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Mri - Cervical Spine


carlie

Question

Question:

MRI Cervical Spine W/O Contrast

( There is more to this report, but due to the diagnosis on cervical cord, this is my concern for now. )

At C5-C6 and C6-C7, posterior disk osteophyte causes mild impression on the cervical cord. Mild narrowing of the neural foramina is observed bilaterally.

Will someone explain this in layman's terms ?

Thanks,

carlie

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Hi Carlie,

Sheck out this site http://www.oralchelation.com/calcium/Degen...neeJoint/p5.htm for osteophyte description.

The C4-C5 description simply means the intervertebral cervical spine space

Josh

PS Hoping your claim is going well Carlie..

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At C5-C6 and C6-C7, posterior disk osteophyte causes mild impression on the cervical cord. Mild narrowing of the neural foramina is observed bilaterally.

Carlie, C5 C6 AND C6 C7 have bone spurrs. ( Posterrior means back side not front) mild impression on spinal cord is something is causing the dura ( The sac that surrounds the cord to be compressed) Neural foramen is narrowed. ( area where spinal cord goes through a vertebrate.

Any mention of stenosis or spondylosis??.

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  • In Memoriam

Carlie --

Itmeans that an arhtitic bone growth on the bac of the affected disks is causing interference with the spinal cord.

Alex

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Approved Exception to SF88

0MB No. 76-R0246

INSTRUCTIONS TO THE VETERAN: Please complete all unshaded items on Page 1 of this form. Bring this form with you when reporting for the examination.

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

17. PRESENT COMPLAINT(Symptomx only, not diagnosis) 1) Pain in the back of the neck. 2iLow back pain.

3) Hearing loss. 4) Headache and dizziness.

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

I HEREBY CERTIFY that the entries under Occupational and Medical History are complete and correct to the best of my knowledge.

19. SIGNATURE OF PERSON EXAMINED (Do not print)

a

B. DATE SIGNED

PENALTY—The lw provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence of a material fact, knowing t to be false, or for the fraudulent acceptance of any payment to which you are not entitled.

VA FORM 21 2545

un,, loss

EXISTING STOCKS OF VA FORM 21.254S. OCT 196$, WILL 6E USED.

REPORT F OR VETERANS ADMINISTRATION

OF MEDICAL EXAMINATI ON DISABILITY EVALUATION 1A, PILE NO.

3. FIRST NAME, MIDDLE NAME, LAST NAME OF VETERAN

4. PURPOSE OF EXAMINATION

5. DATE OF EXAMINATION

10/5/78

6. HOME ADDRESS

7. PLACE OF EXAMINATION B. AGE

20

VA AC ST. PETE FL

SECTION A-OCCUPATIONAl. HISTORY SINCE LATEST DISCHARGE FROM MILITARY SERVICE OR LATEST VA EXAMINATION

9. NAME AND ADDRESS OF EMPLOYER

(If unemployed enter "If one".) tO, TYPE OF WORK 1*. MONThLY

WAGES 12. DATES OF EMPLOYMENT MONt

FROM TO

14. REASON FOR TIME LOST (If any)

SECTION B -MEDICAL HISTORY SINCE LATEST VA EXAMINATION AS RELATED BY PERSON EXAMINED

IS. NARRATIVE HISTORY (Include manner and dale of origin)

Veteran was discharged from the Army in June 1978. At the present time he is a student. This 20 year old veteran, well developed and white female has history of concussion in head whije in service. Pain in back of neck and lower back for about 8 months. History of otitis media, right ear with hearing loss.

NAME AND ADDRESS OF DOCTOR OR HOSPITAL CONDITION TREATED FROM TO

SECTION C. EXAMINATION (Exarninee must be strippec

INSTRUCTIONS TO THE EXAI.1JNING PHYSICIAN: This report must be completely executed. Describe the results of a general examination of evely system and body part including but not restricted to the systems and body parts involved in the histosy and present complaints. Wherever indicated specialists' examinations, X-rays,Iaboratory examinations,etc., should be recommended. If additional space is needed, comments may be continued in item 44 or on separate sheets attached to this form.

35A. CARDIOVASCULAR SYSTEM (Describe thrust, size, rhythm, sounds, aid condition of peripheral vessels)

Heart with normal sounds, normal regular breathing. No pedal edema, peripheral vessels normal.

2

30. HEIGHT SI, WEIGHT 22. MAX. WT PAST YEAR 23. BUILD AND STATE OF NUTRITION 24. TEMPERA

5 '3" 106 LDS. 106 LBS. Normal

25. CARRIAGE 36. POSTURE 27. GAIT 28. RIGHT-OR LEFT-HANGED—HOW DETERMINED 98

Normal erect normal R—handed by writing AT TURE

29. SKIN—INCLUDING APPENDAGES (Describe t,e, area, and extent of lesions. Report injuries, including burns, under item 41)

Some white spots in both arms, asymptomatic, cause unknown.

