjudicated the chronic neck pain condition and chronic LBP condition as unfitting, rated each 10% for a combined rating of 20%, with application of the US Army Physical Disability Agency (USAPDA) pain policy. The ROM’s for the C-spine met the 10%...
AF | PDBR | CY2013 | PD-2013-02730
Post-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain523710%Strain, Thoracolumbar Spine523710%20070521Other x0 (Not in Scope)Other x 6(Not in Scope)20070521 Combined: 10%Combined:50%Derived from VA Rating Decision (VARD)dated 20070618 ( most proximate to date of separation) Chronic LBP Condition . Physical therapy ROM was TL flexion of 50 degrees (normal 90 degrees) and TL combined ROM of 152 degrees (normal 240 degrees) with ROM noted to be limited by pain.At...