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Kinfolk
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Posts posted by Kinfolk
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anyone else
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1 hour ago, Andyman73 said:
Hello Kinfolk, "Anyone Else" here, reporting in! Okay not really, but let me bend your ear momentarily, if I may.
I have pes cavus which is the opposite of planus, that is, claw feet(high arches), with bilateral plantar fasciitis. Because I don't have hammer toes my rate for my feet is 30%
I would hazard a guess that you may well be facing a 30% also. If this is your first rating, it's a good place to start. Keep in mind that feet issues always effect everything above them given enough time. For me, anytime my feet flare up, or my bunion does, within hours my knees, back and neck all begin to ache ?.
Hope this helps you, don't get too excited ? just cautiously optimistic.
Semper Fi
Andy
Thanks for the reply. Out of curiosity does the "Bi lateral factor (+ 10%)" apply to your 30% rating for your feet?
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When I filed my claim I only filed for Left shoulder arthritis. I had my VA facility C&P exam last week and it states I have arthritis and limited ROM on both shoulders and links both to military service. Will the VA go ahead and rate me for both shoulders or will they make me file for the right shoulder separately?
I'm kinda facing the same situation with my back increase claim and Radiculogpthy that was annotated in the examiners report.
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Gas,
Thanks for the reply! I'm currently not connected for my feet. Although I'm not working due to my disabilities, I probably won't seek IU.
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Berta,
Any idea based off the exam what rating i can expect?
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Wondering what potential rating can I expect?
Knee and Lower Leg Conditions
Disability Benefits QuestionnaireName of patient/Veteran:
Is this DBQ being completed in conjunction with a VA 21-2507, C&P
Examination
Request?
[X] Yes [ ] No
ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this
document:
[X] In-person examination
Evidence Review
---------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
1. Diagnosis
------------
a. List the claimed condition(s) that pertain to this DBQ:
b/l knee pain
b. Select diagnoses associated with the claimed condition(s) (Check all that
apply):[X] Knee strain
Side affected: [ ] Right [ ] Left [X] Bothc. Comments (if any):
No response provided
d. Was an opinion requested about this condition (internal VA only)?
[X] Yes [ ] No [ ] N/A
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's knee
and/or lower leg condition (brief summary):
The veteran reports b/l knee pain for several years. Imaging is negative.
Treatment has included PT and NSAIDs. Now, the knees hurt weekly.
b. Does the Veteran report flare-ups of the knee and/or lower leg?
[X] Yes [ ] No
If yes, document the Veteran's description of the flare-ups in his or
her own words:
"more activity causes more pain"
c. Does the Veteran report having any functional loss or functional impairment
of the joint or extremity being evaluated on this DBQ, including but not
limited to repeated use over time?
[ ] Yes [X] No
3. Range of motion (ROM) and functional limitation
--------------------------------------------------
a. Initial range of motion
Right Knee
----------
[ ] All normal
[X] Abnormal or outside of normal range
[ ] Unable to test (please explain)
[ ] Not indicated (please explain)
Flexion (0 to 140): 0 to 50 degrees
Extension (140 to 0): 50 to 0 degreesIf abnormal, does the range of motion itself contribute to functional
loss? [X] Yes (please explain) [ ] No
If yes, please explain:
difficulty with stairs
Description of pain (select best response):
Pain noted on exam and causes functional loss
If noted on exam, which ROM exhibited pain (select all that apply)?
Flexion, Extension
Is there evidence of pain with weight bearing? [ ] Yes [X] No
Is there objective evidence of localized tenderness or pain on palpation of
the joint or associated soft tissue? [X] Yes [ ] No
If yes, describe including location, severity and relationship to
condition(s):
lateral, mild
Is there objective evidence of crepitus? [ ] Yes [X] No
Left Knee
---------
[ ] All normal
[X] Abnormal or outside of normal range
[ ] Unable to test (please explain)
[ ] Not indicated (please explain)
Flexion (0 to 140): 0 to 60 degrees
Extension (140 to 0): 60 to 0 degreesIf abnormal, does the range of motion itself contribute to functional
loss? [X] Yes (please explain) [ ] No
If yes, please explain:
difficulty with stairs
Description of pain (select best response):
Pain noted on exam and causes functional loss
If noted on exam, which ROM exhibited pain (select all that apply)?
