So for what exactly did you file your claim in 1999? Originally it was for Paresthesia claimed as swolen and aching hands
What was the DC code they used for this disability?
I am confused when they said there was no diagnosis and then you state that the C & P gave you a diagnosis of parethisia. Can you explain? Here is the statement from the examiner report.
Here is the reason for denial:
The service medical records are negatite for treatment of swollen and aching hands. At the VA examination, the
veteran reported a history that his han4s do not sweat. This was noted as a complaint in September 1998, He also
reports that when the hands get warm fnd when he is active or using them a lot, they hurt and swell up. He reports
that at these times, he has difficulty removing his rings off He reports that the discomfort will be alleviated by
placing them in cool water. Nerve conduction studies in service were essentially normal. No chemical burns or
injuries are shown in the service medicM records. He reports no loss of function because of the discomfort.
Examination of the hands showed some mild dryness of the skin. There was no fissuring or cracking. The hands
did not appear to be swollen. No abnormal color was noted, and there was no blanching. the nails were normal.
Normal strength and sensations was present, and he could make a fist without any difficulty. No objective
evidence of pain on active range of motion of the hand including repeated fist opening and closing. Pinch grip,
finger abduction strength, etc., are all normal Sensation was intact to light touch.
C&P Examiner diagnosis.
DIAGNOSES: Paresthesias , h a nds . He denies having problems elsewhere
in the body and this seems to be heat related. I cannot document any
anhidrosis of the hands at this time. The etiology of his
paresthesias and reported mild swelling cannot be determined at this time.