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Found 13 results

  1. I currently have 20% for arthritis in my upper back. When I use my arms in such a manner like swinging a hammer or holding them up above my head for long periods, it causes pain in my back. Do I have to have pain in my arm or joints in my arm to have a claim? Can I get this service-connected as a secondary disability?
  2. Hello Everyone, I have a question about arthritis rating table below. Is the rating applied for "EACH" major joint (or group of minor joints) affected or is it just one rating for the existence of the arthritis? Example: If rated in both left and right knees as well as left and right ankles ... would that be one rating of 20% for all of them or would it be 20% for each major joint? Thank you in advance for spreading some light on this. 5003 Arthritis, degenerative (hypertrophic or osteoarthritis): Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below: With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations 20 With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups 10 Note (1): The 20 pct and 10 pct ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion. Note (2): The 20 pct and 10 pct ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic codes 5013 to 5024, inclusive.
  3. Hello all, I'm currently rated for osteoarthritis and djd with loss of ROM in multiple joints from spine to feet. My pain management Dr. recommend to be tested for RHUMATOID arthritis/ Psoriatic arthrits. Blood work neg for RA, PSA still possible. X-rays show positive for arthritis. I've developed psoriasis after service so I was never treated while active for it. Is it possible to have been misdiagnosed all these years? If PSA is confirmed would it be wise to file for it, and would it be considered pyramiding? Could it be considered new diagnosis? I've read that they don't base RA/PSA on ROM just immune criteria. All this new information has my head spinning. Any input would be greatfull.
  4. My question is about rheumatoid arthritis spreading to new joints and how the VA views these new claims. I am going to add new claims for left hand, right wrist, both knees, both ankles, and right shoulder. Ask for an increase for the right foot as there is painful motion. I am service connected for psoriatic arthritis(VA rates this as rheumatoid arthritis according to explanation by them in my claim) of the right hand 10%, right foot 0%, left wrist 10%, left foot 10%. Assuming that these new claims are for rheumatoid arthritis individual joints, does the VA usually assume the progression of the disease to other joints. I am already service connected for psoriatic arthritis(rheumatoid for VA rating) in the joints listed above ? My understanding is that degenerative arthritis which I am not referring to needs in service treatment or in service injury for specific joints that cause current disability. I am not finding much information on rheumatoid arthritis being service connected and spreading to new joints. I might not be looking in the right places. The new joints I am claiming do not have in service treatment records, but is rheumatoid arthritis treated differently if I already have service connected rheumatoid arthritis in other joints currently?
  5. I've been wanting to put a claim in for arthritis that I've developed after my discharge, however, I was told I should wait after my appeal was completed or it could hold up the process. I have two remanded items left which my RO estimates will be completed in 6-9 months. What I'm wondering is, is it too late to file? I EASd back in September 2012. In my medical records from service I had complaints of knee and ankle instability. After a couple of years I started having a lot of pain in my feet, ankles, and knees. When I went to the doctor they said I had degenerative arthritis in my feet and ankles, and the beginning signs of arthritis in my knees. I've already been service connected for arthritis in my left shoulder and right thumb. I'm currently 28 years old. I've also started having the same pain in my right shoulder as my left. Is it too late to put in a claim for these? Would they even relate it to military service since I've been out for 5 years? I feel like I'd be too young to develop arthritis based on my age. Could I use the instability from my time in service as a link to my current arthritis? For my right shoulder, could I claim it secondary to my left shoulder (overuse due to compensating for left shoulder pain and weakness)? I realize it would be based on current medical evidence, medical evidence in service, and and nexus relating it, just wondering of likelihood of being approved.
