Just wanted some input on my chances for an increase form the 10% I get now for my Low Back Pain with Menimal Degenerative Changes of Left Sacroiliac Joint. The last time i put in for an increase i was denied and told i was getting better even though all of this was in my va med. records. From reading this forum and other research I know where i messed up at and it was my ROM test. I didn't understand just how this test effects your claim and i tried my best to touch my toes even though i was in bad pain. I have recently applied for an increase again, waiting for C&P, but according to this info in my records what can i expect? Any info would be helpful.
TD-ADULT 01/01/2008 Augusta,ga
Comments: est date per client
ST - SKIN TESTS
No data available
IMPRESSION
1 HTN- good control, cont meds 2 Hypercholestrolemia- cont simvastatin
fLP pending 3 Low back pain- disc protusion & spinal stenosis at L3-4
,L4-5, L5-s1, using brace , pain meds,will write muscle relaxant,
waiting on disability rating 4 numness- gabapenntin
PLAN
FUTURE APPOINTMENTS
10/17/2013 09:30 PCT(A)-DR SHARMA
11/14/2013 15:30 DERMATOLOGY SPECIAL (JOHNSON)
Future Recall Dates:
^@@^
Return to Clinic:10 month
I want to update you on your recent x ray results:
x ray shows degerative arthritis . continue medication . If you want , will
refer for physical therapy
Thank you for your service to our country.
Sincerely,
SAROJ B SHARMA M.D.
Primary Care Service Line
Charlie Norwood VA Medical Center
Date/Time:
Report:
MRI of the lumbar spine on 08/04/11:
Technique: Examination is performed with sagittal, axial and
axial oblique T1 and T2-weighted images, and sagittal STIR fat
suppressed T2 images. There are no prior examinations for
comparison.
Findings: There is normal alignment of the lumbar spine, with no
retrolisthesis or spondylolistheses. Lumbar spinal canal is of
normal caliber. Lower thoracic spinal cord and conus medullaris
are normal in signal and appearance, with the conus tip ending in
a low position at the inferior endplate L2. Cauda equina appears
normal.
Lumbar intervertebral discs from T11-12 through L2-3 demonstrate
normal height, contour and signal intensity, with no evidence of
intervertebral degenerative disc disease.
L3-4 intervertebral disc shows a broad based annular protrusion
centrally, abutting the ventral surface of the thecal sac, shown
best on axial T2-weighted image 28. There is no associated canal
stenoses or black out recess compromise.
L4-5 level demonstrates intervertebral degenerative disc signal loss and mild disc space narrowing, with broad-based disc
Question
silverdollar22
Just wanted some input on my chances for an increase form the 10% I get now for my Low Back Pain with Menimal Degenerative Changes of Left Sacroiliac Joint. The last time i put in for an increase i was denied and told i was getting better even though all of this was in my va med. records. From reading this forum and other research I know where i messed up at and it was my ROM test. I didn't understand just how this test effects your claim and i tried my best to touch my toes even though i was in bad pain. I have recently applied for an increase again, waiting for C&P, but according to this info in my records what can i expect? Any info would be helpful.
TD-ADULT 01/01/2008 Augusta,ga
Comments: est date per client
ST - SKIN TESTS
No data available
IMPRESSION
1 HTN- good control, cont meds 2 Hypercholestrolemia- cont simvastatin
fLP pending 3 Low back pain- disc protusion & spinal stenosis at L3-4
,L4-5, L5-s1, using brace , pain meds,will write muscle relaxant,
waiting on disability rating 4 numness- gabapenntin
PLAN
FUTURE APPOINTMENTS
10/17/2013 09:30 PCT(A)-DR SHARMA
11/14/2013 15:30 DERMATOLOGY SPECIAL (JOHNSON)
Future Recall Dates:
^@@^
Return to Clinic:10 month
I want to update you on your recent x ray results:
x ray shows degerative arthritis . continue medication . If you want , will
refer for physical therapy
Thank you for your service to our country.
Sincerely,
SAROJ B SHARMA M.D.
Primary Care Service Line
Charlie Norwood VA Medical Center
Date/Time:
Report:
MRI of the lumbar spine on 08/04/11:
Technique: Examination is performed with sagittal, axial and
axial oblique T1 and T2-weighted images, and sagittal STIR fat
suppressed T2 images. There are no prior examinations for
comparison.
Findings: There is normal alignment of the lumbar spine, with no
retrolisthesis or spondylolistheses. Lumbar spinal canal is of
normal caliber. Lower thoracic spinal cord and conus medullaris
are normal in signal and appearance, with the conus tip ending in
a low position at the inferior endplate L2. Cauda equina appears
normal.
Lumbar intervertebral discs from T11-12 through L2-3 demonstrate
normal height, contour and signal intensity, with no evidence of
intervertebral degenerative disc disease.
L3-4 intervertebral disc shows a broad based annular protrusion
centrally, abutting the ventral surface of the thecal sac, shown
best on axial T2-weighted image 28. There is no associated canal
stenoses or black out recess compromise.
L4-5 level demonstrates intervertebral degenerative disc signal loss and mild disc space narrowing, with broad-based disc
osteophyte complex producing ventral surface thecal sac
flattening. There is mild narrowing of the lateral recesses
bilaterally, more on the right. There is mild facet joint and
ligamentum flavum hypertrophy, shown best on axial T2-weighted
image 38.
L5-S1 level shows advanced disc space collapse, degenerative disc
signal loss and broad-based osteophyte from the inferior endplate
L5 projecting within the ventral epidural space, with an
underlying small extruded disc herniation just to the right of
midline as shown on axial oblique T2 weighted image 5. No thecal
sac compression or exiting nerve root compromise is detected.
Modic type II subchondral fatty bone marrow replacement is also
present at L5-S1.
Impression:
Lumbar disc disease at L5-S1, L4-5 and L3-4 as described above.
Low position of a conus medullaris tip ending at the inferior
endplate L2.
Somewhere else in my file it states that i have severe DDD and buldging discs at L3-L4, L4-L5,L5-SI.
THANKS FOR THE HELP
eric
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