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Left Ankle Decision And Questions



The evaluation of healed sprain, left ankle is increased to

10 percent disabling. The VA (QTC) examination of the left ankle shows

weakness, tenderness and guarding of movement. There are signs of edema,

instability, abnormal movement, effusion, subluxation or ankylosis. The range

of motion of the left ankle is dorsiflexion of 12 degrees with pain and

additional degree of limitation of 2 degrees and plantar flexion of 15 degrees

with pain and additional degree of limitation of 4 degrees. There is additional

limitation of function due to pain, fatigue, weakness, but not by lack of

endurance or incoordination after repetitive use. X-rays reveal tiny old healed

fracture deformity at the distal tip of the medial malleolus and minimal soft

tissue swelling at the lateral malleolus. The outpatient treatment records from

the VA Medical Center shows a history of left ankle pain.

A 10 percent evaluation is assigned because there is

evidence that you have pain and some limitation of motion of the left ankle. A

higher evaluation of 20 percent is not warranted unless the record shows marked

limited motion of the ankle.

We have assigned an effective date of July 8, 2010 the date

we received your claim.


Sprained left ankle approx. 11 times while on active duty

which made is very loose and would come out of place and turn easily, even on

flat surfaces. Nov 2009 I was walking on flat surface (sidewalk) and hear a pop

and ankle swelled. Went to VA, they ordered a MRI and saw a partially torn ligament/tendon

(forgot which). Had ankle surgery March 2010 filed claim after temp disability

was over.


Effective date should be November 2009 since that is the

date it was revealed that it was torn?

What is "marked limited motion"?

12 degrees and 15 degrees a lot? My ankle doesn't move left

or right very much, wondering if QTC falsified degrees of movement to keep them

out of range?

Just feel it should be 20% due to lack of movement and

effective date should not be date I filed since its not the diagnosis date.

Any Suggestions or Comments?

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  • HadIt.com Elder

You should send in a NOD for both issues. You may also want to get an IMO and have it measured accuratly.

Your ED should be the date entitlement arose. You are correct.


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