  6. Rated 10% (SC) painful joints/Arthritis. When filed for increase unaware, but last week! diagnosed with fibromyalgia. Explains why my pain is severe. I need information. A condition caused or worsened by a SC condition is rated secondary to the SC condition. I don't know how to address acquiring after service a condition that aggravates existing SC condition. Am I stuck at 10% rating for painful joints or can I get compensation for the disabling pain either for effects on arthritis or as a secondary diagnosis? BTW I have SC conditions (IBD,PTSD,Migraines) which are common with fibromyalgia,... still getting Fibromyalgia SC is unlikely. Fibromyalgia alone is painful, but co-existing with arthritis is unbearable. Is there precedent to allow increase above 10% or allow secondary diagnosis? ANY SUGGESTIONS!!!!! I'm in constant pain. My claim is in reviewing evidence and will be decided soon. Any good advice is appreciated. Thank You
  7. Im curios if anyone has gotten comp for arthritis secondary to a knee injury? Here is the deal: Im at 100 percent and am seeking the "easiest" route to SMC S. I have at least 4 possibilities to SMC S. 1. TDIU..since I applied in 2002, and have not been employed (SGE) since then. My TDIU claim was dismissed by RO as moot: the BVA appeal said it was "not moot" and remanded it to RO for an SOC. This is crazy and assumes the RO is going to deny the remand..predjudicing the RO. (The VA has a duty to maximize the benefits due to Veteran). However, when the RO "implemented" the BVA remand they "forgot" to even mention TDIU, even tho it was required by the Board. I appealed the RO decision but am interested in getting "on with my life" and not spend my last days fighting VA!!! 2. Arthritis of the KNEE(s). I have it in both knees, as it often happens with one knee injury, the other flares up also. I had a fracture in military and have developed arthritis in BOTH knees and its documented by xrays and several docs and physical therapists. My question is if I did get arthritis for the knees, it wont even qualify me for SMC-S unless its "About" 50%. I have 100% for depression 10 percent hearing loss 10 percent tinnitus. Not sure if SMC is added or combined (above 100 percent) but I need "at least" 40 percent for arthritis to make to to SMC S. Maybe somebody has gotten SC for arthritis of the knees and can share their percentage and symptoms. One doc says I have a "leg length discrepency". I dont have a firm "nexus" for arthritis but I may be able to persue it. Its somewhat compelling when you have a fracture that broken bone often gets arthritis. 3. Sleep apnea. Im not SC for OSA but definately have sleep apnea. Since they did not even know what OSA is in the 1970's this is a tough one to get SC'd on. No, I do not have a docs nexus linking OSA to service. Possibly or even probably my nexus has to be something secondary to depression..after all they make me take pills, at least some of which has led to weight gain (and sleep apnea). My doc did say if I could lose 50 pounds it would not guarntee getting rid of sleep apnea but it would likely reduce it. 4. Crazily, Im already "housebound" but its SMP housebound. The VA says Im housebound..but that its not service connected HOUSEBOUND. However, VA did not say in reasons and bases how I can be housebound NOT due to sc conditions. Thanks for the help. Id like to know your opinions on the best or easiest route to househound (SMC S). On ASKnod, he explained to be "housebound in fact" you dont need to NEVER leave the house..but never leave the house "for work". The VA was denying vets housebound if they showed up for a housebound c and p, reasoning if they made it to the docs for c and p, then they were not housebound. Buie struck that one down. Typical VA.
  8. I have an L5-S1 disc bulge with facet arthritis, I am currently rated 10% for "middle back strain", but I did an appeal because they didn't include the bulged disc in their findings. so, I am essentially asking them include the "buldged disc" to my rating, i included that evidence in my original claim when they gave me my "middle back strain" rating, but they just overlooked the lower back L5-S1 bulge and only gave me the "middle back strain" determination. I did an appeal and asked for a C&P exam this time, they didn't do one before. so, i have been reading the C&P spine exam paperwork and i have some questions on the ROM "exercises", for example...what exactly is an extension? does anyone have a pictoral guide or video to describe the things they will have me doing? maybe a picture of what a normal ROM is for a given "exercise"? also, I don't have any cervical spine issues but for the Thorocolumbar rom test I notice the individual degrees for each exercise...and they will be combined to a maximum of 240. does anyone know what the minimum combined number for (thorocolumbar rom) to be considered disabled? be it...10%, 20%, etc? Let me know if am being unclear in any of this.... I just want to be really informed before tomorrow.