Flexion, Extension
Is there evidence of pain with weight bearing? [ ] Yes [X] No
Is there objective evidence of localized tenderness or pain on palpation of
the joint or associated soft tissue? [X] Yes [ ] No
If yes, describe including location, severity and relationship to
condition(s):
lateral, mild
Is there objective evidence of crepitus? [ ] Yes [X] No
b. Observed repetitive use
Right Knee
----------
Is the Veteran able to perform repetitive use testing with at least three
repetitions? [X] Yes [ ] No
Is there additional functional loss or range of motion after three
repetitions? [ ] Yes [X] NoLeft Knee
---------
Is the Veteran able to perform repetitive use testing with at least three
repetitions? [X] Yes [ ] No
Is there additional functional loss or range of motion after three
repetitions? [ ] Yes [X] Noc. Repeated use over time
Right Knee
----------
Is the Veteran being examined immediately after repetitive use over time?
[X] Yes [ ] No
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with repeated use over a period of time?
[ ] Yes [X] No [ ] Unable to say w/o mere speculationLeft Knee
---------
Is the Veteran being examined immediately after repetitive use over time?
[X] Yes [ ] No
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with repeated use over a period of time?
[ ] Yes [X] No [ ] Unable to say w/o mere speculationd. Flare-ups
Right Knee
----------
Is the exam being conducted during a flare-up? [ ] Yes [X] No
If the examination is not being conducted during a flare-up:
[ ] The examination is medically consistent with the Veteran's
statements describing functional loss during flare-ups.
[ ] The examination is medically inconsistent with the Veteran's
statements describing functional loss during flare-ups. Please
explain.
[X] The examination is neither medically consistent or inconsistent
with
the Veteran's statements describing functional loss during
flare-ups.
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with flare-ups?
[ ] Yes [X] No [ ] Unable to say w/o mere speculationLeft Knee
---------
Is the exam being conducted during a flare-up? [ ] Yes [X] No
If the examination is not being conducted during a flare-up:
[ ] The examination is medically consistent with the Veteran's
statements describing functional loss during flare-ups.
[ ] The examination is medically inconsistent with the Veteran's
statements describing functional loss during flare-ups. Please
explain.
[X] The examination is neither medically consistent or inconsistent
with
the Veteran's statements describing functional loss during
flare-ups.
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with flare-ups?
[ ] Yes [X] No [ ] Unable to say w/o mere speculatione. Additional factors contributing to disability
Right Knee
----------
In addition to those addressed above, are there additional contributing
factors of disability? Please select all that apply and describe:
Less movement than normal due to ankylosis, adhesions, etc., Disturbance
of locomotion, Interference with standing
Left Knee
---------
In addition to those addressed above, are there additional contributing
factors of disability? Please select all that apply and describe:
Less movement than normal due to ankylosis, adhesions, etc., Disturbance
of locomotion, Interference with standing
4. Muscle strength testing
--------------------------
a. Muscle strength - Rate strength according to the following scale:
0/5 No muscle movement
1/5 Palpable or visible muscle contraction, but no joint movement
2/5 Active movement with gravity eliminated
3/5 Active movement against gravity
4/5 Active movement against some resistance
5/5 Normal strength
Right Knee: Rate Strength:
Flexion: 5/5
Extension: 5/5
Is there a reduction in muscle strength? [ ] Yes [X] No
Left Knee: Rate Strength:
Flexion: 5/5
Extension: 5/5
Is there a reduction in muscle strength? [ ] Yes [X] No
b. Does the Veteran have muscle atrophy?
[ ] Yes [X] No
c. Comments, if any:
No response provided
5. Ankylosis
------------
No response provided
6. Joint stability tests
------------------------
a. Is there a history of recurrent subluxation?Right: [X] None [ ] Slight [ ] Moderate [ ] Severe
Left: [X] None [ ] Slight [ ] Moderate [ ] Severe
b. Is there a history of lateral instability?Right: [X] None [ ] Slight [ ] Moderate [ ] Severe
Left: [X] None [ ] Slight [ ] Moderate [ ] Severe
c. Is there a history of recurrent effusion?[ ] Yes [X] No
d. Performance of joint stability testingRight Knee:
Was joint stability testing performed?
