[Retro Pay After Bva Decision]

DeeMan,

What was wrong with your wrist? The reason I ask is I had torn ligaments that were repaired and I only received 10% based on a diagnosis of having a chronic "sprain" in my wrist. And it is very rare that wrist problems arise that can be researched.

Herkemeyer

[I Am So Confused]

Hello all,

I have received my rating and it has my wrist rated at 10% for a chronic wrist strain/sprain. I spoke with my primary doctor and he called shenanigans on the whole chronic sprain diagnosis. However, he wants to send me back to the same surgeon who did my surgery and his only concern is the stability of his work NOT my pain or lack of ROM. I am about to switch health insurance so maybe I can get another opinion from a new orthopedic surgeon. Anyone have any suggestions on moving forward.

I know that ROM ratings are pretty stringent but I just don't understand how I have the same rating as my wife and she has no loss of ROM and no daily pain.

[I Am So Confused]

Purple,

I have only been seeing the surgeon to evaluate my progress and Physical Therapy. But my last surgeon APPT. was in OCT. 08 just prior to my C&P. The only concern he has is the stabilty of his work, not any collateral effects ie. pain, ROM, functionality. And Physical Therapy ended in Jul. 08 after they stated I had plateaued and further treatment would not be beneficial.

This has been an ongoing issue for going on ten years. It was only in late 2007 that I received a definitive diagnosis of a torn ligament and received the recommendation for surgery. So going and seeing my primary doc has tapered off greatly over the past ten years since they were no help.

[I Am So Confused]

Okay, So I received my C&P Copy on Saturday and here is what it said about my right wrist. Here is what it said:

surgery performed to repair L/T ligament

ROM

Palmer flexion 0 to 45 % with moderate pain

Dorsal flexion 0 to 50% with moderate pain

Supination and pronation not abnormal

patient refrains from lifting over 35 lbs.

Final Diagnosis - Chronic right wrist sprain - post-surgical

No X-rays were taken due to surgery within the past year.

I guess this raises more questions. Like does this diagnosis preclude a presence of ankylosis? Or how do I get a chronic wrist sprain as a result of surgery? Kind of sounds like I might be getting the smoke blown up my Keester.

Anyone care to comment or advise.

thanks,

eric

[I Am So Confused]

Berta,

I haven't tried to get the exam. I thought it was something I would have to get with my C-file once a decision has been made. I will however get on that first thing tomorrow.

[I Am So Confused]

Hello All,

I have been lurking around the site for a couple of months, but finally decided to jump in. I am confused at the wording on the schedule. I had wrist surgery approx. one year ago, prior to my ETS. This is what the schedule says:

5214 Wrist, ankylosis of:

Unfavorable, in any degree of palmar flexion, or with

ulnar or radial deviation.................................................................... 50......... 40

Any other position, except favorable.................................................. 40......... 30

Favorable in 20º to 30º dorsiflexion.................................................... 30......... 20

Note: Extremely unfavorable ankylosis will be rated as loss of use of hands under diagnostic code 5125.

At my C&P, the examiner noted my range of motion at 45degrees palmer flexion and 30 degrees dorsal flexion. So if I have pain when my wrist flexes forward than I have ankylosis in any degree. Am I right here? I have not received my rating yet, I just want to be prepared for all situations and have a plan. Any advice I can get would be greatly appreciated.