Jump to content
  • 0

Was My Exam Just A Dream? - Knee Rom 5260/5261



The Experience: Just had my first C&P on Monday and was able to read the report yesterday. The doctor was polite and seemed genuinely compassionate, but the exam felt hurried. In fact, I was called on my mobile phone fifteen minutes after the exam, by the doctor himself, to come back because he forgot to perform an important part of it. I'm grateful he called me back in rather than scheduling or just using his imagination to conjure something up. There are many errors and oversights, though some are in my favor, most are unfavorable. The report is more inaccurate than it is accurate. Although I was prepared for this by HadIt (Thank You!) and my other research, it's nonetheless frustrating. I have already prepared my rebuttal to perceived mistakes so my account of the exam is freshly documented. I am also considering a call to the Patient Advocate office per the advice of my VSO--but, I'm on the fence about it. I just can't help but ask myself, jokingly, if I am completely delusional, because it certainly would be the case if I believed what's on the report actually took place.

Medical History & The DBQ: I have substantial pain in both of my knees, it's why I was discharged. Historical and continuous chondromalacia/patellafemoral and IT band syndrome diagnoses. During range of motion testing, the doctor was able to lift both legs to full extension. It was obviously painful and he apologized for causing the pain. In active range of motion, there's no question that I lacked full extension and suffered even greater pain. However, his report contrarily indicates full range in every motion and "no pain" on each measurement. (Side note: He actually used a goniometer, unlike many of the stories I've read here). He also indicated no scars, which is false. How could he know if my legs were clothed the entire exam? :blink:

Question: My question is regarding the knee range of motion testing. Never mind that he wrongly indicated no pain despite having apologized for such, I'm looking for clarification on painful vs actual range of motion for both passive and active. Is painful ROM to be considered in the actual measurement, in degrees, of passive range of motion? What about active range of motion? I ask because I read in another post here, if I understood it correctly, that for DC 5260 and DC 5261 (knee range of motion), the Mitchell criteria is that painful ROM is disregarded in measurement. This conflicts with everything I had read previously, and also with my own sensibilities, but nevertheless could be true. Just looking for clarification.

Thank you to everyone here in the HadIt community. Your posts have guided me to a great deal of information and greater understanding of the VA claims process. :wub:

* EDIT: I found a few unofficial documents that seem to state any reduction in ROM due to pain should be described by the examiner, if feasible. However, if pain in motion exists where ROM is not deemed as limited, then 10% is justified. Does that sound accurate? If so, does anyone know if the below indications from the doctor tie into the rating based on pain (10%), rather than ROM? I'm of course still confused how in one part the examiner can say there's no pain but in the other say that there is.

c. If the Veteran has functional loss, functional impairment or additional
limitation of ROM of the knee and lower leg after repetitive use,
the contributing factors of disability below (check all that apply and
indicate side affected):
[X] Pain on movement [ ] Right [ ] Left [X] Both
[X] Disturbance of locomotion [ ] Right [ ] Left [X] Both
[X] Other, describe:
Edited by whalenkcj
Link to comment
Share on other sites

  • Answers 9
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

  • 0

Just got the call from the Patient Advocacy Supervisor. He said he's "got my back" and that this will go to the director in charge of C&P examinations, who will then do some "fact-finding," then I'll speak to that person as well, then it will go to the hospital director for review. I foresee retaliation as more likely than anything positive coming of it. However, I'm not worried. For some reason it feels like the appropriate response to the experience. Additionally, based on almost every secondhand experience I've heard, regardless of whether one voices grievance or not, there's going to be a fight for any benefits sought, no matter how straight-forward a claim seems.

There's a new-found realization that it may very well be necessary to make a decision to either dig in and take the small advances over the long haul or to turn around and go home. Although the former seems long and tedious, the latter doesn't even feel like a legitimate option.

Link to comment
Share on other sites

  • 0

I just got back from my C&Ps today, and they went ok I guess. It was an older Vietnam Vet General Medicine MD. I went for both Knees, Back, and Shoulder along with other conditions, so he had Plenty of Measuring ROM to do today. I really don't know what to think of the Exams. The Doc was nice, quite, yet went over the same conditions a few times, I think to try to catch me off guard or to see if I was somehow cured within the last 30 minutes.

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • veteranscrisisline-badge-chat-1.gif

  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims


    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
  • Most Common VA Disabilities Claimed for Compensation:   


  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • Create New...

Important Information

{terms] and Guidelines