[X] Yes
[ ] No
[ ] Not indicated
[ ] Indicated, but not able to performIf joint stability testing was performed is there joint instability?
[ ] Yes [X] No
If yes (joint stability testing was performed), complete the section
below:
- Anterior instability (Lachman test)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)
- Posterior instability (Posterior drawer test)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)
- Medial instability (Apply valgus pressure to knee in extension
and with 30 degrees of flexion)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)
- Lateral instability (Apply varus pressure to knee in extension
and with 30 degrees of flexion)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)Left Knee:
Was joint stability testing performed?
[X] Yes
[ ] No
[ ] Not indicated
[ ] Indicated, but not able to performIf joint stability testing was performed is there joint instability?
[ ] Yes [X] No
If yes (joint stability testing was performed), complete the section
below:
- Anterior instability (Lachman test)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)
- Posterior instability (Posterior drawer test)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)
- Medial instability (Apply valgus pressure to knee in extension
and with 30 degrees of flexion)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)
- Lateral instability (Apply varus pressure to knee in extension
and with 30 degrees of flexion)
[X] Normal
[ ] 1+ (0-5 millimeters)
[ ] 2+ (5-10 millimeters)
[ ] 3+ (10-15 millimeters)e. Comments, if any:
No response provided
7. Additional conditions
------------------------
a. Does the Veteran now have or has he or she ever had recurrent patellar
dislocation, "shin splints" (medial tibial stress syndrome), stress
fractures, chronic exertional compartment syndrome or any other tibial
and/or fibular impairment?
[ ] Yes [X] No
b. Comments, if any:
No response provided
8. Meniscal conditions
----------------------
a. Does the Veteran now have or has he or she ever had a meniscus (semilunar
cartilage) condition?
[ ] Yes [X] No
b. For all checked boxes above, describe:
No response provided
9. Surgical procedures
----------------------
No response provided
10. Other pertinent physical findings, complications, conditions, signs,
symptoms and scars
------------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings, complications,
conditions, signs or symptoms related to any conditions listed in the
Diagnosis Section above?
[ ] Yes [X] No
b. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
Section above?
[ ] Yes [X] No
c. Comments, if any:
No response provided
11. Assistive devices
---------------------
a. Does the Veteran use any assistive device(s) as a normal mode of
locomotion,
although occasional locomotion by other methods may be possible?
[ ] Yes [X] No
b. If the Veteran uses any assistive devices, specify the condition and
identify the assistive device used for each condition:
No response provided
12. Remaining effective function of the extremities
---------------------------------------------------
Due to the Veteran's knee and/or lower leg condition(s), is there functional
impairment of an extremity such that no effective function remains other than
that which would be equally well served by an amputation with prosthesis?
(Functions of the upper extremity include grasping, manipulation, etc., while
functions for the lower extremity include balance and propulsion, etc.)
[ ] Yes, functioning is so diminished that amputation with prosthesis would
equally serve the Veteran.
[X] No13. Diagnostic testing
----------------------
a. Have imaging studies of the knee been performed and are the results
available?
[X] Yes [ ] No
If yes, is degenerative or traumatic arthritis documented?
[ ] Yes [X] No
b. Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
c. If any test results are other than normal, indicate relationship of
abnormal
findings to diagnosed conditions:
No response provided
14. Functional impact
---------------------
Regardless of the Veteran's current employment status, do the condition(s)
listed in the Diagnosis Section impact his or her ability to perform any type
of occupational task (such as standing, walking, lifting, sitting, etc.)?
[X] Yes [ ] No
If yes, describe the functional impact of each condition, providing one or
more examples:
difficulty standing long periods, walking long distances
15. Remarks, if any:
--------------------
No response provided
a. The condition claimed was at least as likely as not (50% or greater
probability) incurred in or caused by the claimed in-service injury, event
or
illness.c. Rationale: The veteran has b/l knee and shoulder conditions since the
service. The symptoms have continued since release from active duty.
-
Berta,
Here's the statement below. For some reason he put all of his opinions on a separate form.
a. The claimed condition, which clearly and unmistakably existed prior to
service, was aggravated beyond its natural progression by an in-service
event, injury or illness.c. Rationale: The veteran's flatfeet symptoms got progressively worse in the
service. Most treatments now provide little relief. -
Shoulder Possible Rating???
Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination
Request?
