VA* - (2.4 Mos. Post-Separation) | |||||||
Code | Rating | Condition | Code | Rating | Exam | ||
Left Shoulder Pain | 5099-5003 | 10% | Residual Injury, Left Shoulder | 5003 | 0% | 20030820 | |
Chronic Neck Pain | Not Unfitting | Degenerative Changes, C Spine | 5003 | 0% | 20030820 | ||
Low Back Pain | Not Unfitting | Lower Back Pain | 5299 | NSC | 20030820 | ||
Left Knee Pain | Not Unfitting | Osteoarthritis, Left Knee | 5003 | 10% | 20030820 | ||
Other x 1 | 20030820 | ||||||
Combined: 10% |
(Degrees) |
NARSUM |
PHYSICAL THERAPY |
NARSUM |
VA
C&P |
|
175 | 175 | 160 | 180 | ||
175 | 175 | 160 | 180 | ||
Motor strength 5/5 at the supraspinatus and subscapularis muscles | No restriction or pain on repetition or flare-ups | ||||
0% | 0% | 0% (PEB 10%) | 0% (VA 0%) |
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 | CY2014 | PD-2014-01771
There was pain during evaluation of ROM and stress of the meniscus. The post separation MRI did not report any abnormality of the PCL and orthopedic examination and arthroscopy did not show any abnormality of the PCL.The Board noted the VA C&P examination report of moderate laxity of the medial collateral ligament upon which the VA based its 20% rating under VASRD code 5257. All Board members agreed that the examinations summarized above reported sufficient evidence of painful motion and...
AF | PDBR | CY2013 | PD 2013 00937
The Board’s role is thus confined to the review of medical records and all evidence at hand to assess the fairness of PEB rating determinations, compared to VA Schedule for Rating Disabilities (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. Neck Pain Condition . The single voter for dissent did not elect to submit a...
AF | PDBR | CY2013 | PD-2013-02128
On exam there was TTP of the neck with negative testing for nervecompression (Spurling’s), with normal ROM and normal bilateral UE examination.At the MEB examination on 21 October 2004, 6 months prior to separation, the CI reported chronic neck pain without radicular symptoms. The NARSUM notes the CI had a history of hip pain (trochanteric bursitis), with normal bilateral hip X-rays.Notes in the STR indicated that in April 2000 the CI reported 5 weeks of right hip pain. At the MEB...
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 | CY2013 | PD 2013 00095
Despite the CI’s remarks of pain during portions of flexion of both knees, the VA C&P noted that examination of his knee on 10 June 2003 “ was grossly unremarkable” the examiner of on to state that the knee examination revealed “ no soft tissue swelling, no point tenderness, or joint effusion and there was no ligamentous instability appreciated.” After due deliberation in consideration of the preponderance of the evidence, the Board concluded there was insufficient cause to recommend a...
AF | PDBR | CY2010 | PD2010-00019
The MEB listed “chronic low back pain secondary to intervertebral disc disease,” “chronic neck pain” and “chronic shoulder pain” forwarded to the Physical Evaluation Board (PEB) as medically unacceptable IAW AR 40-501. The Board considered that the MEB and PT exams were closer to the date of separation, comprehensive, more indicative of the CI’s level of disability described in the service records, and therefore had a higher probative value. Minority Opinion : The Action Officer (AO)...
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 | CY2012 | PD2012-01305
As reflected in the cervical spine ROM chart above, at the time of separation, the CI had a moderate to severe limitation of motion in her cervical spine. The data contained in the NARSUM, the PEB requested addendum, the MEB history and exam and the C&P exam documented in the chronic neck pain section above equally applies to the right arm radiculopathy condition discussed below. They later changed the code to 8513 and rated it 40% for a moderate paralysis of all radicular groups in the...
AF | PDBR | CY2012 | PD2012-00070
The Physical Evaluation Board (PEB) adjudicated the chronic neck pain and right knee pain as unfitting, rated 10% and 0%, with likely application of the US Army Physical Disability Agency (USAPDA) pain policy. Physical examination revealed a “slight antalgic gait complaining of neck and back pain.” Inspection of the spine was “grossly unremarkable.” Tenderness of the lower cervical region was present but muscle spasm was absent. Right Knee Pain .