Berta,
Thanks for attempting to answer my question! I guess I'm a little confused about the bilateral dx. Why would my feet be rated bilateral 10% as opposed to left foot 10% and right foot 10%, or bilateral knee condition instead of being rated left knee 10% and right knee 10%. I haven't filed a NOD, as I am still confused by the bilateral factor.
The 30 % you get-
Are they adding up each of the 10%s above?
DECISION:
1 . Service connection for left knee strain, osteoarthritis is granted with an evaluation of 10 percent effective April 7,2008.
2 . Service connection for right knee strain, osteoarthritis is granted with an evaluation of 10 percent effective April 7, 2008.
3. Evaluation of post traumatic plantar fasciitis, which is currently 10 percent disabling, is continued.
Are they saying one knee is due to the initial condition and the other is 10% due to the accident?
(Left Knee)
The VA examiner commented that based upon a thorough review of your claims folder, it is not as least likely that you bilateral knee condition is related and secondary to plantar faciitis.
It is more likely that per the history of you it is as least as likely as not your left knee was injured by the motor vehicle accident that occurred in 1999 while on active duty, which required medical attention and continue to be bothersome until the present time. You had this onset while on active duty. You have a present diagnosis and thorough history as the nexus of the two. The examiner further commented that your history of significant plantar fasciitis, which causes abnormal weight bearing permanent aggravated your left knee condition.
(Right Knee)
The VA examiner commented that based upon a thorough review of your claims folder, it is not as least likely lhat your right knee condition is related and secondary to plantar faciitis,
You have a present diagnosis and thorough history as the nexus of the two. The VA examiner stated that it is very reasonable, that as a result of your left knee condition you have favored it and it has developed a right knee condition and it is as least likely as not your right knee condition is secondary to potential service connected left knee injury that was incurred in 1999. The rationale for this is because of abnonnal weight bearing, loading of the joint would lead to abnonnal biomechanical and biomechanical changes to the particular cartilage leading to thinning, softening. fibrillation, fissures, ulcerations, erosions of the articular cartilage further leading to subchondrol bone changes including sclerosis, subchondrol cyst, ostophyte changes and to the joint space narrowing that is present.
The examiner further commented that your history of significant plantar fasciitis, which causes abnonnal weight bearing permanently, aggrivated your right knee condition.
So in a nut-shell, issues with left knee caused by car accident, issues with right knee secondary to left knee condition, aggrivated by bilatteral foot condition. I am aloso experiencing a lot of right hip pain, and lower back issues.
Did they raise the "Deluca factor" in their decision as to the pain you have?
No mention, other than I experience frequent pain.