Awhile back I had a nerve conduction study done for Carpal Tunnel and did not get an answer to my question as the severity of it. I was hoping that by posting part of the results someone with knowledge might be able to give me a guestimate on what I might be expecting. Thanks...
--Delayed left median sensory latencies to the thumb, ring finger and transcarpal sensory latencies. --Normal left radial sensory latency. --Absent left ulnar sensory latency to the ring finger. --Normal left ulnar sensory to the small finger and normal transcarpal latency. --Normal left median (to APB) and ulnar (to ADM and FDI) motor latencies with normal amplitudes and conduction velocities. --There is significant delay in median sensory conductions in comparison with ulnar and radial sensory conductions- this is evidenced by an abnormal Combined Sensory Index (CSI) of 1.2 on the right and unable to calculate on the left due to the absent ulnar response to the ring finger (normal <1.0). The CSI is a composite sum score defined as the difference between median vs. ulnar and median vs. radial sensory or mixed nerve latencies, where a normal score is <1.0. Abnormal study. 1. There is electrodiagnostic evidence of a demyelinating right median sensory mononeuropathy at the wrist (carpal tunnel syndrome). There is no evidence of axonal loss on needle EMG. 2. There is electrodiagnostic evidence of a demyelinating left median sensory mononeuropathy at the wrist (carpal tunnel syndrome). 3. There are electrodiagnostic findings which might suggest a possible left sensory neuropathy either at the wrist or elbow. 4. There is no electrodiagnostic evidence of right ulnar neuropathy at the elbow or wrist. 4. There is no electrodiagnostic evidence of right cervical motor radiculopathy. Electrodiagnostic testing is insensitive for the detection of purely sensory radiculopathy.
Hello fellow Vets,
I had a nerve conduction test done with my neurologist and asked if he felt my carpal tunnel was related to military service with which he replied, "yes, definitively and absolutely". I obviously requested him to fill out a DBQ and am currently standing by for it. However, I have read numerous citations for this and cannot come up with a conclusive answer. How in the world does the VA rate carpal tunnel!? I read a few citations that stated the VA does not use terminology such as mild, moderate, or severe to characterize carpal tunnel so how do they rate it? Also, my private neurologist stated that I have moderate to severe carpal tunnel in my right hand and moderate in my left hand. I have attached a PDF of the electric nerve scan and physician impressions for your view. If rated, does anyone have any idea what that rating might be? Also, I have read some stuff about bilateral factors. Would a bilateral factor be applicable with carpal tunnel?Thanks, as always.
EDIT: For some reason I could not upload the PDF. Here is what was written by my doc;
EMG & NCV Findings:
Evaluation of the Left Median Motor nerve showed prolonged distal onset latency (4.7ms) and reduced amplitude (5.8mV). The Right Median Motor nerve showed prolonged distal onset latency (4.9 ms), reduced amplitude (3.3 MV), and decreased conduction velocity (Elbow-Wrist, 30 m/s). The Left Median Anti Sensory nerve showed prolonged distal peak latency (4.0 ms), reduced amplitude (13.5 uV), and decreased conduction velocity (Wrist-2nd Digit, 39 m/s). The Right Median Anti Sensory nerve showed no response (Wrist). All remaining nerves (as indicated in the following tables) were within normal limits.
All examined muscles (as indicated in the following table) showed no evidence of electrical instability.
Bilateral median neuropathies at or distal to the wrists, i.e. carpal tunnel syndrome which appear to be in moderate to severe in the right hand and moderate in the left hand.
Claims Process – Your claim can go from any step to back a step depending on the specifics of the claim, so you may go from Pending Decision Approval back to Review of Evidence. Ebenefits status is helpful but not definitive. Continue Reading
68mustang posted a question in VA Disability Compensation Benefits Claims Research Forum,
GlennieHB posted an answer to a question,
What was the Primary Cause of Death (# 1) as listed on your spouse’s death certificate?
What,if anything, was listed as a contributing cause under # 2?
Was an autopsy done and if so do you have a complete copy of it?
It can be obtained through the Medical Examiner’s office in your locale.
What was the deceased veteran service connected for in his/her lifetime?
Did they have a claim pending at death and if so what for?
If they died from anything on the Agent Orange Presumptive list ( available here under a search) when did they serve and where? If outside of Vietnam, what was their MOS and also if they served onboard a ship in the South Pacific what ship were they on and when? Also did they have any major physical contact with C 123s during the Vietnam War?
And how soon after their death was the DIC form filed…if filed within one year of death, the date of death will be the EED for DIC and also satisfy the accrued regulation criteria.