My wife was medically discharged from the USAF 15 years ago and rated at zero percent from the VA. We were young and did not know what to do so we simply took the rating and moved on with our lives. My wifes condition has become severe and she can hardly get out of bed. We found this great site and started our quest for justice and we really owe so much to everyone; Thank you , thank you , thank you. My wife finally received a 20 percent rating from her knees but she is still rated zero percent for her back because the last C&P did not have a Range of Motion completed. We notified the VA through our DAV office, the VA has done a great job getting my wife another appointment to have her ROM completed. We have found many helpful people along the way to include the VA, the DAV, the Doctors and nurses at the VA, and of course the great group of people on hadit.
My wifes last C&P clearly stated she should be at 40 percent for her back, however there was not a ROM test completed. The Doctor even put the words that she should be at 40 percent. My wife recent C&P was only 5 minutes long and it was simply for Range of Motion. Can someone please look at the report below and give us a opinion?
Again Thank you all so much.
Objective abnormalities of Thoracic Sacrospinalysis
Spasm
Left: Yes
Right: Yes
Atrophy:
Left: No
Right: No
Guarding
Left: No
Right: No
Pain with Motion
Left: Yes
Right: Yes
Tenderness
Left: Yes
Right: Yes
Weakness
Left: No
Right: No
Is the muscle spasm, Localized Tenderness or guarding severe enough to be responsible for abnormal Gait or abnormal spinal contour: NO
CERVICAL SPINE RANGE OF MOTION- (Thoraco-lumbar spine range of motion)
Active Motion
Flexion: 0-30 Degrees
Extension: 0-8 Degrees
Left Lateral Flexion: 0-15
Left Lateral Rotation: 0-15
Right Lateral Flexion: 0-15
Right Lateral Rotation:0-15
Is there objective evidence of pain on active ROM: YES
Additional Limitation with Repetitive motion
Is there objectvice evidence of pain following repetitive motion? Yes
Are there additional limitations after three repetitions of Range of Motion? Yes
What is the most important factor? Pain
Range of motion after Repetitive motion:
Flexion: 0-20 Degrees
Extension: 0-8 Degrees
Left Lateral Flexion: 0-15
Left Lateral Rotation: 0-15
Right Lateral Flexion: 0-15
Right Lateral Rotation:0-15
Other significant Phsical Exam Findings:
(+) Deluca, lumbar spine, all range of motions