  9. I do not know if I have any right to a CUE, or any sort of review, so forgive me if I have posted in the wrong forum in error. I will give a history and wait for comment: April 1992 - Enlist. May 1993 - x-ray for ankle spain. No damage to the foot or ankle is observed. Tendon calcification is noted. 23 Jan 1994 - In Service accident: Dislocation of ankle (set) Broken tibia (plate and screws) Crushed/fractured 4th and 5th metatarsal (5th was open facture) Closed head injury (staples, stitches and scars) Scars 18 Feb 1994 - Hospital discharge paperwork only mentions the above. While in-service recovering I had multiple operations, casting, x-rays, and Physical Therapy. 31 Mar 1994 - X-Ray states that a healed fracture of the calcaneus (heal bone) is noted. This is only one of two times it is mentioned in my medical records. 17 May 1994 - Xray mentions healed calcaneus. Missed or closed reductoin that is never mentioned in medial records. Aug 1995 - Discharge and rated 10% disabled for arthritis. This was verified today with my VA DSO. 2013 - Spent 18 years thinking that getting 10% for my ankle was good. Then looked through medical paperwork in preparation of seeing a private doctor to consult on the possible realignment of Stevens Type III calcaneus malunion and realised that my deformed ankle was never taken into account in my rating. Nor was my range of motion in 4 angles (poor), Poor weight bearing position, malunion, and other moderate foot injuries. I will try to describe the state of my heel and ankle. The rest of the damage is as imagined: My heel is at an angle all the time. Trying to use my leg muscles I can put my heel in a straight up an down possition, but this is as far as I can go, and it is not the relaxed possition. Doing this also raises my toes into an unnatural possition. the heel and the pad are off-set from center by about 10 degrees. This causes me to partially stand on the side of my heel. The joint and heel are very wide and make wearing some shoes difficult. There is a scar on the bottom of my heel that can be painful after a long time on my feet. I know we are not medical experts, but if the radiologists stated I had a broken calcaneus/heel why would the doctor not mention it? Could this be a reason to open a claim? lastly, if I get private work done would that destroy my chances of getting a higher percentage? finally Is chasing this even worth it?
  10. 1. Diagnosis: Does the Veteran now have or has he/she ever been diagnosed with a thoracolumbar spine (back) condition? YES If yes, provide only diagnoses that pertain to thoracolumbar spine (back) conditions: Diagnosis #1: Low back strain and degenerative disc disease Date of Diagnosis: UNKNOWN 2. Medical history: The veteran stated during his military service in the Army, he was playing football when he injured his head, low back, and his left shoulder. He was tackled and he was knocked out for about 30 min. He was transferred to the hospital. He said that his first memory was woke up in the field. He had x-rays on his back and his shoulder. Since then, he has been complaining recurrent low back pain due to suspected pinch nerve and osteoarthritis. He has been seen or ER at VAMC because of his back. He also recalled that he had Physical Therapy during his Army time. He also recalled that during his Desert Storm, he was hit in the head but had no LOC. He denies any other accident or trauma, he still having cognitive problem and memory issues. From his left shoulder, he is having pop all the time, some weakness and LOM. He is having a constant 4/10 on pain intensity but its depend on activities. Sometimes is a zero but sometimes is an 8/10. From his lower back, he is having a constant back pain about 4/10 on pain intensity. His worse pain is a 10/10 on pain intensity once a year. He is on Naproxen with fair response. 