After retirement I was denied for a condition of numbness/tingling down my right leg to my right foot. They said it was not diagnosed, etc. I filed a RECONSIDERATION for Lumbar Condition with Radiculopathy. I received another C&P exam on Jan 4th, 2010. Well I got the results of my latest C&P exam today. The QTC doctor stated:
NEUROLOGICAL EXAM:
The lumbar spine sensory is impaired. The examination of the sacral reveals no sensory deficits of S1. The modality used to test sensory function was touch. There is no lumbosacral motor weakness. L4: Sensory deficit of right lateral thigh. There are signs of Lumbar Intervertebral Disc Syndrome. The most likely peripheral nerve is the Sciatic Nerve. The IVDS does not cause any bowel dysfunction, bladder dysfunction and erectile dysfunction.
DIAGNOSIS TESTS:
The attached lumbar spine X-ray report shows degenerative arthritis.
DIAGNOSIS:
For the claimant's claimed condition of LUMBAR SPINE CONDITION, the diagnosis is Intervertebral Disc Syndrome with degenerative arthritis changes and the most likely involved nerve is the Sciatic nerve. nerve which affects the right side of the body. The subjective factors are History. The objective factors are Exam and X-ray findings. There are no complications. The diagnosis is SLIGHT SCOLIOSIS LOWER THORACIC SPINE. The subjective factors are None. The objective factors are X-ray findings.
It also stated that my ROM was "WNL" which is totally wrong. I barely moved my back during the exam.
Keep in mind, my MRI results listed much more damage to my back than the x-ray results that the C&P doctor gave. The MRI showed sacralization of the L5, multi-level disc protrusions involving L1-L2, L2-L3, L3-L4 and L4-transitional levels. Stnosis of the spine at L2-L3 and L3-L4 levels, multi level spondylosis, right lateral spurs of the endplates adjacent to the L3-L4 disc space and the inferior endplates of L4, bilaterally. Anterior spurrings of the L3,L4 and the trasnitional vertebrae.
ALSO, I was just reading through my file and when I was in Physcial Therapy (Apr - Jun 09), they did a ROM test on me and the results were:
This is EXACTLY how it reads, so please forgive me if you don't understand it because I don't: :-)
Question
pilgrim01
After retirement I was denied for a condition of numbness/tingling down my right leg to my right foot. They said it was not diagnosed, etc. I filed a RECONSIDERATION for Lumbar Condition with Radiculopathy. I received another C&P exam on Jan 4th, 2010. Well I got the results of my latest C&P exam today. The QTC doctor stated:
NEUROLOGICAL EXAM:
The lumbar spine sensory is impaired. The examination of the sacral reveals no sensory deficits of S1. The modality used to test sensory function was touch. There is no lumbosacral motor weakness. L4: Sensory deficit of right lateral thigh. There are signs of Lumbar Intervertebral Disc Syndrome. The most likely peripheral nerve is the Sciatic Nerve. The IVDS does not cause any bowel dysfunction, bladder dysfunction and erectile dysfunction.
DIAGNOSIS TESTS:
The attached lumbar spine X-ray report shows degenerative arthritis.
DIAGNOSIS:
For the claimant's claimed condition of LUMBAR SPINE CONDITION, the diagnosis is Intervertebral Disc Syndrome with degenerative arthritis changes and the most likely involved nerve is the Sciatic nerve. nerve which affects the right side of the body. The subjective factors are History. The objective factors are Exam and X-ray findings. There are no complications. The diagnosis is SLIGHT SCOLIOSIS LOWER THORACIC SPINE. The subjective factors are None. The objective factors are X-ray findings.
It also stated that my ROM was "WNL" which is totally wrong. I barely moved my back during the exam.
Keep in mind, my MRI results listed much more damage to my back than the x-ray results that the C&P doctor gave. The MRI showed sacralization of the L5, multi-level disc protrusions involving L1-L2, L2-L3, L3-L4 and L4-transitional levels. Stnosis of the spine at L2-L3 and L3-L4 levels, multi level spondylosis, right lateral spurs of the endplates adjacent to the L3-L4 disc space and the inferior endplates of L4, bilaterally. Anterior spurrings of the L3,L4 and the trasnitional vertebrae.
ALSO, I was just reading through my file and when I was in Physcial Therapy (Apr - Jun 09), they did a ROM test on me and the results were:
This is EXACTLY how it reads, so please forgive me if you don't understand it because I don't: :-)
ROM: LUMBAR FLEX: 50 EXT: 5 RSB: 25 LSB: 25 RROT: 40 LROT: 40 (PAIN WITH EXT)
And YES, this is in my C-file! So, who are they going to believe?
Again, the C&P doctor didn't even do a ROM test. She just told me to bend forward, now bend backward. Test was over!
So, from everyone's experience, what is your opinion on my results? Do I have a chance? As of Jan 25th, my claim was at the Rating Board. Thanks, all!
Edited by pilgrim01Link to comment
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