DEPARTMENT OF TRANSPORTATION
BOARD FOR CORRECTION OF MILITARY RECORDS
__________________________
Application for Correction
of Coast Guard Record of:
BCMR Docket
xxxxxxxxxxxxxxxxxx No. 2001-027
xxxxxxxxxxxxxxxxxxxxxxxxx
__________________________
FINAL DECISION
This final decision, dated January 17, 2002, is signed by the three duly appointed
This is a proceeding under the provisions of section 1552 of title 10 and section
425 of title 14 of the United States Code. It was docketed on January 17, 2001, upon the
Board’s receipt of the applicant's request for correction of her military record.
members who were designated to serve as the Board in this case.
The applicant, x xxxxxx xxxxxx xxxxx xxxxx (xxxxxxxxxxxxxxxxxx), enlisted in
the Coast Guard on July 23, 1984. She was honorably discharged by reason of physical
disability with a 20% disability rating and severance pay for lumbosacral strain, on
March 3, 1999. She was assigned a RE-3P (disqualifying condition - physical disability)
reenlistment code. She asked that her military record be corrected to show that she was
retired due to physical disability rather than having been discharged. (A disability
rating of 30% or greater is required for a physical disability retirement.)
SUMMARY OF RECORD AND SUBMISSIONS
The applicant alleged that she suffered from chronic low back pain and DDD
(degenerative disc disease), but the Coast Guard did not include the DDD in rating her
disability. She also alleged that the Coast Guard improperly found her to have
moderate rather than severe low back pain. The applicant stated that prior to her illness
she had made the Coast Guard her “life.” She alleged that the Coast Guard erred when
it medically separated her with a 20% disability rating.
In January 1997, the applicant complained of low back pain. Based on an April
28, 1997 MRI, the applicant was diagnosed as suffering from mild DDD in the lumbar
(lower back) region. The MRI showed no disc protrusion or extrusion. On May 19,
1997, two physicians at a naval hospital diagnosed the applicant as suffering from lower
back pain, secondary to degenerative disc disease. These physicians described their
physical examination of the applicant as follows:
[Patient] is a well-developed, well-nourished female in no acute distress.
Examination of her back demonstrates a straight spine with some mild
tenderness to palpation over the [lumbar region]. Motor examination
demonstrates +5 out of 5 strength throughout her lower extremities and
there are no significant sensory deficits, although the [patient] does admit
to tingly sensation at the medial aspect of her right leg with no
dermatomal distribution. [Patient] has good heel and toe walking, and
has negative straight leg raises. Her deep tendon reflexes are +2
throughout both lower extremities. She demonstrated no sacroiliac joint
instability and had no pain with extension or rotation of the spine.
Physical Disability Evaluation System (PDES) Processing
On June 16, 1998, an Initial Medical Board (IMB) was held to determine the
applicant’s medical condition. Relying primarily on the May 1997 examination, the IMB
diagnosed the applicant as suffering from pain in the lumbar region (lumbago) and
expressed the opinion that she was not fit for full duty. The IMB noted the applicant’s
complaints about “daily lumbar pain, lumbar spasm, numbness right leg, numbness
right foot, sometimes numbness left foot, and numbness left hand.” The IMB referred
the applicant’s case to the Central Physical Evaluation Board (CPEB).
On August 18, 1998, the CPEB met and recommended that the applicant be
discharged with a 10% rating disability due to “lumbosacral strain: with characteristic
pain on motion.” The applicant rejected the findings and recommendation of the CPEB
and her case was referred to a Formal Physical Evaluation Board (FPEB). The applicant
had appointed military counsel to represent her before the FPEB.
On November 5, 1998, the FPEB met to consider the applicant’s case. The
applicant was represented by counsel and given the opportunity to submit evidence in
her behalf. The FPEB determined that the applicant was unfit to perform the duties of
her grade and rate and recommended that she be discharged from the Coast Guard due
to the physical disability “lumbosacral strain: unilateral, in standing position” with a
20% disability rating. (According to the Department of Veterans Affairs Schedule for
Rating Disabilities (VASRD), which the military uses, a 20% rating for lumbosacral
strain should include muscle spasms on extreme forward bending, loss of lateral spine
motion, and unilateral in a standing position.)
