I'm not sure the best way to go about my recent decision. Any suggestions would be helpful.
I was granted 20% for psoriatic arthritis (hands, feet,elbow) all combined to one rating back in 2017. I also had 0% psoriasis since 2013.
These were the results from my decision letter: CUE for psoriatic arthritis because they should have been rated separately. Now they rated me 10% for left foot and 10% for right foot based on moderate symptoms (5284). 10% for psoriatic arthritis elbow for flexion limited to 100 degrees. 5 deferred ratings for psoriatic arthritis of each finger in my left hand. They increased psoriasis from 0% to 10% even though I've been on Humira since 2017 and recently changed to Cosentyx this year. I was denied service connection for low back pain.
X-ray Evidence from 12/2019:
Left Foot: Pes Planus, calcaneal spurring at planter insertion
Right Foot: Pes Planus, calcaneal spurring at planter insertion, mild hallux values, bipartite medial sesamoid bone.
Back: Marginal osteophyte lower thoracic spine, unilateral Left L4 spondylolysis. Mild facet arthropathy lower lumber spine. Significant degenerative changes lower thoracic spine.