30. LYMPHATIC AND NEMIC SYSTEMS (Describe local or ge,,eral,zed adenopathy, enlargement, tendemrs, suppuration, blocking of lymphatic circulation, etc.)

No positive findings.

31. HEAD, FACE, AND NECK

Normal. Pain in back of neck.

32. NOSE, SINUSES, MOUTH. ANO THROAT (Include gross dental findings)

Normal several cavities treated.

33A. EARS (Describe canals, drums, perforations, discharge)

See special examination.

35B. HEARING LOSS

NOTED

D"

DNO

34A. EYES (Describe external eye, pupil reactIon, movements and field of Vision)

Pupils round, equal and react norinally to light and accommodation. Normal ocular movements. 34B. DISTANT VISION

R20/ 20 CORRECTED TO 20/

L 20/ 20 CORRECTED TO 20/

SITTING 35B. PULSE 35C. BLOOD PRESSURE 350. RESPIRATION 35E. IF NOT EXERCISED. GIVE REASON

72 S 100 ° 70 20

RECUMBENT 5 0

STANDING S 0

SITTiNG AFTER EXERCISE S 0

2MIN.AFTEREXERCISE S 0

Attach Continuation Sheets, Speciali...' Reports, Laboratory,, Reports, etc., in this Ptlee

o Inch Injury scar in the 1L'ft knee, well healed. Half inch injury scar on the lateral aspect of the right foot, well healed.

Cervical spine some limitation of motion due to the pain and mild spasm In the external cleldomastoid bilateral. Ful range of motion in the upper and lower extremities and full range of motion in lumbar spine, but painful.

No positive findings in feet.

41. MUSCULO-SKELETAL SYSTEM

A—DlSEAES and INJURIES,

include effect of gunshot wounds and other injuries on skin and underlying structures.

B-SCARS, describe location, measurements, depression, type of tissue loss, adherence, disfigurement, and tenderness.

C- FUNCTIONAL EFFECTS, describe location, swelling, astrophy, tendernest, degree of limitation of flexion and extendon, angle of fixation, fracture or disease, fibrous or bony residual, and specify mechanical aid used and benefit.

42. ENDOCRINE SYSTEM (Describe disease of thyroid, pituitary, adrenals, pancreas, gonads. etc.)

Lungs clear to auscultation.

, B SHAPE OF CHEST

37C. EXPIRATION

INCHES

370. INSPIRATION

INCHES

38. DIGESTIVE SYSTEM

(Describe findings on inspection and palpation, enlargements, masses, tenderness, rigidity, hemorrhoids )internal or external), fissures, stricture, prolapse, etc.)

Abdomen soft, no tenderness, masses, liver not palpable. No hemorrhoids, no scars. Hernia not found at the time of examination.

39. HERNIA (Describe type, location, size, whether complete, reducible, recurrent, retained by truss, and whether operable)

None.

40. GENITO-URINARY.SYSTEM (Describe kidneys, bladder, p

disease, in females report pelric exam., if indicated) rostate, seminal veszcl es, testes, cord, penis, and appendages; evidenc eel past Or present Venttral

No symptoms. Menarche when One pregnancy and one full she

term was

baby 12

in .

years 'old. Married and normal delivery. Normal separated.

menstrual period.

43 NERVOUS SYSTEM

(A—NEUROLOGICAL, describe

motor status, coordination, it- See special Neuroaogical examination.

flexes, sensory status, equilibrium,

and ve exact location,

B-PSYCHIATRIC and PERSONALITY,

describe behastor,

comprehension, coherence of response,

emotional reaction,

orientation, memory, signs of

tension and status as to social

and industrial capacity.)

44. REMARKS (Cite number oi itmn continued in this space)

45A. LABORATORY TESTS, X—RAYS, Bt1R, EKG, ETC.

ISD. OTHER TESTS RECOMMENDED, ETC.

IMIADE A PART OF THIS EXAMINATION (List by number or describe)

4

0: 10/6/78 me

"B, Urinalysis, S'erologY, Chest y, Cervical & lumbar spiñes'

i. DIAGNOSIS

1) Otitis media and hearing loss, see Special Ear Examination.

2) headaches and dizziness. See Special NP Examination.

3) Lumps on neck, not present at the time of examination.

4) Neck condition, mild spasm in muscles of neck and some limitation of motion,

IS EXAMINEE BEDRIDDEN'

47B. IS HOSPITALIZATION NEEDED?

