Thank you all for your service and help! I was a 88M Combat truck driver, E-5 in the Army. I did 2 tours to Iraq June 2006-Oct 2007 with 10,000 miles. Then got called up IRR and deployed again to Iraq April-2009-May-2010 and drove ANOTHER 10,000 miles. Because I was too busy on missions and had a million other things to worry about like IED's, I didn't complain about my wrist. Everyone was in pain but we just drove on running on adrenaline. And because there is no "paper trail" , my wrist condition is not connected to service. After all the miles and loads I've secured....
Even though I am 90% SERVICE CONNECTED for PTSD, arthritis, lumbar strain, degenerative disc syndrome, tinnitus, bilateral knees and ankles. It seems like they just don't want to give me the 100%... I am in PAIN and am in my 30's feeling like I'm in my 80's. I did the RAMP and am not sure if that is going to back fire on me or not. Any help is appreciated!!! Thank you all again for your time and service!!!! Please read what follows I am beyond frustrated.
RESTATEMENT OF REQUESTED OPINION:
a. Opinion from general remarks: MEDICAL OPINION REQUEST TYPE OF MEDICAL OPINION REQUESTED: Direct service connection
OPINION: Direct service connection Does the Veteran have a diagnosis of
(a) right wrist condition that is at least as likely as not (50 percent or greater probability) incurred in or caused by (the) potential injury to the wrist from driving hazardous roads in Iraq during service? Rationale must be provided in the appropriate section.
b. Indicate type of exam for which opinion has been requested: right wrist condition TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] b. The condition claimed was less likely than not (less than 50% probability) incurred in or caused by the claimed in-service injury, event or illness.
c. Rationale: The veteran's efile has been reviewed. The veteran is diagnosed with right hand tendonitis and right wrist tendonitis. Entry exam 4/11/20012 was silent for pre-existing condition. Upon review of STRs, there is no documentation of Veteran's complaints of hand or wrist pain that I can find in available service treatment records. PDHA 12/2/2007 specificaly notes no wrist or hand pain. She had a general medical exam just after separation 8/27/2010 that mentions no issue/condition with her hand or wrist. CPRS records reviewed and PCP note from 6/10/10 notes no hand or wrist complaint. Although it is documented the veteran did drive over 10,000 miles in service there is no documentation of pain complaints during or after her deployment while in service that I can find. The first documented visit for her right hand/wrist condition was 8/31/2017, several years after separation. Based on this, it is difficult to connect her current hand/wrist condition to her service. Therefore, the veteran has a diagnosis of Right hand and wrist tendonitis that is less likely than not incurred in or caused by her service.