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  1. Hello everyone, I was diagnosed with mild pes planus (flat foot) at MEPS in 2007, I served in the infantry and went on hikes, runs, combat patrols etc. Both of my flat feet became worse over the years due to carrying heavy weight. Now that I am out of the military is very hard for me to walk even short distances without feeling pain, the V.A. already knows about this and prescribed a set of insoles that do not work. I am currently ongoing podiatry therapy through the veterans first choice program (civilian clinic paid by the V.A.) I get 3 injections of cortisone on each foot every 2 weeks and I will have my last session next week (for a total of 2 months). I am also diagnosed with constant shin splints, knee tendinitis, hip pain and 2 bulging discs L-4 L-5. I am going to file a claim in a few months once I am done with my cortisone sessions. My question is: 1. Since my flat feet became worse over the years in the military resulting in constant and severe pain now that I am out, would it be easier to make my flat feet a service connected disability? (it was already recorded in MEPS and service records but not severe as it is now) 2. Am I going to be able to connect everything else (shin splints, knee tendinitis, hip pain and 2 bulging discs) with my flat feet and make them service connected disabilities? and if so what is the best way to do this? These are just the disabilities that I never complained about, and had to drag them with me until I got the courage to start therapy to reduce pain. I am currently at 80% SC and working on other disabilities that I have mentioned in older posts as well just to clarify. Thanks
  2. Do I need to get an IMO/IME if my secondary issue falls exactly as the CFR states how the symptoms manifest? Background, November 2015 I had a C&P for hip pain. X-rays show hip joints are fine. Exam finds that where I'm pointing out the pain and burning is not actually my hips, but SI joint and SI crest area. However, ROM of my hips is noted as reduced in most, or all directions(flexion, dorsiflexion, abduction and so on.). Examiner recommends MRI, but won't order it. Says I need to see my PCP to get that ordered. Long story cut short, PCP sends me to PT for consult, had 3 sessions, PT stopped due to no improvement and fear of making it worse. Physiologist looks me over, recommends pain injections in SI joints. Went, got it done. Relief lasted a week. Then follow up, anethesiologist offers some other choices that carry a higher risk, like epidurals and such. Back to Physiologist, who sends me to Chiropractor for 6 VA authorized sessions. Chiro stopped after 5th session, noting short term little relief, but no progress. This ended in December 2016, a year after the C&P exam took place. Have a VA acupuncture appointment in a week or two. I've been trying to do things the right way, more so backwards and upside down, than right up the middle. According to CFR 4.66, covering the SI joints, one of the indicators is painful ROM of the hips. Normally this whole area is bullet proof, with limited exceptions, like severe trauma directly to the area. Also traumatism(fell down stairs at boot camp which is documented in my smr) on top of transitional anatomy(congenital partial lumbarization of S1, of which I have according to numerous VA x-rays) can cause problems with the SI joint region, felt as pain and burning sensations along the SI crests and outer thighs. And painful ROM of the hips. I have that noted by the PT, my PCP, and the Rehab dept. Physiologist, and from that C&P exam back in November 2015. Also there is a separate condition covering the burning pain felt along the outer thighs. So, this brings us back to my question. Do I need to get an IMO for this, since I already am SC 40% for low back strain/pain. And I've been going through the VA for treatment and DX for this pain. The Physiologist noted that this is most likely due to my low back strain, and DJD. Is this enough or do I need more? Thanks. Andy
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