[X] Yes [ ] No
ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this document:
[X] In-person examination
Evidence Review
---------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
1. Diagnosis
------------
a. List the claimed condition(s) that pertain to this DBQ:
b/l shoulder pain
b. Select diagnoses associated with the claimed condition(s) (check all that
apply):
[X] Arthritic conditions
[X] Arthritis, degenerative
Side affected: Bothc. Comments, if any:
No response provided
d. Was an opinion requested about this condition?
[X] Yes [ ] No [ ] N/A
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's
shoulder
or arm condition (brief summary):
The veteran reports b/l shoulder pain since 2001. Imaging reveals b/l AC
joint DJD. Treatment has included PT, massages and NSAIDs. Now, the
shoulders hurt daily.
b. Dominant hand:
[X] Right [ ] Left [ ] Ambidextrous
c. Does the Veteran report flare-ups of the shoulder or arm?
[X] Yes [ ] No
If yes, document the Veteran's description of the flare-ups in his or
her own words:
"carrying things make it worse"
d. Does the Veteran report having any functional loss or functional
impairment
of the joint or extremity being evaluated on this DBQ (regardless of
repetitive use)?
[ ] Yes [X] No
3. Range of motion (ROM) and functional limitation
--------------------------------------------------
a. Initial range of motion
Right Shoulder
--------------
[ ] All Normal
[X] Abnormal or outside of normal range
[ ] Unable to test (please explain)
[ ] Not indicated (please explain)
Flexion (0 to 180): 0 to 90 degrees
Abduction (0 to 180): 0 to 80 degrees
External rotation (0 to 90): 0 to 90 degrees
Internal rotation (0 to 90): 0 to 90 degreesIf abnormal, does the range of motion itself contribute to functional
loss? [X] Yes (please explain) [ ] No
If yes, please explain:
difficulty with overhead activities
Description of pain (select best response):
Pain noted on exam and causes functional loss
If noted on exam, which ROM exhibited pain (select all that apply)?
Flexion, Abduction
Is there evidence of pain with weight bearing? [X] Yes [ ] No
Is there objective evidence of localized tenderness or pain on palpation of
the joint or associated soft tissue? [X] Yes [ ] No
If yes, describe including location, severity and relationship to
condition(s):
anterior, mild
Is there objective evidence of crepitus? [ ] Yes [X] No
Left Shoulder
-------------
[ ] All Normal
[X] Abnormal or outside of normal range
[ ] Unable to test (please explain)
[ ] Not indicated (please explain)
Flexion (0 to 180): 0 to 90 degrees
Abduction (0 to 180): 0 to 70 degrees
External rotation (0 to 90): 0 to 90 degrees
Internal rotation (0 to 90): 0 to 90 degreesIf abnormal, does the range of motion itself contribute to functional
loss? [X] Yes (please explain) [ ] No
If yes, please explain:
difficulty with overhead activities
Description of pain (select best response):
Pain noted on exam and causes functional loss
If noted on exam, which ROM exhibited pain (select all that apply)?
Flexion, Abduction
Is there evidence of pain with weight bearing? [X] Yes [ ] No
Is there objective evidence of localized tenderness or pain on palpation of
the joint or associated soft tissue? [X] Yes [ ] No
If yes, describe including location, severity and relationship to
condition(s):
anterior, mild
Is there objective evidence of crepitus? [ ] Yes [X] No
b. Observed repetitive use
Right Shoulder
--------------
Is the Veteran able to perform repetitive use testing with at least three
repetitions? [X] Yes [ ] No
Is there additional functional loss or range of motion after three
repetitions? [ ] Yes [X] No
Left Shoulder
-------------
Is the Veteran able to perform repetitive use testing with at least three
repetitions? [X] Yes [ ] No
Is there additional functional loss or range of motion after three
repetitions? [ ] Yes [X] No
c. Repeated use over time
Right Shoulder
--------------
Is the Veteran being examined immediately after repetitive use over time?
[X] Yes [ ] No
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with repeated use over a period of time?
[ ] Yes [X] No [ ] Unable to say w/o mere speculation
Left Shoulder
-------------
Is the Veteran being examined immediately after repetitive use over time?
[X] Yes [ ] No
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with repeated use over a period of time?