4. Initial range of motion (ROM) measurement: a. forward flexion ends: 60 Select where objective evidence of painful motion begins: 40 b. Select where extension ends: 15 Select where objective evidence of painful motion begins: 10 c. Select here right lateral flexion ends: 20 Select where objective evidence of painful motion begins: 20 d. Select where left lateral flexion ends: 20 Select where objective evidence of painful motion begins: 20 e. Select where right lateral rotation ends: 20 Select where objective evidence of painful motion begins: 20 f. Select where left lateral rotation ends: 30 Select where objective evidence of painful motion begins: <X) No objective evidence of painful motion 5. ROM measurment after repetitive use testing a. Is the Veteran able to perform repetitive-use testing with 3 repetitions? YES b. post test forward flexion ends: 60 c. post test extension ends: 15 d. post test right lateral flexion ends: 20 e. post test left lateral flexion ends: 20 f. post test right latereral rotation ends: 20 g. post test left lateral rotation ends: 30 or greater 6. Functional loss and additional limitation in ROM b. Does the Veteran h ave any funtional loss and/or functional impairment of the thoracolumbar spine (back)? YES c. If the Veteran has a functional loss, functional impairment and/or additional limitations of ROM of the thoracolumbar spine (back) after repetitive use, indicate the contributing factors of disability below: <X> Pain on movement 7. Pain and muscle spasm (pain on palpation, effect of muscle spasm on gait) a. Does the Veteran have localized tenderness or pain to palpation for joints and/or soft tissue of teh thoracolumbar spine (back)? YES If yes, describe: thoracolumbar paraspinal muscle b. Does the Veteran have guarding ofr muscle spasm of the thoracolumbar spine (back)? YES If yes, is it severe enough to result in: <X> Guarding and/or muscle spasm is present, but do not result in abnormal gait or spinal countour 10. Sensory exam Foot/toes (L5): Right and left Decreased 14. Intervertebral disc syndrome (IVDS) and incapacitating episodes a. Does the Veteran have IVDS of the thoracolumbar spine? YES b. If yes, has the veteran had any incapacitating episodes over past 12 months? NO 18. Diagnostic testing a. Have imaging studies of the thoracolumbar spine been performed and are the results available? YES If yes, is arthritis documented? YES c. Are there any other significant diagnostic test findings and/or results? YES If yes, provide type of test or procedure, date and results (brief summary): Report status: Verified Date Reported: Nov 10, 2011 Date Verified: Nov10, 2011 Impression: Frontal and Lateral Lumbar Spine 11/9/2011: No comparison lumbar spine. Preserved lumbar column alignment, vertebral body heights and disc spaces. Multilevel anterior osteophytic lipping. Normal sacroiliac joints. Posterior fusion anomaly at lumbosacral transition. Nonobstructive bowel gas pattern. Indeterminate renal outlines. No opacities to suggest biliary, pancreatic, or urinary tract stones. 19. Function Impact YES, He is on SSDI due to Mental and Physical condition. 20. Remarks, if any: C-File was reviewed. No evidence of back injury during service.
  11. So in my remand, the VLJ wanted a more recent C&P for arthritis. He also stated that this should be during a flare-up of the condition to see the full extent of the claimed disability. My question for my brothers and sisters out there is this: has anyone STOPPED taking medication for a condition so the C&P shows the extent of the condition? If not or if so, why?
  12. Greetings to All, In 2010 I injured my lower back from lifting. I am currently SC 30%, 10% of that is for lumbar degenerative disc disease with intermittent radicular symptoms, I was awarded the service connection about 2 yrs ago. In the past 4 months my leg/nerve pain has gotten significantly worse. It has started bothering in more and more places, not just my legs. The location of the bulging disc has become more painful, with sensitivity in other areas of the spine. With all that said, I got a civilian referral for a Spine Dr. During the visit he looked at my new MRI and said that I had arthritis in my spine, "beefy joints"-his words. He said the combination of the bulging disc and the arthritis was causing all my issues. It explains a lot about how I feel, in the morning, etc.. I am only 33 years old and still work full time, but I can easily imagine how my medical issues could put me out. I am trying to figure out if I should file and what to file for, it looks like there are a ton of codes out there associated with the back? Arthritis? DDD? Hip issues? Depression? They could all be applicable in my mind. The only nexus would be from the original claim or IMO if needed. I know I need to have me ducks in a row before starting this process again. Not sure if it should be filed separately from the initial injury or as a condition that has gotten worse? Any input would be greatly appreciated. -moose-
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