VA - (2.5 Mos. and 3.5 Mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Chronic Low Back Pain… | 5237 | 10% | Low Back Strain with Lumbar Disc Disease; Bilateral Lower Extremity Radiculopathy | 5243 | 10% | 20050906 | |
Anxiety Disorder | Not Unfitting | Posttraumatic Stress Disorder (PTSD) | 9411 | NSC* | 20051013 | ||
Other x 10 | 20050906 | ||||||
Combined: 40% |
AF | PDBR | CY2014 | PD-2014-01405
A neurosurgery consultation dated 14 April 2008, noted thata MRI dated 10 April 2008, noted there was mild broad-based disc bulging at L4/5 without nerve root involvement. The Board noted the CI was not evaluated for a MH condition at the VA until 2014. 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...
AF | PDBR | CY2014 | PD-2014-00268
Post-Separation) ConditionCodeRatingConditionCodeRatingExam LBP524310%Lumbar Spine Disc Herniation’s524320%20070105Other x 2 (Not In Scope)Other x 3 Combined: 10%Combined: 50%Derived from VA Rating Decision (VARD)dated 20070104 ( most proximate to date of separation [DOS]). The Board directs attention to its rating recommendationbased on the above evidence.The PEB rated the LBP condition 10% and the VA rated it 20%, both coded 5243(intervertebral disc syndrome). RECOMMENDATION : The Board,...
AF | PDBR | CY2014 | PD-2014-02365
Post-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Radiating Low Back Pain52430%Degenerative Disc Disease, Lumbar Spine524310%20070414Other x0 (Not in Scope)Other x2 (Not in Scope)20070414 Rating: 0%Rating: 10%*Derived from VA Rating Decision (VARD)dated 20070522(most proximate to date of separation) ANALYSIS SUMMARY :The Board notes the earliest VA evaluation was approximately 2 years after the date of separation. DoDI 6040.44 provides for consideration of post-separation...
AF | PDBR | CY2013 | PD-2013-02260
The examiner also noted that the CI had a normal gait, no muscle spasm and pain rating was recorded as moderate / intermittentIAW the American Medical Association.The MEB’s history and physical examinationdocumenteddecreased ROM of the lumbar spine with tenderness to palpation and decreased sensation in the right lower extremity.The MEB NARSUM physical exam findings were summarized in the chart above.The VA Compensation and Pension (C&P) examination (performed a month post separation),...
AF | PDBR | CY2012 | PD 2012 00686
Chronic Low Back Pain due to Degenerative Disc Disease and Bertotollis Syndrome Condition. The remote from separation, VA exam in November 2006, documented slight pain-limited ROM and the VA continued their 10% rating based on that exam. The exams were about the same time prior to and after separation.
AF | PDBR | CY2013 | PD-2013-02323
Cervical spine MRI on 20 January 2005 noted lower cervical spine disc herniation with spinal stenosis and general degenerative disc disease.As noted above, a note in the STR indicated “EMG/NCS-no evidence of radiculopathy.”Notes in the STR near the date of separation noted continued neck pain with intact ROM and normal strength and sensation.At the MEB examination on 27 May 2004, (approximately 5 months prior to separation)the CI reported neck pain. RECOMMENDATION : The Board, therefore,...
AF | PDBR | CY2013 | PD-2013-01918
The Board’s role is thus confined to the review of medical records and all evidence at hand to assess the fairness of the PEB rating determinations compared to VASRD standards, based on ratable severity at the time of separation, and to review those fitness determinations within its scope (as elaborated above) consistent with performance-based criteria in evidence at separation. The CI had an L3 profile that recorded a back condition only and restricted all physical activities except...
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 | CY2013 | PD-2013-01434
Chronic Low Back Pain Condition . The evidence documents that the CI did have an intervertebral disc syndrome that could be rated based on incapacitating episodes; however, the evidence did not contain any documented episodes of incapacitation that met the VASRD definition, “For purposes of evaluations under diagnostic code 5243, an incapacitating episode is a period of acute signs and symptoms due to intervertebral disc syndrome that requires bed rest prescribed by a physician and...
AF | PDBR | CY2014 | PD-2014-00886
The VA Compensation and Pension (C&P) neurological examination noted that initially the CI had normal lumbar x-rays and was treated with physical therapy. At the VA C&P examinations reviewed, both on the same daya year after separation, the CI’s exam noted muscle spasm and TL ROM of flexion of 40 degrees with pain to 80 degrees and a combined ROM of 225 degreesand normal sensation at the neuro exam, whereas the general exam noted only “pain with motion” with decreased LLE sensation. At the...