47C. WILL EXAMINEE ACCEPT HOSPITALIZATION?

pending x—ray.

48C. WITH ATTENDANT?

SPECIALISTS EXAMINATIONS RECOMMENDED

Carl

OPERATIONS, PHYSICAL FINCNGS. 4N0 PROVISIONAL

DATE OF EXAMINATION

RADIOGRAPHIC REPORT

CHEST: PA & 1ef: tatraL views — the heart, aorta, lungs and diaphragms are in the limits of normal.

The visualized thoracic cage is grossly normal. Cervical, Lumbar Sacral spines —

there is a mild dorsal straighten'ng of the lower cervical vertebral odies.

The bodies and disc spaces as visualized are in the limits of normal.

f(There is an S—shaped scoliosis of the upper thoracic spine with convexity to the right at the level of T4.

The remaining portion of the thoracic spine are not visualized except for the dilstal 4 segments.

The lumbar sacral spine presents a slight tilt or angulation to the right and straightening of

J. 7-31—78, original claim.

1. Evaulation and service connection for a hearing loss with otitis media, concussion, lumps on neck, back condition and headaches and dizziness.

F. Service medical records show veteran complained of three lumps on back of neck and headaches and dizziness on 3-27-78.

She complained of outs on 1-24-78, and there was an impression of

resolving viral syndrom

On 11-17-77, an upper bunk of a two tier bunk beds fell on veterans back and neck.

She had complained of persistent headache on 11-16-77.

On 8-12-77, examination showed right tympanic membrain abnormal- severely retracted.

The left tympanic membrain was within normal limits.

On 10-14-77, the records show chronic adhesive otitis media.

On 12-5-77, there was a diagnosis of post concussion syndrome.

On 11-17-77, X-rays of cervical spine, right shoulder and skull were all normal.

VA X-ray examination of the cervical, lumbar sacral spines showed there was some mild dorsal straighting of the lower cervical vertebral bodies.

The bodies and disc spaces has visualized were in the limits of normal.

There was an S shaped scoliosis of the upper thoracic spine with convexity to the right at the level of T4.

The remaining portion of the thoracis spine was net visualized except for the distal 4 segments.

The lumbar sacral spine presented a slight tilt or angulation to the right and straighting of the upper segments..

The bodies arid vertebral spaces were grossly normal.

The lumbar sacral angle was in the upper limits of normal.

Clinical examination of the head, face and neck showed normal.

Pain in back of neck.

Clinical examination of sacral spine and showed some limItation of motion due to the pain and mild spasm in the external collateral mastoid bilateral.

Full range of motion of the upper and lower extremities and full range of motion in lumbar spine, but painful. No positive findings feet.

19. NARRATIVE

RATING DECISION NAME OF VETERAN FILE NUMBER

CONTINUATJON SHEET c

PAGE 2 OF RA TJNG BA TED: l03l78

On neurological examination the veteran had difficulty in using her upDer or lower extremities.

Her gate was normal.

There was a negative Ronbergts test.

Palpitation of the skull reveals no different defects as such.

The pupils were central equal, round and reacted to light and accommodation.

There was no nystagmus or strabismus obseried.

Tongue protruded in the mid line without quiver, uvula extends upward to mid line on pronation. There was no dysartcia in the test freezes.

Testing the facial muscles of expression, no inequality was observed.

The angles of the mouth go up equal distance on grinning. Reflexes in both upper and lower extremities were within the psychological normal limits. Diagnosis was no neurological condition found this date,

On special ear examination ear canals were clear, normal drums, no perforation scars or drainage seen. The drums were healthy looking. Weher was negative. All four tuning forks were heard bilaterally. The diagnosis were:

1. Tinnitus alledged.

2. Right ear hearing normal.

3. Left ear hearing normal.

4, Otitis media, not confirmed this examination.

Speech reception threshold in the right ear was 14 decibles and 6 decibles in the left ear. Discrimination ability was 100 percent correct in the right ear and 100 percent correct in the left ear. Speech reception impairment literal converts to A and A, Other diagnosis were:

1. Lumps on neck, not present at the time of examination.

2. Neck condition, mild spasm in muscles in neck and some limitation of motion pending X-ray.

3. Low back condition, pending Xray.

Edited by carlie (see edit history)
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It took me about 27 hours to scan this info - delete my SS #'s and be able to post

this to here. I still don't know how I finally got it here.

I really need some feedback if possible on this claim here I feel is a CUE.

I know quite a few vets think CUE is a dead duck but sometimes I have to disagree.