[ ] Yes [X] No [ ] Unable to say w/o mere speculation
d. Flare-ups
Right Shoulder
--------------
Is the exam being conducted during a flare-up? [ ] Yes [X] No
If the examination is not being conducted during a flare-up:
[ ] The examination is medically consistent with the Veteran's
statements describing functional loss during flare-ups.
[ ] The examination is medically inconsistent with the Veteran's
statements describing functional loss during flare-ups. Please
explain.
[X] The examination is neither medically consistent or inconsistent
with
the Veteran's statements describing functional loss during
flare-ups.
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with flare-ups?
[ ] Yes [X] No [ ] Unable to say w/o mere speculation
Left Shoulder
-------------
Is the exam being conducted during a flare-up? [ ] Yes [X] No
If the examination is not being conducted during a flare-up:
[ ] The examination is medically consistent with the Veteran's
statements describing functional loss during flare-ups.
[ ] The examination is medically inconsistent with the Veteran's
statements describing functional loss during flare-ups. Please
explain.
[X] The examination is neither medically consistent or inconsistent
with
the Veteran's statements describing functional loss during
flare-ups.
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with flare-ups?
[ ] Yes [X] No [ ] Unable to say w/o mere speculation
e. Additional factors contributing to disability
Right Shoulder
--------------
In addition to those addressed above, are there additional contributing
factors of disability? Please select all that apply and describe:
Less movement than normal due to ankylosis, adhesions, etc.
Left Shoulder
-------------
In addition to those addressed above, are there additional contributing
factors of disability? Please select all that apply and describe:
Less movement than normal due to ankylosis, adhesions, etc.
4. Muscle strength testing
--------------------------
a. Muscle strength - Rate strength according to the following scale:
0/5 No muscle movement
1/5 Palpable or visible muscle contraction, but no joint movement
2/5 Active movement with gravity eliminated
3/5 Active movement against gravity
4/5 Active movement against some resistance
5/5 Normal strength
Right Shoulder: Rate Strength:
Forward flexion: 5/5
Abduction: 5/5
Is there a reduction in muscle strength? [ ] Yes [X] No
Left Shoulder: Rate Strength:
Forward flexion: 5/5
Abduction: 5/5
Is there a reduction in muscle strength? [ ] Yes [X] No
b. Does the Veteran have muscle atrophy?
[ ] Yes [X] No
c. Comments, if any:
No response provided
5. Ankylosis
------------
No response provided
6. Rotator cuff conditions
--------------------------
Is rotator cuff condition suspected?
Right Shoulder: [ ] Yes [X] NoLeft Shoulder: [ ] Yes [X] No
7. Shoulder instability, dislocation or labral pathology
--------------------------------------------------------
a. Is shoulder instability, dislocation or labral pathology suspected?
[ ] Yes [X] No
8. Clavicle, scapula, acromioclavicular (AC) joint and sternoclavicular joint
conditions
------------------------------------------------------------------------------
a. Is a clavicle, scapula, acromioclavicular (AC) joint or sternoclavicular
joint condition suspected?
[X] Yes [ ] No
If yes, complete questions 8b, 8d and 8e below:
b. Does the Veteran have an AC joint condition or any other impairment of the
clavicle or scapula?
[X] Yes [ ] No
If yes, indicate severity and side affected, and answer 8c below:
[X] Other, describe: AC joint DJD
[ ] Right [ ] Left [X] Both
c. Does the clavicle or scapula condition affect range of motion of the
shoulder (glenohumeral) joint?
[X] Yes [ ] No
d. Is there tenderness on palpation of the AC joint?
[X] Yes [ ] No
If yes, indicate side: [ ] Right [ ] Left [X] Both
e. Cross-body adduction test (Passively adduct arm across the patient's body
toward the contralateral shoulder. Pain may indicate acromioclavicular
joint
pathology.)
[ ] Positive [X] Negative [ ] Unable to perform [ ] N/A
9. Conditions or impairments of the humerus
-------------------------------------------
a. Does the Veteran have loss of head (flail shoulder), nonunion (false flail
shoulder), or fibrous union of the humerus?
[ ] Yes [X] No
b. Does the Veteran have malunion of the humerus with moderate or marked
deformity?
[ ] Yes [X] No
c. Does the humerus condition affect range of motion of the shoulder
(glenohumeral) joint?
