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Secondary Conditions - Should I File Claim?

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I was medically discharged 20 years ago for back and knee injuries. Couple of years ago it was noted in my MRI that I have spondylosis in my back and just yesterday, dr noted I appear to have extensive arthritis in my knees (took blood work and waiting results). Question - should I file claim on these as secondary to my svc injuries? Also, I have a claim for increase on both that is awaiting the appeal process (been 3 yrs). If I file at this point, does that create issues/delays with appeal?

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