vlb-all-products

vlb-c-file-manual


  • Topics

  • Member Statistics

    • Total Members
      16,015
    • Most Online
      3,604

    Newest Member
    Cricut
    Joined
  • Forum Statistics

    • Total Topics
      61,355
    • Total Posts
      395,733
  • Posts

    • Am I correct to understand that Project Shad is a completely DEAD ISSUE.  I can find no current discussion anywhere.   Thanks.
    • Good point. Did you use ebenefits?  If so do you recommend it or should I mail it to them?
    • From the FOIA website: Can I ever have my request processed faster than usual or expedited? Under certain conditions you may be entitled to have your request processed on an expedited basis. There are two specific situations where a request will be expedited, which means that it is handled as soon as practicable. These two situations apply to every agency. First, a request will be expedited if the lack of expedited treatment could reasonably be expected to pose a threat to someone's life or physical safety. Second, if an individual will suffer the loss of substantial due process rights, his or her request will be expedited. Agencies can also allow expedited processing for additional reasons. The websites for each agency will provide more information on any additional standards for seeking expedited processing.
    • Gastone, Apparently, you are not getting what I am saying? first of all, the PTSD/MST and bladder are tied together.  They go hand in hand. When I had my C&P for PTSD/MST, I mentioned to the doctor, "what about my bladder C&P? are they gonna do one?"  soooooo..........what makes sense to me is, They have already decided on the PTSD, but would like the bladder C&P info to rate it for secondary, or else why wouldn't they send me for more psychological evaluation? I already mentioned that I have CLEAR markers and info from service records to indicate MST.  I think the PTSD/MST and bladder are related together.  They are waiting for an opinion about my bladder which I am already on SSDI for.  For whatever reason, they may be trying to help me tie it together.  This is what my VSO thinks as well.  I have had enough negativity in my own mind for way too long, just have to be positive at this point.
    • The reason I get travel pay for scheduled VA appointments is I live over 40 miles from the nearest VA location that can provide the needed services.  This includes eye exams, annual physicals, and even scheduled lab work I believe (although the lab is very good about taking me early if I am fasting).  





kevin gouveia

Ivds Of Lumbar Spine Rating

4 posts in this topic

Hello,

back in 2006 I was given rating of 60% for degenerative disc disease of lumbar spine with status post laminectomy and lumbar fusion. I received a letter from the VA stating my diagnosis is changed to IVDS of lumbar spine s/p laminectomy and lumbar fusion with scar and degenerative disc disease. The closest analogous peripheral nerve is the deep peroneal nerve. Remarks for the VA Dr. the effect of the condition on the claimant's daily activity is severe. Question: What does this mean and will my rating go down or will it increase. Thanks, Kevin

Share this post


Link to post
Share on other sites



They should have informed you of any change. Our resident lumbar spine expert, Rentalguy will chime in an give you some detailed info on your issue.

J

Edited by jbasser

Share this post


Link to post
Share on other sites

kevin, this just did not just come out of the blue did it? Are you in the middle of anther claim or did you have an appeal on the 2006 claim? Basically, you need to actively maintain proof of emergency room/walk-in visits and/or orders for bed-rest by the treating Dr for your back issues.

Share this post


Link to post
Share on other sites

Your rating most likely will be reduced. You were most likely initially given the 60% rating after the surgery because of the doctor prescribed bedrest necessary for your recuperation. Since that is no longer in effect, and in the absence of six weeks of doctor prescribed bed rest in the last twelve months, you will have to be rated based upon range of motion under dx code 5243. Since you had a fusion, your spine is fixed in position. Do not let them try to tell you have any range of motion, because the surgery itself dictates that you do not. Unless the surgery went horribly wrong, your thoracolumbar spine should be fixed in the anatomical nuetral position, which translates to "favorable ankylosis." Under the general formula for rating conditions of the spine, favorable ankylosis of the thoracolumbar spine equals a rating of 40%. Now if the surgery left your spine fixed in any position other than anatomical nuetral, that would be a rating of 50%. I would try to find a doctor who could either prescribe six weeks or more of bed rest very soon, or find a doc who can prove that your spine has unfavorable ankylosis.

Regarding the peroneal nerve and radiculopathy; they don't like to give very high ratings for radiculopathy. The VA Training Letter on IVDS states that the majority of rating for nerve damage should be fixed at 10%, with severe cases being assigned a 20% evaluation. I don't know exactly where they come up with this at, but the highest ratings for lumbar radiculopathy involve a foot drop and weakened motion below the knee, and can go up to 80% when rated under dx code 8520 (sciatic nerve). The highest rating for dx code 8521 (external popliteal nerve/common peroneal) is 40% with a foot drop. The majority of IVDS sufferers have sciatica, which means that they should be rated under dx code 8520. Do your best to get a doc to give you a written diagnosis of sciatica, and to accurately note any loss of sensation, loss of strength, loss of movement, and muscle atrophy.

If you need more information regarding spine claims, please click on the spine claim repository link in my signature.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now