No response provided
d. Comments, if any:
No response provided
10. Surgical procedures
-----------------------
No response provided
11. Other pertinent physical findings, complications, conditions, signs,
symptoms and scars
------------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings, complications,
conditions, signs or symptoms related to any conditions listed in the
Diagnosis Section above?
[ ] Yes [X] No
b. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
Section above?
[ ] Yes [X] No
c. Comments, if any:
No response provided
12. Assistive devices
---------------------
a. Does the Veteran use any assistive devices?
[ ] Yes [X] No
b. If the Veteran uses any assistive devices, specify the condition and
identify the assistive device used for each condition:
No response provided
13. Remaining effective function of the extremities
---------------------------------------------------
Due to the Veteran's shoulder and/or arm conditions, is there functional
impairment of an extremity such that no effective function remains other than
that which would be equally well served by an amputation with prosthesis?
(Functions of the upper extremity include grasping, manipulation, etc., while
functions for the lower extremity include balance and propulsion, etc.)
[ ] Yes, functioning is so diminished that amputation with prosthesis would
equally serve the Veteran.
[X] No
14. Diagnostic testing
----------------------
a. Have imaging studies of the shoulder been performed and are the results
available?
[X] Yes [ ] No
If yes, is degenerative or traumatic arthritis documented?
[X] Yes [ ] No
If yes, indicate shoulder: [ ] Right [ ] Left [X] Both
b. Are there any other significant diagnostic test findings or results?
[ ] Yes [X] No
c. If any test results are other than normal, indicate relationship of
abnormal
findings to diagnosed conditions:
No response provided
15. Functional impact
---------------------
Regardless of the Veteran's current employment status, do the condition(s)
listed in the Diagnosis Section impact his or her ability to perform any type
of occupational task (such as standing, walking, lifting, sitting, etc.)?
[X] Yes [ ] No
If yes, describe the impact of each of the Veteran's shoulder conditions
providing one or more examples:
difficulty with overhead activities, lifting heavy objects
16. Remarks, if any:
--------------------
No remarks provided -
What type of rating can I expect?
Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination
Request?
[X] Yes [ ] NoACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete thisdocument:
[X] In-person examinationEvidence Review
---------------
Evidence reviewed (check all that apply):[X] VA e-folder (VBMS or Virtual VA)
1. Diagnosis
------------
a. List the claimed condition(s) that pertain to this DBQ:b/l flatfeet, hallux valgus, plantar fasciitis
b. Select diagnoses associated with the claimed condition(s):[X] Flat foot (pes planus) Side affected: Both
[X] Hallux valgus
Side affected: Both[X] Plantar fasciitis Side affected: Both
c. Comments (if any): No response provided
d. Was an opinion requested about this condition (internal VA only)? [X] Yes [ ] No [ ] N/A
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran'sfoot
condition (brief summary):
The veteran reports b/l foot pain. It's been diagnosed as b/l pesplanus,
hallux valgus and plantar fasciitis. Treatment has included orthotics, shoes, Mobic, night splints and PT. Now, the feet hurt daily.b. Does the Veteran report pain of the foot being evaluated on this DBQ? [X] Yes [ ] No
If yes, document the Veteran's description of pain in his or her own
words:
"my feet hurt daily"c. Does the Veteran report that flare-ups impact the function of the foot? [ ] Yes [X] No
d. Does the Veteran report having any functional loss or functional impairment of the foot being evaluated on this DBQ (regardless of repetitive use)?
