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Neuropathy


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I had been rated at 10% for left foot 10% for right foot 10% for upper left leg and 10% for upper right leg.

I had the required exam that found my neuropathy had worsened . The VA changed my Rating to 20% for left foot and 20 % for right foot, however there is now no rating for left and right upper.

IS THIS STANDARD ROUTINE OF THEM ?

WHAT SHOULD I DO ?

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well, i would hope your VSO is mistaken regarding the neuropathy being not service connected, since you had a rating which changed the two ten percents for each leg into a single 20 for each leg. the rater would not bother to do that if it weren't service connected. i would submit an appeal of the 20 percent for peripheral neuropathy of the left leg and explain you have it up to the hip. the 8620 diagnostic code also addresses the sciatic nerve, so you are in the right ballpark regarding that. and don't forget about a claim for the neuropathy of the hand(s).

by the way, many people find that diabetes can cause ED. VA will pay special monthly compensation for ED if it is due to diabetes. that is in addition to the compensation based on your combined evaluation. so submit a claim if it applies to you.

My Prostate Cancer got the ED before Diabetes had a chance :) They gave me that. TY

If I submit a claim for the Hands and they find they are not severely affected yet to give a rating.Will that cause me to not be able to claim it if it worsens? Like I said they are only numb and tingling sometimes .They seem normal more with the exception of the left hand not being able to grip like it use to .

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"If I submit a claim for the Hands and they find they are not severely affected yet to give a rating.Will that cause me to not be able to claim it if it worsens?"

no. neuropathy is a known complication of diabetes, if you claim it they should order an exam. if they do not find enough to warrant a compensable rating separate from the diabetes, they will service connect at 0 percent and roll it in with the primary diagnosis of diabetes. that way it is service connected, and when it worsens, you have a claim for increase, not a reopened claim.

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"If I submit a claim for the Hands and they find they are not severely affected yet to give a rating.Will that cause me to not be able to claim it if it worsens?"

no. neuropathy is a known complication of diabetes, if you claim it they should order an exam. if they do not find enough to warrant a compensable rating separate from the diabetes, they will service connect at 0 percent and roll it in with the primary diagnosis of diabetes. that way it is service connected, and when it worsens, you have a claim for increase, not a reopened claim.

Does the same apply to my feet ? I know eventually they will get worse .From what I understand the Gabepentin only works for a time , then after all the dosage increases ,it stops working . I really appreciate your expertise I am still new at this. My first rating was about 4 years ago with the Prostate Cancer . Was told about AO and effects by an online friend I was playing cribbage with ,after my operation .

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OK also in answer:

I f you file a claim and they determine a 0% rating, that does NOT hinder you from filing a later claim if the condition worsens, in fact I would think it would help, since service-connection and diagnosis is already established.

Neuropathy is a normal "secondary" issue with type II diabetes, or diabetes period. So if they have already granted service connection for the diabetes, or even if its pending, filing for neuropathy in the limbs is totally normal "secondary" to the diabetes.

Look at entropents post... he is dead on. Just follow his direction. Also, I have been taking neurontin/gabapentine for 6 years, and if I DONT take it, it is very very obvious that it is still working. So, while your body may "acclimatize" to the neurontin, it has been MY (opinion here) experience that it keeps working, you just may need a slightly higher dosage eventually.

Also, again I think your VSO is... less than ideal. Perhaps you might think of going to another organization, or even better (as you are obviously doing) handle it yourself... thats honestly the best way in my opinion.

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OK also in answer:So I should appeal their decision and add a new claim for my hands at the same time ?

If I do this and my SO doesnt agree with me , how do I go about getting someone else to represent me? Di I formally have to write my SO and ask to be released from his office ? I'm not sure how to go about this properly , I don't want to ruffle any feathers.

I f you file a claim and they determine a 0% rating, that does NOT hinder you from filing a later claim if the condition worsens, in fact I would think it would help, since service-connection and diagnosis is already established.

Neuropathy is a normal "secondary" issue with type II diabetes, or diabetes period. So if they have already granted service connection for the diabetes, or even if its pending, filing for neuropathy in the limbs is totally normal "secondary" to the diabetes.

Look at entropents post... he is dead on. Just follow his direction. Also, I have been taking neurontin/gabapentine for 6 years, and if I DONT take it, it is very very obvious that it is still working. So, while your body may "acclimatize" to the neurontin, it has been MY (opinion here) experience that it keeps working, you just may need a slightly higher dosage eventually.

Also, again I think your VSO is... less than ideal. Perhaps you might think of going to another organization, or even better (as you are obviously doing) handle it yourself... thats honestly the best way in my opinion.

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