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Filing For Secondary Issues


ruby
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Question

I an SC for traumatic arthritis of the neck. My xrays show minimal arthritis to none. My MRI shows

Multi level spondylitic changes as described with varying degrees of spinal canal and neural foramen narrowing.

Minimal cord compression is seen at C4/5 level with milt to moderate foraminal narrowing. Moderate to severe left neural foramen narrowing is seen at C5-6.

My question is does anyone know if spondylitic arthritis is traumatic arthritis by defintion of the VA.

I have tingling and numbness in my little and ring fingers. My arms go to sleep if they are bent at the elbow especially if I an side lying. My entire hand goes to sleep. I have pain in my shoulders with frequent buritis and tendonitis. I have cervical headaches 3-4 days a week lasting 2-6 hours. I am positive for thoracic outlet syndrome.

If I apply for secondary issues what do I apply for. I currently have a claim pending for reactive arthritis also.

I have an appointment with my Rheumatologist in 2 weeks I am sure he will write a connection with my problems to my service connected arthritis but what do I ask him to connect--what diagnostic codes would apply.

If anyone knows any of this answers thanks for helping.

Ruby

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  • HadIt.com Elder

you need to get a EMG to see which nerves are affected and to what degree. Then file for radiculopathy. The ratings for this are fairly low, though. Usually less than 30%, from what I have seen.

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you need to get a EMG to see which nerves are affected and to what degree. Then file for radiculopathy. The ratings for this are fairly low, though. Usually less than 30%, from what I have seen.

Thanks Rental, I think I can apply for headaches too as a result of the pain in the cervical area--they are literally called cervical headaches.

Is this rating for all nerves involved such as the nerves in my elbow and wrist or would they be 2 different ratings.

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  • HadIt.com Elder

I honestly don't know the answer to that. I would think that multiple radiculopathy claims within the same body region would fall into pyramiding. But maybe not.

Maybe jbasser will see this and respond. He is rated for the c-spine and I think radiculopathy, too.

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I an SC for traumatic arthritis of the neck. My xrays show minimal arthritis to none. My MRI shows

Multi level spondylitic changes as described with varying degrees of spinal canal and neural foramen narrowing.

Q Does it mention central canal stenosis?. ( Stenosis is norrowing or pinching).

Neural Foramen is the area where the actual nerve cords pass through the Vertabrate on their way to the nerves.

Minimal cord compression is seen at C4/5 level with milt to moderate foraminal narrowing. Moderate to severe left neural foramen narrowing is seen at C5-6.

Depending on the side your neural foramen is severly norrowed and can cause the hands and arms to be painful, numb or both

My question is does anyone know if spondylitic arthritis is traumatic arthritis by defintion of the VA.

Yes it is rated as traumatic arthtitis.

I have tingling and numbness in my little and ring fingers. My arms go to sleep if they are bent at the elbow especially if I an side lying. My entire hand goes to sleep.

C5 c5 ulnar nerve is most likely pinched. (ulnar nerve controls fingers, Median nerve controls thumb and forefinger.

I have pain in my shoulders with frequent buritis and tendonitis. I have cervical headaches 3-4 days a week lasting 2-6 hours. I am positive for thoracic outlet syndrome.

Tos is no fun. Is your shoulder elevated? The Bursitis and tendonitis is the nerves aching.

If I apply for secondary issues what do I apply for. I currently have a claim pending for reactive arthritis also.

[A) file for radiculpathy to the effected arm. if is both arms the Bilatarel factor will apply.

;) File for the shoulder deformity secondary to sc Djd of th e C spine.

c) keep a headached diary and file for Tension headaches relatred to your cervice spine.

I an service connected for every one of your issues. Be careful at c4. That nerve controls the diaphragm and it can be a very serious issue. My left diaphragm is paralyzed and when you cant breath correctly you start to panic.

Good luck with this claim, If you need any assistance, please PM or email me.

John

I have an appointment with my Rheumatologist in 2 weeks I am sure he will write a connection with my problems to my service connected arthritis but what do I ask him to connect--what diagnostic codes would apply.

Consider getting a Neurosurgeons opinion or an occupatiuonal specialist opinion. ALso consider filing for SSDI.

If anyone knows any of this answers thanks for helping.

Ruby

Edited by jbasser
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John, I'll be talking soon to ya as soon as my CP Exam gets off the raters desk,etc. Great info you posted, much appreciated. Amongst other problems, i too lost feeling in my right hand.(3 fingers) and palm. Anyway thanks again, William

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Thanks for the info Jonh and Rental.My report says c2-3 an irregular disc osteophye complex indents the thecal sac but does not cause any significant canal or forminal stenosisc-3-4- a diffuse disc bulge indents the thecal sac, with mild canal narrowing without significant cord compressionc4-5 a diffuse disc osteophye complex indents the thecal sac, touching and slightly compressing the ventral spinal cord with resultant moderate spinal canal and bilateral mild to moderate neural foramen narrowing.c5-6 an asymetric (left sided prominent) disc osteophyte complex indents the ventral spinal cord and results in mild spinal canal and moderate to severe left neural forament narrowingc6-7 osteophyte coplex indents the thecal sac with ild spinal canal and bilateral neurlal foramen narrowingC7-T1 no signifiant disc bulge or canal stenosis is seen.Do I need to get an emg or just have the Rheumatologist stated the problems are directly related to my sc cervical arthritis.I have been trying to get a neurosurgeical appointment for 5 months now and I still don't have one.I am going to get my shoulders and both hands injected due to the pain I am having great difficulty with basic adl's I have literally no strength in my right hand it measures 0-5 and the left measures 16-20.Would I file for tension headaches or migraines.Thanks RubyWhy did my paragraphs disappear and its all together. basicall unredable.

Edited by ruby
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