berta I just typed the va opinion "we received an opinion from ne orthopedics stating that your physician felt your cold injury,which occurred in the military,was most likely the the cause of your cts." your va exam dated 3-22-2011,showed you had a diagnosis of bilateral cts.the examiner opined that it was less likely than not your cts was a result of your cold injurys.the rational that the examiner provided was although cts can be caused by cold injuries,it is generally proportional to the depth of the cold penetration and tissue damage at the time of the injury.he noted that your service treatment rec.did not contain evidence of any treatment for cold injury to your hands while in the military.as well the records do not show the evidence of the depth of you cold injury,or tissue damage.although the medical evidence shows that you have been diag. with bilateral cts and you provided a imo we found that the medical opinion we recived from the va medical center was more persuasive than your phy.opinion because it was based on your military rec.based on the toltality of the evidence,service conn.for bilateral cps secondary to residuals of frostbite of the hands is denied because we did not find that your ser-conn disability either caused or aggravated your additional disability.of bilateral cts.as well,your claim is denied on a direct basis as there is no evidence showing that your disability neither occurred in nor was caused by your military service. I also sent a 2nd imo to them.also I stated before at the time of the injury I was diag. with two sprained ankles. five days latter admitted to navel hospital in boston.