[ ] Yes [X] No3. Flatfoot (pes planus)
------------------------
a. Does the Veteran have pain on use of the feet? [X] Yes [ ] NoIf yes, indicate side affected: [ ] Right [ ] Left [X] Both If yes, is the pain accentuated on use? [X] Yes [ ] No
If yes, indicate side affected: [ ] Right [ ] Left [X] Both
b. Does the Veteran have pain on manipulation of the feet? [X] YesIf yes, indicate side affected: [ ] Right [ ] Left [X] Both
If yes, is the pain accentuated on manipulation? [X] Yes [ ] NoIf yes, indicate side affected: [ ] Right [ ] Left [X] Both
c. Is there indication of swelling on use? [ ] Yes [X] No
d. Does the Veteran have characteristic callouses? [X] Yes [ ] NoIf yes, indicate side affected: [ ] Right [ ] Left [X] Both
e. Effects of use of arch supports, built-up shoes or orthotics:Tried But Remains Symptomatic -----------------------------
[ ] No
Device
[X] Built-up Shoes [X] OrthoticsSide Not Relieved:
[ ] Right [ ] Left [X] Both[ ] Right [ ] Left [X] Both
f. Does the Veteran have extreme tenderness of plantar surfaces on one or both feet? [ ] Yes [X] No
g. Does the Veteran have decreased longitudinal arch height of one or both feet
on weight-bearing? [X] Yes [ ] No
If yes, indicate side affected: [ ] Right [ ] Left [X] Bothh. Is there objective evidence of marked deformity of one or both feet (pronation, abduction etc.)? [X] Yes [ ] No
If yes, indicate side affected: [ ] Right [ ] Left [X] Both
i. Is there marked pronation of one or both feet? [ ] Yes [X] Noj. For one or both feet, does the weight-bearing line fall over or medial to the great toe? [ ] Yes [X] No
k. Is there a lower extremity deformity other than pes planus, causing alteration of the weight-bearing line? [ ] Yes [X] No
l. Does the Veteran have "inward" bowing of the Achilles tendon (i.e., hindfoot
valgus, with lateral deviation of the heel) of one or both feet? [ ] Yes [X] No
m. Does the Veteran have marked inward displacement and severe spasm of the Achilles tendon (rigid hindfoot) on manipulation of one or both feet?
[ ] Yes [X] Non. Comments: No comments provided
4. Morton's neuroma (Morton's disease) and metatarsalgia --------------------------------------------------------
No response provided5. Hammer toe -------------
No response provided6. Hallux valgus
----------------
a. Does the Veteran have symptoms due to a hallux valgus condition?[X] Yes [ ] No
If yes, indicate severity:
[X] Mild or moderate symptoms
Side affected: [ ] Right [ ] Left [X] Bothb. Has the Veteran had surgery for hallux valgus? [ ] Yes [X] No
c. Comments: No comments provided
7. Hallux rigidus -----------------
No response provided8. Acquired pes cavus (clawfoot) --------------------------------
No response provided9. Malunion or nonunion of tarsal or metatarsal bones -----------------------------------------------------
No response provided
10. Foot injuries and other conditions --------------------------------------
No response provided11. Surgical procedures -----------------------
No response provided12. Pain --------
RIGHT FOOT:Is there pain on physical exam? [X] Yes [ ] No
If yes, (there is pain on physical exam), does the pain contribute to functional loss?
[X] Yes [ ] No(Further description of limitations requested in Section XIII below.)
LEFT FOOT:
Is there pain on physical exam? [X] Yes [ ] No
If yes, (there is pain on physical exam), does the pain contribute to functional loss?
[X] Yes [ ] No(Further description of limitations requested in Section XIII below.)
13. Functional loss and limitation of motion --------------------------------------------
a. Contributing factors of disability (check all that apply and indicate sideaffected):
[X] Excess fatigability
Side affected: [ ] Right [ ] Left [X] Both[X] Pain on movement
Side affected: [ ] Right [ ] Left [X] Both[X] Pain on weight-bearing
Side affected: [ ] Right [ ] Left [X] Both[X] Pain on non weight-bearing
Side affected: [ ] Right [ ] Left [X] Both[X] Disturbance of locomotion
Side affected: [ ] Right [ ] Left [X] Both[X] Interference with standing
Side affected: [ ] Right [ ] Left [X] Both[X] Lack of endurance
Side affected: [ ] Right [ ] Left [X] BothContributing factors of disability associated with limitation of motion:
b. Is there pain, weakness, fatigability, or incoordination that significantly limits functional ability during flare-ups or when the foot is used repeatedly over a period of time?
RIGHT FOOT: [ ] Yes [X] No LEFT FOOT: [ ] Yes [X] No
c. Is there any other functional loss during flare-ups or when the foot is used
repeatedly over a period of time? RIGHT FOOT: [ ] Yes [X] No
LEFT FOOT: [ ] Yes [X] No14. Other pertinent physical findings, complications, conditions, signs, symptoms and scars
------------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings, complications,conditions, signs or symptoms related to any conditions listed in the Diagnosis section above?