The applicant rebutted the findings of the FPEB and requested that she be
temporarily or permanently retired with a 40% disability rating. She stated that since
the VASRD does not list DDD, she could have been rated by analogy for intervertebral
disc syndrome instead of lumbosacral strain. The applicant submitted another MRI
dated October 27, 1998, which showed that the applicant had minimal spondylosis. (A
general term for degenerative spinal changes due to osteoarthritis. See Dorland’s
Illustrated Medical Dictionary, 29th Edition, p. 1684.) She submitted additional medical
information showing that on November 25, 1998, she was treated for acute exacerbation
of low back pain. The President of the FPEB informed the applicant that her rebuttal did
not result in a change of the FPEB’s findings. The President of the FPEB told the
applicant that her case would be forwarded for review to the Physical Review Council
(PRC).
The applicant submitted a statement to the PRC stating that her preference
would be to remain on active duty or in the alternative to be temporarily or
permanently retired. Attached to the applicant’s rebuttal was an orthopedic report
from a civilian clinic dated December 1, 1998. The report stated that the applicant
described her pain as moderate to severe and that the pain is made worse by sneezing,
bending, sitting, standing, and walking. “Her low back pain has been to the point that
she has hired [a] housekeeper to facilitate household chores.” The orthopedist did not
perform any new diagnostic tests, but rather reviewed those that had been taken by
military facilities. The orthopedist diagnosed the applicant as suffering from chronic
low back pain, lumbar degenerative disc disease, and intervertebral disc derangement.
On January 22, 1999, the PRC concurred with the findings of the FPEB. On
January 27, 1999, the Chief Counsel reviewed the disability proceedings and found
them to be in acceptable form and technically correct. On January 29, 1999, the
Commandant of the Coast Guard took final action and approved the applicant’s
discharge due to disability with a 20% disability rating for “lumbosacral strain;
unilateral, in standing position.”
Department of Veterans Affairs (DVA) Rating Decision
On December 8, 1999, after the applicant’s discharge from the Coast Guard, the
DVA granted the applicant a 20% disability rating for “low back pain [and]
degenerative disc disease [of the] lumbar spine.” (Some of the applicant’s other
conditions were rated by the DVA but these are not at issue in this case and are not
discussed in this decision.) The DVA noted that during its medical examination, the
applicant related frequent spasms and limitation of motion due to pain. The DVA
rating decision also stated that X-rays taken during the DVA examination were normal,
but an earlier MRI and X-rays taken while the applicant was on active duty noted
minimal posterior disc bulge without evidence of true herniation or protrusion. The
DVA rating decision also noted that 1998 EMG (electromyogram) and NCV (nerve
conduction velocity) studies at a civilian institution did not reveal any evidence of right
lumbosacral radiculopathy (disease of the nerve roots). The DVA report stated, “A
higher evaluation of 40 percent is not warranted unless the record shows lumbosacral
strain with listing of the whole spine to the opposite side, positive Goldthwait’s sign,
marked limitation of forward bending in standing position, loss of lateral motion with
osteoarthritic changes, or narrowing or irregularity of joint space, or some of the above
with abnormal mobility on forced motion.”
On October 10, 2001, the DVA issued an updated rating decision increasing the
applicant’s disability rating for the back to 40%. This increase was based on a DVA
medical examination dated January 31, 2001. During this medical examination, the
applicant complained of increased pain. The DVA examiner noted that the applicant’s
posture was abnormal. The DVA report further stated:
[The applicant] cannot stand in any one position for any length of time.
Examiner noted the veteran walking as if she is in a lot of pain in her
lower back. The [applicant] has limitation of function of standing and
walking. She can only stand for 15 minutes and can only walk for 30
minutes. Examiner noted tenderness throughout the entire lumbar area .