Since it has taken me sooo long to accomplish this post, I guess I need to stop complaining about the VA taking so long, to make things right.

Thanks to all,

carlie

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Hi Carlie. Are you rated for your spine. From reading the reports there is limitation of motion of the cervical spine as well as scoleosis of the thoracic spine.

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This was the original 1978 claim, filed just a month after discharge and denid by

St. Pete RO. To date VA has not granted SC even at ZERO - NONCOMPENSABLE.

VA continues to deny this claim always referring back to this denial.

November 15, 1978

Your disability compensation claim has been carefully considered. To

establish entitlement to this benefit, the evidence must show: (a) that

you have a disability incurred or aggravated in service, in the line of duty;

and (B) must be 10 percent or more disabling.

The evidence, including your recently completed Veterans Administration

examination, does not entitle you to service connection for the following

disabilities: hearing loss, otitis media, lumps on neck, back and neck condition, headaches and dizziness, and residuals of concussion. Although records show you were treated for these disabilities during your military service, these disabilities were not found on the last examination. If any of these disabilities recur, you may submit medical evidence to show the recurrence.

It is regrettable a more favorable response is not possible.

Sincerely yours,

M.R. Woodall

Adjudication Officer

Enclosure

VA Form 1-4107

Now as far as I can tell if the Rating Schedule was the same for Muscleskeletal

in 1978, as it is now -- the C&P specifically states, LOM due to pain and MUSCLE SPASM.

While on active duty and after discharge I was Rx'd Parafon Forte by VA for Muscle Relaxant but the C&P doc's report states it is an anti-depressant, NO WAY ANY RX FOR THIS TO PATIENT per PDR. My VA shrink also wrote in support that this drug is ONLY used as a Muscle Relaxant.

While inpatient at VA Jan 1979, I submitted Hospital Pharm. Dispensing List

signed & dated by VA nursing staff that shows Tylenol X Rx'd for headache,

neck pain, discomfort.

Anyway, since originally filing any VA disability claims this is where I stand:

Hearing Loss R -- SC'd at zero %.

Otitis Media -- SC'd at 10 %

Lumps on neck -- NSC, not even noncompensable

Back and Neck Condition --NSC, not even noncompensable

Headaches -- SC'd at 10 %

Dizziness --NSC, not even noncompensable

Residuals of concussion -- Seizures, SC'd at 40 %.

Tinniyus -- SC'd at 10 %.

Bursitis R Shoulder -- SC'd at zero %, don't know how this can be -- it's

diagnostic code 5019 -- looks to me like it requires a 10 % minimum rating,

to be rated as Degenerative Arthritis.

PTSD - denied as NON SC'd, yet I won a FTCA for this condition in Tampa, Fl. Federal Court (through Court Ordered Mediation).

Let me know what ya'll think, I sure do appreciate the help.

carlie

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Carlie. I was turned down for residuals of a concussion. I changed the claim to cervical Djd / DDD and was awarded 10 percent. I NOD'd the the 10 and went for another evaluation and and I am awating 30 percent.

You did have a head injury ( Concussion).

Any blow to the head can and often will cause cervical spine problems. You may want to consider filing a cue claim, but first you need to go outside the va to a good neurosurgeon. ( Not Neurologist) to examine you. Show the history you have. Explain you had a head injury and what happened and get him to render an opinion. The use the information. Take all MRI results with you. ( Get a copy on CD rom if you can)

IF you have had any post service trauma to your neck of back be careful for the VA will try to use it against you.

The Limitation of motion will grant sc for the claim depending on the actual measurements. Can you get a copy of the measurements from the VA or get a complete copy of the c and p exam.

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40 % of my current 60 % SC is for seizures due to post concussion syndrome,

mild closed head TBI.

I filing CUE on the cervical and lower back this month.

I have not had any post service injuries, except for slamming my right arm through a sliding glass shower door when having a seizure.

Anymore thoughts ? Thanks.

carlie

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Guest allanopie

Hello Carlie,

Their so full of it, I remember taking this in service.

http://www.umm.edu/altmed/ConsDrugs/Chlorzoxazonecd.html

Pronunciation

(klor ZOKS a zone)

--------------------------------------------------------------------------------

Brand Names

Parafon Forte™ DSC

--------------------------------------------------------------------------------

Therapeutic Categories

Skeletal Muscle Relaxant

--------------------------------------------------------------------------------

40 % of my current 60 % SC is for seizures due to post concussion syndrome,

mild closed head TBI.

I filing CUE on the cervical and lower back this month.

I have not had any post service injuries, except for slamming my right arm through a sliding glass shower door when having a seizure.

Anymore thoughts ? Thanks.

carlie

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