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C&p Exam For Peripheral Nerves

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Dave

Question

I am serviced connected for diabetes and filed a new claim for peripheral neuropathy (PN) secondary to diabetes (burning feet and hands). The VA is sending me, according to the VCAA letter, for a C&P Exam for Neurologic Peripheral Nerves and Endocrine Diabetes Mellitus at the local VA hospital. Does anyone know how the VA tests for peripheral neuropathy?

Thank you

Dave

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  • HadIt.com Elder

yes, they will prick your feet to see if you feel it and ask you about your symptoms. They should have done an EMG before the C&P exam. They want to see if your feet and hands are numb. If you have pain tell them you have burning and tingling pain. It is pretty subjective.

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  • HadIt.com Elder

They may do a nerve conduction test where the put a needled in one place and a second needle zap you and measure how long it takes for electricity to go from A to B

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They may do a nerve conduction test where the put a needled in one place and a second needle zap you and measure how long it takes for electricity to go from A to B

I had one from a civilian doctor and it came back as "normal"; the reflex test where they take the mallet and hit you on the knees was abnormal. :P

Still I am on neurotin for the burning and tingling in my leg and feet.

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Guest terrysturgis

When I had my C&P for PN, the examiner checked for range of motion, strength of grip in my hands, sensitivity of both upper and lower body and how I walk. I believe the walking is called gait.

My outside doctor also wrote a letter saving PN is a known secondary condition of DMII and I have it.

Also use the search funtion and find the VA DMII training letter to see if you have any other secondary complications, HBP, eyes, etc.

Take care. Terry Sturgis

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Thanks for the advice. My private diabetic doctor also wrote that my PN in my hands and feet was caused by my service connected diabetes. I provided that statement to the VA. Should that at least service connect the PN as secondary to DM II, but probably at 0 percent? How is PN rated?

Thanks

Dave

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Guest terrysturgis

I do not know how to connect the 38 cfr regs for PN but I can tell you that in my claim the lower body rating is 40% bilaterial and upper body is 20% bilaterial. Range of motion and sensitivity is what my examiner used to apply the ratings. My DMII is rated at 40%. When the examiner moves your legs or hands, if it hurts, say so. I usually try to ignore the pain but I need several medications to help get to sleep at night. Take care. Terry Sturgis

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