|VA – (4 Mos. Post-Separation)|
|Chronic bilateral ankle pain…||5099-5003||10%||Right Ankle Ligament Instability, Status Post Brostrom Repair||5271||10%||200 70812|
|Left Ankle Ligament Instability, Status Post Brostrom Repair||5271||10%||20070812|
|Bilateral knee pain, bursitis||Not Unfitting||Bursitis, Left Knee||5260||10%||20070812|
|Bursitis, Right Knee||5260||10%||20070812|
|Right Ankle ROM
|PT ~5 Mo. Pre-Sep||PT ~3 Mo. Pre-Sep||NARSUM ~3 Mo. Pre-Sep||VA C&P ~2 Mo. Post-Sep|
|Dorsiflexion (20 Normal)||5||5||-1,-1,-1||15|
|Plantar Flexion (45)||40||40||45 (65,65,65)||30|
|Comment : Surgery 14 M o . Pre-Sep)||Using bilateral crutches; impaired gait||“u nilat calf raises: … decreased ( bilateral ) endurance”||Limited by pain; normal gait; mechanical dorsiflex to 0; trace laxity||ROM “Unlimited by pain;” antalgic gait ; DeLuca negative|
|§4.71a Rating||10%-20%||20%||20% (PEB 10% combined)||10%|
|Left Ankle ROM|
|Dorsiflexion (20 Normal)“||lacks 8”||5||0,0,0||10|
|Plantar Flexion (45)||31||42||45 (65,65,65)||25|
|Comment : Surgery 6 M o . Pre-Sep)||Diffuse swelling; 1 Mo post- surgery; impaired gait||“unilat calf raises: … decreased B endurance” ; Motor weak ; decreased stability||Limited by pain; normal gait; mechanical dorsiflex to 0; trace laxity||Antalgic gait; DeLuca negative|
|§4.71a Rating||20%||20%||20% (PEB 10% combined)||10%|
|UNFITTING CONDITION||VASRD CODE||RATING|
|Right Ankle Pain||5271||20%|
|Left Ankle Pain||5271||20%|
|COMBINED (w/ BLF)||40%|
The PEB adjudicated the bilateral ankle condition as unfitting, rated 10% and 0% (pre-existing condition) respectively; IAW SECNAVINST 1850.4E and the Veterans Administration Schedule for Rating Disabilities (VASRD). Therefore, based on all evidence and associated conclusions just elaborated, the Board is assigning preponderant probative value to the MEB evaluation which demonstrated no loss of ROM on the left, limitation of dorsiflexion on the right, persistent subjective mild pain on the...
The MEB forwarded no other conditions for Physical Evaluation Board (PEB) adjudication. Pre-Sep Right Left -10* 25 2 35 Comment *“Lacks 10⁰ to 0/Neutral DF” Left 10 25 Right 12 35 L ankle w/ mild generalized tenderness; Drawer sign (-); mild valgus-varus laxity; strength 3-4/5; Neurovascular intact; 1+ foot & ankle edema; TTP Left 0-20 0-45 Right NE Normal gait; no painful motion, edema, instability or weakness; no flat feet; no limited function of standing or walking; has left...
The PEB adjudicated “bilateral ankle pain and instability post Brostrom reconstruction” and “chronic foot pain due to plantar fasciitis” as unfitting, rated 0% and 0%, with likely application of the VA Schedule for Rating Disabilities (VASRD).The PEB found the referred left knee condition as not unfitting. Pre-Separation) ConditionCodeRatingConditionCodeRatingExam Chronic Foot Pain due to Plantar Fasciitis5399-53100%Left Foot Plantar Fasciitis with Pes Cavus5299-502010%20040205Right Foot...
Chronic Left Ankle Pain Condition. Both exams document some aspect of a painful ankle, either painful motion or pain upon palpation. 3 PD1200370 RECOMMENDATION: The Board recommends that the CI’s prior determination be modified as follows, effective as of the date of his prior medical separation: VASRD CODE RATING 5271 COMBINED 20% 20% CHRONIC LEFT ANKLE PAIN UNFITTING CONDITION The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120411, w/atchs Exhibit B.
Knee ROM Flexion (140⁰ Normal) Extension (0⁰ Normal) Comment PT ~7 Mo. Symptoms included ankle popping (predominately right); shin pain knees pop and can swell; with “knees and ankles are stiff and weak and his legs can give out.” The examiner stated “He has generalized and multiple symptoms regarding the lower extremities and it is difficult to sort them out specifically on taking the history.” The examiner indicated there was no foot condition; there was bilateral shin pain and right...
SUMMARY OF CASE : Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E-4 (91B10, Combat Medic) medically separated for a bilateral ankle condition. The Board further acknowledges the CI’s assertion that his knee, hip and back conditions are related to his unfitting ankle condition and therefore should be subject to additional disability rating; although, the Board must note that a causality linkage of these contended...
CI CONTENTION : The CI states: “Was rated at 10% for back, 10% for ankles, 0% for migraines, and nothing for heart attack with stent and asthma. After due deliberation, considering all of the evidence and mindful of VASRD §4.3 (reasonable doubt), the Board recommends a 10% Service disability rating for the right ankle condition, coded 5299-5262; and, a 0% Service disability rating for the left ankle condition, coded 5299-5271. In the matter of the bilateral ankle condition the Board...
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...
The VA rated it at 10%, coded 5237 (lumbosacral strain).The Board agreed that the evidence in record supported the 10% rating according to the current Veterans Affairs Schedule for Rating Disabilities (VASRD)general formula for rating the spine based upon combined TL ROM of greater than 120 degrees but not greater than 235 degrees. Bilateral knee conditions . In the matter of the chronic LBP condition and IAW VASRD §4.71a, the Board unanimously recommends no change in the PEB...
He was placed on limited duty and referred for a Medical Evaluation Board (MEB). The PEB also found the CI’s patellofemoral pain syndrome (PFPS), hypertension, and chronic tension headaches to be Category III; conditions that are not separately unfitting and do not contribute to the unfitting condition.The CI made no appeals and was medically separated. The Board also concluded that the PEB properly subsumed the s/p tear of anterior talofibular and calcaneal fibular ligaments, and the...