VA - (2 Mos. Pre-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Chronic Cervical Pain w/Spondylosis at C5-6, C6-7 | 5299-5295 | 10% | Degenerative Disc Disease Cervical Spine | 5293 | 20% | 20020627 | |
Chronic Shoulder Pain | Not Unfitting | Right Shoulder Strain | 5203 | 10% | 20020627 | ||
Left Shoulder Strain | 5203 | 10% | 20020627 | ||||
Bilateral Inguinal Hernias | Not Unfitting | Right & Left Inguinal Hernias | 7338 | 0% | 20020627 | ||
Other x 3 | 20020627 | ||||||
Combined: 30% |
Cervical ROM (Degrees) | PT ~ 6 Mo. Pre-Sep | VA C&P ~ 1 Mo. P re -Sep |
Flex (45 Normal) | 30 | 45 |
Combined (340) | 200 | 340 |
Comment | Pos. painful motion; Normal strength & reflexes; Decreased light touch | Pos. painful motion ; Normal strength, reflexes & sensation |
§4.71a Rating : old spine rules | 10% or 20% (PEB 10%) | 10% (VA 20%) |
§4.71a Rating: current spine rules | 10% | 10% |
AF | PDBR | CY2012 | PD2012-00343
The MEB forwarded only one condition; “Cervical spondylosis and multilevel degenerative disk disease with previous radicular and myelopathic signs.” The Physical Evaluation Board (PEB) adjudicated the chronic radiating neck and shoulder pain condition as unfitting, rated 0% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the...
AF | PDBR | CY2012 | PD 2012 00767
The Physical Evaluation Board (PEB) adjudicated neck and shoulder pain with degenerative cervical spondylosis as unfitting and rated 0% IAW the US Army Physical Disability Agency (USAPDA) pain policy. ANALYSIS SUMMARY: The Boards authority as defined in DoDI 6040.44, resides in evaluating the fairness of Disability Evaluation System (DES) fitness determinations and rating decisions for disability at the time of separation. RECOMMENDATION: The Board recommends that the CIs prior...
AF | PDBR | CY2014 | PD-2014-00630
Left Shoulder Condition . At the VA C&P examination, performed 16 months prior to separation, the CI reported a cervical spine injury in 1998 with continual pain accompanied by a left upper extremity radiculopathy. Based on the ROMs in the record the Board was unable to find a route to a higher rating.The MEB referred cervical spondylosis with C7-8 radiculopathy; however, the PEB noted cervical spondylosis “without significant neurologic abnormality.” The Board considered whether an...
AF | PDBR | CY2011 | PD2011-00193
The PEB adjudicated the cervical herniated nucleus pulposus associated with intermittent pain despite no nerve impingement condition unfitting rated at 10% with application of the Veterans Administration Schedule for Rating Disabilities (VASRD). All evidence considered there is not reasonable doubt in the CI’s favor supporting addition of the right upper extremity radiculopathy condition as an unfitting condition for separation rating. I have carefully reviewed the evidence of record and...
AF | PDBR | CY2009 | PD2009-00136
A Board majority determined the Commander’s letter which stated the CI’s knee, neck, shoulder, and hand conditions prevented him from performing the duties of his rating and the required physical fitness test was sufficient evidence to determine both cervical spondylosis and C6 radiculopathy were unfitting at the time of separation. This Board member determined there was insufficient evidence to consider either Cervical Spondylosis with C5-C6 Left Foraminal Stenosis and Arthritis or...
AF | PDBR | CY2011 | PD2011-00800
The PEB adjudicated the cervical spondylosis with neck pain and chronic mild left arm conditions as unfitting, rated at 20% for mild, incomplete paralysis. Magnetic Resonance Imaging (MRI) was performed in 2002 and although the radiologist’s report is not present in the record, both the original MEB NARSUM in May 2002 and the updated MEB NARSUM in December 2002 noted this test documented diffuse spondylitic changes from C3-4 to C6-7, severe spinal stenosis at C5-6, moderate spinal stenosis...
AF | PDBR | CY2014 | PD-2014-01694
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVASRDstandards to the unfitting medical condition at the time of separation. The examiner documented tenderness to palpation of the bilateral cervical paraspinal musculature, extending to the upper back bilaterally, with no weakness or painful motion noted.The examiner diagnosed “myofascial pain” which was treated with “trigger point...
AF | PDBR | CY2011 | PD2011-00346
The CI was then medically separated with a 0% disability rating. Right Shoulder Pain . In the matter of the neck and right shoulder condition, for a separation rating after TDRL, the Board unanimously recommends that it be rated as two separate unfitting conditions with rating, by a vote of 2:1, as follows: a cervical spine condition coded 5290 and rated 10%; and, a right shoulder condition coded 5099-5003 and rated 10%; both IAW VASRD §4.71a.
AF | PDBR | CY2011 | PD2011-00409
Flex (0-45)No goniometrics45° (50°, 52°, 56°)35⁰*Ext (0-45)No goniometrics45° (50°, 50°, 52°)45⁰R Lat Flex (0-45)No goniometrics35° (35°, 40°, 45°)40⁰*L Lat Flex (0-45)No goniometrics35° (35°, 40°, 45°)40⁰*R Rotation (0-80)No goniometrics50° (52°, 54°, 56°)80⁰L Rotation (0-80)No goniometrics50° (52°, 54°, 56°)60⁰*COMBINED (340)260⁰300⁰C-spine MRI- degenerative disc disease, osteoarthropathyTenderness centrally C3-7; Mild paraspinal tenderness; sharp pain with lateral left bending; Mild pain...
AF | PDBR | CY2012 | PD2012 01895
The Board judged that the migraine headache and mild spondylosis conditions recorded in the MEB were integral, comorbid components of the FM condition and could not be reviewed separately IAW VASRD §4.14. Additionally, the CI reported upper arm pain, hip, back, and buttock pain. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130019762 (PD201201895)I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR)...