[ ] Yes [X] Nob. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis section above?
[ ] Yes [X] Noc. Comments: No comments provided
15. Assistive devices
---------------------
a. Does the Veteran use any assistive devices as a normal mode of locomotion,although occasional locomotion by other methods may be possible? [ ] Yes [X] No
b. If the Veteran uses any assistive devices, specify the condition and identify the assistive device used for each condition:
No response provided.16. Remaining effective function of the extremities ---------------------------------------------------
Due to the Veteran's foot condition, is there functional impairment of an extremity such that no effective function remains other than that which would be equally well served by an amputation with prosthesis? (Functions of the upper extremity include grasping, manipulation, etc., while functions for the lower extremity include balance and propulsion, etc.)[ ] Yes, functioning is so diminished that amputation with prosthesis would equally serve the Veteran.
[X] No
17. Diagnostic testing
----------------------
a. Have imaging studies of the foot been performed and are the resultsavailable?
[ ] Yes [X] Nob. Are there any other significant diagnostic test findings or results? [ ] Yes [X] No
c. If any test results are other than normal, indicate relationship of abnormal
findings to diagnosed condition: No response provided
18. Functional impact
---------------------
Regardless of the Veteran's current employment status, do thecondition(s)
listed in the Diagnosis section impact his or her ability to perform any type of occupational task (such as standing, walking, lifting, sitting, etc.)?
[X] Yes [ ] NoIf yes, describe the functional impact of each condition, providing one or more examples:
difficulty standing long periods, walking long distances19. Remarks, if any: --------------------
No remarks provided****************************************************************************
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What rating can I expect with the below listed ROM measurements for knee strain?
(0 to 140): 0 to 50 degrees Extension (140 to 0): 50 to 0 degrees L
(0 to 140): 0 to 60 degrees Extension (140 to 0): 60 to 0 degrees R -
On October 1, 2016 at 10:08 AM, Punisher3A1 said:
Just to post an update, I submitted my claim in May and was awarded 30% for IBS-D with an effective date of June 2015, which was the date i submitted my intent to file.
My total is now 60% service connected.
Did you file under Gulf War?
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Im sorry but where did I state "what veteran should do"? Based off the novel you posted above, that would be your position. Didn't mean to ruffle your feathers. I'll take your advice now and go educate myself ;)
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On September 16, 2016 at 0:57 AM, lotzaspotz said:
Are you asking if you can give your private (non-VA) Doctor the DBQ form to complete that covers the disability you're claiming? If so, yes, you can establish a diagnosis that way as evidence. However, the VA may (and likely will) still arrange for you to undergo a compensation and pension exam of its own.
Yes thats exactly what I was wondering. Although my doctor is Active duty (My wife's active air force) Im wondering if that will carry a little more weight with the VA in comparison if I was being seen by a civilian doctor. Thanks for answering
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Can a DBQ submitted with my claim be used to establish diagnosis?
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Can a DBQ submitted with my claim be used to establish diagnosis?
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If you're not getting any defenitive answers from your VSO, contact your congressman. That'll surely get your claim moving along.
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So... I got out of the Army In may of 2005 after returing from Iraq due to being "stopped-lossed", where I spent 18 months in Iraq. Once we got back to Garrison (Bamberg Germany) those of us who were stop-lossed were being ushered out of our units at the speed of light. I was told at the time (which was due to Uncle Sam not wanting to foot the Bill later on down the road for us being "Voluntold" to stay past our ETS dates). Most of us had already clocked about 18 months of our time that the Army would have had to pay us for. In the process of this I was out-processed from the military without receiving an separation physical. I NEVER at any point signed anything waiving my rights. The ETS physical documents and checklist were uploaded to my STR's, the checklist is signed off on by a physican and the 2807-1, 2697, and 2808 are blank with only my name and SSN.Because of this I've been unable to receive to correct benefit compensation from the VA. Im thinking about contacting a lawyer and seeing what my options are as far suing the Army. Has anyone ever sued the military and been succesfull? Would have a legitmate case? Any help or comments would be appreciated.
100%!!!!!
in Success Stories
Posted
Just found out I am now rated at 100% non P&T up from 60%. What am I entitled to from the VA outside of the monetary award? By the way I've already located all of my texas entitlements just wondering about my VA entitlements.