. . She was unable to lay flat due to extreme pain. Range of motion of the
lumbar spine is flexion 15 degrees with pain at 15 degrees, extension 5
degrees with pain at 5 degrees; right lateral 25 degrees with pain; left
lateral 25 degrees with pain; right rotation 35 degrees and left rotation 35
degrees. Examine noted no muscle atrophy and decreased sensation
along the right lateral thigh. Reflexes are within normal limits.
Views of the Coast Guard
On June 4, 2001, the Board received an advisory opinion from the Chief Counsel
of the Coast Guard. He recommended that the application be “denied for lack of
proof.”
The Chief Counsel stated that the applicant received a full and fair hearing
before the Physical Disability Evaluation System (PDES), which found her physical
condition caused her to be unfit for continued duty by reason of physical disability,
with a 20% disability rating.
The Chief Counsel said that the applicant failed to prove that she should have
been medically retired from the Coast Guard with a disability rating of 30% or higher.
He noted that although the Coast Guard is not bound by DVA rating decisions, it is
noteworthy that the [DVA] assigned a 20% disability rating for her back condition,
which is the same percentage of disability assigned by the Coast Guard.
The applicant failed to prove that the Coast Guard committed error when it
involuntarily separated her in 1999 with a 20% disability rating. The Chief Counsel
stated that the Government does not have to disprove the applicant’s allegations of
error and is entitled to the presumption that its officials acted correctly, lawfully, and in
good faith in the applicant’s case. He stated that the applicant has failed to provide
sufficient evidence to overcome the presumption of regularity afforded the military
officials who determined that the applicant’s physical disabilities justified a 20%
disability rating.
The Chief Counsel noted that the findings of a 1997 and a 1998 MRI of the
applicant’s back were consistent with the PDES findings of lumbosacral strain with
characteristic pain with motion at the 20% disability rating level. “Moreover, to find for
the applicant, the Board would have to determine that she suffered from chronic severe
pain at the time of her FPEB rather than mild to moderate pain.” The Chief Counsel
stated there is insufficient evidence in the record to make that finding by a
preponderance of the evidence. Accordingly, he recommended that the Board deny
relief in this case.
Applicant’s Reply to the Views of the Coast Guard
On July 23, 2001, the Board received the applicant’s reply to the views of the
Coast Guard. She repeated her request for a retirement due to physical disability. She
further stated as follows:
[I] contend[] the evidence did not adequately reflect the extent of [my]
disability from which [I] suffer[]. Moreover, it did not take into
consideration the secondary disabilities connected to the spinal disc
condition. It has been clearly defined in 38 CFR § 3.310 (1996) that service
connection may be granted for disabilities resulting from a service
connected disease or injury. Judicial interpretation of the matter of
secondary service connection, embodied in 38 CFR § 3.310 (1996), requires
consideration of whether or not a service connected disability either
causes or aggravates another condition. . . .
FINDINGS AND CONCLUSIONS
The Board makes the following findings and conclusions on the basis of the
submissions of the applicant and the Coast Guard, the military record of the applicant,
and applicable law:
United States Code. The application was timely.
2. In 1997, after 11 years of service in the Coast Guard, the applicant, a xxx, was
evaluated for low-back pain and DDD. The FPEB met on November 5, 1998, and found
1. The Board has jurisdiction of the case pursuant to § 1552 of title 10 of the
the applicant unfit to perform the duties of her rating due to a physical disability
considered to be 20% disabling. On January 29, 1999, the Commandant directed that
the applicant be separated from the Coast Guard with severance pay. On March 3,
1999, the applicant was honorably discharged with a JFL (physical disability) separation
code.
3. The applicant has failed to submit sufficient evidence establishing that the
Coast Guard committed an error or injustice by diagnosing the applicant with
lumbosacral strain that was 20% disabling at the time of her discharge. As the applicant
stated, DDD is not listed in the VASRD. Therefore, her disability was rated under
lumbosacral strain, which in the opinion of the FPEB was the most analogous to the
applicant’s disability. While the applicant suggested that she should have been rated
by analogy under intervertebal disc syndrome, she submitted insufficient evidence
establishing that intervertebral disc syndrome was more appropriate for rating her
disability than lumbosacral strain. Moreover, even if intervertebral disc syndrome were
the more appropriate diagnosis for rating the applicant’s disability, she would still have
to show that her condition was severe rather than moderate as rated by the FPEB. A
finding that an intervertebral disc syndrome disability is of a moderate nature carries a
20% disability rating, which is the applicant’s disability rating for lumbosacral strain.
See 38 CFR 4.71a.
4. Whether listed under lumbosacral strain or intervertebral disc syndrome, the
question is did the Coast Guard commit an error by rating the applicant’s condition as
20% disabling, which indicated her condition to be moderate rather than severe. An
April 30, 1997, MRI showed the applicant with mild degenerative disc disease, but no
evidence of disc protrusion or extrusion. A medical report dated May 19, 1997 stated
that the applicant was not in any acute distress, but noted mild tenderness to palpation
in the lumbar region. The report also stated that the applicant had no sacroiliac joint
instability and no pain with extension or rotation of the spine. An October 27, 1998 MRI
stated that the applicant had minimal spondylosis and 1998 EMG and NCV studies did
not reveal any evidence of right lumbosacral radiculopathy. The VASRD describes the
requirements for a 20% disability rating as “muscle spasm on extreme forward ending,
loss of lateral spine motion, unilateral in standing position.” The MRIs and medical
reports were consistent with the VASRD and the FPEB’s determination that the
applicant had a 20% (moderate) disability for lumbosacral strain at the time of her
discharge.
5. For the applicant’s lumbar strain to have been rated severe rather than
moderate at the time of her discharge, her condition needed to include a “listing of the
whole spine to opposite side, positive Goldthwaite’s sign, marked limitation of forward
bending in standing position, loss of lateral motion with osteo-arthritic changes, or
narrowing or irregularity of joint space, or some of the above with abnormal mobility
on forced motion.” See 38 CFR 4.71a. (VASRD). The evidence of record does not show
that the applicant met these requirements such that her condition should have been
rated severe rather than moderate.
6. The fact that the applicant received a higher disability rating from the DVA
approximately two years after her discharge from the Coast Guard does not mean that
the Coast Guard committed an error or injustice by assigning the applicant a lower
rating at the time of her discharge. The Board notes that the DVA’s initial rating of the
applicant’s back condition in December 1999 was the same as that given by the Coast
Guard upon the applicant’s discharge in March 1999. Moreover, the Court of Federal
Claims has stated, "[d]isability ratings by the Veterans Administration [now the
Department of Veterans Affairs] and by the Armed Forces are made for different
purposes. The Veterans Administration determines to what extent a veteran's earning
capacity has been reduced as a result of specific injuries or combination of injuries.
[Citation omitted.] The Armed Forces, on the other hand, determine to what extent a
member has been rendered unfit to perform the duties of his office, grade, rank, or
rating because of a physical disability. [Citation omitted.] Accordingly, Veterans'
Administration ratings are not determinative of issues involved in military disability
retirement cases." Lord v. United States, 2 Cl. Ct. 749, 754 (1983).
7. The applicant received all the due process rights to which she was entitled
during the PDES processing. She was represented by counsel during the FPEB. She
failed to convince any of the boards within the PDES that she should have received a
higher disability rating. The Board will not disturb the decision of the Coast Guard in
the absence of a preponderance of the evidence showing that its decision was in error or
unjust. With regard to the applicant’s arguments about service connection as discussed
in 38 CFR 3.310, the Board finds this provision applies to the DVA and not the Coast
Guard.
8. Accordingly, the applicant’s request for relief should be denied.
The application of xxxxxx xxxxxxxxxxxxxxxxxxxxx, xxx xx xxxx, USCG, for
ORDER
Angel Collaku
Astrid Lopez-Goldberg
L. L. Sutter
correction of her military record is denied.
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